This is the Heart Attack I had. I am republishing this without permission, thinking no one will mind if it makes one person call 911 when they are having a heart attack! I found this on the Yale Heart Study FB page.
New Guidelines Seek to Streamline Care for Worst Heart Attacks: TIME is of essence in saving lives
By Robert Preidt
Streamlined guidelines meant to improve treatment of patients with the most severe form of heart attack were released Monday by the American Heart Association and the American College of Cardiology.
The updated recommendations are for a type of heart attack called
ST-elevation myocardial infarction (STEMI). It occurs when a cholesterol
plaque ruptures and a blood clot forms within an artery leading to the
heart muscle, completely blocking the blood flow. This can lead to
damage to a large area of the heart.
This type of heart attack strikes about 250,000 Americans a year.
"Time is of the essence in the evaluation and treatment of these
patients," Dr. Patrick O'Gara, chairman of the guidelines-writing
committee, said in an American Heart Association news release. "The
sooner blood flow is restored, the better the chances for survival with
intact heart function."
Percutaneous coronary intervention is
the preferred treatment when it can be done quickly. The treatment
includes balloon angioplasty to open a clogged artery, followed by the
insertion of stents to keep the artery open.
Patients who are
taken to a hospital where percutaneous coronary intervention is not
available should be given clot-busting drugs, if safe, followed by
transfer to a facility where the angioplasty-stent treatment can be
performed if needed, according to the guidelines published online Dec.
17 in the journal Circulation and the Journal of the American College of
The guidelines noted that patient delay in
reporting symptoms is a major obstacle to timely and successful care of
STEMI, and called for efforts to improve patient recognition of heart
attack symptoms and to make people understand the importance of
immediately calling 911 rather than traveling to the hospital by car,
Among the other recommendations:
Emergency medical technicians should perform electrocardiograms at the scene to speed patient assessment and treatment.
To reduce brain injury, cooling procedures should be started before or at the same time as cardiac catheterization.
Patients should be provided with care plans when they're discharged
from the hospital. The plans need to be clearly communicated and shared
with patients, families and other health care providers.
Referral for cardiac rehabilitation is a key part of a care plan.
Executive Summary Guidelines: