Heart Attack

First Aid: Heart Attack by Famhealth

A heart attack is a medical emergency. Call 108 or your local emergency number if you think you or someone else is having a heart attack.

The average person waits 3 hours before seeking help for symptoms of a heart attack. Many heart attack patients die before they reach a hospital. The sooner the person gets to the emergency room, the better the chance of survival. Prompt medical treatment reduces the amount of heart damage.

Causes

A heart attack occurs when the blood flow that carries oxygen to the heart is blocked. The heart muscle becomes starved for oxygen and begins to die.

Symptoms

Symptoms of a heart attack can vary from person to person. They may be mild or severe.

Symptoms in adults may include:

  • Changes in mental status, especially in older adults.
  • Chest pain that feels like pressure, squeezing, or fullness. The pain is most often in the centre of the chest. It can last for more than a few minutes, or come and go.
  • Cold sweat.
  • Light headedness.
  • Nausea
  • Numbness, aching, or tingling in the arm (usually the left arm, but the right arm may be affected alone, or along with the left).
  • Shortness of breath.
  • Weakness or fatigue.

First Aid

If you think someone is having a heart attack:

  • Have the person sit down, rest, and try to keep calm.
  • Loosen any tight clothing.
  • Ask if the person takes any chest pain medicine such as nitroglycerin for a known heart condition help them take it.
  • If the pain does not go away promptly with rest or within 3 minutes of taking nitroglycerin, call for emergency medical help.
  • If the person is unconscious and unresponsive, call 108 (or your local emergency number) and  begin CPR.
  • Continue CPR till the person recover or you get a medical support

How to do CPR?

  • Check the response
  • Check the carotid pulse for less than 10 second.
  • If in case of feeble pulse or no pulse start CPR. Perform 30 compression and 2 breathing and continue the cycle

Do Not:

  • Do NOT leave the person alone except to call for help if necessary.
  • Do NOT allow the person to deny the symptoms and convince you not to call for emergency help.
  • Do NOT wait to see if the symptoms go away.
  • Do NOT give the person anything by mouth unless a heart medicine (such as nitroglycerin) has been prescribed.

Prevention

Adults should take steps to control heart disease risk factors whenever possible.

  • If you smoke, quit. Smoking more than doubles the chance of developing heart disease.
  • Keep blood pressure, cholesterol, and diabetes in good control and follow your health care provider’s orders.
  • Lose weight if obese or overweight.
  • Get regular exercise to improve heart health.
  • Eat a heart-healthy diet.
  • Limit the amount of alcohol you drink. One drink a day is associated with reducing the rate of heart attacks.

To read more on First Aid, click on the link below.

First Aid

HEART HEALTH

A healthy human heart beats about 2.5 billion times over the
average lifetime. The heart is a muscular organ, which pumps
blood through the blood vessels of the circulatory system. Blood supplies
our organs with oxygen and nutrients, and helps in the removal
of metabolic wastes.

Heart Health

According to centre of disease control there are various health conditions which can lead to heart disease. Some major contributory factors are genetics, age, poor lifestyle, age and family history. Genetics, age and family history are the factors which cannot be controlled. However, one can adopt a good lifestyle and can choose to eat a healthy diet to prevent heart diseases.

Risk factors causing heart diseases:

Hypertension (High Blood Pressure)

High blood pressure is one of the prime risk factors for heart disease. It is a medical condition resulting due to an excessive pressure of blood in arteries and other blood vessels. Hypertension is regarded as the one of the prime causes of major heart conditions like heart attack.

High blood pressure is also referred to as “silent killer”, as most of the people do not observe the symptoms of high blood pressure. However, high blood pressure can be controlled with a right diet, medication and a healthy life style.
 
High Cholesterol

Cholesterol is a fat-like, waxy thin, substance which is naturally produced by liver. However, consuming foods rich in saturated fats can lead to high cholesterol levels in our blood. The excess cholesterol gets deposited in the walls of the arteries which leads to their narrowing, thereby leading to major heart diseases like atherosclerosis and heart attack.

Diabetes

Diabetes mellitus another major risk factor of heart disease. The body needs sugar for providing energy and in normal circumstances pancreas produces enough insulin for the sugar to get utilized. However, in diabetes either no insulin or less insulin is produced by the body leading to sugar accumulation in the blood.

Major Heart Diseases

Angina

Angina is also known as chest pain or discomfort caused when the heart muscle is devoid of enough oxygen-rich blood. Angina patients may experience heaviness or tightness in the chest which can even radiate to arms, neck, jaw, back or stomach. Angina is an alarming condition of a major heart disease and should not be ignored.

Management of Angina

Treatment for angina not only reduces the symptoms but also minimizes the risk for heart attack and death.

Treatment options include:

  • Modifications in the lifestyle such as quitting smoking, managing weight, eating right, keeping stress at bay, and controlling diabetes
  • Taking medications like calcium channel blockers, satins (as prescribed by doctor)
  • Treatment like stenting, coronary artery bypass (depending what doctor opts for)
  • Cardiac rehabilitation post cardiac procedure which aims for physical fitness, minimize cardiac symptoms, and improves the overall health, and lowers the risk for heart problems in the future

Aortic Stenosis

Aortic stenosis is one of the most prevalent and most severe valve diseases of the heart which occurs due to obstruction of blood flow across the aortic valve. Affected patients may suffer from complications like chest pain, fainting, and heart failure which might lead to shortness of breath. This condition could be genetic or age related.

Management of Aortic Stenosis

Treatment for aortic stenosis depends on symptoms and the extent of the disease.

Mild disease may not require any treatment; however, a regular ECG is done by the doctor to forecast any complication. In severe cases the treatment includes:

  • Replacing the aortic valve: Aortic valve replacement is the only effective treatment for severe aortic stenosis.
  • Medications: There is no specific medication for this condition, however blood pressure is controlled to prevent further complications.

Atherosclerosis

Atherosclerosis is a disease in which plaque builds up inside the arteries, which eventually causes blockage and limiting the flow of oxygen-rich blood to your organs. It is one of the prime causes of heart attacks, strokes, and peripheral vascular disease together called cardiovascular disease.

Management of Atherosclerosis

Lifestyle management-Eating a healthy diet

A healthy diet is primarily a diet rich in fruits, vegetables, whole grains, and low in refined carbohydrates, saturated, trans fats, and sodium.

Some simple ways are to switch from white to whole-grain bread, eating fruits and vegetables rather than refined food items, using olive oil instead of solid fats like butter, and reducing sugar and sugar substitutes to a greater extent.

  • Quit smoking– According to the Mayo Clinic- for  heavy smoker, quitting is the single most effective way to stop atherosclerosis from getting worse and reduce risk of complications
  • Maintain healthy weight– obese individuals are more prone to heart disease. Hence, a person should try to maintain a healthy weight.
  • Manage Stress– Keep the body relaxed; try deep breathing, meditation, and yoga to keep stress at bay. .
  • Medications and Surgery– Doctor may prescribe medication like cholesterol medication, anti-platelet medication, and calcium channel blockers. Surgery includes angioplasty, endarterectomy and bypass grafting

Atrial Fibrillation

Atrial fibrillation (also referred to as AFib or AF) is the most common type of abnormal heart rhythm (arrhythmia) which can cause complications like blood clots, stroke, heart failure and other heart-related complications.

Management of Atrial Fibrillation

The atrial fibrillation treatment depends on how long the patient has had atrial fibrillation, acuteness of symptoms and the underlying cause of atrial fibrillation. Generally, the treatment goals for atrial fibrillation are to:

  • Reset the rhythm or control the rate
  • Prevent blood clots
  • Decrease the risk of strokes

Tips for Healthy Heart

  • Abstaining from smoking
  • Managing blood cholesterol
  • Controlling High Blood pressure
  • Keeping a check on diabetes
  • Exercising and being physically active
  • Maintaining weight
  • Eating nutritious diet
  • Consuming less salt and sugar
  • Keeping stress at bay

Sources:

Heart Health Support Groups

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