Treatment FAQ

what is the treatment for an heart attack

by Leslie Walsh Published 2 years ago Updated 2 years ago
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You might receive clot-dissolving drugs (thrombolysis), balloon angioplasty (PCI), surgery or a combination of treatments. 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.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

The research published in the New England Journal of Medicine shows that colchicine may be used as an addition to standard therapy used for treating people who have suffered from a heart attack. The standard therapies usually include the use of statins for lowering “bad” cholesterol.

Therapy

The Long-Term Effects of a Heart Attack on the Cardiovascular System

  • Angina. According to the American Heart Association (AHA), it is not uncommon for heart attack survivors to experience chest pain after physical exertion.
  • Arrhythmia. ...
  • Ischemic Heart Failure. ...
  • Depression and Anxiety. ...

How long does a heart attack last without treatment?

Treatment

  • Immediate treatment. Aspirin: This prevents further blood clotting. Nitroglycerin: This helps improve blood flow. ...
  • Surgery. Surgery can help restore blood flow to the heart. Surgical procedures for heart attack patients include bypass surgery.
  • Medications. A doctor might give the person medications to dissolve a blood clot. ...

How do you cure a heart attack?

What are the long term effects of heart attack?

How do you treat a heart attack?

See more

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Can you treat a heart attack without surgery?

Through angioplasty, our cardiologists are able to treat patients with blocked or clogged coronary arteries quickly without surgery. During the procedure, a cardiologist threads a balloon-tipped catheter to the site of the narrowed or blocked artery and then inflates the balloon to open the vessel.

Can heart attack be treated completely?

Once you've been diagnosed with heart disease, you can't be cured. But you can treat the things that contributed to the development of coronary artery disease. In turn, this can reduce how the condition impacts your body.

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

Typically, you'll be in the hospital for 2 days to a week after a heart attack. But if you have complications, or if you've had other procedures, like bypass surgery, you'll probably stay longer. One of the first things you may notice in the hospital is that your medication routine might change.

What is the main cause of a heart attack?

Coronary heart disease (CHD) is the leading cause of heart attacks. CHD is a condition in which the coronary arteries (the major blood vessels that supply the heart with blood) become clogged with deposits of cholesterol. These deposits are called plaques.

What triggers heart attack?

A heart attack occurs when an artery that sends blood and oxygen to the heart is blocked. Fatty, cholesterol-containing deposits build up over time, forming plaques in the heart's arteries. If a plaque ruptures, a blood clot can form. The clot can block arteries, causing a heart attack.

What are the 4 signs of an impending 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.

How do they diagnose a heart attack?

An electrocardiogram (ECG) is an important test in suspected heart attacks. It should be done within 10 minutes of being admitted to hospital. An ECG measures the electrical activity of your heart. Every time your heart beats, it produces tiny electrical impulses.

Can your heart fully recover after a heart attack?

The answer is most likely yes. The heart muscle begins to heal soon after a heart attack. It usually takes about eight weeks to heal. Scar tissue may form in the damaged area, and that scar tissue does not contract or pump as well as healthy muscle tissue.

What is the best medicine for a heart attack?

Thrombolytics. These drugs, also called clotbusters, help dissolve a blood clot that's blocking blood flow to your heart. The earlier you receive a thrombolytic drug after a heart attack, the greater the chance you'll survive and have less heart damage.

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.

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 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 do you stay in the hospital after a heart attack?

You'll likely remain in the hospital for several days after blood flow to your heart is restored and your condition is stable.

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 tests are done to check for heart damage?

Blood tests . Certain heart proteins slowly leak into your blood after heart damage from a heart attack. Emergency room doctors will take samples of your blood to check for these proteins, or enzymes.

How can a second heart attack be prevented?

Take aspirin and beta blockers (propranolol, metoprolol, atenolol) that have been shown to reduce the chances of a second heart attack and improve survival.

What is a heart attack?

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. Injury to the heart muscle causes chest pain and pressure. 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 the heart attack usually is "complete." The dead heart muscle is replaced by scar tissue.

What is the best medicine to take instead of aspirin?

Clopidogrel or prasugrel is used instead of aspirin in patients who have an allergy to aspirin.

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.

Which antiplatelet agents are more potent than aspirin?

Inhibiting the ADP receptors on the platelets prevent the platelets from aggregating and causing blood clots to form. The theinopyridines are more potent antiplatelet agents than aspirin. Clopidogrel (Plavix) and prasugrel (Effient) are used far more commonly than ticlopidine (Ticlid) because ticlopidine can, in rare instances, cause low platelet and/or white blood cell counts. These agents play an important role in the treatment of heart attacks and are used in the following situations:

How does a blood clot blocker affect the heart?

Decrease the size of the blood clot blocking the coronary arteries , thus improving blood flow, limiting damage to heart muscle, and improving survival among patients with heart attacks

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 bypass surgery?

Bypass surgery:Treats blocked heart arteries by creating new passages for blood to flow to your heart muscle.

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.

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.

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 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 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 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.

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.

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 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.

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.

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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.

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