Treatment FAQ

what is emergency treatment for heart attack

by Miss Nedra Schneider Published 2 years ago Updated 2 years ago
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If you've had a heart attack, doctors can do an emergency procedure called angioplasty. This surgery or procedure can open narrowed or blocked blood vessels. Usually they'll place a small, metal mesh tube, called a stent, in your artery to help keep it open.

Medication

  • Never neglect a person with chest pain
  • Make the person sit in a slightly reclined position
  • Move the person to a more ventilated area
  • Administer aspirin or sorbitrate
  • If person is sweating profusely or pulse is low do not administer sorbitrate
  • Ask the person to cough
  • Seek immediate medical attention

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Procedures

In the meantime, here’s what else you can do:

  • Chew and swallow an aspirin while waiting for emergency help. ...
  • Take nitroglycerin, if prescribed (which Big is). ...
  • If an automated external defibrillator (AED) is immediately available and the person is unconscious, follow the device instructions for using it.
  • Help the person to rest in a comfortable position, and loosen any tight clothing. ...

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Therapy

Ten home remedies for heart pain

  1. Almonds. When acid reflux is to blame for the heart pain, eating a few almonds or drinking a cup of almond milk may help.
  2. Cold pack. A common cause of heart or chest pain is a muscle strain. ...
  3. Hot drinks. ...
  4. Baking soda. ...
  5. Garlic. ...
  6. Apple cider vinegar. ...
  7. Aspirin. ...
  8. Lie down. ...
  9. Ginger. ...
  10. Turmeric milk. ...

What you can do in a heart attack emergency?

When Should I Go to the ER for Chest Pain? Even though chest pain can arise due to some minor conditions, this symptom should never be disregarded as it could also indicate a life-threatening issue requiring immediate medical attention. Determining if a trip to the emergency room is warranted can be a complex one; however, if the wrong decision is made, permanent disability or even death may ...

What to do in a heart attack emergency?

What are home remedies for heart attack?

When should I go to the ER for chest pain?

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What is the immediate treatment for heart attack?

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.

Is a heart attack an emergency?

A heart attack (myocardial infarction or MI) is a serious medical emergency in which the supply of blood to the heart is suddenly blocked, usually by a blood clot. A heart attack is a medical emergency. Call 999 and ask for an ambulance if you suspect a heart attack.

What are the top 3 symptoms of a heart attack?

What are the symptoms of heart attack?Chest pain or discomfort. ... Feeling weak, light-headed, or faint. ... Pain or discomfort in the jaw, neck, or back.Pain or discomfort in one or both arms or shoulders.Shortness of breath.

What is the number 1 symptom of a heart attack?

Catch the signs early Pay attention to your body and call 911 if you experience: Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes – or it may go away and then return. It can feel like uncomfortable pressure, squeezing, fullness or pain.

How to get help for a heart attack?

Call 911 or your local medical emergency number. Don't ignore or attempt to tough out the symptoms of a heart attack for more than five minutes. If you don't have access to emergency medical services, have a neighbor or a friend drive you to the nearest hospital. Drive yourself only as a last resort, and realize that it places you ...

What to do if you have a heart attack and you are unconscious?

You may be advised to begin cardiopulmonary resuscitation (CPR). If you haven't received CPR training, doctors recommend skipping mouth-to-mouth rescue ...

What to do if someone is unconscious with an AED?

If an automated external defibrillator (AED) is available and the person is unconscious, begin CPR while the device is retrieved and set up. Attach the device and follow instructions that will be provided by the AED after it has evaluated the person's condition.

How to deal with stress in your life?

Control stress. Reduce stress in your day-to-day activities. Rethink workaholic habits and find healthy ways to minimize or deal with stressful events in your life. If you drink alcohol, do so in moderation.

How to reduce blood pressure and cholesterol?

Maintain a healthy weight. Excess weight strains your heart and can contribute to high cholesterol, high blood pressure and diabetes. Eat a heart-healthy diet . Saturated fat, trans fats and cholesterol in your diet can narrow arteries to your heart, and too much salt can raise blood pressure.

How to control high blood pressure?

Control your blood pressure and cholesterol levels. If one or both of these is high, your doctor can prescribe changes to your diet and medications. Ask your doctor how often you need to have your blood pressure and cholesterol levels monitored.

How long does it take for a heart attack to cause chest pain?

A heart attack generally causes chest pain for more than 15 minutes, but it can also have no symptoms at all. Many people who experience a heart attack have warning signs hours, days or weeks in advance.

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 is the ischemia guided strategy?

Both may involve a test called cardiac catheterization to examine the inside of your heart: The ischemia-guided strategy uses various drugs (antiplatelet agents and anticoagulants) to inhibit blood clot formation. The early invasive strategy will start with the use of various drugs (antiplatelet agents and anticoagulants) to inhibit blood clot ...

What is a stent used for?

Stent procedure: A stent is a wire mesh tube used to prop open an artery during angioplasty. Transmyocardial revascularization (TMR): A laser is used to drill a series of holes from the outside of the heart into the heart’s pumping chamber.

What is the alternative to bypass surgery?

Minimally invasive heart surgery: An alternative to standard bypass surgery. Radiofrequency ablation: A catheter with an electrode at its tip is guided through the veins to the heart muscle to destroy carefully selected heart muscle cells in a very small area.

What is bypass surgery?

Bypass surgery: Treats blocked heart arteries by creating new passages for blood to flow to your heart muscle. Cardiomyoplasty: An experimental procedure in which skeletal muscles are taken from a patient’s back or abdomen. Heart transplant: Removes a diseased heart and replaces it with a donated healthy human heart.

What is the early invasive strategy?

The early invasive strategy will start with the use of various drugs (antiplatelet agents and anticoagulants) to inhibit blood clot formation, but might also proceed to a medical therapy, a PCI with stenting or coronary artery bypass grafting (CABG), followed by certain types of post-hospital care.

What is PCI in hospitals?

About 36 percent of hospitals in the U.S. are equipped to use a procedure called percutaneous coronary intervention (PCI), a mechanical means of treating heart attack. At a hospital equipped to administer PCI, you would likely be sent to a department that specializes in cardiac catheterization, sometimes called a “cath lab.”.

What arrhythmias should be treated if present?

Other arrhythmias such as atrial tachycardia, flutter, or fibrillation should be treated if present.

What is the most common cause of death in the initial stages of myocardial infarction?

The patient should be transported to the hospital in an ambulance. A type of arrhythmia known as ventricular fibrillation (VF) is the most common cause of death in the initial stages of myocardial infarction. This is only one of the several heart attack complications that arises within minutes to hours that can cause death.

What drugs can help with left ventricular dilation?

Angiotensin converting enzyme (ACE) inhibitors. Drugs such as lisinopril, captopril, and enalapril may help to prevent or reduce left ventricular dilatation but should be used with caution since they may drastically lower the blood pressure. These act by dilating the blood vessels.

What are some medications that lower cholesterol?

Statins. Drugs such as atorvastatin, lovastatin, and simvastatin help to lower cholesterol. Gastrointestinal disruptions like constipation and stress ulcers may develop. It is important to avoid constipation and straining at stool.

How much aspirin should I take for MI?

Immediate care may be given by emergency medical personnel in a suspected MI. This includes : Aspirin (160 to 325 mg) should be given as soon as possible and should be chewed), unless there are contraindications such as active or recent gastrointestinal bleeding or an allergy to aspirin.

Should chest pain be ignored?

Chest pain should never be ignored since it might herald a heart attack. If attended to at the earliest possible stage, it can save the person’s life and prevent extensive damage to the heart muscle. A person who suspects that he/she is having a heart attack or any individual witnessing such an event should immediately call 911 or the local emergency number. Cardiopulmonary resuscitation (CPR) should be started immediately after calling 911 in case the person is unconscious and unresponsive. The patient should be transported to the hospital in an ambulance.

Can a heart attack save a person's life?

The signs and symptoms of a heart attack (myocardial infarction) often leads to panic, both on the part of the person having the heart attack and those around them. However, early intervention, even by a person with basic emergency care knowledge, can save the life of the heart attack patient.

What to do if you think you have a heart attack?

But if you think you are having a heart attack, call 911. Don’t drive yourself, and don’t have someone else drive you.

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.

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 do EMS personnel do?

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.

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.

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.

Do you know when you need to go to the emergency room?

You never know when you may need to go to the emergency room, so it's best to be ready. Here are some steps you can take now to make any visit to the emergency room easier:

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 far in advance should you know if you have a heart attack?

Some heart attacks strike suddenly, but many people have warning signs hours or days in advance.

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 ...

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 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.

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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

Preparing For Your Appointment

  • Each minute after a heart attack, more heart tissue is damaged or dies. Urgent treatment is needed to fix blood flow and restore oxygen levels. Oxygen is given immediately. Specific heart attack treatment depends on whether there's a partial or complete blockage of blood flow.
See more on mayoclinic.org

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