When the heart muscle’s supply of oxygen is inadequate in one or more places, a heart attack (myocardial infarction) results. When the heart muscle’s blood supply is restricted, this occurs.
Reasons for Heart Attacks
- Plaque accumulation in the arteries is the root cause of the blockage (atherosclerosis). Deposits, cholesterol, and other materials make up plaque. Immediately after a plaque ruptures, a blood clot forms. The heart attack is actually brought on by a blood clot.
- Heart muscle cells start to incur damage and begin to die if the blood and oxygen supply is cut off. Within 30 minutes of obstruction, irreversible harm starts.
- The upshot is that oxygen-deprived cardiac muscle ceases to function properly.
- A heart attack could happen to anyone.
There are two categories of heart attack risk factors.
Inherited (or genetic) (or genetic)
- Risk factors that are inherited or hereditary in nature cannot be changed, but they can be managed medically and by a change in lifestyle.
- Acquired risk factors are brought on by lifestyle choices that we make and can be treated with medical care and lifestyle adjustments.
Genetic (inherited) risks: Who is most at risk?
Most at danger are the following groups:
- Those who have high blood pressure by genetics (hypertension)
- People with inherited high triglycerides, low HDL cholesterol, or high amounts of LDL cholesterol
- People with a history of heart disease in their families. This is particularly true if the heart condition developed before the age of 55.
- Ageing males and females
Diabetic type 1 patients
Those who have experienced menopause. Men are typically at risk earlier than women. Women are both equally at danger after menopause.
Who is more at risk? acquired risk factors
Most at danger are the following groups:
- Those who have developed high blood pressure (hypertension)
- Individuals who have developed excessive triglycerides, low HDL cholesterol, or high levels of LDL cholesterol
- smokers of cigarettes
- People who are extremely stressed
- Excessive alcohol consumption
- Those who live sedentary lives
- Those who are at least 30% overweight
- People that consume a lot of saturated fat
Diabetic type 2 patients
Anyone can have a heart attack. You may take action to eliminate or lessen risk factors after you take the time to identify which ones apply to you.
Controlling the causes of heart attacks
To reduce your risk of having a heart attack, do the following:
- Determine which risk factors are applicable to you, then take action to decrease or eliminate them.
- Become knowledgeable about high blood pressure and excessive cholesterol. Possibly “silent murderers,” these are.
- Changes in lifestyle can alter risk variables that are not inherited.
- Eat a low-fat, low-cholesterol, and low-sodium diet.
- For frequent monitoring of cholesterol and blood pressure, visit your doctor.
Follow a schedule of frequent, moderate aerobic activity. Before starting an exercise regimen, people over 50 who have led sedentary lifestyles should consult a doctor.
If you are overweight, lose weight.
Your doctor may advise you to take a low dose of aspirin regularly. Aspirin lowers the risk of heart attack by reducing the tendency for blood to clot. However, a doctor’s explicit recommendation is required before beginning such a programme.
The potential cardioprotective effects of oestrogen replacement treatment should be discussed with a doctor by women who are in or nearing menopause.
Heart Attack Signs and Symptoms
The following are the heart attack’s most typical signs and symptoms. However, each person’s symptoms could be a little bit unique.
- Severe chest pain, pressure, fullness, squeezing, or discomfort that lasts for longer than a few minutes.
- Spreading pain or discomfort to the jaw, arms, shoulders, or neck
- Chest discomfort that worsens
- Chest pain that doesn’t go away after taking nitroglycerin or rest
- Any of these symptoms are accompanied by chest pain:
- Paleness, sweating, or chilly, clammy skin
- Breathing difficulty
- Nausea or diarrhoea
- Fainting or vertigo
- Unexpected sluggishness or exhaustion
- Quick or irregular heartbeat
Although chest discomfort is the primary indicator of a heart attack, it might be misdiagnosed as another illness. These include heartburn, pneumonia, pleurisy, indigestion, and discomfort of the cartilage connecting the front of the ribs to the breastbone. For a diagnosis, consult your healthcare provider at all times.
Recognising and acting upon heart attack symptoms
Act immediately if you or someone you know exhibits any of the aforementioned warning signals. Call your local emergency number or 911.
Getting heart attack treatment
Relieving pain, maintaining heart muscle function, and preventing mortality are the three main objectives of heart attack treatment.
Treatment options in the emergency room include:
- Intravenous medication, such as morphine and nitroglycerin
- Monitoring the heart and other vital indicators continuously
- Improved oxygenation of the harmed cardiac muscle by oxygen therapy
- Painkillers to lessen pain The workload on the heart is subsequently reduced as a result. The heart’s need for oxygen reduces.
- Beta-blockers, for example, are cardiac medications that enhance blood flow to the heart, lower blood pressure, prevent arrhythmias, and lower heart rate.
- Thrombolytic treatment: A medication is infused intravenously in order to break the blood clot and restore blood flow.
- Therapy with aspirin or clopidogrel and an antithrombin or antiplatelet drug This serves to stop more blood clotting.
Antihyperlipidemics. These drugs reduce blood lipids (fats), especially low density lipid (LDL) cholesterol. Among the medications used to treat hyperlipidemia are statins. Simvastatin, atorvastatin, and pravastatin are a few of them. Simvastatin, atorvastatin, and pravastatin are a few of them. Two further classes of drugs that can be used to decrease cholesterol levels include nicotinic acid (niacin) and bile acid sequestrants, such as colestipol, cholestyramine, and colesesvelam.
To regain blood flow to the heart, more operations could be required. Below is a description of those processes.
Angioplasty of the heart
In order to enhance blood flow, a balloon is inflated during this treatment to widen the vessel’s opening. In order to help maintain the vessel open, a stent is frequently placed into the coronary artery after this. Percutaneous coronary intervention (PCI), despite the fact that angioplasty can be performed in different blood channels throughout the body, refers to angioplasty in the coronary arteries. More blood can now enter the heart as a result. Percutaneous transluminal coronary angioplasty is another name for PCI (PTCA).
There are various PTCA techniques, including:
- Ballon angioplasty To clear the blockage, a little balloon is inflated inside the artery.
- Stent for a coronary artery. To clear the blockage, a small coil is extended inside the artery. To maintain the artery’s patency, the stent is left in place.
- Atherectomy. A tiny tool on the end of a catheter removes the blockage from the artery.
- Angioplasty using laser: A laser that “vaporises” the arterial blockage
- Heart bypass surgery
The most popular names for this procedure are CABG or just “bypass surgery” (pronounced “cabbage”). People with coronary artery disease and chest pain (angina) frequently undergo it.
Plaque accumulation in the arteries causes coronary artery disease. A segment of a vein is grafted above and below the coronary artery blockage to create a bypass during surgery. This permits blood to pass through the obstruction. The surgeon typically uses a leg’s veins, but they might also come from an arm or the chest. In some cases, more than one bypass procedure may be required to reestablish blood flow to every part of the heart.