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THERAPY FOR HEART ATTACKS
New drugs can stop or limit
the damage of a heart attack, but only if the
patient gets help immediately, experts say. Once
the flow of blood to a portion of the heart is
blocked for several hours, the damage is
irreversible.
Knowing the symptoms of a heart attack, which can
be wide-ranging and confusing, is extremely
important. So is knowing risk factors, such as
obesity, diabetes, high blood pressure and family
history.
Typical symptoms of a heart attack include a
crushing pain in the chest, sweating, difficulty
breathing, weakness and pain in the arms,
particularly the left. Symptoms one could
attribute to something else can cause devastating
delays in seeking treatment. These include
feelings of indigestion, back shoulder and neck
pain and nausea. Early signs of trouble may
appear during physical activity and disappear
with rest. Any numbness of tingling of the
fingers or toes, dizziness, shortness of breath
or difficulty in breathing should not be ignored.
Clinical studies, laboratory investigations and a
number of surveys show certain personal
characteristics and life-styles pointing to
increased danger of heart attack. These danger
signs are called "risk factors." These
well established risk factors are high blood
pressure, high blood cholesterol, cigarette
smoking and diabetes mellitus.Attempts at
modifying risk factors most certainly have
contributed to the declining death rate from
heart attacks in the United States.
During the 1960's, U.S. death rates from heart
attacks were still rising, but today's figures
show that heart attacks have fallen dramatically.
And, overall, heart-related problems have
declined about 25 percent in the last decade.
This decrease undoubtedly is due to better
medical care of heart attack victims, but it is
likely that a sizable percentage is related to
modification of risk factors.
Medical technology is advancing at an
increasingly rapid rate. More drugs and medical
technology are available than ever before and the
entire population is now more aware of the
seriousness of heart attacks. There has been an
increased interest in learning CPR and many
community organizations now offer this valuable
training. Of particular concern by doctors and
researchers is the role that the American diet
plays in the health of one's heart. Obesity
predisposes individuals to coronary heart
disease. Some of the reasons for this are known,
but others are not. The major causes of obesity
in Americans are excessive intake of calories and
inadequate exercise. When caloric intake is
excessive, some of the excess frequently is
saturated fat, which further raises the blood
cholesterol. Thus, obesity contributes to higher
coronary risk in a variety of ways.
Many of the major risk factors for a heart attack
are silent and much of the responsibility for
their detection lies with each of us as
individuals. Regular checkups are particularly
necessary if there is a family history of heart
attacks of heart disease, high blood pressure,
high cholesterol levels or diabetes.
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