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Chest Pain
ANGINA
 
It is described as a transient pain or discomfort due to a temporary
imbalance between the demand for oxygen by the heart muscle and the ability of the coronary arteries to supply enough blood to meet that demand. Angina can be experienced at rest but oftenly it is experienced during exertion which increases heart rate and blood pressure. As the narrowing in these blood vessels increase, the amount of exertion needed to cause anginal pain decreases. With severe coronary artery disease, angina can occur at rest. Symptoms of angina can be midsternal chest pain that is described as crushing, pressing, constricting, oppressing or heavy. It may radiate to one or both (more often the left) shoulders and/or arms. Neck, jaw, back and epigastric pain without midsternal chest pain can also be angina. Even shotness of breath, fatigue and dyspnea on exertion is eqivalent to angina. It is a steady discomfort, most commonly lasting 2-15 minutes.
  WHAT TO DO
  MAKE PATIENT TO REST.
DO NOT DRIVE
LOOSEN THE CLOTHES
IF HE IS KNOWN FOR HEART DISEASE GIVE NITROGLYCERIN TABLET
INFORM DOCTOR IMMEDIATELY
PLEASE REMBER IT IS A REVERSIBLE CONDITION SO TIMELY INTERVENTION CAN SAVE
COMPLETE HEART FUNCTION OR EJECTION FRACTION
  Heart attack(Myocardial infarction)
 
when the demand of the heart muscle far exceeds the supply. It usually results from severe narrowing or complete blockage of a coronary artery and results in death of the heart muscle cells supplied by that vessel. Often the narrowing causes slowed blood flow through the artery which leads to the formation of a clot. This clot completely blocks the artery and a heart attack occurs. If this occurrence is caught early, "clot busting" drugs and "ballooning open the arteries" are common treatments to interrupt a heart
attack. The usual symptom of an attack is the pressure or pain described above. Other associated symptoms include sweating, clamminess, lightheadedness, nausea, vomiting and shortness of breath. If this type of discomfort lasts for 2 minutes or more, emergency action should be initiated.

WHAT TO DO
MAKE PATIENT TO REST.
DO NOT DRIVE
LOOSEN THE CLOTHES
IF HE IS KNOWN FOR HEART DISEASE GIVE NITROGLYCERIN TABLET
INFORM DOCTOR IMMEDIATELY
PLEASE REMBER IT IS A REVERSIBLE CONDITION UP TO A EXTENT SO TIMELY
INTERVENTION MIGHT SAVE HEART FUNCTION

 
 
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