- What is a heart attack? - Said cardiologist Saltanat Zhubanova. - The picture is as follows. Myocardium - is the heart muscle. For coronary artery it comes to blood. If any of these arteries block blood clot - thrombus, or atherosclerotic plaque, a lot of heart, which she remained without blood, which means without oxygen. “The hungry rations myocardial cells could survive no more than 20-30 minutes. Then they die, it is heart attack, gangrene station in the heart tissue. At the affected site is always scar.
It all starts with atherosclerosis, this is where the major arteries postponed fats, primarily cholesterol, if it is found in abundance in the blood. In principle, cholesterol - the necessary thing, it consists of the cell envelope and hormones. More than half of the body produces itself and the rest comes from food. The extra cholesterol suspended on the walls of vessels and form plaque. If the clearance of vessels suzitsya more than 50-70 percent, people do not feel, but suddenly it can happen infarction.
Plaque - the most vulnerable place in the vascular wall. Especially if it is “young” and it has not yet managed to postpone calcium. In the most unexpected moment of wall plaques, and therefore the inner lining of heart arteries can tresnut, nadorvatsya. For the body is an alarm. Treschinku it seeks to heal blood clots. Therefore, the damaged spot immediately begins phased out blood. Education blood clot recalls roll down the mountain snowball. If he was not prevented, thrombus is growing rapidly, has not yet close the entire clearance artery. Then the blood on it stops, starts the death of cells and developed myocardial infarction. Than large artery, which closed the clot, the greater the myocardial cells die. In recent myocardial infarction rapidly “younger”. Today he has struck people, the threshold of thirty-pereshagnuvshih barely. However, among women younger than 50 years of heart attack - very rare. Prior to this turn of their vessels are protected from atherosclerosis estrogen and other sex hormones. But with the onset of klimaksa women, by contrast, infected more often than men. They also say that baldness in men is a harbinger of a heart attack, as a factor in the emergence of lysiny an increased level of androgens, as in the case of hormonal fluctuations in body reacts to change the content of hormones rise of blood pressure and increased levels of cholesterol in the blood.
How to get it?
- The first sign of allowing suspected heart attack, usually becomes brutal pain of the sternum, which is the mid-chest - says Saltanat Zhubanova. - Usually at rest: presses, zhzhet, compresses may be given in the arm, shoulder, back, jaw, neck. Therefore, if even one of these signs immediately call the ambulance. ” The ability to endure in this case - a dangerous enemy. Indeed, only during the first few hours, introducing special drugs can dissolve “fresh” clot and restore blood flow in coronary arteries. Then, should prevent the formation of new thrombi. To do this, use drugs, slowing blood. One of the most reliable means - acetylsalicylic acid, which is the usual aspirin. It reduces the number of complications and prolongs the life of the people amenable to heart attacks.
Often used in the treatment of beta-blockers. These drugs reduce myocardial oxygen demand, and thus save heart muscle cells from death, reduce the size of necrosis. At the same time, they make the heart work more economical, which infarkte when it is very important. By the way, sometimes the disease manifests itself vomiting or unpleasant sensations in his stomach, interruptions in the heart or difficulty breathing, loss of consciousness or … nothing. Yes, and this happens: a man underwent heart attack, not even noticing it. The so-called bezbolevaya form of myocardial infarction often occurs in people suffering from diabetes.
In the first days after infarction carry mandatory strict bed rest. At that time, damaged heart can not withstand even minimal loads. Older people, endured heart attacks, was not raised in bed for several weeks. Today, the term bed rest significantly reduced. But still, at least three days after a heart attack need to lie in bed under the care of doctors. Then allowed to sit, and later get to go … It starts with healing, adapting to a new, “posleinfarktnoy” life.
Risk group
For the first we know how it is likely. More than other risks to get him those who have close relatives - parents, grandmothers, grandfathers - suffered from heart disease or hypertension. Next come the smokers.
People suffering from hypodynamy and overweight, “plump” atherosclerosis, which is the main cause of heart attack. By the way, if a person already has atherosclerotic plaque, but leads agile way of life, his blood is actively looking for a bypass road and finds the way to the heart by corked vessel.
Infarction “loves” men after 30, but starting in 60 years nastigaet representatives of both sexes equally. Finally, in 3-4 times increased risk of heart attacks in people with diabetes or high blood pressure (over 140/90 mm Hg at any age).
Notes
Unconditional leaders hazard in the sense of cholesterol - black and red caviar, liver and egg yolk: just nip - and the daily dose captured. In one yolk, for instance - 200 mg of cholesterol. A bit of yield, but also informative sausages and frankfurters.
Before you fry or boil a chicken, remove skin from it - there is a lot of cholesterol. After cooking remove useless - all the cholesterol in the meat.
20 grams of alcohol a day reduces cholesterol. A 100 g lead to the opposite effect.
Lowers cholesterol apples, garlic, beans, cauliflower and grapefruit.
What should we do?
Take nitroglycerin tablet under the tongue and 325 mg of aspirin.
To lie or at least sit down.
Immediately call “ambulance”.
What you should not do:
Take a few minutes more than two tablets of nitroglycerin, as well as any other drugs.
Spend time on calls with the aim of consultation, what would you still lie.
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December 11th, 2008 at 3:46 pm
[…] How to escape from a heart attack […]