Treatment FAQ

what is heart attack treatment

by Mr. Destin Bauch PhD 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
balloon angioplasty
The first percutaneous coronary angioplasty on an awake patient was performed in Zurich by the German cardiologist Andreas Gruentzig on September 16, 1977. Dr. Simon H. Stertzer was the first to perform coronary angioplasty in the United States on March 1, 1978 at Lenox Hill Hospital in New York.
https://en.wikipedia.org › wiki › Angioplasty
(PCI), surgery or a combination of treatments
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Mar 31, 2017

Medication

Mar 24, 2022 · A heart attack is a life-threatening medical emergency that requires immediate treatment. A heart attack, also known as a myocardial infarction, happens when the flow of blood that brings oxygen to a part of your heart muscle suddenly becomes blocked.

Procedures

Management and Treatment How are heart attacks treated? Treating a heart attack means restoring blood flow to the affected heart muscle as soon as possible. This can happen in a variety of ways, ranging from medication to surgery. It's extremely likely that treatment will use several of the following methods. Supplementary oxygen

Therapy

Feb 11, 2021 · 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. 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 …

How long does a heart attack last without treatment?

Jan 11, 2021 · In some cases, a heart attack requires cardiopulmonary resuscitation (CPR) or an electrical shock (defibrillation) to the heart to get the heart pumping again. Bystanders trained to use CPR or a defibrillator may be able to help until emergency medical personnel arrive.

How do you cure a heart attack?

The good news is that excellent treatments are available for heart attacks. These treatments—which work best when given right after symptoms occur—can save lives and prevent disabilities. To learn more about heart attacks, visit the National Heart, Lung, and Blood Institute. Read about this topic in Spanish. Lea sobre este tema en español.

What to do after surviving a heart attack?

How to spot and treat a heart attack?

See more

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What is the most common treatment for a heart attack?

Medications to treat a heart attack might include:Aspirin. The 911 operator might tell you to take aspirin, or emergency medical personnel might give you aspirin immediately. ... Thrombolytics. ... Antiplatelet agents. ... Other blood-thinning medications. ... Pain relievers. ... Nitroglycerin. ... Beta blockers. ... ACE inhibitors.More items...

What is the first aid treatment for heart attack?

Push hard and fast on the center of the person's chest in a fairly rapid rhythm — about 100 to 120 compressions a minute. If an automated external defibrillator (AED) is immediately available and the person is unconscious, follow the device instructions for using it.

How do you stop a heart attack immediately?

Acting quickly can save lives. If given quickly after symptoms, clot-busting and artery-opening medications can stop a heart attack, and having a catheterization with a stent put in may open a closed blood vessel. The longer you wait for treatment, the more chances of survival go down and damage to the heart goes up.Sep 10, 2020

What causes heart attacks?

A heart attack occurs when one or more of your coronary arteries becomes blocked. Over time, a buildup of fatty deposits, including cholesterol, form substances called plaques, which can narrow the arteries (atherosclerosis). This condition, called coronary artery disease, causes most heart attacks.

Can we give water during heart attack?

2. Will drinking water or eating something during a heart attack help? It will not help the sufferer. Most people who are having a heart attack will not be hungry or want to eat food.

Can you stop a heart attack?

It is not possible to stop a heart attack if one is already in progress. The only way to stop a heart attack is to seek emergency medical attention. Some people say that coughing will help to stop a heart attack by keeping the blood flowing. However, the American Heart Association does not endorse this method.Feb 12, 2021

What foods prevent heart attacks?

The best diet for preventing heart disease is one that is full of fruits and vegetables, whole grains, nuts, fish, poultry, and vegetable oils; includes alcohol in moderation, if at all; and goes easy on red and processed meats, refined carbohydrates, foods and beverages with added sugar, sodium, and foods with trans ...

How can I prevent heart attack at home?

The following steps can help you not only prevent but also recover from a heart attack:Avoid smoke. ... Control your blood pressure and cholesterol levels. ... Get regular medical checkups. ... Exercise regularly. ... Maintain a healthy weight. ... Eat a heart-healthy diet. ... Manage diabetes. ... Control stress.More items...•Feb 3, 2017

What is the best exercise to avoid heart attack?

Aerobic Exercise How much: Ideally, at least 30 minutes a day, at least five days a week. Examples: Brisk walking, running, swimming, cycling, playing tennis and jumping rope. Heart-pumping aerobic exercise is the kind that doctors have in mind when they recommend at least 150 minutes per week of moderate activity.

What are the early signs of heart problem?

Signs and symptoms can include:Chest pain, chest tightness, chest pressure and chest discomfort (angina)Shortness of breath.Pain, numbness, weakness or coldness in your legs or arms if the blood vessels in those parts of your body are narrowed.Pain in the neck, jaw, throat, upper abdomen or back.Feb 9, 2021

Does stress cause heart attacks?

Stress may lead to high blood pressure, which can pose a risk for heart attack and stroke. Stress also may contribute to such cardiovascular disease risks as smoking, overeating and lack of physical activity.Feb 4, 2020

How can we keep your heart healthy?

To help prevent heart disease, you can:Eat healthy.Get active.Stay at a healthy weight.Quit smoking and stay away from secondhand smoke.Control your cholesterol and blood pressure.Drink alcohol only in moderation.Manage stress.Oct 1, 2018

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.

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 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 purpose of a cardiac MRI?

Cardiac MRI uses a magnetic field and radio waves to create images of your heart. For both tests, you lie on a table that slides inside a long tubelike machine. Each can be used to diagnose heart problems, including the extent of damage from heart attacks.

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.

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.

Can antiplatelet drugs open blocked arteries?

While antiplatelet agents and anticoagulants prevent the formation of blood clots, they cannot dissolve existing blood clots and hence cannot be relied upon to open blocked arteries rapidly. Clot-dissolving drugs (also called fibrinolytic or thrombolytic medications) actually dissolve blood clots and can rapidly open blocked arteries. Intravenous administration of clot-dissolving drugs such as tissue plasminogen activator (TPA) or TNK can open up to 80% of acutely blocked coronary arteries. The earlier these drugs are administered, the greater the success at opening the artery and the more effective the preservation of heart muscle. If clot-dissolving drugs are given too late (more than 6 hours after the onset of the heart attack), most of the muscle damage already may have occurred.

What is the best treatment for a heart attack?

In the acute scenario, when medical personnel think a heart attack is likely, you may be started on: Oxygen therapy. Aspirin and other antiplatelet agents to thin your blood and prevent further clotting. Nitroglycerin to help improve blood flow through the heart's arteries.

How to treat a heart attack?

Once doctors can confirm you are having an acute heart attack, treatments might include: 1 Coronary angioplasty or percutaneous coronary intervention to open blocked arteries. In this procedure, a thin, flexible tube is threaded through a blood vessel, usually in the upper thigh, to the blocked artery. A stent is placed to open up the artery and restore blood flow. This is the best treatment of heart attacks and has the best outcomes when done within two hours. 2 Clot-busting medications are usually given within hours of a heart attack to dissolve any blood clots blocking the artery. This is usually given in situations when angioplasty is unable to be performed because there are delays getting the patient to a facility with a catheterization lab. 3 Medications including beta blockers, ACE inhibitors, statins, aspirin and other antiplatelet agents may be prescribed. Always take your medications as directed and discuss with your doctor any issues you may have with the medications. 4 Procedures including heart bypass or an implantable device to even out your heart's rhythm. 5 Cardiac rehabilitation, a medically supervised program to help people recover from heart attack and live a heart healthier life. 6 Lifestyle changes, for example following a better diet, getting routine exercise, quitting smoking and keeping up with medical appointments and advice are very important steps you can take to improve your health.

What is the procedure to open a blocked artery?

Coronary angioplasty or percutaneous coronary intervention to open blocked arteries. In this procedure, a thin, flexible tube is threaded through a blood vessel, usually in the upper thigh, to the blocked artery. A stent is placed to open up the artery and restore blood flow.

Why do you give a clotbuster after a heart attack?

Clot-busting medications are usually given within hours of a heart attack to dissolve any blood clots blocking the artery. This is usually given in situations when angioplasty is unable to be performed because there are delays getting the patient to a facility with a catheterization lab.

What is the best medicine for chest pain?

Nitroglycerin to help improve blood flow through the heart's arteries. Pain relief medications like morphine to address any chest pain. Anticoagulants to prevent further clotting. Beta-blockers to reduce workload on heart by decreasing the heart rate and blood pressure.

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 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.

What are the symptoms of a heart attack?

Upper back or shoulder pain. Jaw pain or pain spreading to the jaw. Pressure or pain in the center of the chest. Light headedness. Pain that spreads to the arm. Unusual fatigue for several days. If you experience any of these symptoms of a heart attack, call for emergency assistance (911).

What is it called when you have a clot in your heart?

This is called atherosclerosis. Sometimes this plaque ruptures and forms a clot within the artery, which restricts blood flow to your heart. Blocked blood flow cuts off the needed supply of oxygen and nutrients, damaging or destroying that area of heart muscle.

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 do you know if you have a heart attack?

Symptoms of a heart attack include: 1 Angina: Chest pain or discomfort in the center of the chest; also described as a heaviness, tightness, pressure, aching, burning, numbness, fullness or squeezing feeling that lasts for more than a few minutes or goes away and comes back. It is sometimes mistakenly thought to be indigestion or heartburn. 2 Pain or discomfort in other areas of the upper body including the arms, left shoulder, back, neck, jaw, or stomach. 3 Trouble breathing or feeling shortness of breath. 4 Sweating or "cold sweat." 5 Fullness, indigestion, or choking feeling (may feel like " heartburn "). 6 Nausea or vomiting. 7 Light-headedness, dizziness, extreme weakness or anxiety. 8 Rapid or irregular heart beats.

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 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 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 ...

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.

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.

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.

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.

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 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.

What does it feel like to have a heart attack?

The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain. Feeling weak, light-headed, or faint. You may also break out into a cold sweat.

How to help someone quit smoking?

A team of people may help you through cardiac rehab, including your health care team, exercise and nutrition specialists, physical therapists, and counselors or mental health professionals.

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.

Can a heart attack cause shortness of breath?

This often comes along with chest discomfort, but shortness of breath also can happen before chest discomfort. Other symptoms of a heart attack could include unusual or unexplained tiredness and nausea or vomiting. Women are more likely to have these other symptoms. Learn more about women and heart disease.

What to do if you have a heart attack and shortness of breath?

Also call 9-1-1 if you are taking prescription drugs for angina (chest pain) and the pain doesn’t go away as usual after you take the medication. You need to take an ambulance to the hospital as soon as possible.

How long after heart attack can you get medical attention?

Yet, many people do not seek medical care for 2 hours or more after symptoms start. The good news is that excellent treatments are available for heart attacks. These treatments—which work best when given right after symptoms occur—can save lives and prevent disabilities.

What causes a blockage in the heart?

The blockage is usually caused when a plaque ruptures. If blood flow isn’t restored quickly, either by a medicine that dissolves the blockage or a catheter placed within the artery that physically opens the blockage, the section of heart muscle begins to die.

What happens when the heart muscle is blocked?

A heart attack happens when the flow of oxygen-rich blood in one or more of the coronary arteries, which supply the heart muscle, suddenly becomes blocked, and a section of heart muscle can’t get enough oxygen. The blockage is usually caused when a plaque ruptures. If blood flow isn’t restored quickly, either by a medicine ...

How do you know if you have a heart attack?

The signs can include: Crushing chest pain or pressure and/or discomfort or pain elsewhere in the upper body, neck, or arms. Nausea. A cold sweat.

Can a blocked artery be restored?

The sooner you get to a hospital, the more emergency medical professionals can do to stop any heart damage and prevent deadly heart rhythm problems, heart failure, and death. If blood flow in the blocked artery can be restored quickly, permanent heart damage may be prevented.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

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

  • Heart attack treatment at a hospital
    Each minute after a heart attack, more heart tissue deteriorates or dies. Restoring blood flow quickly helps prevent heart damage.
  • Medications
    Medications to treat a heart attack might include: 1. Aspirin.The 911 operator might tell you to take aspirin, or emergency medical personnel might give you aspirin immediately. Aspirin reduces blood clotting, thus helping maintain blood flow through a narrowed artery. 2. Thrombolytics.Th…
See more on mayoclinic.org

Procedures/Surgery

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Medications

  • To improve your heart health, take the following steps: 1. Avoid smoking.The most important thing you can do to improve your heart's health is to not smoke. Also, avoid being around secondhand smoke. If you need to quit, ask your doctor for help. 2. Control your blood pressure and cholesterol levels.If one or both of these is high, your doctor can prescribe changes to your …
See more on mayoclinic.org

Cardiac Rehabilitation

  • 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. Or consider talking to a mental health provider or joining a support group. It's important to mention signs or symptoms o…
See more on mayoclinic.org

Lifestyle Changes

  • A heart attack usually is diagnosed in an emergency setting. However, if you're concerned about your risk of heart attack, see your doctor to check your risk factors and talk about prevention. If your risk is high, you might be referred to a heart specialist (cardiologist). Here's some information to help you prepare for your appointment.
See more on mayoclinic.org

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