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Heart Attack: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Heart attack occurs when flow of blood to the heart gets blocked. It may be due to build up of fat, cholesterol and other substances in the arteries. You will feel extreme sensation or ache in your chest or arms, nausea and shortness of breath. One must always rush for medical help as soon as the slightest of these symptoms are felt. An electrocardiogram (ECG) is done to record the electric activities of your heart along with a blood test. The immediate medications given during heart attack are aspirin, thrombolytics, antiplatelet agents, morphine and nitroglycerin. There are surgeries like coronary angioplasty and stenting and coronary artery bypass.

How is the treatment done?

Aspirin helps in maintaining blood flow through a narrowed artery by reducing blood clotting. Thrombolytics dissolve the blood clot that’s blocking blood flow to your heart. Consumption of this drug in time increases your chances of surviving the heart attack. Antiplatelet agents prevent existing blood clots from becoming larger and also stop the formation of new clots. Morphine helps you deal with the pain and discomfort. Nitroglycerin widens the blood vessels thus, improving the blood flow to the heart. Medications are not enough to deal with a heart attack. In addition to medications, you may have to undergo surgeries. Coronary angioplasty and stenting is done immediately after a heart attack. A long thin tube called catheter is passed through an artery in your leg or groin to a blocked artery in your heart. To restore blood flow to the heart, a metal mesh stent is inserted into the artery to keep it open. In some cases, one may need to go for bypass surgery. Veins and arteries are sewed in a place away from blocked or narrowed coronary artery. This allows the blood to bypass the narrowed section and reach the heart. You may remain in the hospital for several days if you have a bypass surgery.

Who is eligible for the treatment? (When is the treatment done?)

If you are going through acute chest pain, strange tightness in arms, shoulders and legs, sudden and huge amount of sweating, shortness of breath or light headedness; you must rush for medical help.

Who is not eligible for the treatment?

Gastroesophageal reflux disease is the most common reason for chest pains. Do not confuse these pains with heart attack.

Are there any side effects?

Surgeries may have side effects like mild weakness and pain in body for a few days.

What are the post-treatment guidelines?

You must stay away from alcohol and tobacco. Control your blood and sugar levels. Make sure that your diet is very healthy consisting of proteins, whole grains, fish and beans. Make regular appointments with your doctor to keep a check on your improvement. Maintain your body weight and exercise regularly.

How long does it take to recover?

You may have to remain in the hospital for 5-7 days. It may take a few weeks for you to resume your routine activities to the fullest.

What is the price of the treatment in India?

The cost of a bypass surgery ranges from ₹150000- ₹400000. Coronary angioplasty and stenting can cost ₹100000- ₹300000.

Are the results of the treatment permanent?

The results of the treatment are permanent if proper care is taken.

What are the alternatives to the treatment?

There are no alternatives to the treatment.

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: High Side Effects: High Time For Recovery: Medium Price Range:

Rs 1,50,000 - Rs 4,00,000

Popular Health Tips

Thrombolysis - Causes, Symptoms & Treatment Of It!

MBBS, MD - General Medicine, DM - Cardiology
Cardiologist, Bhubaneswar
Thrombolysis - Causes, Symptoms & Treatment Of It!

Formation of blood clots in the arteries of the lungs, heart or legs can actually kill a person. In such a case, the immediate medical action is necessary and the only way to deal with blood clots is thrombolysis.
Thrombolysis or thrombolytic therapy is a medical process that dissolves blood clots and facilitates blood flow to all parts of the body. Thus, it protects tissues and muscles from damage.

What are the causes of blood clots in the body?

• Poor blood circulation
• Conditions such as Deep Venous Thrombosis and atrial fibrillation
• Blood clots can also be formed because of dialysis catheters and by-pass grafts

How can you tell if you have blood clots?

• Swelling in one or more legs
• Cramp and tenderness in the legs
• Breathing trouble might indicate that blood clots have travelled to the lungs
Sweating and frequent chest pain may suggest that blood clots have travelled to the heart

How is Thrombolysis performed?

Thrombolytic drugs are injected into the body intravenously. They make their way to where the blood clots exist and dissolve them. If there is a medical emergency, the drugs are delivered to the exact location of the blood clots and immediately start dissolving them. Another method is inserting a device into the blood clot infested region to break the clots up. The drugs which on entering the body dissolve blood clots are called thrombolytics. There are many varieties of thrombolytics such as the following-

Streptokinase - It is a kind of enzyme. It is used when a person has just suffered a heart attack or pulmonary embolism. Doctors do not usually prescribe the second usage of this drug. It is injected into a vein and can be administered to pregnant women.

Tenecteplase - Also an enzyme, it is a plasminogen activator. When it binds to the surface of the blood clot, it makes the clot degenerate.

Reteplase - It is actually extracted from E-Coli. It is a sterile intravenous bolus injection

The leading cause of heart attacks and ischemic heart disorder is the formation of blood clots in the arteries that connect the heart and the brain. Thrombolysis is often employed as an emergency treatment for this purpose. Thrombolysis is also effective against blood clots formed in the lungs (which lead to acute pulmonary embolism). Sometimes blood clots are formed in the legs, upper extremities of the body, the pelvic region (deep vein thrombosis). These clots may travel to the lungs and heart.

Consult your doctor before undergoing the treatment.

2864 people found this helpful

Early Diagnosis Of Myocardial Infarction And Emergency Management!

DNB Cardiology, DNB MEDICINE, MBBS
Cardiologist, Ghaziabad

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.

2540 people found this helpful

Fast Heart Rate - Know Why It Happens!

MBBS, MRCP (UK), PG Diploma In Lipid Management, MBA (Healthcare)
Cardiologist, Bangalore
Fast Heart Rate - Know Why It Happens!

Tachycardia is the medical term of a fast heart rate. When a person’s heart beats for more than 100 times per minute, he/she is said to be suffering from tachycardia. Atria and Ventricles (both left and right) are the four major parts of the heart. They contract and expand so that blood can be pumped out of the heart and oxygen reaches all the organs of the body. Now, this pumping occurs at a stable pace, owing to electrical impulses that activate the pumping in the first place. When an underlying medical condition or a defect in the heart disrupts these electrical impulses a person is confronted with tachycardia.

Symptoms
In many people, no symptoms are observed until and unless it is detected by a blood pressure device or a tool that checks the pulse rate. But if the heart rate is significantly high a person might feel dizzy, fatigued. He/she can also suffer from shortness of breath, palpitation as well as chest pain.

When the heart beats faster than usual the oxygen in the body gets depleted, which can result in the death of myocardial cells, leading to heart attack.

Causes
Heart diseases like coronary artery disease, heart valve disease, heart muscle disease, tumors or infection can lead to increased rate of heart beat. Apart from that, other conditions that might lead to tachycardia are: stress, hormonal disorders, especially in case one is suffering from hyperthyroidism, blood loss etc.

Treatment

Medications
If there is an underlying medical defect that is causing the increased heart rate in the first place, it needs to be treated. For example, if a person is suffering from hyperthyroidism then medicines are prescribed to regulate the function of the thyroid glands.

If tachycardia develops as a result of weakened heart muscle then medicines are given to strengthen the heart. Beta blockers are given to check the defective electrical impulse in the heart, if that is the cause of tachycardia. Depending on the condition of the patient anti-arrhythmic medicines might also be given. People who stand at a risk of receiving a stroke as a result of this condition are prescribed warfarin.

Surgery and Implantation

Implantable cardioverter defibrillator
This procedure involves the insertion of an artificial device in the heart that controls the heart rate. It is equipped to send an electrical shock whenever it detects defective electrical impulse in the heart. In other words, it is designed to mechanically deflect the erroneous impulse.

Surgery
If medications fail to rectify the disorder, a surgery has to be performed. In this case a section of the heart tissue is removed through operation. The scar that is left by the operation controls defective electrical impulse as a scar tissue is affirmed to be a bad conductor of electricity.  In case you have a concern or query you can always consult an expert & get answers to your questions!

3085 people found this helpful

Coronary Artery Disease (CAD) - What Are The Symptoms?

MBBS, MD - General Medicine, DM - Cardiology
Cardiologist, Delhi
Coronary Artery Disease (CAD) - What Are The Symptoms?

The coronary arteries supply the heart with oxygen-enriched blood and nutrients. If these arteries become damaged or diseased; they could cause Coronary artery disease or CAD. Plaque deposits on the walls of the arteries are the most common cause of this disease. This plaque is usually the result of high cholesterol levels. As the plaque builds up, the passage of blood flow is reduced. This reduces the amount of blood that reaches the heart. In cases of a complete blockage, CAD can even cause a heart attack. Because of its slow progression, this disease is often not diagnosed until it reaches a dangerous stage. However, it can be prevented and treated if diagnosed in time.

 

 


In the early stages of CAD, symptoms are not very noticeable. Symptoms become visible only when blood flow tCoronary Artery Diseaseo the heart reduces and the heart has to pump harder than normal. The most common symptoms experienced include:

 

 

  1. Chest Pain: This is also referred to as angina. It may feel like a tightening of the chest or pressure on the chest as though someone is pressing against it. This type of chest pain may be triggered by emotional or physical stress. It is usually relieved within a few minutes of stopping the activity. Women may experience this pain as a sharp, fleeting pain in the back, arm or neck.
  2. Breathlessness: When the heart does not receive enough blood, it has to work harder to pump blood through the body. This may be translated to breathlessness of shortness of breath when performing any type of physical activity. It can also cause extreme fatigue.
  3. Heart Attack: A heart attack is the most severe symptom of coronary artery disease. This is caused by the complete blockage of a coronary artery. A heart attack can occur without any symptoms or be preceded by slight symptoms. The signs of an impending heart attack include pain in the chest and shoulder, shortness of breath and extreme sweating. The chest pain may also travel to the lower jaw. These symptoms are more pronounced in men as compared to women. Women have a higher tendency of experiencing atypical signs such as extreme fatigue.

Other symptoms that might indicate coronary artery disease are dizziness, nausea and an irregular heartbeat. The good news is that this disease can be prevented. Staying physically active, maintaining a healthy weight, reducing stress and eating a low fat and low salt diet can help reduce the risk of CAD.  In case you have a concern or query you can always consult an expert & get answers to your questions!

1713 people found this helpful

Sudden Heart Attack - 8 Things That Can Be Of Great Help!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD, DM - Cardiology
Cardiologist, Delhi
Sudden Heart Attack - 8 Things That Can Be Of Great Help!

Gone are the days when heart attacks were only experienced by people past a certain age. Today, a large number of younger people without any significant risk factors are affected by this condition as well. The changing lifestyle with highly stressful lives, poor eating and rest habits, and lack of physical exercise are all attributed as possible causes.

With everyone busy in their lived, there are increased number of instances where a person suffers a sudden heart attack at night, which goes unnoticed and the person dies unattended. The following are some tips to work at regularly, so that incidence of sudden heart attack is reduced.

  1. Understand the risks: Sudden heart attacks amount to a large number of deaths but these can be effectively reduced by the management of risk factors. Advancing age, being overweight, diabetes, smoking, family history, sedentary lifestyle and stress are all known to increase the risk of a sudden heart attack. It is very important to take note of these and act on these, so the condition can be managed. While age and family history cannot be modified, the others definitely can be.
  2. Weight management: It is very essential to maintain an optimal weight. The sedentary lifestyle that we all have become accustomed to has upped the risk for sudden heart attacks. So, weight management is of extreme importance in preventing sudden heart attacks.
  3. Watch what you eat: The increased consumption of processed, sweetened foods along with lack of fiber has led to poor overall nutrition. This is worsened by the use of artificial sweeteners, flavors, and preservatives. All these are significant risk factors which lead to heart attacks. A healthy eating habit has multiple benefits, with heart health being one of them.
  4. Optimal blood pressure: Blood pressure should be maintained at optimal levels so that fluctuations are minimized. These fluctuations, especially at rest, can lead to sudden heart attacks. Monitor constantly and keep a record to look for variations.
  5. Kick the butt: Smoking has multiple harmful effects on the health, and increased risk of sudden heart attack is one of them. Quit smoking and see your diabetes, blood pressure, and heart health improve. Avoid exposure to second-hand smoke where possible.
  6. Monitor and maintain cholesterol levels: This is a major reason for sudden heart attacks and needs close monitoring and maintenance.
  7. Sweat it out: Work out. Period, anything that works for you is fine, be it swimming, cycling, running, or jogging. Be active and see your heart thank you.
  8. Relax: Stress does not help, so don’t fret and chill. Once you do that, you are sure to see your overall health improve. Try yoga, meditation, music, or exercise – whatever does the trick for you.

With these measures, you can reduce the risk of heart disease to a large extent.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2479 people found this helpful

Popular Questions & Answers

Sir I am on desvenlafaxine from the past 2 years. It saved my life. But why I am worried about this drug is that, if I had an episode of heart attack or stroke, the meds like clopidogrel, aspirin can interact and become fatal. What if I have to undergo a surgery and d meds interact with desvenlafaxine? M so scared of these interactions only. Otherwise it has saved my life from panic attacks .Now I have high BP of 140/100 ,can It be controlled with meds inspite of taking desvenlafaxine? I can not change the drug since I can't tolerate withdrawals.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. Please don't be panic but be serious about the symptoms. Life is full of insecurities and we should not worry about it and negative thoughts. Please provide more information so that we can start the diagnosis process and the treatment. I am here to help you in every aspect of your mental and physical health. Any sexual or psychological problems can be cured with the help of various methods and therapies. I suggest you to post your query with every detail here. I will help you in overcoming your problems certainly. Take care.

My Mother 81 years old has Total Cholesterol 238, Triglycerides 121, HDL Cholesterol 59, LDL Cholesterol 155, Platelet Count 150000, Haemoglobin 9.7, RBC Count 3.2, WBC Count 4740, Serum TSH 5.6, Cardio HS - CRP 1.16, Blood Pressure 170/80, Echo cardiograph Report (Ejection Fraction 55, Reduced LV Diastolic Compliance), normal blood sugar, normal ECG, normal kidney, normal liver and normal lung. She suffers from chronic high blood pressure (Hypertension), high cholesterol, hypothyroidism (high TSH in Thyroid blood test), Anemia. She also has mild Vitamin B12 deficiency and Vitamin D deficiency. She never suffered from any heart attack, stroke or peripheral artery disease. She never had any stent placement. She takes TELVAS BETA 50 MG tablet (this tablet contains Telmisartan 40 MG and Metoprolol 50 MG) once daily for Hypertension, Thyronorm 25 MCG tablet once daily for Hypothyroidism, Surbex Gold capsule once daily for Vitamin B12 deficiency, TAYO 60K tablet once monthly for Vitamin D deficiency, FERIUM tablet once daily for Anemia. Doctor also advised her to take Zyrova C 75 Capsule (this capsule contains Rosuvastatin 5 MG and Clopidogrel 75 MG). Zyrova C 75 Capsule contains Rosuvastatin for lowering cholesterol, but this capsule also contains blood thinner antiplatelet drug Clopidogrel 75 MG. Does my Mother need blood thinner antiplatelet drug Clopidogrel 75 MG? Can Clopidogrel cause bleeding inside the brain and other parts of the body? Does Clopidogrel start bleeding OR does Clopidogrel prolong bleeding OR does Clopidogrel both start bleeding and prolong bleeding? What happens to a patient taking Clopidogrel if bleeding starts? How does bleeding stop and how long does it take for bleeding to stop?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Clopidogrel is thinner and any thinner has side effect of possible bleeding. But prescribing doctor compares advantages v/s disadvantages keeping history, examination findings, reports and stage of life and decides to give or not give. As everything in life has advantages and disadvantages both and to get advantages one must accept possible disadvantages. That is why examining treating doctor comes into picture.
1 person found this helpful

How a female hypothyroid patient of age 40 with diabetes can prevent heart disease? What are the recommended foods and exercises and not recommend foods given that patient had c section delivery during child birth.

NCCH & MCH
Homeopath, Raebareli
Exercise yoga and dietary restriction can help you out along with constitutional Homeopathic treatment.
1 person found this helpful

Hello Doctor, Doctor My question is :-Why in our country We have maximum No. Of Sugar patient 2) Why Nowadays Majority of Our people dying due to Heart attack before they could attain Average 60 years Of life 3) What is the Treatment to Avoid it.

MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Indore
The good news is that there are steps to take to reduce your risk for heart disease if you have diabetes If you have diabetes, heart disease can be a serious concern. In fact, cardiovascular disease leading to heart attack or stroke is by far the leading cause of death in both men and women with diabetes, says Control your weight. One of the most important things you can do if you have diabetes is maintain a healthy weight. If you are overweight, talk to a registered dietitian about healthy ways to lose weight. Get regular physical activity. There is a significant body of research that proves the myriad cardiovascular benefits of regular physical activity (that goes beyond weight loss). Start off slowly, and build a plan that works well for you and meets your needs. Don’t smoke. If you already do, make plans to begin a smoking cessation program. "Nicotine narrows and restricts blood vessels; diabetes will also do the same thing to your blood vessels. You can't change having diabetes. But you can stop damage caused by nicotine, Maintain tight control over glucose. Tight control can prevent many complications from diabetes and also protects your heart. Shoot for an A1C reading of less than 7%. Lower your LDL cholesterol (the "bad" type). Both the American Diabetes Association and the American Heart Association recommend an LDL cholesterol goal of less than 100 mg/dl. Control your blood pressure. All people with diabetes should aim for a blood pressure reading of less than 130/80, advises Dr. Ganda.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Heart Attack In Young Age
We are all aware that the incidence of heart disease is increasing in India. Generally, the average age of heart patients in India is a decade younger, that means there are younger patients suffering from heart disease in India.
Play video
Cardiovascular Health
Know more about the importance of Cardiovascular health. There are 2 types of risk factors related to cardiovascular health non-modifiable risk factor and Modifiable risk factor. We can improve cardiovascular health by working on modifiable risk factors.
Play video
Myths Related To Heart Attack
Namaskar!

Me Dr. Abhishek Singh. consultant interventional cardiologist, Columbia Asia Hospital, Ghaziabad. Aaj me heart attack ke kuch misconsception ke bare me baat krunga. Jayadatar log heart ki bimariyon ke bare me jante hain but kuch myths ki vjha se apna nuksan kra lete hain. 1st myth: Agar kisiko heart attack hai to use chest pain jrur hoga. Agar chest pain nhi hai to iska mtlb heart attack nhi hai. In fact, 50% heart attack ke patients me chest pain hota hi nhi hai. Ye mariz kbhi shoulder, kbhi haathon, neck or jaw ke pain ke sath aa skte hain. Kbhi vo ye bhi bol skte hain ki peat me upar ki traf ko dard ho rha tha. Kuch aise patients bhi hota hain jinme koi pain hota hi nhi hai.

Unme sirf gabhrahat, tez pasina ya saans fulne ki vjha se aspataal laya jata hai. Islia inhe light na len or immediately doctor ko consult kren. Kuch patients acidity smjh ke hi ghar pe treat krna shuru kar dete hain. Agar heart attackk ka aisa koi bhi symptom hai to aisi koi bhi galati na kren. 2nd myth: Agar ECG normal hai to heart attack nhi hua hai. Ye pain kisi or karan se hai. Fact ye hai ki heart attack ke 30% patients me ECG bilkul normal aata hai or usme koi gadbadi nhi dikhayi deti hai. 3rd myth hai angiography ke bare me. Log ise ek bada operation mante hain. Unhe ye risky or bhut bda operation mante hain. Jabki aisa nhi hai. Angiography kisi bhi trha ka blade nhi use hota.

Ise apke hath ya pairon ki nason se kia jata hai jise hum sun krne ke lia ek injection dete hain or ek equipment ke through ye treatment pura kia jata hai. Coronary artery me sabse common teat hai. Islia is se ghabrane ki jrurat nhi hai. Iske lia mariz ko kewal half day ke lia hospital me admit hona pdta hai. Agar test normal hai to patient adhe din ke lia ghar ja skta hai. Is se ye bhi pta chalta hai ki heart me kisi blockage ka problem to nhi hai or agar vo hai to iske lia best line of treatment kya ho skta hai. Kya vo patient medicines pe thik rhega ya fir angioplasty ki jrurat pdegi ya fir bypass ki jrurat hai. Ye sab angiography ki report pe hi decide kia ja skta hai. Ye bhut hi safe test hai. Isme complications ka rate 1% se bhi kam hai.

Ek or myth hai ki isme stents bhut jldi khrab ho jate hain. Lekin sach hai ki 3rd generation ke stent bhut advance hain. Marizon ko shi time pe dawayi leni chaiye. Apne khane peene ka dhyan rkhen or smoking band kren. Apni diabetes pe control rkhen or stent life long chalte rehte hain. Is chiz ko apne dimag se nikalen. Agar aap heart se related koi bhi treatment lena chahte hain to aap mujhe mere clinic Shaswat Life Care, Ghaziabada ya fir Columbia Asia Hospital me sampark kar skte hai or Lybrate ke through bhi contact kar skte hain.

Thanks!
Play video
Heart Attack Warning Signs
Symptoms of Heart Attack

Hello! Good day, I m Dr. Balaji. I m a cardiologist, practicing at city of Hyderabad. Today I m going to briefly educate you about the Chest pain.

Chest pain is one of the commonest symptoms that I keep seeing in my daily OPD. Different spectrum of age groups come to me with chest pain from very small children to the elderly people. People are very confused about the origin of chest pain, what I mean, if it any kind of chest pain any place in the body they think it s something to do with the heart, they re going to get a heart attack, it s going to be a serious, life threatening condition and few of them come with a stricken of panic that they are going to collapse. Fortunately all chest pains are not heart pains and then today we are going to learn which kinds of pains are heart pains, which are not. When we need not go to a doctor, when we can just relax, when we need not get panicky and then probably we can also assure our friends, colleagues, family members if they have chest pain by gaining knowledge form this lecture.

See, once we have chest cage, the chest cage basically contains what? We have a skin, we have a hard tissue below that, we have a rib cage, we have a sternum, a vertical bone in the middle and we have nerves, we have arteries, we have lung tissue. We have lung tissue on either side and we have heart in middle and we have some blood valves coming from these. So, let us go one by one. Heart we know is important organ which gives pumping the blood all through our day and night and then the heart itself should get blood supply from arteries, these are called as coronary arteries. When these coronary are flowing and supplying the blood to the heart muscle then only the heart keeps pumping effectively without any pain.

So, let us just go to the, what are the causes of chest pain? What cause chest pain? The first thing I ve said is the muscle symptoms. So, we know that the chest wall is made of muscles and when these muscles become sore, when they become sprained, strained. When you life a weight or you know you have some kind of trauma tissue, you joined the gym or you lie down on the bed and particularly in a bad posture you can get some kind of pain. So if somebody gets chest pain probably during these activities we think it is a muscle pain, one need not be panicky, it s not heart pain. Okay!

The second pain is joint pains, what is called costochondritis. This is one of the very common pains in the practice. This middle bone this is called the breast bone or sternum hinges at the ribs through a joint. That s how when we breathe, when we breathe our rib cage moves because our hinges have joints. So, this is called as costochondritis. This costochondritis is nothing but a joint inflammation. You see that red spots, these are the inflammations. That means if there is an inflammation in these joints you ll have pain, the pains are localized, there are in the area not more than fingertip. They increase with pushing or pressing the chest and also they increase with deep breathing. So, if these kinds of pains are there, this can be because of the viral illnesses, there are innumerable, unknown causes of these kinds of problems. Pushing the weights, lifting heavy weights, this can also cause these symptoms. So, don t worry, these are not heart pains.

The other problems now-a-days we re seeing more with the software professionals, the persons who works systems, the persons who sit and do a job like clerical jobs, is spondylosis pain. You know this is the spine, you know we have a spine, which comes from, goes up to the coccyx. This is the spine which is a series of a bones arranged one above other like boxes and from between these boxes you ll get the nerves. These nerves supply the chest in a manner where each nerve supplies a specific area for example these are the different colours you are seeing in this diagram. These are supplied by different nerve roots so each nerve root supplies an area of the chest. So, when these kinds of nerve roots gets compressed for example c5, c6 nerve root gets compressed you ll feel pain along the hand. So, many of the patients come with, you know these software professional come with the pain that just goes along the hand. So this pain and we know by convention that you know that heart pains can go to the hands and is a popular belief even though there is no complete truth in it that heart pain always goes to the hand.

Most of times somebody complains about only pain in the hand especially in the neck, especially here in this region, this is basically a nerve root compression because of cervical spondylosis. As you see this, as I ve said the spine is a series of boxes of bone, from in between the nerve roots come. When they get compressed you feel this pain along the hand and also sometimes in the upper chest and also in the neck. If this series of nerves gets compressed they can have pain all around, and sometimes this pain can also goes to the chest and this causes confusion whether some heart pain is there, but this is not the heart pains. Please make sure that no, these kinds of pains are not heart pains and these kinds of pain does not cause a heart attack.

You see this, in these cervical spondylosis where does the pain go? See in this man the pain goes to the clavicle, this collar bone, it goes to the shoulder. It also can go along the chest. So, the pain can go all along left upper limb, sometimes right upper limb and maybe there, only in the shoulders not into the chest or to the hands or maybe go little down to the arms. These are all cervical spondylosis pains, nerve root pains not heart pains. One need not be worried about this kind of a pain.
Play video
Acute Heart Attack
Ways to manage Acute heart attack!

I m Dr. Viveka Kumar, Senior Director at Cath Lab Hospital in New Delhi, Saket. In this world now, the Indian population is suffering from epidemic, which is acute heart attack, or cardiovascular disease. It has become the number 1 killer for the younger generation that is the most productive age group of patients which is in the age group of 25 to 50 years of age. The treatment can be done only when the awareness is good, if the patients understand their disease, they get early warning signal.

The key to the treatment of this disease is early, i.e, diagnosis. So the moment if somebody gets chest pain associated with sweating with pain lasting for 15 minutes or more than that, then this is the situation where they should get alerted, get an ECG done, get the cardiac markers done and if the ECG changes are there, they must see a cardiologist, and get primary angioplasty or thrombolysis therapy in early hours are equally good. And early treatment is the most going to be more cheaper option, more effective option. And this is also a lifestyle disorder.

For prevention of that we need to have healthy lifestyle, we should stop smoking, we should have a good blood pressure control, diabetes control and cholesterol control has to be very meticulous, and then only this disease can be conquered.

If you want to reach to me, you can reach to me through Lybrate, or you can look at my website drvivekakumarmaxhealthcare.com. Thank you.
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