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Early Diagnosis Of Myocardial Infarction And Emergency Management!

Written and reviewed by
Dr. Manish Mittal 87% (10 ratings)
DNB Cardiology, DNB MEDICINE, MBBS
Cardiologist, Ghaziabad  •  18 years experience

Myocardial Infarction, commonly known as a heart attack, is a disorder in which there is a serious blockage of blood flow to the heart and its muscles.  The complete blockage of a coronary artery caused by a rupture of an atherosclerotic plaque is usually the underlying mechanism of an MI. So you can understand that it's a really critical problem and the person suffering from it, needs to be diagnosed immediately.

Symptoms: 

Here are some symptoms which will help to you to understand whether a person is suffering from it or not:

  • The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it occurs in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn.
  • Unexplained shortage of breath or trouble in breathing is an important symptom.
  • Nausea or vomiting may follow after the patient feels lightheaded.
  • Women can face abdominal pain or discomfort in different parts of their body.Women more often have atypical symptoms than men.
  • Among those over 75 years old, about 5% have had an MI with little or no history of symptoms.
  • An MI may cause heart failure, an irregular heartbeat, cardiogenic shock, or cardiac arrest.
  • If you identify any of these symptoms, you must immediately call the medical emergency team and must not neglect the symptoms because these symptoms are really dangerous and can indicate a serious health issue.

Immediate response for myocardial infarction: 

  • After you have identified any of the symptoms described above that person may be suffering from Myocardial Infarction, the first thing which you must do is call the emergency response team or ambulance. Here are some tips for such a situation:
  • The most important thing you must do is to stay calm and stay with the person all the time. Make the patient lie down and keep interacting with him or her.
  •  If the person affected is not allergic to aspirin, then make him or her chew a baby aspirin. Do not let the person swallow it without chewing because it becomes more effective in that case.
  • If the person stops breathing then you must perform the CPR immediately or someone around you who is qualified to do so. If you are alone then the medical response team can help you perform it by guiding you via phone.
  • The patient should be immediately shifted to a nearby hospital for immediate medical attention.
  • ECG should be done immediately to diagnose the condition.

Treatment: 

A myocardial infarction requires immediate medical attention. Treatment aims to preserve as much heart muscle as possible and to prevent further complications. Treatment in general aims to unblock blood vessels, reduce blot clot enlargement, reduce ischemia. The main treatment for myocardial infarctions with ECG evidence of ST elevation (STEMI) inc.

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