ATTACK TO THE HEART

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	ATTACK TO THE HEART
	*ATTACK TO THE HEART*

ATTACK TO THE HEART

Attack to the heart

The term attacks the heart is equipable to myocardium infarct.

Causes

When the oxygen that arrives to him at the heart is insufficient to cover the necessities with the same one, the muscular cells cardiac suffer (angor), being able to get to die (infarct).

The most frequent cause is the narrowing of the arteries that feed the heart, arteries coronárias, by aterosclerosis.

Signs and symptoms

The most characteristic symptoms are:

A pain or sensation of pressure in the chest that radiates or extends towards the arms or the jaw.

The subject presents/displays an abundant perspiration and nauseas or vomits.

If the attack has been it burdens is possible even to be lost the knowledge, arriving to stop the breathing and the beats of the heart.

WHAT TO DO WHEN THIS HAPPENS?

Mainly it manténgase calm and it verifies if the patient continues conscious; if it is thus, it calls immediately to an ambulance and vigílele until the aid arrives. Asegúrese of which it breathes comfortably (suéltele the necktie and the superior button of the shirt) and verifies that it presents/displays a stable pulse before asking for aid.

If the patient loses the knowledge and the breathing stops must begin a resuscitation quickly to cardiopulmonar. For it, it falls down to the patient on a hard surface, as for example the ground. Aflójele the clothes and extiéndale the head backwards throwing of the language towards outside so that the throat is opened. Verify if it breathes watching if the chest moves and putting its ear in the mouth to hear and to feel the air. If it does not breathe, colóquele a hand underneath the neck and the other on the forehead covering to him the nose with the fingers. Now it blows in his mouth four times.

Verify that its heart barks looking for the pulse to him in the right neck next to the trachea. If it barks, continues with the breathing giving him a deep blowing every five seconds. If the heart does not bark it will have to make in addition a cardiac massage to him: look for the end of the breastbone and raise to three centimeters or two fingers approximately; place here the palm of his hand and put the other hand upon this, now pushes in a dry blow downwards; it relájese and it repeats a blow per second, trying to obtain a stable rate; each five compressions cause that another person insufflates a deep blowing to him in the mouth.

After making the resuscitation to cardiopulmonar during a minute, it will have to return to verify the pulse of the neck and the pupils of the eyes. If they diminish of size it means that the brain receives the necessary blood.

Call requesting aid

In case that he is single, it must pump the heart with thirty compressions instead of sixty and each fifteen to insufflate twice in the mouth of the patient. If it recovers the breathing and the beats, manténgalo warms up and comfortable without letting watch it.

Factors of risk

All those that affect the cardiovascular disease:

Familiar or personal history of reumatoide arthritis or other diseases autoinmunes.

Tobacco.

Alcohol.

Rich fat diet.

Sedentarismo

Excess of weight

Stress

Preoccupations

Arterial hypertension (Hiperosterolemia, Mellitus diabetes)

Prevention

Eliminate the previous factors.

Organized life, varied and balanced diet, smooth but daily exercise, to avoid tensions and preoccupations.

Treatment of diabtes, hypertension and hiperolesterolemia.

Diagnosis and treatment

The electrocardiogram confirms the diagnosis.

The treatment is based on the prevention and its case in the antihypertensive or anticolesterinizante medication.

Complications

The progression of the trombos can arrive until the brain causing motor upheavals, paralysis or death.

Prognosis

The prevention of a second infarct by means of the correción of the risk factors, the antitrombótica medication and the genetic spare part therapy, makes better prognoses nowadays possible every time.

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