Treatment FAQ

what treatment options are available for heart attacks

by Evert Schinner IV 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

To prevent your risk of a heart attack:

  • Stop smoking and minimize your exposure to secondhand smoke.
  • Get your high blood cholesterol and high blood pressure under control by modifying your diet, losing weight, taking medication, or doing a combination of these things.
  • Stay physically active daily.
  • Control your weight if you’re overweight or obese.

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Procedures

  • Arnica: One of the first symptoms of a heart attack is radiating pain from the chest to the left arm. ...
  • Aconite: Sudden chest pain and a high heart rate are other common symptoms of a heart attack. ...
  • Nux Vomica: Nux vomica is often prescribed in cases where the patient complains of fatigue, chest pain and heaviness in the chest. ...

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Therapy

In general, thiazolidinediones are associated with an increased risk of heart attack and heart failure. One drug in particular is rosiglitazone. Rosiglitazone may be taken alone or in combination with other medications. Amphetamines (also called speed or uppers when used illegally) are stimulants that can decrease the appetite and need for sleep.

What medicine can prevent a heart attack?

Strengthen Your Immune System with a Nutrient-Dense Diet

  • Eat an anti-inflammatory diet. Include a variety of fresh vegetables and fruit in your diet, aiming to fill half your plate with fresh produce at every meal. ...
  • Limit salt intake. ...
  • Watch how much potassium you’re getting. ...
  • Reduce caffeine and alcohol intake. ...

What are remedies for heart attack?

What drugs can cause a heart attack?

How to cause a heart attack naturally?

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What is the most common treatment for a 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.

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.

What are 3 treatments for heart disease?

In general, treatment for heart disease usually includes:Lifestyle changes. ... Medications. ... Medical procedures or surgery.

Is there a natural way to remove heart blockage without surgery?

Losing weight, exercising more, or eating less cholesterol-rich foods are all steps you can take to reduce plaques, but these steps won't remove existing plaques. Focus on promoting better heart health by maintaining a healthy lifestyle. Healthy habits will help prevent additional plaque from forming.

Is bypass Better Than Stents?

Patients with severe coronary artery disease generally fared better with bypass surgery than with stents to open blocked arteries, according to a major new multinational study led by Stanford Medicine investigators.

What are the 2 treatments for heart disease?

Heart medicationsAngioplasty and stents. Angioplasty is a treatment that uses stents to improve blood flow to the heart. ... Coronary artery bypass graft surgery. Bypass surgery is used to get blood to part of your heart muscle when your arteries are blocked. ... Heart valve surgery.

What are the 4 treatments for coronary heart disease?

Treatment for coronary artery disease usually involves lifestyle changes such as not smoking, eating healthy and exercising more. Sometimes, medications and procedures are needed....TreatmentCholesterol drugs. ... Aspirin. ... Beta blockers. ... Calcium channel blockers.More items...•

What is an angioplasty?

The term "angioplasty" means using a balloon to stretch open a narrowed or blocked artery. However, most modern angioplasty procedures also involve inserting a short wire-mesh tube, called a stent, into the artery during the procedure. The stent is left in place permanently to allow blood to flow more freely.

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.

What tests are done to check for a heart attack?

If you've had or are having a heart attack, doctors will take immediate steps to treat your condition. You might also have these additional tests. Chest X-ray. An X-ray image of your chest allows your doctor to check the size of your heart and its blood vessels and to look for fluid in your lungs. Echocardiogram.

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.

What drugs inhibit ADP?

Thienopyridines such as ticlopidine (Ticlid), clopidogrel ( Plavix ), and prasugrel (Effient), inhibit the ADP receptor on the surface of platelets. 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 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.

How to treat a heart attack?

Fortunately, there are many options available to treat a heart attack. We'll begin with medications used to treat a heart attack . One of the earliest and quickest treatments is one that you can start yourself. You should take aspirin as soon as symptoms start because it acts as a blood thinner that can help stop the formation of more blood clots and the growth of existing blood clots that could make the heart attack worse.

Can a heart attack be stopped with medication?

Medications alone are usually not enough to stop a heart attack in progress or start the recovery from a heart attack, so some type of procedure will likely be performed. Which procedure or procedures are done will depend on the severity of the heart attack and the patient's response to the medications. The following non-surgical procedures are done during a cardiac catheterization, which is when a catheter is inserted into a blood vessel in the groin or arm and threaded to the heart.

What is a heart attack?

A heart attack is a serious medical condition. The heart is surrounded by blood vessels, called the coronary arteries. During a heart attack, one or more of these blood vessels becomes narrowed or blocked.

Why trust us

Michael Dreis, MD, is a practicing physician. He received his Doctor of Medicine from the University of Wisconsin–Madison and finished training in emergency medicine at Henry Ford Hospital in Detroit, MI. He practices medicine in Milwaukee, WI, where he teaches medical students and medical residents.

How to know if you are having a heart attack

A number of symptoms are associated with heart attacks. Most people who have a heart attack will have common symptoms, such as chest pain. However, some people might have symptoms that are less common.

Giving first aid for a heart attack

If you encounter someone who you think might be having a heart attack, give first aid and act quickly. Here are some basic steps:

Treatment options for heart attacks

Several procedures and medications may be needed if you are having a heart attack. Physicians follow clinical practice guidelines that are based on the current scientific evidence, and your symptoms and test results will determine your treatment. Treatment may also be affected by which providers and treatments are available at your hospital.

Heart attack medications

It’s important to address the blockage that is causing the heart attack, but additional treatments will be recommended for other reasons. These medications improve pain, prevent blockages in arteries from getting worse, and reduce the amount of work that the heart has to do.

Long-term medications after heart attack treatment

Some medications may be recommended for long-term use after you’ve had a heart attack. Studies have shown that these medications can improve overall outcomes and decrease your risk for having another heart attack in the future. These medications may include some of the treatments listed above, as well as some of the ones listed below.

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.

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 help a heart attack?

Here are some ways to help cope with heart disease or improve your condition: Cardiac rehabilitation. For people who have cardiovascular disease that's caused a heart attack or has required surgery to correct, cardiac rehabilitation is often recommended as a way to improve treatment and speed recovery.

How to treat heart disease?

You can lower your risk of heart disease by eating a low-fat and low-sodium diet, getting at least 30 minutes of moderate exercise on most days of the week, quitting smoking, and limiting alcohol intake. Medications.

What tests are needed to diagnose heart disease?

The tests you'll need to diagnose your heart disease depend on what condition your doctor thinks you might have. Besides blood tests and a chest X-ray, tests to diagnose heart disease can include: Electrocardiogram (ECG or EKG). An ECG is a quick and painless test that records the electrical signals in your heart.

What is the noninvasive exam that shows how your heart beats and pumps blood?

Echocardiogram. This noninvasive exam uses sound waves to produce detailed images of your heart's structure. It shows how your heart beats and pumps blood. Stress test. This type of test involves raising your heart rate with exercise or medicine while performing heart tests and imaging to check how your heart responds.

How much weight can I lose to prevent heart disease?

Being overweight increases your risk of heart disease. A body mass index (BMI) of less than 25 and a waist circumference of 35 inches (88.9 centimeters) or less is the goal for preventing and treating heart disease. Manage stress. Reduce stress as much as possible.

How to control blood pressure and cholesterol?

Eat healthy foods. A heart-healthy diet based on fruits, vegetables and whole grains — and low in saturated fat, cholesterol, sodium and added sugar — can help you control your weight, blood pressure and cholesterol. Maintain a healthy weight. Being overweight increases your risk of heart disease.

How to reduce risk of heart disease?

Smoking is a major risk factor for heart disease, especially atherosclerosis. Quitting is the best way to reduce your risk of heart disease and its complications. Control your blood pressure. Ask your doctor for a blood pressure measurement at least every two years.

What are the main types of treatments for heart disease?

Treatments for Heart Disease. Lifestyle changes, medications, and surgical procedures and devices are the main types of treatments for heart disease. Doctors recommend heart disease treatments based on what type of heart disease you have, what symptoms you experience, your age, and any other health conditions or medications you take.

What are the other medications for heart disease?

Other Medications for Heart Disease. Antibiotics, such as ciprofloxacin, vancomycin, and penicillin G , may be prescribed in cases of endocarditis and other infective heart diseases caused by nonvirus microorganisms. Corticosteroids, such as prednisone, prednisolone, and dexamethasone, are synthetic hormones that suppress immune system response.

What is CABG surgery?

CABG (pronounced “cabbage”) is the most common heart surgery . CABG is considered in cases of severe coronary heart disease, where a waxy substance called plaque has built up in the coronary arteries. Plaque hardens and narrows the arteries and limits the amount of oxygen-rich blood that reaches the heart, causing angina (chest pain). Plaque can also rupture and form clots that can block the flow of blood, leading to a heart attack. Coronary bypass surgery restores the flow of blood to the heart by bypassing the blocked section of coronary artery.

What blood thinners are used for stroke?

Anticoagulants — known as blood thinners — can help prevent dangerous clots from forming and causing stroke or myocardial infarction (heart attack). Drugs from several classes work in different ways as blood thinners. One of the most common blood thinners is the familiar aspirin, a nonsteroidal anti-inflammatory product sold over the counter. Other blood thinners include Plavix (clopidogrel), Xarelto (rivaroxaban), Eliquis (apixaban), Pradaxa (dabigatran), Coumadin (warfarin), and Aggrenox (aspirin/extended-release dipyridamole). Blood thinners can raise the risk for bruising and bleeding problems.

What is the most common blood thinner?

One of the most common blood thinners is the familiar aspirin, a nonsteroidal anti-inflammatory product sold over the counter. Other blood thinners include Plavix (clopidogrel), Xarelto (rivaroxaban), Eliquis (apixaban), Pradaxa (dabigatran), Coumadin (warfarin), and Aggrenox (aspirin/extended-release dipyridamole).

What is the best medication for high blood pressure?

Commonly called water pills, diuretics are often one of the first drugs prescribed to treat people with hypertension (high blood pressure). Diuretics are believed to reduce blood volume by ridding your body of sodium and water through urination. Common diuretics include Hydrochlorothiazide, Lasix (furosemide) and Aldactone (spironolactone). Diuretics are usually safe, but they can cause dehydration if you lose too much water.

How do pacemakers help with arrhythmia?

A pacemaker is a small, battery-powered device that helps your heart maintain a normal rhythm by emitting a low-level electrical signal when arrhythmia is detected. Pacemakers are usually implanted beneath the skin of the chest under the collarbone. Some types of temporary pacemakers may be worn externally on a belt. After pacemaker placement, you will likely need to spend one day in the hospital. You can expect to resume normal activities within four weeks.

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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.
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