Saturday, December 27, 2014

Heart Attacks (5 things - Week 91)

I love the week between 25th December and 1st January in any year. There's Christmas in that week; there's the beginning of a brand new year in that week; there's also my birthday in there. It is that time of the year, when it's the norm to be glad and jolly. And keeping in toe with the standards of narration in this conversation of ours, in this festive period. we will talking about Myocardial infraction aka Heart attacks.

The reason this topic was chosen during this time of the year will have to wait. Before that, we'll go through some general information regarding this topic.

Shall we begin then??

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1. What is a heart attack?

The heart muscle requires a constant supply of oxygen-rich blood to nourish it. The coronary arteries provide the heart with this critical blood supply. If you have coronary artery disease, those arteries become narrow and blood cannot flow as well as they should. Fatty matter, calcium, proteins, and inflammatory cells build up within the arteries to form plaques of different sizes. The plaque deposits are hard on the outside and soft and mushy on the inside.

When the plaque is hard, the outer shell cracks (plaque rupture), platelets (disc-shaped particles in the blood that aid clotting) come to the area, and blood clots form around the plaque. If a blood clot totally blocks the artery, the heart muscle becomes "starved" for oxygen. Within a short time, death of heart muscle cells occurs, causing permanent damage. This is a heart attack.

2. What are the symptoms of heart attack??

Many people aren't sure what's wrong when they are having symptoms of a heart attack. Some of the most common warning symptoms of a heart attack for both men and women are:

Chest pain or discomfort. Most heart attacks involve discomfort in the center or left side of the chest. The discomfort usually lasts more than a few minutes or goes away and comes back. It can feel like pressure, squeezing, fullness, or pain. It also can feel like heartburn or indigestion.
Upper body discomfort. You may feel pain or discomfort in one or both arms, the back, shoulders, neck, jaw, or upper part of the stomach (above the belly button).
Shortness of breath. This may be your only symptom, or it may occur before or along with chest pain or discomfort. It can occur when you are resting or doing a little bit of physical activity.

3. How to survive a heart attack alone??

Should you experience a heart attack – regardless of whether you’re alone or in the presence of others – the very first thing to do is to call for emergency medical help. You need specialized treatment to be delivered to you as quickly as possible in order to save your heart muscle.

Large studies have also shown that taking an aspirin – the most commonly taken blood thinning medication in the world – during a heart attack improves survival.

Most cases of heart attack are caused by a blood clot forming in one of the blood vessels responsible for supplying blood to the heart. Taking an aspirin during a heart attack may help as it prevents the clot from getting bigger, giving the body a chance to break down the blood clot. If you have aspirin at home, and you know that you are not allergic to it, then you could consider taking it while waiting for the emergency medical services to arrive.

4. How to administer CPR??

Cardiopulmonary resuscitation, commonly known as CPR, is an emergency procedure performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest. It is indicated in those who are unresponsive with no breathing or abnormal breathing.

CPR alone is unlikely to restart the heart. Its main purpose is to restore partial flow of oxygenated blood to the brain and heart. The objective is to delay tissue death and to extend the brief window of opportunity for a successful resuscitation without permanent brain damage. Administration of an electric shock to the subject's heart, termed defibrillation, is usually needed in order to restore a viable or "perfusing" heart rhythm.

How to perform CPR is given here and here.

5. How are future heart attacks prevented??

Having had a heart attack or treatment does not mean you will never have another heart attack; it can happen again. If necessary, bypass surgery may be performed in the days following the heart attack to restore the heart muscle's supply of blood.

The goal after your heart attack is to keep your heart healthy and reduce your risks of having another heart attack. Your best bet to ward off future attacks are to take your medications, change your lifestyle, and see you doctor for regular heart checkups.

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The reason this topic was chosen was because two of my relatives experienced this in two vastly different ways.

The first case was nothing short of a miracle. He was taken to the hospital because he was experiencing stomach pain since the day before. An ECG was taken and it was found that he had had an heart attack more than 17 hours ago. It was nothing short of a miracle that he was alive.

The second case kept begging for a miracle to happen. He had laid down to sleep, but was making unusual sounds. When he didn't respond, he was immediately taken to the hospital. But his heart had stopped beating for almost 20 minutes by then. Doctors were able to bring back a heart beat and he was put in the ventilator. The doctors feared that brain death had occurred. Still he was kept in the ventilator for four days - because his son was reluctant to sign the document to bring him out. His son waited for a miracle to happen as long as he could.

In this moment, I pray that his soul rest in peace, and may God give his family the strength to get through this tough period.

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'til next week.

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