Treatment FAQ

treatment for heart attack when they go into the heart

by Prof. Amparo Hegmann DDS Published 2 years ago Updated 2 years ago
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Hospitals commonly use techniques to restore blood flow to part of the heart muscle damaged during a heart attack: You might receive clot-dissolving drugs (thrombolysis), balloon angioplasty (PCI), surgery or a combination of treatments.Mar 31, 2017

Medication

Heart attack symptoms can vary in their onset, intensity, and duration. Some may come on suddenly, while others may begin slowly. They may last for a few minutes or several hours. Untreated heart attack symptoms can lead to serious complications or even death. Therefore, it is important that people receive urgent treatment once symptoms begin.

Procedures

What kind of diets are recommended for people who have experienced a heart attack?

  • Plant-based diet. A plant-based diet focuses on foods from plants, including fruits, vegetables, seeds, nuts, beans, legumes, etc.
  • Mediterranean diet. The Mediterranean diet refers to an eating style that reflects the food choices and practices common in Mediterranean countries (such as Greece, Italy, and Spain), where the diet ...
  • DASH diet. ...

Therapy

While the heart can recover from damage by forming a scar, it isn't possible to heal tissue that has already died. Healing after a heart attack or other form of injury to the heart takes weeks to naturally occur, according to the American Heart Association.

How long does a heart attack last without treatment?

“The emergency crew is trained to treat these symptoms, and it could mean the difference between life and death.” Heart attack or stroke can happen to anyone, but your risk increases with age. A family or personal history of heart attack or stroke also ...

What is the best diet after a heart attack?

Does your heart heal itself after a heart attack?

How to spot and treat a heart attack?

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What is the best treatment for heart attack victims?

TreatmentAspirin. Aspirin reduces blood clotting. ... Clot busters (thrombolytics or fibrinolytics). These drugs help break up any blood clots that are blocking blood flow to the heart. ... Other blood-thinning medications. ... Nitroglycerin. ... Morphine. ... Beta blockers. ... ACE inhibitors. ... Statins.

What is the treatment after heart attack?

Often, doctors will insert a stent to keep the artery open after the surgery. Another surgery often done after a heart attack is a coronary artery bypass graft (CABG). This surgery helps restore blood flow to the heart muscle through the coronary arteries by routing blood vessels around the blocked area.

Which injection is given during heart attack?

Heparin is given either intravenously or as a subcutaneous (under the skin) injection. Heparin commonly is given intravenously, usually with aspirin, antiplatelet agents, or fibrinolytic (clot-dissolving) medications for treating heart attacks.

How do hospitals treat a heart attack?

Hospitals commonly use techniques to restore blood flow to part of the heart muscle damaged during a heart attack: You might receive clot-dissolving drugs (thrombolysis), balloon angioplasty (PCI), surgery or a combination of treatments.

What happens in the hospital after a heart attack?

For the first 24 hours after a heart attack, you're usually in a coronary care unit (CCU) or an intensive care unit (ICU). There, skilled staff will closely check your heart. A series of electrocardiograms and blood tests will be performed. Doctors will continue to keep close watch over you and give you meds as needed.

How long do you stay in hospital after a heart attack?

Recovering from a heart attack You'll usually stay in hospital for about two to five days after having a heart attack. This depends on what treatment you've had and how well you're recovering. Many people make a full recovery after a heart attack, but you might not be able to do everything you used to.

Which tablet is kept under tongue for heart attack?

Nitroglycerin comes as a sublingual tablet to take under the tongue. The tablets is usually taken as needed, either 5 to 10 minutes before activities that may cause attacks of angina or at the first sign of an attack.

Which tablet is preferred for in case of heart attack?

Beta-blockers — to treat heart attack and heart failure and sometimes used to lower blood pressure. Beta-blockers block the effects of adrenaline, which comes on in response to stressful situations.

What to do after a heart attack?

Having a heart attack is scary, and you might wonder how it will affect your life and whether you'll have another one. Fear, anger, guilt and depression are all common after a heart attack. Discussing them with your doctor, a family member or a friend might help.

How to prevent heart attack?

Exercise. Regular exercise helps improve heart muscle function after a heart attack and helps prevent a heart attack. Get at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity a week, or a combination of moderate and vigorous activity. Maintain a healthy weight.

How does an echocardiogram help?

An echocardiogram can help identify whether an area of your heart has been damaged. Coronary catheterization (angiogram). A liquid dye is injected into the arteries of your heart through a long, thin tube (catheter) that's fed through an artery, usually in your leg or groin, to the arteries in your heart.

How long does it take to recover from a cardiac rehab?

Most hospitals offer programs that might start while you're in the hospital and continue for weeks to a couple of months after you return home. Cardiac rehabilitation programs generally focus on four main areas — medications, lifestyle changes, emotional issues and a gradual return to your normal activities.

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

If possible, however, you might have bypass surgery after your heart has had time — about three to seven days — to recover from your heart attack.

What is the best medicine for heart failure?

Beta blockers. These medications help relax your heart muscle, slow your heartbeat and decrease blood pressure, making your heart's job easier. Beta blockers can limit the amount of heart muscle damage and prevent future heart attacks. ACE inhibitors.

How is heparin given?

Heparin is given by IV or by an injection under your skin. Pain relievers. You might be given a pain reliever, such as morphine. Nitroglycerin. This medication, used to treat chest pain (angina), can help improve blood flow to the heart by widening (dilating) the blood vessels. Beta blockers.

What is the primary goal of treatment for a blocked artery?

Cardiac surgery. The primary goal of treatment is to quickly open the blocked artery and restore blood flow to the heart muscle , a process called reperfusion.

How is nitroglycerin used in heart attacks?

Nitroglycerin is the most common nitrate used in the treatment of heart attacks. It can be given sublingually (under the tongue), as a spray, as a paste applied over skin, and intravenously. Intravenous nitroglycerine has a rapid onset of action and is commonly used in the initial (first 48 hours) treatment of heart attacks. Nitroglycerine is a vasodilator (blood vessel expander), that opens arteries by relaxing the muscular wall of the artery. Nitroglycerine dilates coronary arteries as well as other blood vessels throughout the body. By dilating blood vessels, nitroglycerine lowers blood pressure, decreases the work that the heart must do to pump blood, lowers the demand by the heart for oxygen, prevents coronary artery spasm, improves blood flow to the heart muscle, and potentially minimizes the size of the heart attack. Nitroglycerine is especially helpful in patients with heart attacks who also have heart failure or high blood pressure.

How do antiplatelets work?

Antiplatelet agents are medications that prevent blood clots from forming by inhibiting the aggregation of platelets. Platelets are fragments of cells that circulate in the blood. Platelets begin the formation of blood clots by clumping together (a process called aggregation). Platelet clumps are then strengthened and expanded by the action of clotting factors (coagulants) that result in the deposition of protein (fibrin) among the platelets. Aggregation of platelets occurs at the site of any injury or laceration, but it also occurs at the site of rupture of cholesterol plaques in the walls of coronary arteries. Formation of clots at the site of an injury or laceration is desirable because it prevents excessive loss of blood, but formation of clots inside coronary arteries blocks the arteries and causes heart attacks.

What are the different types of antiplatelet agents?

There are three types of antiplatelet agents -- aspirin, thienopyridines, and the glycoprotein IIb/IIIa inhibitors. These agents differ in their mode of action, antiplatelet potency, speed of onset of action, and cost. For more, please read the Aspirin and Antiplatelet Medications article.

How long does it take for a heart muscle to die?

If blood flow is not restored within 20 to 40 minutes, irreversible death of the heart muscle will begin to occur. Muscle continues to die for 6 to 8 hours at which time ...

What is the name of the death of a heart muscle?

Share Your Story. A heart attack (also known as a myocardial infarction or MI) is the death of heart muscle from the sudden blockage by a blood clot in a coronary artery that supplies blood to the heart. Blockage of a coronary artery deprives the heart muscle of blood and oxygen, causing injury to the heart muscle.

Is aspirin safe for heart attacks?

Numerous studies have shown that aspirin reduces mortality (by 25%) when given to patients with heart attacks. Aspirin is easy to use, safe at the low doses used for antiplatelet action, fast acting (with an onset of action within 30 minutes), and cheap.

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.

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.

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 to do if someone has a heart attack?

What to do if you or someone else may be having a heart attack 1 Call 911 or your local emergency number. Don't ignore the symptoms of a heart attack. If you can't get an ambulance or emergency vehicle to come to you, have a neighbor or a friend drive you to the nearest hospital. Drive yourself only if you have no other option. Because your condition can worsen, driving yourself puts you and others at risk. 2 Chew and swallow an aspirin while waiting for emergency help. Aspirin helps keep your blood from clotting. When taken during a heart attack, it could reduce heart damage. Don't take aspirin if you are allergic to it or have been told by your doctor never to take aspirin. 3 Take nitroglycerin, if prescribed. If you think you're having a heart attack and your doctor has previously prescribed nitroglycerin for you, take it as directed while waiting for emergency medical help. 4 Begin CPR if the person is unconscious. If the person isn't breathing or you don't find a pulse, begin CPR to keep blood flowing after you call for emergency medical help.#N#Push hard and fast on the center of the person's chest in a fairly rapid rhythm — about 100 to 120 compressions a minute. 5 If an automated external defibrillator (AED) is immediately available and the person is unconscious, follow the device instructions for using it.

How long does chest pain last after a heart attack?

Nausea, indigestion, heartburn or abdominal pain. A heart attack generally causes chest pain for more than 15 minutes. Some people have mild chest pain, while others have more-severe pain. The discomfort is commonly described as a pressure or chest heaviness, although some people have no chest pain or pressure at all.

How to do CPR if you are unconscious?

Begin CPR if the person is unconscious. If the person isn't breathing or you don't find a pulse, begin CPR to keep blood flowing after you call for emergency medical help. Push hard and fast on the center of the person's chest in a fairly rapid rhythm — about 100 to 120 compressions a minute.

How to treat heart attack with nitroglycerin?

If you think you're having a heart attack and your doctor has previously prescribed nitroglycerin for you, take it as directed while waiting for emergency medical help. Begin CPR if the person is unconscious . If the person isn 't breathing or you don't find a pulse, begin CPR to keep blood flowing ...

Why do you need to swallow aspirin?

Because your condition can worsen, driving yourself puts you and others at risk. Chew and swallow an aspirin while waiting for emergency help. Aspirin helps keep your blood from clotting. When taken during a heart attack, it could reduce heart damage.

What does it mean when your chest hurts?

Pain or discomfort that spreads to the shoulder, arm, back, neck, jaw, teeth or occasionally upper abdomen. Nausea, indigestion, heartburn or abdominal pain. Shortness of breath. Lightheadedness, dizziness, fainting.

How long does it take to go home after a heart attack?

Depending upon the severity of the heart attack and how quickly you received treatment, you may be able to go home in 2 to 4 days. When You Get Home From the Hospital.

How long after a heart attack can you go to the ICU?

But if there’s a reasonable chance that the pain is due to a heart attack or other serious condition, you will be. For the first 24 hours after a heart attack, you’re usually in a coronary care unit (CCU) or an intensive care unit (ICU). There, skilled staff will closely check your heart.

What to expect when you arrive at the emergency room?

If there’s time, have a loved one let your doctor know what’s going on. What to Expect When You Arrive. Emergency rooms treat the most serious illnesses first. If you arrive with symptoms of a heart attack, they’ll see you quickly. Doctors will work to confirm your diagnosis, relieve your symptoms, and treat the problem.

What to do if you feel it's an emergency?

If you feel it’s an emergency, call 911 and ask them to send an ambulance right away. EMS personnel can start caring for you or your loved one immediately, and they’ll alert the emergency room to let them know you are coming. If you have these symptoms, go to the emergency room immediately:

What is an EKG?

An electrocardiogram (EKG) to diagnose a heart attack. Electrocardiographic (EKG) monitoring to screen for abnormal heart rhythms, called arrhythmias. Blood tests to confirm a heart attack. Medications, such as nitroglycerin, aspirin, and clot-busting drugs.

What is the treatment for cardiac arrest?

Treatments might include: Drugs. Doctors use various anti-arrhythmic drugs for emergency or long-term treatment of arrhythmias or potential arrhythmia complications.

What is the best medication for sudden cardiac arrest?

A class of medications called beta blockers is commonly used in people at risk of sudden cardiac arrest. Other possible drugs that can be used to treat the condition that led to the arrhythmia include angiotensin-converting enzyme (ACE) inhibitors and calcium channel blockers. Implantable cardioverter-defibrillator (ICD).

How does a catheter tip work?

They're positioned along electrical pathways identified by your doctor as causing your arrhythmia. Electrodes at the catheter tips are heated with radiofrequency energy. This destroys a small spot of heart tissue and creates an electrical block along the pathway that's causing your arrhythmia to stop your arrhythmia.

What is the importance of CPR?

Immediate CPR is crucial for treating sudden cardiac arrest. By maintaining a flow of oxygen-rich blood to the body's vital organs, CPR can provide a vital link until more-advanced emergency care is available. If you don't know CPR and someone collapses unconscious near you, call 911 or emergency medical help.

What is the procedure called when you have ventricular fibrillation?

The procedure, called defibrillation, momentarily stops the heart and the chaotic rhythm.

What to do if you survive sudden cardiac arrest?

If you survive sudden cardiac arrest, your doctor will try to learn what caused it to help prevent future episodes. Tests your doctor may recommend include:

What is the ejection fraction of a heart?

Ejection fraction refers to the percentage of blood that's pumped out of a filled ventricle with each heartbeat. A normal ejection fraction is 50% to 70%. An ejection fraction of less than 40% increases your risk of sudden cardiac arrest. Nuclear scan.

How do doctors treat heart attacks?

Learn more about different types of heart attack here. In most cases, a doctor will treat heart attacks using catheterization and stent placement. Catheterization involves feeding a tube into the heart through a small cut in the groin or arm. A stent will hold the artery open.

What happens if you don't treat a heart attack?

Risks of not treating a heart attack. If a person does not receive treatment for a heart attack, it can lead to serious complications. It may even be fatal. Cardiovascular diseases are the leading cause of death globally, with 85%. Trusted Source. of these deaths occurring due to heart attack or stroke in 2016.

Why does blood flow stop during a heart attack?

During a heart attack, blood flow to the heart stops due to a blockage in a coronary artery. These are the arteries that carry blood to the heart. If a person does not receive immediate treatment, this lack of blood flow can cause damage to the heart.

How long does it take for a heart attack to go away?

Heart attack symptoms typically persist for longer than a few minutes. They may go away and come back again, or they may occur intermittently over several hours. . In most cases, the symptoms will begin slowly and cause mild pain or discomfort. Sometimes, however, the symptoms can be sudden and intense.

How long do heart attacks last?

Some may come on suddenly, while others may begin slowly. They may last for a few minutes or several hours. Untreated heart attack symptoms can lead to serious complications or even death.

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

It depends on several factors, including the person’s overall health and the amount of damage the heart attack has done to their heart muscle. Most people have to stay in the hospital for at least a few days after a heart attack.

What is the procedure to restore blood flow to the heart?

Surgery can help restore blood flow to the heart. Surgical procedures for heart attack patients include bypass surgery. Bypass surgery involves redirecting the blood flow around the blockage. Learn more about bypass surgery here. Some people also consider catheterization and stent placement to be a form of surgery.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the severity. The main goal is to prevent further damage to the heart and to restore blood flow quickly, for which there are several medications and surgical treatments.
Medication

First aid: Oxygen therapy and drugs that reduce blood clotting and help in maintaining blood flow are given.

Aspirin . Nitroglycerine


Thrombolytics: Clot-busting medicines are recommended to dilute the clots formed in the arteries.

Tenecteplase . Alteplase . Urokinase . Reteplase


Supportive medicines: ACE inhibitors used to reduce strain on the heart. Anticoagulants, beta blockers, and statin medicines.

Quinapril . Clopidogrel . Atenolol . Atorvastatin

Procedures

Coronary angioplasty and stenting: Metal mesh stent is inserted into the artery to keep it open and restore blood flow to heart.

Coronary artery bypass graft (CABG): Bypass surgery that allows blood flow to the heart. Usually recommended depending on the location of the blockage and if the stenting is not suitable.

Therapy

Rehabilitation:Cardiac rehabilitation is a medically supervised personalised program which may include exercise, lifestyle chages and diet is usually recommended.

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Coping and Support

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Understandably, treatment for those diagnosed with heart attack can be complex.But this section on heart attack treatments will help you talk with your doctors and healthcare providers. Treatments differ for a STEMI versus NSTEMI heart attack, although there can be some overlap. At a hospital equipped to admi…
See more on heart.org

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