HEART ATTACK Coronary Heart Disease (CHD) or Heart attack is caused due to inadequate blood flow to the heart compared to its needs leading to impaired function of the heart. CHD is the cause of 25-30% of deaths in most industrialized countries. CHD is more common in males. Hypertension and Diabetes account for 40% of all cases.

CHD can evident in the following ways :

A) “ANGINA” Means “Pain in the Chest”. Most often occurs during exercise / emotional stress. It occurs due to inadequate blood flow to the heart. It is a warning signal for dangerous heart disease (including heart attack). Sometimes breathlessness associated with unusual exertion can also occur.

B) “HEART ATTACK” (sudden and complete stoppage of supply of blood and oxygen to a part of the heart. (Reversible if treated early) This Leads to permanent damage to the heart.

C) Irregularities of Heart beat can also be cause of CHD.

D) Failure of the Heart function due to some abnormalities.

E) Sudden death.


I) DIETARY CHANGES:- With changing following dietary plan we can control CHD.

Reduce fat intake

Reduce dietary cholesterol

Take High Fiber Diet

Reduce alcohol consumption

Reduce Salt intake to <5 gm/day

II) Stop Smoking

III) Prevent Elevation of Blood Pressure

IV) Start Regular daily physical activity

V) If you are at risk then-

Monitor Blood pressure periodically.

Check blood cholesterol as advised by your doctor.

Control diet as required.

Take medicines for hypertension, diabetes, etc., regularly as advised by your doctor.

Consult your doctor periodically.



1. The heart is in the middle of the chest, not on the left, as many accept as true. The most common sign of a heart attack is discomfort in the center, just under the tie. This is not usually a sharp, jabbing pain, but a sensation of pressure, squeezing or arching.

It is mainly due to lack of oxygen in the heart muscle, and may be mild, moderate, or serve. The discomfort may affect only the center of the chest or may radiate through the whole chest. It may reduce in a few minutes or a few hours

2. Distress may extend from the chest into one or both arms. It may be due to arthritis, bursitis. To know the difference, lift up your arms above your head. If pain is due to arthritis or bursitis, it will be aggravated, heart pain will not.

3. Pain also may appear into the neck and jaws, on one or both sides, and in the front or back, It may be mistaken for toothache, arthritis or “stiff neck”. Differentiating toothache from a heart attack may be more difficult,

check with your doctor if in doubt. To test, turn your head & your neck: heart pain will not be aggravated, whereas, pain originating in the neck will be

4. Pain-usually squeezing or aching-may appear in the upper abdomen, where it is often mistaken for indigestion, usually it is not confined strictly to the abdomen, but overlaps the lower chest at the fork of the ribs. Nausea or Vomiting may occur with this pain.


Call to your doctor without delay. He may be able to determine over the phone whether you are having a heart attack, if its true then he can arrange an ambulance or tell emergency guidelines.

In calling either doctor or hospital, emphasize that it is a heart emergency, requiring instant care: don’t be put off by administrative red tape.

Use the fastest transport you can get, if you have to wait even ten or 15 minutes for an ambulance and a car is available immediately, take the car. Don’t be too concerned about the bumps along the way.

Try to arrange someone for driving, and someone else to care for you on the way: but in case of loneliness, drive yourself. This is less risky than remaining at home and waiting for proper arrangements.

Sit upright situation in the way unless you feel very faint. In real heart pain is more worse when one lies down position.

If nitroglycerin tablets are handy place one under your tongue-it may ease pain within one or two minutes. Self-medication is justified in this rare instance.

If the patient’s heartbeat not heard when an ear is put to his chest, stop the car. just lay down him on a hard ground outside the vehicle, put one palm two-thirds of the way down the breast-bone and wrap it with another hand,

and start regular rhythmic compression to the chest about one time in a second, this will force blood from the heart to the rest of the body. Do this until he comes into consciousness.

Do this resuscitation also for a patient who starts losing consciousness anytime in this period. If you fail to apply this within two minutes it can cause severe effects like permanent brain damage or sudden death.
Anyhow reach the hospital within one hour of the attack.


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