Definition A heart attack is the death of heart muscle from the sudden blockage of a coronary artery by a blood clot. Coronary arteries are blood vessels that supply the heart muscle with blood and oxygen. Risk factors for heart attack include: •Bad genes (hereditary factors) •Being male •Diabetes •Getting older •High blood pressure •Smoking •Too much fat in your diet •Unhealthy cholesterol levels, especially high LDL (“bad”) cholesterol and low HDL (“good”) cholesterol Treatment A heart attack is a medical emergency; if any symptoms of a heart attack are present medical help must be requested immediately. The health care team will give you oxygen. Many different medicines are used to treat and prevent heart attacks. Surgery may be also needed. •Nitroglycein: helps reduce chest pain. •Antiplatelet: medicines help prevent clot formation. (Aspirin) •Beta-blockers: help reduce the strain on the heart and lower blood pressure. (atenolol ) •ACE inhibitors: are used to prevent heart failure and lower blood pressure. (ramipril) •Surgery: A procedure called angioplasty may be needed to open blocked coronary arteries. Some people may need emergency coronary artery bypass surgery (CABG). Causes Most heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood & oxygen to the heart. If the blood flow is blocked, the heart starves for oxygen and heart cells die. A clot most often forms in a coronary artery that has become narrow because of the build-up of a substance called plaque along the artery walls. Occasionally, sudden overwhelming stress can trigger a heart attack. Symptoms •Chest Pain(pain may be severe or mild/may feel as squeezing, heavy pressure) •Nausea or vomiting •Anxiety •Cough •Shortness of breath •Fainting •Lightheadedness - dizziness •Palpitations (feeling like your heart is beating too fast) •Sweating, which may be extreme •Heartburn and/or indigestion •Arm pain (more commonly the left arm, but may be either arm) Shuman C. Tracy. , Bryg J. Robert. Heart Attacks. Web MD. 2005-2009. <http://www.webmd.com/heart-disease/guide/heart_disease_heart_attacks>
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