The cardiologist called the early symptoms of a heart attack The outcome of the disease largely depends on how quickly a person who develops a heart attack receives help.

What symptoms are important not to ignore when a heart attack began?

Evgeny Shlyakhto: The most important symptom is pain. Most often, it is localized in the sternum and is compressive, pressing or burning in nature.. Less commonly, there are options when pain radiates to the shoulder, arm, or stomach area, then the patient may think that it is associated with the spine or stomach. True pain in myocardial infarction may be accompanied by weakness, shortness of breath, sweat, and even sometimes loss of consciousness..

What is a \?

Yevgeny Shlyakhto: These are heart attacks that are either asymptomatic or have signs that, at first glance, are not associated with heart disease. I can imagine two scenarios. First, in patients with diabetes, the pain threshold has been changed, and they often do not complain of retrosternal pain as part of exertional angina, and myocardial ischemia can occur in a painless form.. The second option - sometimes we find a myocardial scar with echocardiography without a history of clinically transferred myocardial infarction and then we ask the patient: did he have a special day when he felt bad even without pain. It can be assumed that on this day the patient suffered a myocardial infarction on his legs..

What is the danger of late visit to the doctor?

Evgeny Shlyakhto: Late treatment is dangerous with complications, including death. Pain in myocardial infarction means ischemia - lack of oxygen to the heart muscle due to blockage of the coronary arteries. With timely admission to the hospital, a study of the arteries of the heart (coronary angiography) is performed to find out which of them are clogged and how much, after which interventions are performed to restore blood flow (angioplasty, bypass surgery). If this is not done in time, the heart muscle at the site of myocardial infarction dies and stops pumping blood, which leads to the development of acute or chronic heart failure or a life-threatening arrhythmia..

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