Early Intervention is Important in a Heart Attack

Early intervention is very important in a heart attack that starts with sudden pain and tightness in your chest. Early intervention can both reduce the risk to life and ensure that the heart muscle can be saved unharmed.

Positive changes to be made in factors that can lead to heart diseases such as diabetes, overweight, malnutrition and inactivity can delay the onset of the disease.

With the sudden rupture of the plaques in the heart vessel and the formation of a clot on it, the heart vessel may suddenly become clogged, resulting in the heart muscle being deprived of oxygen. Without oxygen, the heart muscle cells begin to die after a while. This process is called heart attack = myocardial infarction.

What is a heart attack? What are the first measures in the crisis?

The heart needs enough oxygen to function. As a result of clot formation and occlusion in the coronary vessels, which are severely narrowed as a result of atherosclerosis, when sufficient oxygen cannot reach the heart region fed by that vessel, the heart muscle in this region begins to die within 20 minutes. to this situation heart attackIt is called (myokartinfaktus).

The most important point in a heart attack due to sudden cardiovascular occlusion is that the person applies to a fully equipped hospital and receives health care as soon as symptoms such as chest pain appear. Half of the deaths occur within the first hour of the onset of a heart attack. For this reason, it is very important to apply to a health institution at a level that will intervene in a heart attack as soon as possible. The sooner the treatment is started, the sooner the occluded vein-opening treatment methods can be applied and the damage to the heart is prevented. The important thing in the intervention of the patient in the hospital is the rapid diagnosis and the appropriate intervention.

  • If you do not have health experience, do not treat someone who is having a heart attack, do not give other patients or your own heart medication.

  • Immediately request ambulance assistance and transport the patient to the nearest fully equipped hospital.

  • In the meantime, lay the person having a heart attack in a suitable place.

  • Try to get more blood flow to the heart by elevating your feet above heart level.

  • Help such as loosening the tight clothes, untie the tie.

  • The important thing is to transport the patient to a hospital where examinations and treatments can be done on-site and appropriately.

The first hours are gold

Experience has shown that no one associates himself with heart disease and interprets the complaints to other things. Thus, patients who do not go to the doctor and have a heart attack take a very high risk of death. Patients who survive this period, on the other hand, spend the first golden hours of treatment without treatment and are exposed to serious permanent heart damage that cannot be cured and will suffer from this for a lifetime.

The first test to be done in a person with a suspected heart attack is an electrocardiography called EKG.

If there are no diagnostic changes in the EKG, a blood test is required to determine if there is a heart attack. ‘Is there cell death in the heart?’ In order to answer the question, it is necessary to determine the level of some special substances in the blood. The rise in blood level does not occur as soon as the crisis begins, it usually starts to increase after 4 hours. For this reason, physicians want to keep the patient in the emergency polyclinic and repeat the blood test 6 and 12 hours later, even if the first blood test is normal.
An elevation of CK-MB or troponin is evidence of heart cell death but does not indicate why the cells are dying. Mostly, the cause of cell death in the heart is due to vascular occlusion. However, although rare, other causes can also cause these substances to rise in the blood.

Patients who are definitively diagnosed as having a heart attack should be taken to the coronary intensive care unit and the treatment should be continued in this special area.

Importance of Coronary Intensive Care Units

Patients who have had a heart attack must be followed up and treated in coronary care units. Here, the smallest deterioration that may occur in the patient whose blood pressures, heartbeats and ECGs are followed can be treated immediately. Fatal rhythm disorders, which are the biggest cause of death in this period, can be easily treated with a shock device. In case of insufficient heartbeat or cardiac arrest, the patient can be restored to health by placing a temporary pacemaker (pacemaker). Heart damage can be reduced with modern treatments in this unit. Heart damage can be minimized by early opening of the vein clogged with a blood clot in the first hours with thrombolytic therapy (clot-dissolving therapy). For this reason, the time elapsed between the onset of the patient’s complaint and hospitalization in the coronary care unit is very important. The sooner the patient comes, the sooner the clogged heart vessel opens and the less permanent damage to the heart. In patients who come after 6 hours, the damage to the heart is at the highest level.

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