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Overview

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

Heart Attack - The Warning Signs And The Preventive Measures

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
Heart Attack - The Warning Signs And The Preventive Measures

The oxygenated blood is vital for the functioning of the heart. A heart attack also termed as a Myocardial Infarction is a medical condition where the flow of oxygen-rich blood to the heart is affected (due to an arterial blockage triggered by coronary artery disorders or an injury). Devoid of oxygenated blood can result in severe damage to the heart muscles, at times with fatal consequences. A lot of the heart problems including a heart attack occurs because we tend to ignore the warning signs and symptoms. In this article, we will discuss some signs and symptoms of a heart attack that, by no means, should be neglected.

Warning signs that can be an indication of a heart attack-

  1. Pain in the chest: Chest pain and pressure (left side or center of the heart) that often spreads to the adjacent areas such as shoulders, neck, arms (one or both) or/and jaws may be indicative of a heart attack. Unfortunately, many people ignore the warning as a sign of heartburn and acidity, a mistake that can cost dearly.
  2. Profuse sweating: Sweating in the summer is understood but during winter or cold days (often cold sweats) should not be taken lightly at any cost.
  3. A person may also experience extreme weakness, lightheadedness (especially seen in women), vomiting, and nausea.
  4. Increased and irregular heart rate, palpitations and breathless are all indications of a problem that needs immediate medical attention to avoid any life-threatening consequences.

Unfortunately, in some people, especially those with diabetes tend to suffer an asymptomatic or a silent heart attack, complicating things further.

Preventive and safety measures to avert a heart attack
The signs and symptoms associated with a heart attack may differ within individuals. However, people with a history of heart problems ought to be careful.

  1. Certain medical conditions such as diabetes, obesity, chronic kidney disorders, hypertension or high blood pressure can act as triggers resulting in a heart attack.Thus, a person suffering from any of the mentioned health problems (including a heart problem) should go for regular health check-ups.
  2. For heart patients, it is advisable to keep the prescribed medicines handy.
  3. Being overweight or obese can result in deleterious consequences. You don't need to starve yourself or get skinny but maintaining a healthy body weight can play a significant role in warding off many health disorders including a heart problem.
  4. Increased and uncontrolled alcohol consumption, smoking, drug abuse can spell doom for the heart. Quit smoking and drug abuse and your heart will thank you for ages. Alcohol, if consumed, should be within limits.
  5. Eat a nutritious and healthy diet. Spicy, fast and oily foods will do your heart more harm than good.
  6. Avoid stress and anxiety. Maintain a healthy sleep cycle.
  7. Skipping the medicines is a big No.
  8. Avoid being a couch potato if you want your heart to be healthy and disease free.

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

2590 people found this helpful

Menopause And Heart Attack - What Is The Link?

MBBS, Master of Surgery - General Surgery, Magistrar Chirurgiae (Cardio-Thoracic Surgery)
Cardiologist, Faridabad
Menopause And Heart Attack - What Is The Link?

Menopause is an inevitable biological occurrence in every woman's life. It is a period when the menstrual cycle ceases permanently. Menopause brings about a sea of changes. From hormonal imbalance to insomnia to emotional breakdown and depression, the complications are many. Menopause is also found to increase the risk of certain health conditions, one of which includes heart problems and a heart attack. In this article, we will discuss the link between menopause and heart problems (including a heart attack) and the possible preventive measures.

The connection between menopause and a heart attack
As opposed to many beliefs, menopause, by no means is a diseased condition. It is a natural phenomenon that strikes every woman, usually after the age of 50. With menopause, there is also a dip in the level of estrogen hormone. Estrogen is an important female hormone that goes a long way in protecting women from various cardiovascular disorders.

It plays a pivotal role in the proper relaxation and dilation of the blood vessels to ensure the flow of blood to the heart remains unaltered.

Estrogen acts a catalyst, resulting in a significant increase in the level of the "Good Cholesterol" or HDL (High-Density Lipoprotein) and a dip in the level of the "Bad Cholesterol or LDL (Low-Density Lipoprotein).

  1. With a fall in the estrogen level, the concentration of LDL rises with a considerable dip in the HDL level.
  2. The higher the level of LDL, the more the chances of a heart problem, especially a heart attack.
  3. The LDL present in excess can adhere to the walls of the blood vessels and cause its blockage.
  4. The condition can also result in arterial blockage.
  5. Further, in the absence (or lesser concentration) of estrogen, the walls of the heart tends to lose its flexibility and elasticity to a great extent.

All these conditions can spell doom for the heart triggering a heart attack or other cardiovascular disorders.

Preventive Measures

  1. After the age of 50, it is essential to go for regular health check-ups.
  2. Avoid a sedentary lifestyle as much as you can. Exercise and physical activities, even for 30 minutes daily can make a difference. Obesity can play a significant role in triggering heart problems. Thus, it is essential to keep the body weight within control.
  3. Your diet can also influence the overall health. Try and avoid foods that are rich in trans and saturated fats (doughnuts, cakes, pastries, cookies, margarine, frozen and creamy drinks, animal fats, to name a few). Go for a diet rich in folic acid (Avocados, dark green vegetables, citrus fruits, lentils, nuts, peas), whole grains, fish, fibers.
  4. The link between smoking and heart diseases need no special mention. Quit smoking if you want to keep the heart healthy and disease-free.
  5. Problems will always be there. Don't overstress yourself with the same. Spend quality time with family and loved one (day outs, short trips, and vacations).
  6. Never skip the prescribed medicines, unless advised by the attending physician.

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

2626 people found this helpful

Diet For Quick Recovery After A Heart Attack!

DM - Cardiology, MD - Medicine, MBBS, Observership
Cardiologist, Ahmedabad
Diet For Quick Recovery After A Heart Attack!

If you had suffered a heart attack recently, it is quite natural to for a patient to feel weak as the heart goes through a tremendous amount of stress during the condition. So, it is very important for a heart patient to know the things that will help you them recover from it. A healthy diet is the first step towards the recovery. A proper diet can not only help you recover quickly, but you won’t suffer from a second attack too. If people had followed this dietary habits beforehand, then they wouldn’t have to face a heart attack in the first place. So, to recover and get back to your daily lifestyle, you must keep these foods in your daily diet.

  1. Fruits and Vegetables: Fruits and vegetables are a must and are of paramount importance when it comes to recovering from a heart attack. The most significant advantage is that they have lower calories and at the same time they provide sufficient nutrition. They will keep your blood pressure at a standard level and thus promote the health of your heart. Fruits and vegetables that are rich in potassium can also combat and balance the counter-effects that result from sodium. So, avoid your oily snacks and have fruits instead.
  2. Green Tea: Green tea is highly recommended by doctors for patients that have recently suffered a heart attack. They have been proven to be at risk of heart attack and other health problems related to the heart by 20%. Green tea does not contain any calories and is rich in anti-oxidants which are the main constituents responsible for the recovery.
  3. Nuts: You must have already been aware of the several advantages of consuming almonds. Another addition to its advantages is aiding the process of recovery after a heart attack. However, it is to be noted that nuts are good for a person who has suffered a heart attack only if they are not salted.
  4. Whole Grains: The refined grains tend to lose their nutrients while on the other hand whole grains are rich in fiber and nutrients. They will keep your blood pressure in check and promote the well-being of your heart.

What to avoid?
Apart from the items mentioned above, there are several foods that you must avoid at all costs. The first one that comes in this list is the food items that are rich in sugar content. This will lead to an increase in weight and thus aggravate heart problems. You must also avoid salty foods as they will increase your blood pressure. Avoid meats and eggs as much as you can as they are highly rich in cholesterol which is another factor that must be avoided.

Follow a diet chart that incorporates the do’s and don’ts to have a speedy recovery and get back to normal routine.

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

1979 people found this helpful

Sleep Apnea - How It Can Increase The Risk Of Heart Disease?

MBBS, MD - Pulmonary Medicine
Pulmonologist, Noida
Sleep Apnea - How It Can Increase The Risk Of Heart Disease?

Getting a good night’s sleep is needed not only to remove dark circles but to improve your overall health as well. Ideally, adults need 7 to 9 hours of sleep every night. This helps you stay physically and mentally healthy. However, getting a good night’s sleep is easier said than done, as sleep apnea is one of the factors that could affect the quality of your sleep. This can cause a number of health issues including heart disease.

What is sleep apnea?
Sleep Apnea is a sleep disorder that can make your breathing start and stop repeatedly while you are asleep. These pauses can range from 5 times an hour to 30 times in one hour. Waking up tired after a long sleep and snoring are characteristic symptoms of this condition. This can be annoying for others, but for you, it could be life-threatening. When your breathing stops; your airways get blocked.

This is characteristic of obstructive sleep apnea, as every time this happens, you wake up. This can increase the risk of high blood pressure. High blood pressure, in turn, can cause arrhythmia, heart failure, and strokes. This can increase the risk of a fatal heart attack by up to 5 times.

Heart disease and central sleep apnea have a cyclic relationship. In this case, heart disease causes the person to retain water and salts. At night, this excess fluid can enter the lungs making the person wake up feeling short of breath. This is not necessarily because the airways get blocked but because the brain does not send the diaphragm a signal to expand and contract. This is not as common as obstructive sleep apnea.

Reducing your risk of heart disease caused by sleep apnea
There are ways to treat sleep apnea so as to reduce the chances of heart diseases. To treat it, it must first be diagnosed. Thus, if your roommate notices you snoring, consult a doctor immediately. For a diagnosis, you will need to undergo a sleep study. This involves staying overnight in the hospital where they will monitor your sleep. Treatment for sleep apnea is known as continuous positive airway pressure or CPAP.

This form of treatment involves wearing a mask that regulates the air pressure as you breathe thus ensuring that the air passages do not close down. In case of obstructive sleep apnea, losing weight if you are obese, can also help treat the condition and keep the airways open.

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

3014 people found this helpful

Cardiac Arrest And Heart Attack - Understanding The Difference Between The Two!

MBBS, MD - General Medicine, DNB Cardiology, DM - Cardiology
Cardiologist, Bangalore
Cardiac Arrest And Heart Attack - Understanding The Difference Between The Two!

The news of Sridevi's sudden and unexpected demise was a shock for the entire nation and left a number of questions in the minds of the people. However, there are multiple reasons which are under speculation and can be attributed to her death - cardiac arrest, heart attack and death due to accidental drowning. Usually, cardiac arrest and heart attack are two things which most people use interchangeably, however, there is a big difference between the two. 

Difference between cardiac arrest and heart attack: 
A cardiac arrest is far deadlier considering that it comes without a warning or any prior indication of a problem. Here, the heart just stops beating and immediate first-aid can make a lot of difference between life and death. Electrical shock is the best way to revive a patient and should be given within a few minutes of such an arrest. 

On the other hand, a person suffers a heart attack when there is a blockage in the artery which prevents the smooth flow of oxygen-rich blood from reaching the heart. It is important to note that unlike a cardiac arrest the signs of heart attack start slow and persists for long.  

A heart attack is one of the common causes of cardiac arrest, but not always it is the case. A cardiac arrest happens most commonly when the heart is receiving more than 300 impulses per minute or due to absent electrical impulses. In the first instance an electrical shock is a lifesaving technique and in the second, the patient can be treated with certain medications and a temporary pacemaker

Symptoms of cardiac arrest:
The symptoms of cardiac arrest are immediate and extreme.

  • A fainting spell or a sudden collapse
  • Loss of consciousness
  • No pulse or breathing 

Symptoms of a heart attack 

Prevention of a cardiac arrest:
What makes this a deadly condition is that you cannot tell your risks of having one and therefore the next best thing to do is to lower your risks. 
The best way to do that is to:

  • Follow a diet that is balanced and nutritious
  • Alcohol should be consumed in moderation 
  • Quit smoking
  • Stay physically active

How can you prevent a heart attack?

  • Keep yourself fit and exercise regularly
  • Keep your cholesterol level under check 
  • Limit your alcohol intake 
  • If you are obese, control your weight
  • Intake a heart-friendly diet.

Now that the distinction is clear between the two, it is recommended that everyone should get themselves screened for potential heart problems on a regular basis. In case of a query or concern consult an expert and get your answers. 

6311 people found this helpful

Popular Questions & Answers

Doctor, thank you so much for your response. I am regularly monitoring my BP (I have BP machine) and at rest it comes down to 120/75 sometimes even lower. I do annual health check ups and the tests are all fine except for borderline cholesterol. I don't smoke and drink wine once a week. My food intake is minimal, once a week non veg, otherwise vegs, rice, roti, lentils. I have history of heart attack, my mother died due to cardiac arrest and my grandmother too. Maybe thrice or four times a year I get this kind of high BP. I am extremely active and working. Do I need to be cautious because of my history.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Yes of course Live a Healthy Lifestyle Eat a healthy diet. Choosing healthful meal and snack options can help you avoid heart disease and its complications. Be sure to eat plenty of fresh fruits and vegetables. Eating foods low in saturated fat and cholesterol and high in fiber can help prevent high blood cholesterol. Limiting salt or sodium in your diet can also lower your blood pressure. Maintain a healthy weight. Being overweight or obese can increase your risk for heart disease. To determine whether your weight is in a healthy range, doctors often calculate a number called the body mass index (BMI).  Exercise regularly. Physical activity can help you maintain a healthy weight and lower cholesterol and blood pressure. Don't smoke. Cigarette smoking greatly increases your risk for heart disease. So, if you don't smoke, don't start. If you do smoke, quitting will lower your risk for heart disease. Your doctor can suggest ways to help you quit. Limit alcohol use. Avoid drinking too much alcohol, which causes high blood pressure.  If you have high cholesterol, high blood pressure, or diabetes, there are steps you can take to lower your risk for heart disease. Have your cholesterol checked. Your health care provider should test your cholesterol levels at least once every five years. Talk with your doctor about this simple blood test. Monitor your blood pressure. High blood pressure has no symptoms, so be sure to have it checked on a regular basis. Manage your diabetes. If you have diabetes, closely monitor your blood sugar levels. Talk with your health care provider about treatment options. Take your medicine. If you're taking medication to treat high cholesterol, high blood pressure, or diabetes, follow your doctor's instructions carefully. Always ask questions if you don't understand something. Talk with your healthcare provider. You and your doctor can work together to prevent or treat the medical conditions that lead to heart disease. Discuss your treatment plan regularly and bring a list of questions to your appointments
2 people found this helpful

Hi I am hypertrophic cardiomyopathy patient since last two years I am taking prolomet xl 50 with olmesar 10 mg once in the morning. My pulse goes between 45 to 50 while going to sleep in the night. Is it ok or should I reduce the dosages.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
There is no need to reduce the dose because this is acceptable heart rate during sleep. In fact heart rates of upto 40 are also acceptable heart rates during sleep.
1 person found this helpful

I suffered heart attack 3 years back & 3 stents implanted. Doctor says you are having diastolic dysfunction. Is there any cure for it Sir?

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
As long as you are doing well here is no problem with diastolic dysfunction. Some degree of diastolic dysfunction is common at this age. You need a stress echo test and review.
1 person found this helpful

Sir. My husband had cardiac arrest 5 months back. 2 stents had put for left arteries. He is back to normal. He is taking thinner called ecosprin gold 20. Doctor had mentioned that he has 70% of plaque in his right artery also. So they have given one more tablet called concord 1.25 mg .he doesn't have pressure. Sugar.he is non smoker. No alcohol. My question is Is it okay taking concor tablet? will not it affect his pressure? Please advise. Thanks so much.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Yes it is good for him.& it will affect the blood pressure mildly. But. In general every patient who has a significant blockage in the heart or has a history of heart attack should be on at least 4 types of medications 1) antiplatelets which increase the clotting time of blood and decrease chances of future heart attacks and Re-stenosis of the stent. Initially you are kept on two types of antiplatelets and depending upon your disease and your progress your then shifted to single antiplatelet after 6 months or 1 year.  Eg: ecosprin, clopidogrel, Prasugrel, brillianta 2) Statins - are cholesterol lowering medications which are supposed to again prevent future heart attacks.  Eg. Tonact / atorvas 3) ARB / ACE Inhibitors - which help decreasing pressure on the heart and prevents remodeling injuries. Eg. Cardace / telma 4) Beta Blockers - They decrease the heart rate thereby reducing the work load on the heart and decrease BP also.  eg. Atenolol / Betaloc / metolar /bisoprolol usually all post angioplasty patients are kept on at least these 4 types of medications and depending upon the side effects and contraindications of medications are changed and slowly over period of time the dosage of these medications are decreased depending upon the recovery Get back to me with the reports for a detailed consultation.  
6 people found this helpful

My younger brother recently died from heart attack! He was epilepsy patient from childhood around 14-15 years. He was overweight .Is epilepsy related to heart attack?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry
Psychiatrist, Hyderabad
Unlikely, unless he has a heart problem also as co morbidity. Medications used in EWpilepsy may cause nonspecific cardiac problems.

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 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.
Play video
Coronary Artery Disease
Risk factors associated with heart attack

So when do we get the heart attack? What kind of people gets the heart attack? Previously people used to think heart attack belongs to the elderly people, post-retirement people. No, the heart attacks are happening, like 20% of the heart attacks are happening in the 40s. Alarmingly we have seen last one week, the 30s, that is, the 30s are the new 40s. From age 30 onwards the heart attack incidents are increasing. So now we see that age is no longer a criteria or factor for heart attack, although overall we have seen that the elderly people are supposedly more prone to heart stroke more frequently than the younger people. The people with diabetes or sugar, with hypertension, people with high cholesterol, people who are obese, the people who are more than the normal weight, people whose family members had a heart attack at any age. For example, somebody s ancestors or father or mother, or elder brother or younger, or elder sister had a heart attack, at 60 or at any age, then the chances of a heart attack are more in the person.

And of course, cigarette smoking. Cigarette smoking is an important cause of heart attack in any people. Cigarette smoking is one of the worst habits anybody can have, and it is killing many of the young people. Cigarette smoking is an important cause of heart attack and you must quit smoking altogether. Also, lack of exercise, and stress, physical or mental stress, anxiety- These are some of the risk factors that can be getting you a heart attack. If you are diabetic, have a tight control of your diabetes, if you have hypertension, you will regularly check your BP, check your sugar, take control of both of them. You should check your cholesterol, from age 20 onwards. If your cholesterol is high, control your cholesterol with a change in lifestyle and if a doctor prescribes you a tablet. Regularly check your cholesterol and keep it in control. Regular exercise is important, at least 30-40 minutes regularly, is must for everybody. If you are smoking, please quit smoking. Smoking is the commonest cause of death in any people. Young heart attack victims, most of them are smokers. If they quit smoking, the incidence comes down significantly. Take a balanced, healthy diet. Take small portions and see that your physical activities, not only the 30-40 minutes of exercise but all through the day you are physically active.

Can heart attack happen in women? Many people think that heart attack is a disease of men. Contrary to that popular belief, a heart attack is a number 1 killer in women as well. It is not breast cancer, ovarian cancer, cervical cancer; it is not any other illnesses, that we think women suffer from. It is the heart attack, which is number 1 killer in women as well. So women beware, it is not just men s disease, it is your disease as well. And whatever I said about control, it applies to you all as well. Actually after age 50 onwards, after attaining menopause, women are more prone to heart attack than men. They have less prognosis, fewer survival rates, the chances of coming out of the hospital healthy is not equal to that of men. So women beware, you are more prone to heart attack than men, after age 50 than men. So as you see here, here is the evaluation; less than 30 years of age, heart attack rates are slowly increasing from 8.3 to 10.7, and as the year's progress, a number of young people are suffering a heart attack. It used to be a disease of the elderly more than 50 years of age, and now we are seeing the disease in the young people. And this is very, very alarming. Any victim, any heart attack victim, in families, small children fall prey to this disease, which is very, very alarming. You should have good knowledge of this condition and healthy lifestyle, and also, keep checking your parameters, your BP, and must keep checking or conducting tests, so that if something is happening (symptoms of heart attack) you can diagnose at an early age and prevent it.

What happens inside the heart when you get a heart attack? See, the cholesterol is here. There is no blood flow to the heart muscle. See this is a normal healthy heart, the heart muscles are reddish, but here it has become black when the heart attack is happening. That s the inside story of what is happening. So inside the blood vessels, that is the blood vessels of the heart, the cholesterol is building up, the cholesterol blocks and captures, it causes blood clots. The blood clots for a few minutes, that is why the heart attack comes all of a sudden. The build up cholesterol takes weeks or months, but the heart attack comes very fast. So how do we treat? We can give medicines, do an angioplasty stenting. We all know about the stent. When the vessel is blocked, we put a stent, and then the vessel here is normal, it is flowing well now. Or we can do a bypass surgery.

When blocks are there in different places (of the heart), we can take a new pipe from the leg or from the chest and stitch it here, so that the blood flows to the new pipe, as the old pipes are blocked. So friends, today we have briefly discussed what is chest pain? All chest pains we found out do not heart pains. What is heart pain? What are the symptoms of heart pain? What it looks like? How to differentiate it? May it be the day, night, any kind of circumstances, you need to transport the patient to the nearest hospital. After getting treated for heart disease, it is a lifelong discipline that you need to maintain, the drugs are for lifelong, the medicines etc are all lifelong. You need to continue following the doctor s advice and attend the doctor at periodic intervals. You have to quit smoking, you must take a healthier diet, you need to have an ideal body weight, you should exercise properly. And this knowledge, if you have gained anything, from my talk, then please spread to everybody; see that everybody is aware of this condition. As we discussed just now, that it is alarmingly true that the heart attack is happening in the 40s and the 30s, and that is an alarming situation.

You should make sure that everybody gets this knowledge and ultimately this knowledge will prevent this heart attack. Thank You very much- Dr. Balaji Rajamagiri, Cardiologist.
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Heart Pain
Symptoms of Heart Pain
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What are the difference between Cardiac Arrest, Heart Failure and Heart Attack
I am Dr. Nishith Chandra, Director, Interventional Cardiologist at Fortis Escorts Heart Institute, New Delhi, India. I am at this institute from last 22 years. Today I will discuss about the differences between cardiac arrest, heart failure and heart attack. Are these heart failure, heart attack, heart and cardiac arrest, they are same thing? No they are not the same thing. They denote totally different meanings. So what do you we mean by heart failure.

Heart failure means that heart is failing in its duty to pump enough blood. Heart is still beating, heart has not stopped, heart is beating. Then how do a person recognize heart failure. The most common symptom of heart failure is breathlessness, intense weakness and sometimes just spin. So this is heart failure. Heart does not stop during heart failure. Heart continues to beat but weak beating inefficiently.

Then the second term comes which is heart attack. What is heart attack? Heart attack is when the there is a blockage of one of the three arteries of the coronary arteries of the heart, then the person gets a heart attack and this is recognized by severe chest pain, severe excruciating chest pain which may or may not be complete with sweating, breathlessness, intense weakness or sense feeling of impending doom. So this is called heart attack. This is different from heart failure.

What is cardiac arrest? Cardiac arrest means when the heart suddenly stops. In both heart failure and heart attack, the heart continues to beat, but only in cardiac arrest the heart count stop suddenly. So this is the most dangerous of the all three situations so when the cardiac arrest occurs the person loses its consciousness because there is no blood supply to the brain and we have to resistant the person immediately.

What you can do at that time if you find somebody collapsing? Immediately start CPR, what we call cardio pulmonary resuscitation. For learning CPR you may contact us at Fortis Escorts Heart Institute or you can join your consult your nearest heart hospital. So if you learn, if you have learned CPR then you can revive the patient from cardiac arrest.

So now you have learned that these three terms cardiac arrest is different, cardiac heart failure is different and heart attack are different and these should be treated separately.

So if you need to consult me you can consult me either through www.lybrate.com or you can meet me personally at Fortis Escorts Heart Institute, New Delhi which is there in Okhla or at my personal clinic at sector 93 A, Expressway Noida.
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