Heart Attack (Acute Myocardial Infarction)
Cardiovascular disease is responsible for 40% of deaths in adult humans. They are from a heart attack at the beginning. Briefly tell if a heart attack or acute myocardial infarction, patients with coronary artery formed within seconds rupture of the endothelium of thrombus resulting complete blockage and usually severe chest pain, sometimes associated with pain, back and left arm and is life-threatening urgent disease. According to the affected coronary arteries that feed the magnitude and clinical areas may vary. Large and small, some risk factors for atherosclerosis or hardening of the arteries which causes the result of coronary artery disease have been identified. These are very important in the prevention of cardiovascular disease take control of detecting.
5 Great Risk Factors causing atherosclerosis:
5-myocardial infarction at an early age in the family story (it is said ırsilik passed infarction in 55 and before age 65 for women for men)
Small Risk Factors:
3-small moving / still life
5-blood lipoprotein a height
ECG: Chest pain, sometimes manifested in the diagnosis of heart attack with back and left arm pain or shock ECG is the most important tests. The diagnosis of ECG heart attack, and gives you valuable information about the seriousness of the starting time of crisis and thrombolytic (clot dissolver) provides guidance on whether you need treatment.
Blood Analysis: blood troponin and CK-MB in the view, to support the diagnosis in suspected cases, although not affect the emergency treatment and follow-up of patients is important in the hospital.
Treatment: Diagnosis of Acute Myocardial Infarction After putting other blood thinners, painkillers and as soon as we essentially two treatment option for removing the clot blocking blood vessels as well as the calming treatments are available:
1-coronary angioplasty and stenting
2-thrombolytic therapy (clot dissolver drug)
Lately it has become the first option 1 option in all cases. However, in cases where angioplasty and stent intervention is not possible or is too late, especially when the possibility of these first 6 hours of thrombolytic therapy is also an option.
In the prevention of cardiovascular disease, there are two methods that support each other:
a. Exercise (eg, brisk walking for 30 minutes at least 4days a week)
b. Diet (3 white and avoiding their products: flour, salt and sugar)
c. Lose weight (to reduce the body-mass index below 25)
d. Stay away from bad habits such as smoking and alcohol
email address. Anti-stress
Number of risk factors that we can not get above under control with lifestyle changes under control with medication.
3-Life, see it live in peace with the Creator entrusted to consciousness.
2-Hypertension: blood pressure values of the resting 140 / when we are talking about on 90mmgh hypertension. Blood pressure values of 120-140 / 85-90mmmgh between the time that the pre-hypertension stage (stage prehypertension) is concerned.
Hypertension, primary (reason is that unknown HT and 99%) and secondary (1% of a reason connected HT and hypertensive cases known is the case) .Prim hypertension, secondary affects more elderly patients due to arteriosclerosis is related to hypertension those young age.
Is done in the form of true and false hypertension another classification. Liar hypertension during the middle of the excitement and panic attacks examination is due to physical or mental stress. We encountered a very patient sees an unnecessary drug therapy because of the false hypertension. Such cases take advantage of pseudohypertension real hypertension often done under suitable conditions to separate the patients blood pressure or blood pressure Holter 24-hour blood pressure measurement device which is very useful. In addition, many patients are not aware of the tensions are so high that although hypertension disease and the treatment they receive for their discomfort. As is widely understood among the people because it does not cause high blood pressure, headaches. Hypertension disease is a disease of the sensor and not the symptoms. Serious delays are occurring because it does not recognize the symptoms of hypertension. This is a very sick because of delayed diagnosis, doctors resort to serious complications caused by hypertension in the long run.
Hypertension target the organs:
1-Cardiovascular: stiffness caused in vessels (atherosclerosis) leads to the narrowing in the coronary arteries, and thus including a heart attack, and peripheral vascular disease. Moreover, arrhythmia due to thickening caused by the heart wall, occur cardiac hypertrophy and heart failure.
2-Renal Failure: The most important cause of kidney failure after diabetes is hypertension.
3-Nervous system: Stroke and the role of hypertension in stroke is too large.
4-eyes: eyes are olabilmik cause bleeding from capillaries.
Prevention and Treatment:
1 non-drug treatment: Before the patient is a non-target organ damage from stress and panic with unsalted or low-salt diet is recommended lifestyle. Many patients can achieve this tension can be controlled without the need for medication.
2-drug treatment: Other diseases of the patients in the control of blood pressure up here with suggestions, age and personal characteristics to the appropriate single or combination therapy is recommended. Drug therapy patients should comply with the proposed examination. Both drugs also investigated any side effects arisen is whether and under the control of blood pressure control.
Palpitations, heart rate is to be felt. Normally people feel their heartbeat.
Palpitations can occur depending on the ordinate or fall as much depends on the acceleration of the heartbeat.
In general, young people and called palpitations, tachycardia caused by underlying heart disease not linked to panic attacks in patients with sinus is an increase in heart rate. However, moderate and severe palpitations depends on the underlying cause of heart disease in older people. But in both cases it is necessary to refer to a person's cardiologist who complain of palpitations.
In short, every palpitations, arrhythmia (arrhythmia) that does not mean you need to understand.
The most important cause of atrial fibrillation flutter Bagsl with structural heart disease. Atrial fibrillation in hypertensive patients with rheumatic mitral valve, which is more visible in elderly patients.
Atrial fibrillation is the most common so fast and irregular beats in the atria of the observed rhythm bozukluğudur.kalb (300-600 beats / min), the tabs are not contract. It is the task of the ventricle pumps blood to the heart is a part of the activity is fully communicated in an irregular manner. Because the ventricles of engorgement is not enough blood is pumped to the body effectively. As a result of fatigue in patients, it may be symptoms such as shortness of breath and chest pain. When the heart rate remained high long time weakens the heart muscle and heart failure occurs.
Atrial fibrillation is the most feared side is that it can cause a stroke. The viscosity of the blood they atria contraction is impaired. This causes the formation of clots in the atria. Clot is absorbed into the bloodstream, it becomes embolism name and leads through to clog the arteries that move in damage to the organ that feeds this artery (said stroke goes to the brain of blood clots or stroke occurs).
Atrial fibrillation is available for various reasons. Among the most important causes of high blood pressure (hypertension), heart failure and mitral valve diseases. In addition to lung disease, and thyroid diseases such as non-cardiac cause may also lead to atrial fibrillation.
Atrial fibrillation is diagnosed by ECG.
Treatment: Atrial fibrillation treatment drugs made by veysi continues irregularities in electric shock or just taken control of heart rate and rhythm. The first option is generally short-term atrial fibrillation, cardioversion never previously untested and / or preferred in heart shape over intact. Second, a longer atrial fibrillation and / or preferred in heart shape too much degraded. Drug. Heart rate does not fall into a kind of electrical conduction between the atria and ventricles providing formation (AV node) are burned with ablation and permanent pacemaker fitted. Pacemaker is then programmed into the appropriate heart rate.