A heart attack, also known as a myocardial infarction, is a life-threatening condition that occurs when blood flow to the heart is blocked, depriving it of oxygen. Recognizing the early warning signs and seeking immediate medical care can make a crucial difference in survival and recovery.
 
Dr. Mahesh Kharade, a leading Consultant & Interventional Cardiologist in Wakad, Pune, shares insights on the symptoms of a heart attack, the importance of early detection, and the emergency care needed to minimize complications.
 
 
 
Heart Attack: Signs and Emergency Care | Dr. Mahesh Kharade

What Causes a Heart Attack?

A heart attack happens when one or more coronary arteries become blocked, often due to:
  • Plaque buildup (Atherosclerosis): Fatty deposits in the arteries restrict blood flow.
  • Blood clots: A ruptured plaque can form a clot, blocking the artery.
  • Coronary artery spasm: A temporary tightening of the artery can reduce or stop blood flow.
Lifestyle factors such as high cholesterol, high blood pressure, diabetes, obesity, smoking, and stress increase the risk of a heart attack.

Early Warning Signs of a Heart Attack

Many people ignore the initial symptoms of a heart attack, assuming they are due to minor issues like gas, acidity, or muscle pain. However, recognizing these early warning signs can be life-saving:

Common Symptoms in Men & Women

  • Chest Pain or Discomfort: A feeling of pressure, squeezing, fullness, or pain in the center of the chest that lasts for a few minutes or goes away and returns.
  • Pain Radiating to the Left Arm, Jaw, or Back: The pain may spread beyond the chest to the shoulders, neck, and arms.
  • Shortness of Breath: Feeling breathless even at rest or with minimal exertion.
  • Cold Sweats & Dizziness: Sudden sweating, nausea, or lightheadedness.
  • Fatigue & Weakness: Unusual tiredness, especially in women, can be an early sign.

A typical Symptoms in Women

Women may experience less obvious symptoms, such as:
  • Nausea or vomiting
  • Unexplained anxiety or palpitations
  • Indigestion-like discomfort
  • Pain in the upper abdomen
Many women delay seeking medical attention because their symptoms don’t always include the classic chest pain.

What to Do During a Heart Attack?

If you or someone around you experiences symptoms of a heart attack, take immediate action:
  • Call Emergency Services (108 or 102 in India) Immediately – Every second counts!
  • Chew an Aspirin (300 mg) – Helps thin the blood and improve circulation.
  • Stay Calm and Rest – Avoid exertion and sit in a comfortable position.
  • Use Nitroglycerin (If Prescribed) – Helps dilate blood vessels and improve blood flow.
  • Do Not Drive Yourself to the Hospital – Seek an ambulance for quick medical assistance.

Emergency Care for a Heart Attack

Upon reaching the hospital, the medical team will conduct immediate tests such as:
  • Electrocardiogram (ECG): Detects irregular heart activity.
  • Blood Tests (Troponin Levels): Measures heart muscle damage.
  • Angiography: Identifies blockages in the arteries.

Treatment Options

Depending on the severity of the blockage, the following treatments may be performed:
  • Thrombolytic Therapy: Clot-dissolving medications to restore blood flow.
  • Angioplasty & Stenting: A catheter with a balloon is used to open blocked arteries, followed by stent placement.
  • Coronary Artery Bypass Grafting (CABG): A surgical procedure to create a new pathway for blood flow around blocked arteries.

Preventing a Heart Attack

The best way to avoid a heart attack is by adopting a heart-healthy lifestyle:
  • Eat a Balanced Diet: Reduce saturated fats, refined sugars, and processed foods. Include fruits, vegetables, nuts, and whole grains.
  • Exercise Regularly: Aim for at least 30 minutes of physical activity most days of the week.
  • Quit Smoking & Limit Alcohol: Smoking significantly increases the risk of heart disease.
  • Manage Stress: Practice relaxation techniques like yoga, meditation, or deep breathing exercises.
  • Control Underlying Conditions: Keep diabetes, high blood pressure, and cholesterol levels in check with regular health checkups.

When to See a Cardiologist?

If you have chest pain, frequent shortness of breath, high blood pressure, or a family history of heart disease, consult a cardiologist immediately. Early detection and timely intervention can prevent serious heart conditions.
 
Dr. Mahesh Kharade, a trusted Interventional Cardiologist in Wakad, Pune, specializes in heart disease prevention, diagnosis, and treatment. If you or a loved one have concerns about heart health, do not delay seeking expert medical advice.
 
A heart attack can be fatal, but early recognition of symptoms and immediate emergency care can save lives. Knowing the warning signs, taking prompt action, and adopting a heart-healthy lifestyle can significantly reduce the risk of heart disease.


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Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.