HEART ATTACK


Definition

Heart attack or acute myocardial infarction occurs when a blood clot suddenly and completely blocks a diseased coronary artery. There is no blood supply resulting in the death of the heart muscle cells supplied by that artery.



Signs and Symptoms

The severity of a heart attack may include some, or all of the following signs and symptoms depend on the degree of damage to the heart muscle.

Severe chest pain or chest discomfort.
Ask these questions:

“What is the pain like?”
People describe the pain of a heart attack in many ways such as “pressure”, “fullness”,  “squeezing”, and “heaviness” or “chest tightness”.

“Where is the pain located?”
Location of pain is usually deep in the center of the chest, after a few moments the pain may spread to the shoulder, the neck or the lower jaw or down the arm.

“How long does the pain last?”
The discomfort of a heart attack usually lasts more than a few minutes and not relieved by rest.

·                Shortness of breath or suffocation
·                Giddiness and sweating
·                Pale face, skin cold and clammy
·                Nausea or vomiting
·                Pulse rapid, weak and irregular
·                Feeling apprehensive and fearful
·                Denial response – Do not admit that the symptoms may indicate a heart attack.
·                Collapse often without any warning

 Treatment

Early recognition of the signs and symptoms of a heart attack is important for successful treatment. The victim requires immediate attention.

Complete rest

Reassure victim.

·                Recline the seat (half-sitting position) and loosen tight clothing to ease breathing and allow comfort.

·                Administer high flow oxygen

·                Find out if victim has known history of heart disease and uses Nitroglycerin.

·                Monitor and record breathing and pulse every 10 – 15 minutes

Treat for victim shock and be prepared to resuscitate.