Heart Attack - Treatments

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What was the treatment for your heart attack?

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What is the treatment for heart attack?

The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) task force recommends a treatment guideline that they consider as a preferred strategy to treat heart attacks; PCI (Percutaneous Coronary Intervention) or stenting is emphasized. For details about PCI, please see reference 2.

The 2013 ACCF/AHA guidelines for treatment of a heart attack are summarized as follows:

  1. Ideally, transport patient to a PCI capable hospital; if not PCI capable, transfer patient as soon as possible and less than 120 min; if anticipated transfer is more than 120 min, give fibrinolytic agent within 30 min of arrival
  2. Send to cath lab
  3. Diagnostic angiogram
  4. PCI (Percutaneous Coronary Intervention) also termed stenting or stent placement
  5. If reocclusion occurs or perfusion fails in a patient given a fibrinolytic, arrange transfer to a PCI capable facility; for other patients treated with a fibrinolytic, transfer to a PCI facility within about 3-24hrs
  6. If step 5 occurs, step 3 should follow at a PCI capable facility were either medical therapy, a PCI or a CABG should be done Patients who are not candidates for PCI therapy usually undergo medical or surgical (CABG) therapy. For a more detailed presentation of the medical treatments and CABG, read the heart attack treatment article.
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See what others are saying

Comment from: UKL, 55-64 Female (Patient) Published: December 10

I had a heart attack a week ago (57 year old female). For the past month I had been woken a few times with 'severe indigestion' but it went away after a few minutes. Last week I got woken at 3 am with a burning sensation in my windpipe and center of my chest which would not go away despite Gaviscon. Then the squeezing started, as if my chest was being pressed on both sides of my breast bone, dead center. Then my arms went numb from my shoulders to my elbows and I realized what was going on. In the past months I had ignored twinges in my shoulder, clavicle, and left side of my neck. I had broken my phone that evening and live alone so I had to walk barefoot in my pajamas to a neighbor to ask for an ambulance. My troponin enzyme levels were elevated and later that night I had 2 stents inserted. Don't ignore the twinges and warning signs. I did not have nausea, vomiting, sweating, shortness of breath, fatigue or feelings of doom or illness. Just chest pain that burned until it squeezed. I was a smoker (never going back to it) with high cholesterol but active and not vastly overweight. My doctor said family history is the main contributing factor.

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Comment from: iqbal bibi, 25-34 Male (Patient) Published: December 08

I am an old patient of vasculitis since 2000. For 5 year I have taken tablet Deltacotril along with Zantac tablet. But now again the above problem has started from hand and foot.

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