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Surviving
a Heart Attack
Surviving
a Heart Attack
How do you survive a heart attack? Fast action is
your best weapon against a heart attack. Why? Because
clot-busting drugs and other artery-opening treatments
can stop a heart attack in its tracks. They can prevent
or limit damage to the heart–but they need to
be given immediately after symptoms begin. The sooner
they are started, the more good they will do–and
the greater the chances are for survival and a full
recovery. To be most effective, they need to be given
ideally within 1 hour of the start of heart attack
symptoms.
- Uncertainty
is Normal
Expectations often don't match reality when it comes
to heart attack. People expect a heart attack to happen
as it does in the movies, where someone clutches his
or her chest in pain and falls over. Because of this
expectation, people often are not sure if they're
having a heart attack. As a result, people often take
a wait-and-see approach instead of seeking care at
once. This even happens to people who have already
had a heart attack. They may not recognize the symptoms,
because their next heart attack can have entirely
different symptoms.
- Delay Can
Be Deadly
Most persons having a heart attack wait too long
to seek medical help–and that can be a fatal
mistake. Patient delay–rather than transport
or hospital delay–is the biggest cause of not
getting rapid care for heart attacks.
People often take a
wait-and-see approach, delaying because they:
- Do not understand the symptoms of a heart attack
and think that what they are feeling is due to something
else.
- Are afraid or unwilling to admit that their symptoms
could be serious.
- Are embarrassed about "causing a scene,"
or going to the hospital and finding out it is a false
alarm.
- Do not understand the importance of getting to
the hospital right away.
- Call 9-1-1
The first step to take when a heart attack happens
is to call 9-1-1. Call whether you're sure you're
having a heart attack or not.
Anyone showing heart attack warning signs needs to
receive medical treatment right away. Don't wait more
than a few minutes—5 minutes at most—to
call 9-1-1.
Calling 9-1-1 for an
ambulance is the best way to get to the hospital because:
- Emergency medical personnel (also called EMS, for
emergency medical services) can begin treatment immediately–even
before arrival at the hospital.
- The heart may stop beating during a heart attack.
This is called sudden cardiac arrest. Emergency personnel
have the equipment needed to start the heart beating
again.
- Heart attack patients who arrive by ambulance tend
to receive faster treatment on their arrival at the
hospital.
- If for some reason, you are having heart attack
symptoms and cannot call 9-1-1, have someone else
drive you at once to the hospital. Never drive yourself
to the hospital, unless you absolutely have no other
choice.
- Emergency
Medical Personnel
Calling 9-1-1 is like
bringing a hospital emergency department to your door.
Why?
- Emergency medical personnel can take vital signs,
determine your medical condition, and if needed give
added medical care.
- In many places, emergency medical personnel are linked
to hospitals and doctors, so they can relay your vital
signs and electrocardiogram to the emergency department
before you arrive. This way, you receive immediate continued
treatment by emergency department personnel once you
reach the hospital.
- Emergency medical personnel can give a variety of
treatments and medications at the scene. Emergency medical
personnel carry drugs and equipment that can help your
medical condition, including oxygen, heart medications
(such as nitroglycerin), pain relief treatments (such
as morphine), and defibrillators (equipment that restarts
the heart if it stops beating).
- Plan Ahead
Make a plan now for what you would do if a heart attack
should happen. Doing so will save time and could help
save a life.
To plan ahead:
1.Learn the heart attack warning signs.
2.Think through what you would do if you had heart
attack symptoms. Decide what you would do if it happened
while you were at home, in the middle of the night,
at work, or at any other place or in any other situation
that might need advance planning.
3.Decide who would care for any dependents in an emergency.
Emergency medical personnel will generally contact a
friend or relative (or the police department, if necessary)
to make emergency arrangements for your dependents.
4.Talk with your family and friends about the heart
attack warning signs and the importance of acting fast
by calling 9-1-1 after a few minutes–5 at the
most–if those signs persist. Explain the benefits
of calling 9-1-1, instead of getting to the hospital
by car.
5.Talk to your health care provider about your heart
attack risk and what you can do to reduce it. (Rate
your chances of having a heart attack.)
6.Talk to your doctor about what you should do if you
experience any heart attack symptoms.
7.Gather important information to take along with you
to the hospital. Do this by preparing a heart attack
survival plan. Fill in the form, print it out, and keep
copies in handy places, such as your wallet or purse.
8.If you are concerned about your insurance coverage,
call your insurance company and check on your benefits.
Most insurance companies cover emergency care for a
possible heart attack.
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