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Early Heart Attack Care - Signs and Management

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A heart attack means a blood supply blockage to the heart muscle. Learn about early heart attack care in this article.

Medically reviewed by

Dr. Muhammad Zohaib Siddiq

Published At April 10, 2023
Reviewed AtApril 10, 2023

Introduction:

When the heart's blood flow is significantly impeded or blocked, a heart attack takes place. An accumulation of fat, cholesterol and other substances in the heart's (coronary) arteries causes obstruction. Plaques are the term for fatty, cholesterol-rich deposits. Atherosclerosis is the term for the accumulation of plaque. Both genders are affected by heart disease, yet it frequently goes undiagnosed in women. As a result, the number of deaths among men and women is nearly the same, even though more men than women are admitted to hospitals for heart attacks.

What Is a Heart Attack?

When a portion of the heart muscle does not get enough blood, it might result in a heart attack, also referred to as myocardial infarction. The heart muscle's damage worsens the longer it goes without receiving care to improve blood flow. The leading contributor to heart attacks is coronary artery disease (CAD). A less frequent factor that might block blood flow to the heart muscle is a severe spasm, or abrupt contraction, of a coronary artery.

What Are the Signs of a Heart Attack?

The signs and symptoms are as follows:

  • Chest discomfort (angina). This may be slight and heavy or uncomfortable, or it may be strong and feel like excruciating pain. It might begin in the chest and radiate (or spread) to other regions, such as the left arm, shoulder, jaw, and neck, and radiate to the waist region.

  • Shortness of breath.

  • Weakness.

  • Difficulty sleeping.

  • Severe nausea.

  • Signs of acidity, like a burning sensation in the chest region.

  • Palpitations in heart.

  • Anxiety.

  • Profuse sweating.

  • Dizziness.

  • Lightheadedness.

What Is Early Heart Attack Care Management?

The following methods can be looked at in the management of the condition:

  • A heart attack must be managed quickly to reduce damage to the heart muscle and increase survival prospects. Calling emergency medical services (EMS) immediately is the first step in treating a heart attack. It is critical to reaching the hospital as quickly as possible since thrombolytic therapy, which breaks blood clots, works best when administered within the first few hours of symptom onset.

  • A medical professional will assess a patient admitted to the hospital with symptoms of a possible heart attack. The healthcare professional will gather medical history information and conduct a physical exam, including monitoring vital signs and listening to the heart and lungs. They could also do an electrocardiogram (ECG) to look for indications of a heart attack.

  • Medications to dissolve blood clots and stop further damage to the heart muscle will be administered to the patient if a heart attack is confirmed. An intravenous (IV) line is typically inserted into the arm to administer these drugs, also known as thrombolytics. Then, to get the blood flowing again to the heart, they dislodge the blood clot obstructing the artery.

In addition to thrombolytics, the patient may receive other medications to manage symptoms and reduce the risk of future heart attacks. These may include:

  • Aspirin to prevent blood clots.

  • Nitroglycerin dilates blood vessels and improves blood flow to the heart.

  • Beta-blockers decrease the heart rate and also help in the reduction of the workload on the heart.

  • Angiotensin-converting enzyme (ACE) inhibitors to lower blood pressure and reduce the risk of future heart attacks.

Patients with a heart attack may also undergo procedures to open blocked arteries and restore blood flow to the heart. These procedures include:

  • Percutaneous coronary intervention (PCI), also called angioplasty, which uses a small balloon to widen the blocked artery.

  • Coronary artery bypass graft (CABG) surgery uses a graft to bypass the blocked artery.

  • After the initial treatment, the patient will be closely monitored to ensure their condition is stable.

They will also receive education on lifestyle changes and medications to reduce the risk of future heart attacks. These changes may include the following:

  • Consumption of a balanced diet that is low in saturated fat and cholesterol.

  • Exercising regularly.

  • Quitting smoking.

  • Managing underlying conditions such as hypertension and diabetes.

  • It is important to note that recovery after a heart attack can take time and may require rehabilitation. Rehabilitation may include physical therapy, occupational therapy, and counseling to help the patient return to normal activities as soon as possible.

What Are the Risk Factors for Early Heart Attack?

The risk factors for heart attack include:

  • One of the most significant risk factors is high blood pressure, also known as hypertension. High blood pressure strains the heart and blood vessels, making it more likely for a blockage to occur.

  • Smoking is a causative factor for heart attacks. Smoking damages the lining of the blood vessels, making them more likely to become blocked. Additionally, smoking increases the risk of developing elevated blood pressure.

  • Heart attack risk is also increased by diabetes. In addition, raising the chance of elevated blood pressure and cholesterol, and blood sugar levels can harm blood vessels.

  • An additional heart attack risk factor is high cholesterol. The development of plaque in the blood arteries brought on by high cholesterol levels might eventually prevent blood flow to the heart.

  • Heart attacks can also be caused by obesity.

  • Another risk factor for heart attacks is leading a sedentary lifestyle. Lack of exercise can raise the risk of acquiring heart diseases and risk factors such as elevated blood pressure, high cholesterol, and obesity.

  • Age is another risk element for heart attacks. Age-related increases in heart attack risk are most pronounced in men and women over forty-five and fifty-five, respectively.

  • Heart attack risk factors can include having a family history of the condition. A family history of heart disease may increase a person's risk of developing the condition.

  • Heart attacks can also be caused by stress. Stress can also raise one's risk of acquiring heart disease and excessive blood pressure.

  • So it is critical to be aware of these risk factors to reduce the chance of a heart attack.

Conclusion:

Early treatment for heart attacks is crucial to limiting heart muscle damage and avoiding consequences. It comprises being aware of the heart attack's warning signs and symptoms, seeking emergency assistance, and receiving immediate medical attention. Aside from angioplasty and stenting to open blocked coronary arteries, treatment options include drugs to dissolve blood clots and increase blood flow. Surgery is indicated in some situations. An important factor in the outcome is early detection and treatment. Since a heart attack is an emergency, immediate medical attention is necessary as it is life-threatening.

Frequently Asked Questions

1.

What is Dapoxetine used for?

Dapoxetine belongs to the fast-acting selective serotonin reuptake inhibitor (SSRI) group of drugs and was originally created as an antidepressant. As they get absorbed and eliminated from the body rapidly, they are not suitable for the treatment of depression and other psychiatric illness. Presently, it is being used in the management of premature ejaculation (PE), but it is not FDA-approved. Multiple trials have confirmed the efficacy of different doses of Dapoxetine on managing different types of PE

2.

How does Dapoxetine work?

The exact mechanism of action is not known, but Dapoxetine is believed to increase the activity of serotonin, which is a neurotransmitter that passes signals between nerve cells, in the central nervous system. This somehow increases the time it takes to ejaculate and improves control over the ejaculation.

3.

Who should take Dapoxetine?

Men aged 18 to 64 years can take Dapoxetine if they are suffering from premature ejaculation. Some of the indications for this medicine are:
Men with intravaginal ejaculatory latency time (IELT) less than 1 minute. IELT is the time taken to ejaculate during vaginal sex.
Repeated PE with minimal sexual stimulation.
Relationship problems due to PE.
Men who ejaculated prematurely, the majority of the time over the past 6 months.
No or poor control over ejaculation.

4.

Can Dapoxetine be taken daily?

No, Dapoxetine is not for continuous daily use. Dapoxetine is available in 30 and 60 mg doses. All patients are started with 30 mg, which needs to be taken 1 to 3 hours before anticipated sexual activity. It should not be taken more than once in 24 hours.
If your doctor feels that 30 mg is not sufficient, and if it did not cause any adverse effects, then the dose might be increased to 60 mg.

5.

Is it safe to use Dapoxetine?

It is relatively safe and effective to use Dapoxetine. As it is a fast-acting SSRI, it is rapidly absorbed and excreted from the body in a few hours. This results in minimal drug getting accumulated in the body, which leads to no or fewer side effects.

6.

What are the side effects of Dapoxetine?

The common side effects seen are nausea, dizziness, dry mouth, diarrhea, insomnia, and headache. And rarely, it causes decreased libido and erectile dysfunction.

7.

How long does Dapoxetine stay in your system?

For a single dose of 30 mg and 60 mg, Dapoxetine is eliminated in the urine after 18 and 21 hours respectively. It reaches maximum plasma concentration after 1 to 2 hours of oral administration.

8.

Can Dapoxetine permanently cure premature ejaculation?

Premature ejaculation cannot be cured but can only be controlled. Dapoxetine helps in delaying and controlling ejaculation only when taken 1 to 3 hours before sex.
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Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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