I. Introduction:
A heart attack occurs when the flow of blood to the heart is severely reduced or blocked. The blockage is usually due to a buildup of fat, cholesterol and other substances in the heart (coronary) arteries. The fatty, cholesterol-containing deposits are called plaques. The process of plaque buildup is called atherosclerosis.
Sometimes, a plaque can rupture and form a clot that blocks blood flow. A lack of blood flow can damage or destroy part of the heart muscle.
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. During a heart attack, a lack of blood flow causes the tissue in the heart muscle to die. A heart attack is also called a myocardial infarction.
A heart attack, or myocardial infarction, is a critical health event that demands immediate attention. Understanding its symptoms, risk factors, prevention strategies, and management is crucial for maintaining heart health.
II. Signs and Symptoms:
• Chest Pain or Discomfort: Most common symptom; may feel like pressure, fullness, or squeezing.
• Shortness of Breath: Difficulty breathing, often accompanied by chest discomfort.
• Radiating Pain: Pain may spread to the left arms, neck, shoulder or jaw.
• Cold Sweats: Profuse sweating unrelated to exercise or temperature.
• Nausea and Dizziness: Feeling lightheaded or nauseated.
• Loose Motions: especially in old age females.
III. Risk Factors:
• Age: Risk increases with age, particularly after 65.
• Gender: Men face a higher risk, though women are also susceptible.
• Family History: Genetic predisposition plays a role.
• Smoking: A significant risk factor due to harmful chemicals.
• High Blood Pressure: Strains the heart and increases the risk.
• High Cholesterol: Elevated cholesterol levels contribute to plaque buildup.
• Obesity: Excess weight puts strain on the heart.
• Diabetes: Increases the risk of heart-related complications.
• An Autoimmune condition: Having a condition such as rheumatoid arthritis or lupus can increase the risk of a heart attack.
IV. Complications:
• Heart Failure: Weakening of the heart’s pumping ability.
• Arrhythmias: Irregular heartbeats affecting normal function.
• Cardiogenic Shock: Severe heart attack leading to organ failure.
• Cardiac arrest: Without warning, the heart stops. A sudden change in the heart’s signalling causes sudden cardiac arrest.
V. Diagnosis of Heart attack: Essential Tests
A heart attack can be diagnosed through the tests shown below-
• Electrocardiogram (ECG) – The electrical pattern of the heartbeat is recorded through electrodes attached to the skin. An injured heart sends irregular impulses which can be observed on the ECG report and this shows signs of a heart attack.
• Echocardiogram – Images obtained from an echocardiogram helps in identifying the damage accurately.
• Coronary catheterization (angiogram) – A catheter is passed through an artery from the leg, arm or groin to reach the heart. A coloured dye is then passed through the catheter to make the arteries in the heart visible. An X-ray image is taken to observe blockage in the heart.
• Blood Test – The heart muscle damage can be identified by a blood test like TROPI or CK. The blood test indicates the presence of cardiac enzymes in the blood.
• Exercise stress test – Stress levels are monitored to check how your heart and blood vessels respond to exertion after a heart attack. You will be asked to walk on a treadmill while you are attached to electrodes from an ECG machine during this test. Another way to monitor stress is through a nuclear stress test, which is similar to an exercise stress test. However, this involves the injection of dye and special imaging techniques to produce detailed images of the heart and chest.
• Cardiac CT or MRI Scan – Extent of damage from a heart attack can be seen with help of these machines.
VI. Management:
• Emergency Medical Attention: Call emergency services immediately.
• Aspirin: Chewing aspirin helps thin blood and ease symptoms.
• Nitroglycerin: improving blood flow.
• Oxygen Therapy: Ensures adequate oxygen supply to the heart.
• Medications: Prescription drugs to manage symptoms and prevent future events.
• Lifestyle Changes: Adopting a heart-healthy lifestyle post-recovery.
VII. FAQs
What is loading of 3 Tablets for Heart Attack?
In emergency situations, a common practice is the “loading” of three tablets:
Aspirin: 300mg
Clopidogrel: 600mg
Atorvastatin: 80mg
Can heart attacks be prevented entirely?
While not guaranteed, a healthy lifestyle significantly reduces the risk.
Are women at a lower risk of heart attacks?
No, though symptoms may differ, women are also at risk.
Is chest pain the only symptom of a heart attack?
No, symptoms vary, and shortness of breath, nausea, and fatigue can also occur.
How is smoking related to a heart attack?
Most smokers get a heart attack which is directly related to their smoking habit. The nicotine consumed during smoking causes many health issues which include-
• Lack of oxygen supply to the heart
• Increased blood pressure and heart rate.
• Clotting of blood.
• Damage to cells that line coronary arteries and other blood vessels.
What happens during a heart attack?
The heart needs a continuous supply of oxygen and nutrients to function. Blood vessels known as coronary arteries surround the heart muscle and supply it with oxygen blood. A heart attack occurs when a coronary artery becomes suddenly blocked and stops the flow of blood to the heart muscle.
After the heart attack treatment, do not think that the problem is dealt with. A heart attack is merely a symptom of an underlying heart health problem like coronary artery disease (CAD).
What is a minor heart attack?
A minor or mild heart attack is a common way of referring to what doctors call a non-ST elevation myocardial infarction or NSTEMI. In this type of heart attack.
When the coronary arteries are partially blocked, the blood flows partially and limits the supply of oxygenated blood to the heart muscle. This type of attack or mild chest or arm pain is referred to as a mild heart attack. Despite a good outcome and less damage, it is still a big deal and should not be ignored.
Does your body warn you before a heart attack?
As with men, women’s most common heart attack symptom is chest pain (angina). But sometimes women experience some of the common symptoms like nausea, vomiting, back or jaw pain. Don’t wait to get help if you experience any of the following heart attack warning signs.
• Uncomfortable pressure, squeezing, fullness, pain or discomfort in the chest.
• Discomfort or pain in one or both arms, the back, neck, jaw or stomach.
• Shortness of breath.
• Cold sweat or lightheaded ness.
Can stress cause heart attack?
Stress may affect behaviours and factors that increase heart disease risk: high blood pressure and cholesterol levels, smoking, drinking alcohol, physical inactivity and overeating. Our body releases adrenaline, a hormone that temporarily causes breathing and heart rate to speed up and blood pressure to rise. These reactions prepare us to deal with the situation — the “fight or flight” response. When stress is constant, body remains in high gear off and on for days or weeks at a time. Although the link between stress and heart disease isn’t clear, chronic stress can increase blood pressure and may damage the artery walls.
If I'm on medication for heart disease, does it eliminate the risk of a heart attack?
Medication helps lower the risk of future heart attacks, but genetic factors may still play a role. It’s crucial to consult your doctor to minimize risks effectively.
Do all heart attacks exhibit the same symptoms?
Most heart attacks start gradually with mild discomfort, pressure, or pain in the chest, often accompanied by shortness of breath, nausea, sweating, and paleness. Symptoms may differ for individuals with diabetes or women.
What are the silent signs of a heart attack?
Silent heart attacks may present with mild chest pain, discomfort in arms, back, neck, jaw, or stomach, difficulty breathing, dizziness during simple activities, and waking up in a cold sweat with nausea and vomiting.
What is a myocardial infarction?
Myocardial infarction is the medical term for a heart attack.
How can I test my heart at home?
Simple at-home checks include monitoring pulse and heart rate, checking blood pressure, and conducting blood tests for sodium, potassium, albumin, and creatinine levels.
How long do heart attacks last?
Heart attack symptoms can persist for 30 minutes or longer if not relieved by rest or nitroglycerin under the tongue.
What happens during a heart attack?
A heart attack occurs when a coronary artery is blocked, halting blood flow to the heart muscle. It’s a symptom of an underlying issue, such as coronary artery disease.
How can one prevent a heart attack?
Take proactive steps by following these 7 simple heart-healthy tips known as Life’s Simple 7:
• Avoid smoking and tobacco products.
• Engage in daily physical activity.
• Adopt a heart-healthy diet.
• Maintain a healthy weight.
• Manage healthy blood pressure.
• Ensure optimal total cholesterol levels.
• Keep blood sugar levels in check.
What is a heart attack?
A heart attack occurs when a blocked artery impedes the flow of oxygen-rich blood to a section of the heart. Without prompt treatment to reopen the artery, the affected part of the heart begins to die, leading to more significant damage over time.
What are the symptoms of a heart attack?
Heart attack symptoms can be immediate and intense, with severe chest pain radiating to the arms, throat, jaw, or back. Additional symptoms include sweating, difficulty breathing, and nausea. In some cases, symptoms may develop gradually over hours, days, or weeks, with variations in presentation between men and women.
What is cardiac arrest?
Cardiac arrest involves the sudden cessation of the heart’s beating, leading to a loss of consciousness and absence of pulse. It is often triggered by an irregular heartbeat (arrhythmia) caused by an electrical malfunction in the heart.
How are cardiac arrest and heart attack linked?
Sudden cardiac arrest can follow a heart attack or occur during recovery. While most heart attacks don’t lead to cardiac arrest, the risk increases. Conditions such as thickened heart muscle, heart failure, and certain arrhythmias can also contribute to sudden cardiac arrest.
Are there female-specific conditions that increase heart disease risk?
Yes, conditions like polycystic ovarian syndrome, treatments for breast cancer, Turner syndrome, and pregnancy-related factors can elevate heart disease risk in women. Menopause-related changes, including increased cholesterol levels, also play a role.
How long should one rest after a cardiac arrest?
Rest is crucial, but it doesn’t mean complete inactivity. Gradual reintegration into social events and early engagement in physical activity are often recommended by doctors to ensure better sleep and a stress-free life.
Can processed foods be consumed after a heart attack?
It’s advisable to avoid processed and canned foods due to their high sodium content, which can swiftly increase blood pressure. Opting for home-cooked meals is preferable.
Can diet impact heart attack symptoms?
A healthy diet can mitigate heart attack symptoms by reducing cholesterol, lowering blood pressure, and controlling blood sugar. Key dietary tips include consuming more fruits, vegetables, and lean meats, opting for unsaturated fats, and incorporating regular exercise, yoga, and meditation into one’s routine.
VIII. Prevention:
• Healthy Lifestyle: Regular exercise, balanced diet, and weight management.
• Quit Smoking: Smoking cessation significantly reduces risk.
• Control Blood Pressure and Cholesterol:
• Medication and lifestyle changes.
• Manage Diabetes: Monitoring and controlling blood sugar levels.
• Regular Check-ups: Routine health screenings for early detection.
Read more about heartattack @ https://www.heart.org/en/health-topics/heart-attack/about-heart-attacks
Dr. Deepak Chandra Srivastava:
Dr. Deepak Chandra Srivastava is a proud alumnus of JNMCH AMU Aligarh, holding both MBBS and MD in Medicine degrees. Dr. Srivastava is equipped with specialized knowledge in nephrology also as He have a Fellowship in Nephrology from AHERF (Apollo),
With a history of excellence, Dr. Srivastava worked at prestigious institutions such as AIIMS Gorakhpur and Apollo Delhi.
Dr. Srivastava also holds MACP accreditation from the USA, showcasing his international recognition and commitment to upholding the highest standards in healthcare.