Heart Attack – Diagnosis And Treatment

Diagnosis of Heart Attack

  • Electrocardiogram (ECG) – This is the first procedure, your doctor will do to check the electrical activity of your heart through electrodes attached to your skin. Impulses are recorded as waves displayed on a monitor.
  • Blood Test – As soon as a heart attack occurs, some heart proteins will slowly leak into your blood. You blood samples will be taken to check these enzymes.

Other tests are –

  • Cardiac CT or MRI
  • Chest X-ray
  • Coronary catheterization (angiogram)
  • Echocardiogram
  • Exercise stress test

 

Treatment of Heart attack at a hospital

At every single minute after a heart attack, an individual’s heart tissue deteriorates more or dies. You need to restore the blood flow quickly as soon as possible to prevent heart damage.

 

Medications given to treat a heart attack might include:

  • Aspirin – As soon as you call 911, the operator might tell you to take aspirin immediately. Aspirin reduces blood clotting, thus helping in maintaining the blood flow through a narrowed artery.
  • ACE inhibitors – This medicine helps in lowering blood pressure levels and also reduces stress on the heart.
  • Anti-platelet agents – Doctors might give you platelet aggregation inhibitors to help in preventing new clots and keep existing clots from getting larger.

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  • Beta-blockers – This medicine helps in relaxing your heart muscle, slow your heartbeat, and normalizes blood pressure. Beta blockers can also reduce the amount of heart muscle damage and prevent future heart attacks.

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  • Nitroglycerin – This medicine used to reduce chest pain (angina), and can help in improving blood flow to the heart by enlarging the blood vessels.
  • Pain relievers – You might be given a pain reliever, or painkiller like morphine to reduce the pain.
  • Statins – This medicine helps in controlling your blood cholesterol levels.
  • Thrombolytics – This medicine is also known as clot busters; it will help to dissolve a blood clot which is blocking blood flow to your heart. It is necessary to receive a thrombolytic drug after a heart attack as you might have a greater chance to survive and have less heart damage.
  • Other blood-thinning medications – You might be given medicines, like heparin, to avoid the formation of clots.

 

Surgical procedures

Other than medications, you might have one of these procedures to treat your heart attack –

  • Coronary angioplasty and stenting – This is also known as the percutaneous coronary intervention (PCI). A doctor will insert a long thin tube which is passed through an artery present in your groin area or in the wrist which will flow to a blocked artery in your heart. This procedure is usually done as soon as possible after identifying the blockages by performing cardiac catheterization. Depending on your condition, a metal mesh stent can be inserted into the artery to keep the arteries open for a long time to allow blood flow to the heart. You might be also given a medicine of stent coated with a slow-releasing to help keep your artery wide.

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  • Coronary arteries bypass surgery – At the time of a heart attack, you might undergo a bypass surgery immediately, or after two-three days depending on the conditions. In this surgery, veins or arteries found beyond blocked or narrowed coronary arteries are sewed which allows blood flow to the heart to divert (bypass) the narrowed section.

Author: Hiten Patil

Hiten is Content Writer and He write about all platform like health and wellness related blog and other platform as well