Noting that one out of every five sudden deaths occurs due to a heart attack, experts emphasize that early diagnosis is very important in a heart attack. Stating that the loss of time for intervention will not only increase the amount of devastated heart muscle, but also increase the possibility of death, experts said, “There is no compensation for the devastated heart muscle. In a heart attack, time is equal to the heart muscle,” he said.
Üsküdar University NPİSTANBUL Brain Hospital Cardiology Specialist Prof. Dr. Mehmet Baltalı gave information about heart attack.
Prof. dr. Mehmet Baltalı said that heart attack is a disease that develops due to the occlusion of the vessels feeding the heart and results in various degrees of cell death in the heart muscle fed by that vessel.
One of every 5 sudden deaths is caused by a heart attack.
Expressing that one out of every 5 sudden deaths occurs due to a heart attack, Prof.Dr. Mehmet Baltalı said, “Preventing the loss of patients from heart attacks depends on reaching a hospital with an interventional cardiology department as soon as possible from the first moment of the event.”
Stating that most heart attacks occur due to clots formed in the coronary arteries, that is, in the arteries that carry blood and oxygen to the heart muscle, Prof.Dr. Mehmet Baltalı, “Cloths usually form in narrowed coronary arteries. Atherosclerotic plaque inside the artery wall sometimes cracks, triggering clot formation. Clots in the coronary arteries block the flow of blood and oxygen to the heart muscle, which causes the death of heart cells in that area. The damaged heart muscle loses its ability to contract, and the rest of the heart has to do the work of this damaged part.
The biggest symptom is chest pain.
Referring to the symptoms of heart attack, Prof. Dr. Mehmet Baltalı, “The biggest symptom is chest pain. When cardiac arrest occurs, it is necessary to immediately take him to the intensive care unit and intervene immediately. If chest pain is due to a heart attack, the blocked coronary artery should be intervened in a center that can perform angiography. This network is now widespread in Turkey. The patient needs to be processed quickly. So angiography should be done. Thus, the condition of the heart vessels is detected, then the stent opens the blockage and the heart muscle is fed again.
Hypertension and diabetes are the most important risk factors
Touching on the risk factors of coronary artery diseases and heart attack, Prof.Dr. Mehmet Baltalı listed these risk factors as age, male gender, hypertension, hypercholesterolemia, diabetes, smoking and having coronary heart disease in the family at an early age.
Pay attention to chest pain and changes in EKG
Stating that three important findings were used in the diagnosis of heart attack in the emergency unit, Prof.Dr. Mehmet Baltalı said, “The first is the patient’s complaint, it is mainly chest pain. The second is EKG (Electrocardiogram). The vast majority of heart attacks have heart attack-specific changes on the EKG. The third is blood tests done in the laboratory. With this, the diagnosis is made definitively by measuring the level of some enzymes (especially Troponin I) that mix with the blood with infarction.
Painless heart attack is more dangerous
Emphasizing that chest pain can be seen in different ways, Baltalı said, “Chest pain behind the sternum is the most important symptom of a heart attack. In heart attack, which is also defined as a silent heart attack, this pain may be very vague or not felt at all, especially in diabetics and the elderly. Chest pain often radiates from the chest to the shoulder or arms, neck, teeth, jaw, abdomen, or back. Sometimes the pain is felt only in one of these areas. Whether a heart attack is painless or painful has no bearing on its severity. In fact, it may be more dangerous in those who are painless, as the patient may not be aware of the disease.
Prof. dr. Mehmet Baltalı listed the other findings besides chest pain as follows: “shortness of breath, cough, dizziness and lightheadedness, fainting, nausea and vomiting, the feeling of “Apocalypse” and distress.”
Mentioning what to do in a heart attack, Prof.Dr. Mehmet Baltalı said, “A heart attack is an emergency. It requires hospitalization and intensive care. Because fatal rhythm disorders (arrhythmias) are the main cause of death in the first few hours of a heart attack. The goals of treatment are to stop the progression of a heart attack, keep heart damage to a minimum, reduce the demands of the heart so it can heal, and prevent complications.
Destroyed heart muscle has no recovery
Underlining that early diagnosis is very important in heart attack, Baltalı said, “As time passes, the probability of death from rhythm disorders will increase and the amount of devastated heart muscle will increase. There is no compensation for the devastated heart muscle. He warned that “TIME = HEART MUSCLE” in a heart attack.
Pay attention to these recommendations to prevent a heart attack!
Prof.Dr., who also gave suggestions to patients to prevent recurrence of heart attack and to protect from heart attack. Mehmet Baltalı made the following recommendations:
“Check your blood pressure. If necessary, use the drugs that your doctor will recommend.
Check your cholesterol levels. If necessary, use the drugs that your doctor will recommend.
If you smoke, stop smoking. If you have difficulties in this regard, get support from smoking cessation outpatient clinics.
If you have diabetes, keep it under control. If necessary, use the drugs that your doctor will recommend.
Follow a diet rich in fruits and vegetables and low in animal fat.
If you are overweight, lose weight.
To protect your heart health, exercise your body by walking or other exercises every day or at least 4 days a week, but consult your heart disease specialist first.
Stay away from stress, get professional help if necessary. yoga, meditation, psychiatrist, etc.).
If you have one or more risk factors for a heart attack, talk to your doctor about whether you should take aspirin to help prevent a heart attack. Do not forget that unconscious use of aspirin can have negative consequences such as stomach bleeding.