Medical Preventive measures for Heart Attack

1
Medical Preventive measures forHeart Attack
Visit our website www.add15years.in
2
What happens in heart attack

• Heart attack or myocardial infarction usually
  means one part of the heart is suddenly cut off
  from the blood supply which leads to improper
  beating of heart. Due to lack of blood supply,
  blood can not be effectively pumped by the heart.
  This causes serious trouble for heart to continue
  beating and it temporarily stops.
• This also leads to lose of consciousness within
  2-4 minutes as not enough blood supply is there
  for brain to function properly
• And if brain does not gets adequate oxygen
  through blood for more than 5 minutes, it becomes
  nearly impossible to recover its proper
  functioning.
• After a while, if sudden treatment is not given
  other body parts may also begin to malfunction.

Visit our website www.add15years.in
3
Statistics

• Out of average 17 million heart related deaths
  globally, 2.1 million people died in India
  because of heart related diseases in 2015.
• Out of these 2.1 million deaths, 0.9 million are
  only because of heart attacks
• According to a study, 40 Indians develop heart
  attack before the age of 55! Among which, 50 do
  not get any warning signal.
• Risk of heart attack is marginally higher for
  rural population compared to urban population
  with men being twice as prone than women.

Visit our website www.add15years.in
4
Why heart attack happens

• Heart attacks are primarily caused when one or
  more coronary arteries are narrowed or blocked.
• This happens due to deposition of saturated fats,
  sugars, cigarette smoke, cholesterol etc. inside
  the walls of artery.
• When fat content in blood vessels increases, it
  causes minor injury to the vessel walls. In an
  attempt to heal it, surrounding cells releases a
  sticky chemical which leads to fat and other
  minerals to start depositing on the wall surface.
• Coronary arteries supply oxygen and energy to
  heart so that it continues functioning. Improper
  blood flow because of blockage suppress necessary
  supply of nutrients and power to keep the heart
  beating and eventually heart it takes a form of
  heart attack.

Visit our website www.add15years.in
5
Visit our website www.add15years.in
6
What to do if heart attack happens

• Take an aspirin Taking a normal dose of aspirin
  (325 mg) helps sustaining the situation as it
  prevents the tendency of blood to clot.
• Cough/Breathe heavily Breathing deeply and then
  coughing may increase your blood pressure and
  thus, the chances that blood keeps going into the
  brain
• Do CPR only when situation worsens Appy CPR by
  compressing the chest in case heart stops beating
  or person becomes unconscious. It is to be done
  only by a trained CPR personnel.

Visit our website www.add15years.in
7
How to be prepared

• The first answer obviously is to avoid a heart
  attack.
• The second answer is at least not being
  unprepared.
• The third one is if someone is married, have
  children, and is 35 years or older, please do buy
  at least 2 crore rupees of life insurance.
• In case of the untimely death, at least the wife
  and the children would not feel so helpless
• Also, please spend Rs 12,500 for 3 simple tests
  (all no-invasive) at the age of 35 and every 5
  years afterwards
• If all tests are normal, it will guarantee us
  free from the risk of getting a heart attack for
  the next 5 yearsto say the least.

Visit our website www.add15years.in
8
How to avoid a heart attack

• Keep your cholesterol and fat under control.
  Modify your diet with healthy and clean food.
• Control your alcohol consumption, smoking or any
  other drug consumption.
• Keep your diabetes under control as high blood
  sugar may damage blood vessels or nerves that
  control heart
• Do regular exercise Exercising daily keeps your
  heart in active state and maintains cholesterol
  and blood pressure

Visit our website www.add15years.in
9
First heart test ECG or EKG

• Most important fact about EKG is that we will not
  realize that it is like a fingerprint. Changes in
  EKG is unusual.
• But, we have to understand the comparison between
  different EKGs is the single most important
  medical factor that helps us to focus on early
  changes
• EKG can also tell us if we had a heart attack in
  the past. EKG is one way we can find out whether
  the issue of high blood pressure is latest or has
  been there for 15 to 20 years. EKG will clearly
  show this

Visit our website www.add15years.in
10
Visit our website www.add15years.in
11
Second heart test 2-D Echocardiogram

• When the heart pumps, it pumps out the blood to
  the rest of the body.
• But It does not pumps out complete blood, but
  about 70 of the blood. This 70 is called
  ejection fraction.
• If our ejection fraction is 30, we can not walk
  out of room without shortness of breath. And will
  actually meet the criteria for a heart transplant
  as well.
• So, this test let us know what is our hearts
  ejection fraction is.

Visit our website www.add15years.in
12
Visit our website www.add15years.in
13
Third heart test CT Angiogram

• It takes time for heart diseases to get serious.
  So the good news is we have time to correct
  ourselves.
• A 70 blocked artery is an invitation to heart
  attack, but it takes 15 to 20 years for our
  arteries to go from 20 to 70.
• This test is also a non-invasive one where we
  hang water and put color/dye in that water which
  then goes in the blood leading straight to the
  heart.
• Then CAT scan takes quick pictures of the heart
  arteries filled with colored water. A software
  makes a three-dimensional image basis the
  pictures. If there is any blockage, we can
  clearly see it
• If they smoothly fill up with the blood, meaning
  that there is no blockage.

Visit our website www.add15years.in
14
Why these tests ??

• Again these test are non-invasive that is NO
  CUTTING, NO WIRES INSIDE THE BODY FOR ANGIOGRAM
• If all three tests are normal, which tells us
  different details about the heart, then we
  absolutely have no risk of getting a heart attack
  in at least five years. Literally, guaranteed!
• When we repeat these 3 basic tests for the heart
  every five years, we can compare these tests with
  our hearts health 5 years ago. If there are any
  changes, we can pay more attention and get more
  testing if required or take necessary steps to
  reverse those changes.

Visit our website www.add15years.in
15
Visit our website www.add15years.in
16
Author (Prof.) Dr S. Om Goel, MD/DM From family
of doctors from AIIMS, MAMC Delhi University MD
Medicine, USA DM/Fellowship, USA
Visit us at https//www.add15years.in/ Mail
contact_at_add15years.com
Visit our website www.add15years.in