Treatment FAQ

what the treatment for heart attack

by Samanta Daugherty Published 3 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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What is the best treatment for heart attack?

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 first treatment for heart attack?

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.

Can a heart attack be cured or treated?

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.

Can a heart attack go away?

Most people will recover from a heart attack, especially if they receive emergency medical treatment. The survival rate for heart attacks is now 90%.

What are warning signs of a heart attack?

Most heart attacks involve discomfort in the center or left side of the chest that lasts for more than a few minutes or that goes away and comes back. 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.

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.

Can you fully recover from a heart attack?

A return to all of your normal activities, including work, may take a few weeks to 2 or 3 months, depending on your condition. A full recovery is defined as a return to normal activities. This will depend on how active you were before your heart attack, the severity of the attack, and your body's response to it.

Is heart attack painful?

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. Discomfort in other areas of the upper body.

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

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.

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.

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 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 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.

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 is the procedure for a heart attack?

If the heart attack is severe, the doctors may perform surgery. The most common emergency surgery doctors perform to treat heart attacks is percutaneous coronary intervention (PCI). During PCI, doctors are able to see inside the arteries to look for the location of the blockage that’s causing the heart attack. Once that blockage is found, heart surgeons can take steps to treat it. Often, doctors will insert a stent to keep the artery open after the surgery.

What is the procedure to open a heart artery after a heart attack?

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.

What is the treatment for ventricular fibrillation?

Other treatments may be necessary as well. For example, if the patient is having an arrhythmia, such as ventricular tachycardia or even ventricular fibrillation, the emergency medicine team will need to treat that. Treatments may include defibrillation or cardioversion.

How soon can you give thrombolytic medication?

Thrombolytic medications, commonly known as clot busters – for best results, these should be given as soon as possible, definitely within a couple hours of the onset of the symptoms . Percutaneous coronary intervention (PCI), which is more commonly known as angioplasty. Other treatments may be necessary as well.

What to do if there is a defibrillator?

If there is a defibrillator around, have someone else run to get it while you administer CPR. Defibrillators are easy to use, and they all come with instructions. Some 911 operators may talk to you and tell you what to do. Learn more about Beaumont's Advancements in Heart Surgery and Recovery.

What is the purpose of ACE inhibitors?

ACE inhibitors to lower blood pressure and slow down the process that weakens the heart

Why do we need statins?

Statins to help control and lower blood cholesterol, which can reduce the chances of a future heart attack or stroke

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 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 is the best treatment for a heart attack?

Beta-blockers are often considered standard treatment after a heart attack. Beta-blockers are a class of medications used to treat high blood pressure, chest pain, and abnormal heart rhythm. These medications block the effects of adrenaline, which makes it easier for your heart to do its job.

How does blood flow improve after a heart attack?

They block, or inhibit, the production of an enzyme that causes your vessels to narrow. This can help improve your blood flow by relaxing and widening your blood vessels . Improved blood flow can help reduce heart strain and further damage after a heart attack.

How do antiplatelet agents prevent clotting in your arteries?

Antiplatelet agents prevent clotting in your arteries by keeping blood platelets from sticking together, which is usually the first step in blood clot formation.

How do anticoagulants work?

Anticoagulant drugs reduce the risk of clotting in people who have had heart attacks . Unlike antiplatelets, they work by affecting the coagulation factors that are also involved in the blood clotting process.

What are some examples of beta blockers?

Some examples of beta-blockers for people who have had a heart attack include: atenolol (Tenormin) carvedilol (Coreg) metoprolol (Toprol)

When to use thrombolytic drugs?

Thrombolytic drugs, also called “clot busters,” are used immediately after a heart attack. They’re used when angioplasty can’t be done to widen the blood vessel and improve blood flow to the heart.

Can ACE inhibitors reverse heart attack?

ACE inhibitors may even help reverse structural changes to the heart caused by long-term high blood pressure. This can help your heart work better in spite of the damaged muscle segments caused by a heart attack. Examples of ACE inhibitors include:

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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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