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MYOCARDIAL INFARCTION – HEART ATTACK


A myocardial infarction, or heart attack, occurs when part of the heart muscle suddenly dies. This occurs from a complete blockage of one of the arteries in the heart. Myocardial infarction may come on at rest or during times of stress. The discomfort described may be similar to angina or may be completely different.


Heart Attack Warning Signs


Some heart attacks are sudden and intense. In the movies, there is no doubt about someone having a heart attack: a sudden grasping of the chest and aA blockage in a coronary artery. dramatic collapse is the classic scene. Although this certainly can be the case, most heart attacks start slowly, with discomfort. Often people affected aren’t sure what’s wrong and wait too long before getting help.


Here are signs that can mean a heart attack is happening:


• Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like pressure, squeezing, fullness or pain.


• Discomfort in areas of the upper body: pain or discomfort in one or both arms, the back, neck, jaw or stomach.


• Shortness of breath, which may occur with or without chest discomfort.


Other signs of a heart attack include feeling nauseated or light-headed and breaking out in a cold sweat.


Treatment


A heart attack requires immediate medical attention. Special hospital coronary care units have trained staff to monitor and treat a recovering heart attack patient. Time is extremely critical for the potential heart attack patient. Minutes can make the difference between life and death! Any time chest pain or discomfort is present, immediate action must be taken to save a life.


Calm the patient and encourage a sitting position. Call for help immediately (PIC and Aircare Access). The patient may have personal medications including nitroglycerin and aspirin. Both of these drugs have been shown to reduce pain and heart damage in patients for whom they are prescribed. You can assist the patient in taking personal medication. Give high- flow oxygen to the patient. It too can reduce heart damage by adding more available oxygen to the heart.


A blockage in the coronary artery.


Nitro Circulatory System 39


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