Dr. Sushrut Sawarkar

Heart Attack

What is Heart Attack

A heart attack happens when the blood flow to the heart is significantly reduced or obstructed. Typically, this obstruction occurs due to the accumulation of fat, cholesterol, and other substances in the coronary arteries, forming plaques. This process is known as atherosclerosis.

Occasionally, a plaque can rupture, leading to the formation of a clot that obstructs blood flow. This reduction in blood flow can result in damage or even the death of a portion of the heart muscle.

Symptoms

Heart attack symptoms can vary widely, with some individuals experiencing mild sensations while others endure severe manifestations. In certain cases, individuals may exhibit no symptoms at all.

Common symptoms of a heart attack include:

  • Chest pain characterized by pressure, tightness, squeezing, aching, or pain.
  • Pain or discomfort extending to the shoulder, arm, back, neck, jaw, teeth, or upper abdomen.
  • Cold sweats.
  • Fatigue.
  • Heartburn or indigestion.
  • Lightheadedness or sudden dizziness.
  • Nausea.
  • Shortness of breath.

Women may experience atypical symptoms such as brief or sharp pain felt in the neck, arm, or back. In some instances, sudden cardiac arrest may be the first sign of a heart attack.

Treatment

Medications used to treat a heart attack include:

  • Aspirin: Reduces blood clotting and promotes blood flow through narrowed arteries.
  • Clot busters (thrombolytics): Break up blood clots obstructing blood flow to the heart.
  • Other blood-thinning medications like heparin: Given intravenously to prevent clot formation.
  • Nitroglycerin: Widens blood vessels, improving blood flow to the heart and relieving chest pain.
  • Morphine: Relieves persistent chest pain.
  • Beta-blockers: Slow the heart rate, decrease blood pressure, and limit heart muscle damage.
  • ACE inhibitors: Lower blood pressure and reduce stress on the heart.
  • Statins: Lower LDL cholesterol levels to prevent artery blockages.

Surgical and procedural interventions for a heart attack may include:

  • Coronary angioplasty and stenting (PCI): Opens blocked heart arteries using a balloon and places a stent to maintain blood flow.
  • Coronary artery bypass grafting (CABG): Redirects blood flow around blocked or narrowed arteries using healthy blood vessels from elsewhere in the body.
Prevention

Preventing a heart attack is achievable, regardless of whether you’ve previously experienced one. Here are effective strategies:

Embrace a healthy lifestyle: Avoid smoking, maintain a heart-healthy weight through balanced nutrition, engage in regular exercise, and adopt stress management techniques.

Manage underlying health conditions: Conditions like high blood pressure and diabetes elevate the risk of heart attacks. Regular checkups with your healthcare provider can help monitor and address these concerns effectively.

Adhere to medication regimens: Your healthcare provider may prescribe medications to safeguard and enhance your heart health. It’s crucial to follow their instructions diligently to optimize the benefits of these drugs.