What is a Heart Attack?

By Dr Ananya Mandal, MD

A heart attack is a medical emergency that occurs when blood supply to part of the heart is suddenly cut off.

The heart muscles are supplied by the coronary arteries, which branch off from a major artery called the aorta. Heart attack occurs when one or more of the coronary arteries becomes blocked. This lack of blood supply and oxygen can cause injury to the heart muscle and if supply is prevented for more than 20 minutes, the part of the muscle tissue failing to receive blood may die. The medical term for a heart attack is myocardial infarction or MI.

Symptoms

  • Chest pain – The chest may feel tight, pressured and heavy as if it is being squeezed
  • Pain in other areas – The pain may radiate to other parts of the body such as the arms (usually the left arm), the neck, jaw, back and abdomen
  • Feeling dizzy or lightheaded
  • Sweating
  • Shortness of breath
  • Nausea and vomiting
  • Coughing or wheezing
  • Severe anxiety that is often described as a sense of impending doom

Not all chest pain indicates a heart attack. Indigestion commonly causes chest pain and can be mistaken for a heart attack, if severe. Conversely, a mild heart attack can be mistaken for indigestion. Some cases of heart attack are completely painless, particularly among the elderly, women and people with diabetes.

Diagnosis and treatment

A diagnosis of heart attack is based on the findings of an electrocardiogram (ECG). People admitted to hospital with suspected heart attack will be given an ECG within ten minutes of arrival. An ECG machine records the electrical signals generated by the heartbeat and a doctor can interpret this information to assess how well the heart is functioning. The treatment approach to heart attack depends on the type of heart attack the patient has had. Segment elevation myocardial infarction is the most severe form of heart attack and a patient with this condition will immediately be assessed for treatment to unblock the coronary artery.

The surgical procedures available to treat heart attack include coronary angioplasty and coronary artery bypass graft. Medications that may be administered to break down the clots include reteplase, alteplase, and streptokinase.

Reviewed by , BSc

Further Reading

Last Updated: Jul 30, 2014

Read in | English | Español | Français | Deutsch | Português | Italiano | 日本語 | 한국어 | 简体中文 | 繁體中文 | Nederlands | Русский | Svenska | Polski
Comments
  1. Niall Goulding Niall Goulding Ireland says:

    i had a heart attack 8 years ago six months after i started going to the gym for three months and gave it up , i have started going again am i doing any damage by going into the steam room and using the juczzi can you let me know please as i love using them

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News-Medical.Net.
Post a new comment
Post