Treatment FAQ

if you have a heart attack what is the normal course of treatment

by Stacy Reinger Published 2 years ago Updated 2 years ago
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Symptoms

If your doctor suspects a heart attack, you may be treated immediately with: 1 aspirin to prevent blood clotting. 2 nitroglycerin to relieve chest pain and improve blood flow. 3 oxygen therapy.

Causes

The best time to treat a heart attack is within one hour of the onset of the first symptoms. Waiting just a couple hours for medical help may limit your treatment options, increase the amount of damage to your heart muscle, and reduce your chance of survival.

Prevention

Follow-up appointments with your doctor are typically done one, three, and six months after the heart attack. Then you’ll have them annually if you’re recovering well. It’s crucial to take your medications as prescribed and to follow all of your doctor’s instructions.

Complications

Your heart rate at the time of treatment can be an indicator of how well you will recover from an attack. For example, a study found that people with a heart rate above 80 beats per minute at the time of treatment had a higher risk of dying from their heart attack.

What is the treatment for a heart attack?

When is the best time to treat a heart attack?

How often do you go to the doctor after a heart attack?

What should your heart rate be at the time of treatment?

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Who can explain heart attack treatment?

Your doctor and other members of your healthcare team can explain the approach to your heart attack treatment. They can answer any specific questions you might have.

What is a heart attack called?

The type of heart attack (also called myocardial infarction, or MI) you experienced determines the treatments that your medical team will recommend. A heart attack occurs when a blockage in one or more coronary arteries reduces or stops blood flow to the heart, which starves part of the heart muscle of oxygen.

What kind of treatment is used for clots?

You might receive clot-dissolving drugs (thrombolysis), balloon angioplasty (PCI), surgery or a combination of treatments.

What is a heart transplant?

Heart transplant: Removes a diseased heart and replaces it with a donated healthy human heart.

What is artificial heart valve surgery?

Artificial heart valve surgery:Replaces an abnormal or diseased heart valve with a healthy one.

What is the treatment for a heart attack?

This is called dual antiplatelet therapy (DAPT).

What is a heart attack called?

The type of heart attack (also called myocardial infarction, or MI) you experienced determines the treatments that your medical team will recommend. A heart attack occurs when a blockage in one or more coronary arteries reduces or stops blood flow to the heart, which starves part of the heart muscle of oxygen.

What to do if you suspect a heart attack?

A heart attack is a life-threatening emergency. If you suspect you or someone you're with is having a heart attack, do not hesitate to call 911 (or your local emergency services phone number). Time is critical in treating a heart attack, and a delay of even a few minutes can result in permanent heart damage or death.

How long does it take to get help for a heart attack?

The best time to treat a heart attack is within one hour of the onset of the first symptoms. Waiting just a couple hours for medical help may change your treatment options, increase the amount of damage to your heart muscle and reduce your chance of survival.

How to breathe oxygen for a heart attack?

You can breathe the oxygen either through a tube that sits just below your nose or a mask that fits over your nose and mouth. This increases the amount of oxygen circulating in the blood and reduces the strain on your heart.

How to get rid of heart problems?

Keep all your medical appointments and be an active member of your health. Seeing your healthcare providers on a regular basis can uncover any heart-related issues quickly and treatment can begin immediately. You don't have to make lifestyle changes all on your own. Ask your healthcare team for help.

Why do you need an echocardiogram?

Echocardiogram (echo) An echo can be performed during and after a heart attack to learn about how your heart is pumping and identify areas of your heart that are not pumping normally. The echo is also valuable to see if any structures of the heart (valves, septum, etc.) have been injured during the heart attack.

How to prevent heart attack?

There are many actions you can take to reduce your risk of a heart attack: 1 Quit smoking. 2 Exercise regularly. 3 Eat a healthy diet, such as the Mediterranean or Dash diets. 4 Lose weight if you are overweight. 5 Manage any existing high cholesterol levels, high blood pressure and/or diabetes. 6 Keep all your medical appointments and be an active member of your health. Seeing your healthcare providers on a regular basis can uncover any heart-related issues quickly and treatment can begin immediately.

When is a cardiac catheterization performed?

Cardiac catheterization (cath) may be performed during the first hours of a heart attack if medications are not relieving the ischemia or symptoms. The cardiac cath can directly see the blocked artery and guide the choice for which procedure (such as angioplasty, stent placement or coronary artery bypass surgery) may follow.

What to do if you have a heart attack?

The sooner you get to an emergency room, the sooner you can get treatment to reduce the amount of damage to the heart muscle. At the hospital, health care professionals can run tests to find out if a heart attack is happening and decide ...

How to reduce the chances of heart attack?

Your doctor may want you to limit work , travel, or sexual activity for some time after a heart attack.

What are the symptoms of heart attack?

The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain.

What is cardiac rehabilitation?

Cardiac rehabilitation — Cardiac rehabilitation is an important program for anyone recovering from a heart attack, heart failure, or other heart problem that required surgery or medical care.

How to improve heart health after heart attack?

Lifestyle changes —Eating a healthier diet, increasing physical activity, quitting smoking, and managing stress—in addition to taking prescribed medicines— can help improve your heart health and quality of life.

What are the risk factors for heart disease?

About half of all Americans have at least one of the three key risk factors for heart disease: high blood pressure, high blood cholesterol, and smoking. 2. Some risk factors cannot be controlled, such as your age or family history. But you can take steps to lower your risk by changing the factors you can control.

What is it called when a heart muscle doesn't get enough blood?

A heart attack, also called a myocardial infarction, happens when a part of the heart muscle doesn’t get enough blood.

What are some procedures that help you survive a heart attack?

For example, many heart attack patients have undergone thrombolysis, a procedure that involves injecting a clot-dissolving agent to restore blood flow in a coronary artery.

How to treat a blocked heart artery?

Treats blocked heart arteries by taking arteries or veins from other parts of your body — called grafts — and using them to reroute the blood around the clogged artery to supply blood flow to your heart muscle. View an animation of blood flow. (link opens in new window) .

What is the best way to manage blockage of blood to the heart muscle?

One of the most common and effective procedures to manage blockage of blood to the heart muscle. Improves the supply of blood and oxygen to the heart. Relieves chest pain (angina). Reduces risk of heart attack. Improves ability for physical activity that has been limited by angina or ischemia.

Where is the catheter placed in the heart?

The catheter is placed at the exact site inside the heart where cells give off the electrical signals that stimulate the abnormal heart rhythm.

What is the purpose of a carotid artery blocker?

May also be used in carotid arteries (major arteries of the neck leading to the brain) to remove plaque and reduce risk for stroke.

How long does it take to recover from a heart attack?

Your recovery from a heart attack will depend on its severity and how it was treated. It can take anywhere from one week to several weeks before you can return to all your regular activities, especially anything involving heavy lifting.

What is a heart attack?

Acute coronary syndrome (ACS) is when the arteries that carry blood, oxygen, and nutrients get blocked. Heart attacks are a form of ACS. They occur when your heart doesn’t get enough blood supply. A heart attack is also known as a myocardial infarction.

What is a heart attack that can cause damage?

When most people think of a heart attack, they often think of a STEMI. A STEMI occurs when a coronary artery becomes completely blocked and a large portion of the muscle stops receiving blood. It’s a serious heart attack that can cause significant damage.

What is the procedure to graft a blocked artery?

Grafting: A blocked artery may also be treated with coronary artery bypass grafting, sometimes referred to as bypass surgery. In this procedure, a blood vessel is taken from elsewhere in the body and attached, or grafted, onto the blocked artery. With this, blood flow can be rerouted around the blockage.

What does it mean when you feel pain in your chest?

A STEMI has the classic symptom of pain in the center of the chest. This chest discomfort may be described as a pressure or tightness rather than a sharp pain. Some people who experience STEMIs also describe feeling pain in one or both arms or their back, neck, or jaw.

Can a heart attack cause permanent damage?

There is no permanent damage during a coronary artery spasm. While silent heart attacks aren’t as serious, they do increase your risk of another heart attack or one that may be more serious.

Can anxiety increase after a heart attack?

Feelings of anxiety or depression may also increase after a heart attack. Tell your doctor if you feel these emotions or if they interfere with your day-to-day activity. Your doctor can recommend steps to decrease anxiety.

What is a heart attack?

By definition, a heart attack is a disruption of blood flow to the heart muscle that damages heart muscle tissue. However, the nature of that disruption and how the heart responds can differ.

How do you know if you have a heart attack?

The most common symptoms of a heart attack include: chest pain that may feel like a sharp pain, tightness, or pressure on the chest. pain in one or both arms, chest, back, neck, and jaw. cold sweat. shortness of breath. nausea. lightheadedness. a vague sense of impending doom.

What causes a slow heart rate?

Certain types of right coronary artery infarctions can affect the electrical systems of the heart and cause a slow heart rate during an attack.

What is ST segment in heart?

STEMI is what you think of as a traditional heart attack. During a STEMI, a coronary artery is completely blocked. The ST segment refers to a portion of a heartbeat as seen on an electrocardiogram (ECG). Heart rate during a STEMI.

How does a heart attack affect blood pressure?

How a heart attack affects blood pressure. Blood pressure is the force of blood pushing against the inside walls of your arteries as it circulates throughout the body. Just as heart rate changes are unpredictable during a heart attack, so too are blood pressure changes.

Why is the heart pumping more than the heart supply?

This can be because one or more arteries are unable to deliver a sufficient flow of blood to the heart muscles. Or, the cardiac demand (the amount of oxygen the heart needs) is higher than the cardiac supply (the amount of oxygen the heart has) available.

How many beats per minute is normal?

Your heart rate is the number of times your heart beats per minute. A typical or “healthy” resting heart rate for an adult is between 60 and 100 beats per minute. In general, the lower your heart rate, the more efficiently your heart is pumping.

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Diagnosis

Clinical Trials

Medically reviewed by
Dr. Kabir Sethi
Symptoms
If you or someone you know is exhibiting symptoms of Heart attack, seek medical attention immediately.

Symptoms and severity varies from person to person. Some may not notice symptoms and if at all a very mild signs.

The most common warning symptoms may include:

  • Discomfort in the chest region
  • Pressure or tightness in the chest
  • Pain or discomfort in the arm, back or neck region- usually on the left side
  • Excessive sweating
  • Shortness of breath, either on exertion or at rest
  • Nausea
  • Vomiting
  • Dizziness

Causes

  • A heart attack occurs when one or more coronary arteries get blocked. Over time, a coronary artery can narrow due to the build-up of various substances, including cholesterol (atherosclerosis). This condition is called coronary artery disease. During a heart attack, one of these plaques can rupture and spill cholesterol and other substances into the bloodstream. A blood clot forms at the site of the rupture. Bigger clots can completely block the flow of blood through the coronary artery.
  • Factors associated with increased risk of a heart attack include:
  • Age - increase in age weakens the heart muscles or build-up of plagues
  • High cholesterol levels
  • Diabetes
  • Genetics - family history increases the risk
  • Heart surgery
  • High blood pressure
  • Obesity
  • Consumption of tobacco in any form, either chewable or smoked
  • Extreme stress

Prevention

Some preventive measures to overcome heart attack risks include:

  • Quit smoking
  • Eat a balanced and healthy diet
  • Stay active: get plenty of exercise
  • Get plenty of good quality sleep
  • Keep diabetes under control
  • Keep alcohol intake down
  • Maintain blood cholesterol at optimum levels
  • Keep blood pressure in control
  • Maintain a healthy body weight
  • Avoid stress and learn how to manage stress

Complications

Heart attack can be serious and may result into various complications including:

  • Arrhythmia – abnormal heartbeat, where the heart begins beating faster and faster, then stops beating (cardiac arrest)
  • Cardiogenic shock – the heart muscles are severely damaged and can no longer contract properly
  • Heart rupture – the heart muscles, walls or valves split apart (rupture)

Lifestyle and Home Remedies

Coping and Support

Preparing For Your Appointment

  • Ideally, a health care provider should screen you during regular checkups for risk factors that can lead to a heart attack. A heart attack is often diagnosed in an emergency setting. If you've had or are having a heart attack, care providers will take immediate steps to treat your condition. If you
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