kristen asked:


I felt this way earlier and it didn’t feel like anxiety to me. But it went away. I had nowhere to run, nowhere to go, no time to take a minute to be calm. I felt overwhelmed and I knew it wouldn’t matter if anyone knew.

I wonder, if I didn’t tell myself to calm down and if I did not pray and calm down, could I have had a heart attack from this?

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Jaaska Lyn Cather asked:


Not All Heart Attacks Are the Same

Jaaska Lyn Cather, RN, BSN, MSN

 

 

            Proper assessment, diagnosis, and treatment of the patient presenting with acute myocardial infarction will not only decrease mortality, but decrease morbidity as well. Properly indentifying the origin of the myocardial infarction by 12 lead EKG will decrease complications such as: arrhythmias, pump failure, hypo or hypertension, cardiogenic shock, congestive heart failure, and pulmonary edema. With the proper immediate treatment and interventions, your patient can reduce the incidence of suffering from long-term complications such as decreased ejection fraction. The ultimate goal of the treatment of the patient presenting with acute myocardial infarction is to save the heart muscle, which ultimately preserves heart function.

            Every personnel that cares from the patient with acute myocardial infarction should be strongly encouraged to take a 12-lead EKG class. This includes paramedics in the field, Emergency Department staff, Cardiac Cath lab teams, and Critical Care nurses.

PRESENTATION OF ACUTE MYOCARDIAL INFARCTION

So what signs and symptoms will a patient presenting with acute myocardial infarction have?  Typically, the patient will have severe, prolonged chest pain, lasting more than 30 minutes, which may be described as squeezing, tightness, or vise-like. The location is usually sub-sternal or retro-sternal, with radiation to the neck or jaw. Shortness of breath, nausea and vomiting commonly occur as well in the typical presentation. This patient’s pain is NOT relieved by nitroglycerin.

            The atypical presentation of symptoms include: pain or discomfort either localized or radiating to areas such as the back, arms, or simply the epigastric area. This patient may have nausea and vomiting only, or fatigue. These vague symptoms make it harder to diagnosis acute myocardial infarction, therefore, a 12-lead EKG should be performed on all patients presenting with atypical symptoms. This patient is often anxious, and may have a feeling of “impending doom”. This is an ominous sign and should be taken seriously.

            Left Ventricular Infarct or anterior myocardial infarction involves the left anterior descending artery. This patient will have ST changes in leads V1-V6, aVL.

            The goal is to optimize left ventricular filling pressures and cardiac output. This is achieved by: diuretics and vasodilators to decrease pre-load and after-load, and inotropes to improve contractility. This patient often benefits from an Intra-Aortic Balloon Pump (IABP) to decrease the workload of the heart, and augment diastolic filling of the coronary arteries. Invasive hemodynamic monitoring should also be initiated to evaluate increased left heart pressures, as this patient can very easily develop pulmonary edema or congestive heart failure.

            Right ventricular infarct involves the RCA in 80% of the population and the left circumflex artery in 20% of the population. ST changes will be seen in leads II, III, avF if the RCA is the culprit lesion, or V4R if the left circumflex artery is the culprit lesion.

            Brady-arrythmias are the most common complication, and temporary trans-venous pacing may be required. Fluid boluses and inotropes should be administered. Fluid boluses will augment RV filling pressures, and are beneficial for this patient, but can be detrimental to the patient with LV infarct. Nitrates should also be avoided because they can produce profound hypotension.

            Reperfusion by means of percutaneous transluminal coronary angioplasty and stenting within 90 minutes of onset of symptoms is the gold standard set by the American College of Cardiology. Thrombolytic therapy is also utilized in areas in which a cardiac cath lab is not available within this time frame. As stated previously, the goal in the treatment of the patient presenting with acute myocardial infarction is reperfusion to the myocardium and prevention of co-morbidities. With proper diagnosis of the origin of the infarct and proper treatment, many co-morbidities and possibly mortality may be avoided.

 



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Shahrukh asked:


How somebody can know whether he has some heart problem?which medical test can show the heart problem so that one can take some preventions to avoid heart attack???
Also plz tell which diet/food should b taken and which should b avoided for heart?

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T-A-D Lives!! asked:


I was just reading an article about Florence Griffith Joyner who died in 1998 and it lists her cause of death as a heart seizure. What’s the difference between that and a heart attack?

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Matt Collins asked:


If you are reading this, you already know the answer! You know the answer because you may have thought you were having a heart attack…yet here you are, Mr. or Mrs. Survivor. Your heart was going a million miles an hour, you could hear your pulse in your ears, you thought, “Oh $h*^…this is it…I’m done for!” Yet here you are.

More likely than not, you didn’t call attention to yourself. You probably just stood or sat there and took it. You probably didn’t bat an eye. People around you probably went about their business as usual, as you were so convincing that everything was fine and dandy in your world.

You just experienced a panic attack. How do you know? You survived without medical attention. You didn’t double over with your chest in such excruciating pain that you could think of nothing else. What exactly did you think of? You thought that you may be about to embarrass yourself in front of all these people. Such thoughts are a bit superficial to be thinking in a life threatening situation, don’t ya think?

That shooting pain you may have had in your left arm was only there because you expected it. You heard somewhere, maybe the internet, maybe TV, maybe a friend, that before someone has a heart attack, they have a pain or numbness in their left arm. In all your fear of your heart, you expected a pain and therefore imagined one. If you believed that before a heart attack, evil monkeys fly out of your ass on broomsticks, you’d feel an itch “you know where” during your panic attack.

You see, during a panic attack, your emotional mind will cover up your logical, reasoning mind. What you fear the most will come to the forefront. It is possible to experience any bodily sensation if you believe it so vividly, while simultaneously your common sense craps the bed.

So…you survived another panic attack. Would you believe that someday you’ll have enough of these attacks that you’ll finally get to the point where you stop believing in them? Yes, that’s one possibility. RYour common sense may tell you that it’s all lies, but subconsciously you may still be in denial. One must find the truth within themselves. Relaxation for anxiety may be a starting point in your journey.  Panic attack resources are available to help you see the truth within you.



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mocowiz asked:


Heart disease is the leading cause, and stroke is the third leading cause, of death in both Connecticut and the United States. Heart disease and stroke are also major causes of disability among adults.1 Healthy People 2010 national objectives for both heart disease and stroke include increasing the proportion of persons who are aware of the early warning symptoms and signs of heart attack (objective no. 12.2) and stroke (objective no. 12.8) and the necessity of calling 911 when persons are suffering from either of these conditions.2 Early recognition and calling 911 increase the likelihood of immediate emergency transport to the hospital and timely medical care that can reduce disability and death.

The Behavioral Risk Factor Surveillance System telephone survey (BRFSS) gathers information about heart attack and stroke awareness in its telephone survey of adults 18 years and older. Findings from the Connecticut 2004 BRFSS suggest that Connecticut adults are likely to recognize some signs of heart attack and stroke but not others. For example, about 96% of adults recognize chest pain or discomfort, but only about 64% of adults recognize jaw, neck or back pain, as symptoms of heart attack (Table 1). About 98% of adults recognize sudden numbness or weakness of the face, arm, or leg, but only 76% recognize severe headache, as signs of stroke.

Heart disease is the leading cause, and stroke is the third leading cause, of death in both Connecticut and the United States. Heart disease and stroke are also major causes of disability among adults.1 Healthy People 2010 national objectives for both heart disease and stroke include increasing the proportion of persons who are aware of the early warning symptoms and signs of heart attack (objective no. 12.2) and stroke (objective no. 12.8) and the necessity of calling 911 when persons are suffering from either of these conditions.2 Early recognition and calling 911 increase the likelihood of immediate emergency transport to the hospital and timely medical care that can reduce disability and death.Heart Attack Symptoms Heart Attack Symptoms Heart Attack Symptoms Heart Attack Symptoms Heart Attack

The Behavioral Risk Factor Surveillance System telephone survey (BRFSS) gathers information about heart attack and stroke awareness in its telephone survey of adults 18 years and older. Findings from the Connecticut 2004 BRFSS suggest that Connecticut adults are likely to recognize some signs of heart attack and stroke but not others. For example, about 96% of adults recognize chest pain or discomfort, but only about 64% of adults recognize jaw, neck or back pain, as symptoms of heart attack (Table 1). About 98% of adults recognize sudden numbness or weakness of the face, arm, or leg, but only 76% recognize severe headache, as signs of stroke

Read More Heart Attack Symptoms…



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Sue Roberts asked:


What causes Heart Attacks ? Although cardio-vascular disease is caused by many factors, high levels of Cholesterol in the blood has a major influence on the health of the cardio vascular system. High levels of cholesterol in the blood cause fatty deposits in the arteries that can lead to blockages and damage to the heart.

So what is a high level ? Your annual examination at your doctors may include a simple blood test to check your cholesterol levels. Most tests have to be done after a fasting period - no food or drink other than water for between 12 and 14 hours.

It is usual for the results to take a few days to be returned. It is generally accepted that a total cholesterol level of over 200mg may cause problems in your cardio vascular system.

There are 3 components of cholesterol that are commonly measured LDL, HDL and Tryglycerides. Cholesterol generally has to be transported to and from the cells by carriers called lipoproteins. Low-density lipoprotein, or LDL, is known as “bad” cholesterol. High-density lipoprotein, or HDL, is known as “good” cholesterol. These two types of lipids, along with triglycerides, make up your total cholesterol count.

Bad or LDL Cholesterol - If excessive LDL cholesterol circulates in the blood, it will slowly build up in the inner walls of the arteries that feed the heart and brain. This, together with other substances can form plaque, a thick, hard deposit that narrows the arteries and makes them less flexible. This condition is known as atherosclerosis, which if a clot forms and blocks a narrowed artery, heart attack or stroke can result.

Good or HDL Cholesterol - 25 to 35% of cholesterol in the blood is high-density lipoprotein (HDL). It is called ‘good’ cholesterol, because high levels seem to protect against heart attack. Low levels of HDL (less than 40 mg/dL) also actually increase the risk of heart disease.

Triglycerides are fats made in the body. High levels of tryglycerides are also known factors in people with diabetes and are what causes heart attacks .

Cholesterol is measured by milligrams of cholesterol per deciliter of blood (mg/dL). Usually, only the total cholesterol amount is given when a person is tested for cholesterol. Sometimes you are given the HDL cholesterol and the total cholesterol results. The guidance from the American Heart Association shows that….

Total Blood (or Serum) Cholesterol Level should be less than 200 mg/dL.

If your LDL, HDL, and triglyceride levels are also at desirable levels and you have no other risk factors for heart disease, total blood cholesterol below 200 mg/dL puts you at relatively low risk of heart attack and coronary heart disease. It is still advisable to eat a heart-healthy diet, take regular exercise and don’t smoke.

200-239 mg/dL:- Medium to High Risk

With total cholesterol of between 200 and 239 mg/dL, your doctor will evaluate your levels of LDL (bad) cholesterol, HDL (good) cholesterol, and triglycerides. It’s possible to have borderline-high total cholesterol numbers with normal levels of LDL (bad) cholesterol balanced by high HDL (good) cholesterol.

240 mg/dL and over:- High Risk

A total cholesterol level of 240 mg/dL or more typically have twice the risk of coronary heart disease as people whose cholesterol level is desirable (200 mg/dL).

Your LDL (Bad) Cholesterol Level

The lower your LDL cholesterol, the lower your risk of heart attack and stroke. In fact, it’s a better gauge of risk than total blood cholesterol. In general, LDL levels fall into these categories:

LDL Cholesterol Levels

Less than 100 mg/dL Optimal

100 to 129 mg/dL Near Optimal/ Above Optimal

130 to 159 mg/dL Borderline High

160 to 189 mg/dL High

190 mg/dL and above Very High

Your HDL (Good) Cholesterol Level

With HDL (good) cholesterol, higher levels are better. Low HDL cholesterol (less than 40 mg/dL for men, less than 50 mg/dL for women) puts you at higher risk for heart disease.

Smoking, being overweight, and being sedentary can all result in lower HDL cholesterol. To raise your HDL level, avoid tobacco smoke, maintain a healthy weight and get at least 30 to 60 minutes of physical activity more days than not.

People with high blood triglycerides usually also have lower HDL cholesterol and a higher risk of heart attack and stroke.

Your Triglyceride Level

Triglyceride is a form of fat. People with high triglycerides often have a high total cholesterol level, including high LDL (bad) cholesterol and low HDL (good) cholesterol levels.

Your triglyceride level will fall into one of these categories:

• Normal: less than 150 mg/dL

• Borderline-High: 150-199 mg/dL

• High: 200-499 mg/dL

• Very High: 500 mg/dL

Many people have high triglyceride levels due to being overweight/obese, physical inactivity, cigarette smoking, excess alcohol consumption, and/or a diet very high in carbohydrates (60 percent of more of calories).

The higher the ratio of LDL to the total cholesterol, the greater will be the risk of arterial damage and heart disease. HDL, on the other hand, plays a salutory role by helping remove cholesterol from circulation and thereby reducing the risk of heart disease. Get and Stay Heart Healthy. Keep your Cholesterol Levels within safe limits to avoid what causes heart attacks .

Sue Roberts What Causes Heart Attacks ? .com



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lucylu+benji2 asked:


What would be the recommendation for this child who went through the trauma of finding her beloved dad dead of a sudden heart-attack? I am the 13 year old who is now a 32 year old female who has not gone through counseling but has difficulty with a multitude of problems that arise when high stress is involved. I am going to see a psychiatrist tomorrow, but wondered what long term affects can be caused with this? I have overall anxiety issues with people in general, but especially the opposite sex, and those who I may be in a current relationship with. I tend to push away after getting close, however, don’t wish to, but can’t help it.

Any suggestions or information would be appreciated!

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Dillon Hideki asked:


Panic, Heart Attack Symptoms, and Panic Attacks - are they related?

 

Many of us that has had or are currently going through Panic Attacks - even those of us that are unsure if it is even one could be horrified at these effects.

 

It can be quite scary when you’re just not sure which type of attack is happening. If it’s panic related, just not knowing these things can add massive fear fuel to it.

 

So, when it comes to Panic, Heart Attack Symptoms, and telling them apart - How do you?

 

Let us compare some of the shared attributes for both.

 

-          Elevated or Abnormal Heart Rate

-          Feeling of Utter Doom and Despair

-          Sweaty

-          Extreme amounts of Fear, Anxiety, Stress, Nervousness

-          Hyperventilation, Short Breath, Feeling as if there is trouble Breathing

-          Feeling as if about to Feint, or Lightheaded

 

With that list of some of the shared attributes above, we can easily see that it can be difficult to tell them apart. This brings us to another question.

 

What should we do for our Safety?

 

If you’ve experienced the above for the first time, or if you’re simply unsure - you should consider visiting a doctor and getting a checkup to ensure everything is alright. By doing this, it will help to relieve quite a bit of stress and anxiety just thinking and wondering about it.

 

If you already know it is panic related, sometimes to be on the safe side it still isn’t a bad idea to get a checkup once in awhile. Any little things that can be done to reduce the amount of fuel that powers panic, although it won’t eliminate the core issue, it will certainly help.



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