Levine sign

[gothamprince]

18 hours ago, gothamprince said:

increased sweating  also occurs during chest pain which can differentiate it from other causes of chest pain such as acid reflux from the stomach which is called heart burn 

[gothamprince]

atypical pain in heart attack can present as

pain only localised to one of these sites: arms, shoulders, back, teeth, heart burn, throat, ear

gastrointestinal symptoms alone: nausea, vomiting, heartburn, recurrent belching

profound fatigue, weakness, anxiety

dizziness, loss of consciousness(syncope)

acute confusional state

 

 

 

[gothamprince]

Women particularly under the age of 60 , are more prone to these atypical symptoms 

these symptoms appear to be not related to heart and results in severe underdiagnosis and delay in receiving medical attention

Diabetes is the major risk factor for early occurrence of heart attack in woman and also family history of heart attack should make you suspect for further evaluation of these atypical symptoms in them.

the patient usually appear agitated 

usually the cause of these atypical symptoms is inferior wall heart  

[gothamprince]

On 3/22/2024 at 10:57 PM, gothamprince said:

Diabetes is key risk for atherosclerosis which inturn is risk factor for heart attack

Almost 25% people who had heart attack doesn't feel any pain called silent heart attack due to neuropathy (damage to nerves) by diabetes which leads to serious consequences as there is no chance of intervention until late complications happen

[gothamprince]

On 3/22/2024 at 10:57 PM, gothamprince said:

Type A personalities are more prone to heart attack as there are more prone to atherosclerosis and also to clotting of blood

[gothamprince]

On 3/22/2024 at 11:03 PM, gothamprince said:

Smoking is the biggest risk factor as it not only causes atherosclerosis but also causes blood vessels to heart themselves to constrict called vasoconstriction and not to mention about clotting abnormalities 

[gothamprince]

On 3/22/2024 at 10:55 PM, gothamprince said:

This is the classic description of heart attack, they describe it as heaviness on chest 

[gothamprince]

On 3/22/2024 at 11:06 PM, gothamprince said:

High blood pressure causes blood vessels to constrict and also risk factor for atherosclerosis so more prone to heart attack

[gothamprince]

On 3/22/2024 at 11:08 PM, gothamprince said:

High cholesterol especially the LDL cholesterol (bad cholesterol) is responsible for atherosclerosis this narrowing the blood vessels to the heart

The best way to reduce bad cholesterol is exercise regularly 

[gothamprince]

On 3/22/2024 at 11:11 PM, gothamprince said:

Obesity is key risk factor for heart attack as it increases the load on heart causing high blood pressure

Also obesity increases LDL cholesterol (bad) and decreases HDL cholesterol (good)

Obesity is risk factor for diabetes which inturn risk factor for heart attack 

[gothamprince]

On 3/22/2024 at 11:19 PM, gothamprince said:

these are called Xanthalesma which are cholesterol deposits . these indicate high cholesterol in blood. these may indicate increased risk of early onset heart attack

[gothamprince]

On 3/22/2024 at 11:22 PM, gothamprince said:

the white ring around cornea called arcus senilis when presents in people below 50 years increases the risk of heart attack, it also forms after 50 years but is mostly due to ageing

[gothamprince]

On 3/22/2024 at 11:32 PM, gothamprince said:

breathlessness can be only symptom of heart attack in few patients as chest pain may not be present in all

[gothamprince]

On 3/22/2024 at 11:35 PM, gothamprince said:

sense of doom or feeling of something bad is happening is seen in most patients experiencing heart attack

[gothamprince]

On 3/22/2024 at 11:48 PM, gothamprince said:

TIME IS MUSCLE

the treatment should be initiated as early possible 

typically the fibrinolytic therapy should be started within 30 minutes of symptoms onset which consists of drugs like streptokinase etc these are used to break the blood clots unless there are contraindications if in case of doubt of diagnosis

 percutaneous intervention such as angioplasty and stent placement should be done as early as possible if fibrinolytic therapy is contraindicated or vessel wall not completely opened even after fibrinolytic therapy

the sooner we start the treatment the more the muscle we can save from death which further influences the life after the therapy or survival of the patient for that matter because it may lead to heart failure and other grave consequences