
[The inventors of the Angel Med Guardian System hope the device will cut the death rate from heart attacks by a quarter, by alerting the wearer as soon as possible. It vibrates inside your chest, alerting you that you need to take action. In addition to the vibration, it communicates with a pager - sized device that both beeps and flashes, letting you know that you need to either call your doctor. Once you arrive at the hospital, your doctor can wirelessly retrieve a history of information collected by the Guardian. This information can help to inform the best course of action in providing an appropriate treatment pathway]
"Knowing How To Identify The Symptoms Of A Heart Attack And How Seeking Care Quickly Can Save The Life Of Someone You Love Or Even Your Own"
- Anonymus
General
1. A heart attack that is is a serious medical emergency in which the supply of blood to the heart is suddenly blocked, usually by a blood clot. A heart attack occurs when the flow of blood to the heart is blocked. The blockage is most often a buildup of fat, cholesterol and other substances which form a plaque in the coronary arteries that feed the heart. The plaque eventually breaks away and forms a clot. The interrupted blood flow can damage or destroy part of the heart muscle. A heart attack can be fatal but treatment has improved dramatically over the years.
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"The virtue of a heart attack lies in instantaneous arrival. The death of the body takes place before the death of the mind"
- Ch'oe Yun, Mannequin
Difference Between Cardiac Arrest and Heart Attack
2. A cardiac arrest happens when the heart suddenly stops pumping blood around the body. Someone who is having a cardiac arrest will suddenly lose consciousness and will stop breathing or stop breathing normally. Unless immediately treated by cardiopulmonary resuscitation (CPR), this always leads to death within minutes for sure.
3. A heart attack is a sudden interruption to the blood supply to part of the heart muscle.It is likely to cause chest pain and permanent damage to the heart. The heart is still sending blood around the body and the person remains conscious and is still breathing. A person having a heart attack is at high risk of experiencing a cardiac arrest. Both a heart attack and a cardiac arrest are life threatening medical emergencies and require immediate medical help.
Common Signs of a Heart Attack
4. Many heart attack victims do not have classic early warning signs like intense chest pain, or sweating, and experience nothing more than mild discomfort. Others ignore the signs or Recognize them too late. The result is it is often hours before they seek medical help. For some, that delay is fatal.
"Sustained negative flashbacks can stir a heart attack"
T. F. HODGE
5. While the signs of heart attack can be different for men and women - the most common symptoms for both genders include:
a. Pressure, tightness, pain or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back.
b. Nausea, indigestion, heartburn or abdominal pain.
c. Cold sweat.
d. Fatigue.
f. Lightheadedness or sudden dizziness.
"When you have heart disease, you start to be tired of everything. It's like getting older. You become more white and after that, grey. You have no feeling for anything"
- Gerard Depardieu
Other Symptoms of Heart Attack
6. Not all people who have heart attacks have the same symptoms or have the same severity of symptoms. Some people have mild pain. Others may have more severe pain. Some people have no symptoms. The more signs and symptoms you have, the greater the likelihood you are having a heart attack. Some heart attacks strike suddenly but many people have warning signs and symptoms hours, days or weeks in advance. The earliest warning might be recurrent chest pain or pressure that is triggered by exertion and relieved by rest. It is caused by a temporary decrease in blood flow to the heart.
"I saw many people who had advanced heart disease and I was so frustrated because I knew if they just knew how to do the right thing, simple lifestyle and diet steps, that the entire trajectory of their life and health would have been different"
- Mehmet Oz
Symptoms of Sudden Cardiac Arrest
7. Sudden cardiac arrest (SCA) is when the heart stops and person falls unconscious. The patient may:
a. Appear not to be breathing.
b. Not be moving.
c. Not respond to any stimulation like being touched or spoken to.
8. This is a leading cause of premature death but with immediate treatment - many lives can be saved. The heart stops because the electrical rhythm that controls the heart is replaced by a Dis organised electrical rhythm. The quicker this can be treated, the greater the chance of successful resuscitation.
"Small changes in diet don't have much effect on preventing coronary heart disease and cancer. But bigger changes in diet and lifestyle may prevent heart attacks in almost everyone"
- Dean Ornish
9. Medication On Heart Attack is appended below:

A. Call for Emergency Medical Help. If you suspect you are having a heart attack, do not hesitate. Immediately call your local emergency number. If you don't have access to emergency medical services - have someone drive you to the nearest hospital.

b. Act Immediately. Some people wait too long because they don't recognize the important signs and symptoms. Take these steps:

c. Take Aspirin, If Recommended. Taking aspirin during a heart attack could reduce heart damage by helping to keep your blood from clotting. Aspirin can interact with other medications. So don't take an aspirin unless your doctor recommend it.
10. If you see someone who is unconscious and you believe is having a heart attack - immediately call for emergency medical help. Then check - if the person is breathing and has a pulse. If the person is not breathing or you don't find a a pulse, only then should you begin CPR to keep blood flowing.
a. Push hard and fast on the patient's chest in a fairly rapid rhythm about 100 to 120 compressions a minute.
b. If you haven't been trained in CPR, doctors recommend performing only chest Compression. If you have been trained in CPR, you can go on to opening the airway and rescue breathing.
11. A heart attack occurs when one or more of your coronary arteries become blocked. Over time, a coronary artery can narrow from the buildup of various substances that includes cholesterol. This condition, known as coronary artery disease that causes most heart attacks. During a heart attack, one of these plaques can rupture and spill cholesterol and other substances into the bloodstream. A blood clot forms at the site of the rupture. If large enough - the clot can block the flow of blood through the coronary artery, starving the heart muscle of oxygen and nutrients. Another cause of a heart attack is a spasm of a coronary artery that shuts down blood flow to part of the heart muscle. Using tobacco and illicit drugs such as cocaine, heroine, yaba can cause a life threatening spasm.

The Risk Factors of Heart attack
11. Certain traits, conditions or habits may raise your risk for coronary heart disease (CHD). Some of these risk factors you can not control. others you can. Certain factors contribute to the unwanted buildup of fatty deposits that narrows arteries throughout your body. You can improve or eliminate many of these risk factors to reduce your chances of having a first or another heart attack. Factors that increase your risk and addressing them puts you on a path toward better heart health. These include:

a. Age. Men age 45 or older and women age 55 or older are more likely to have a heart attack than are younger men and women.
b. Tobacco. This includes smoking and long-term exposure to secondhand smoke.
c. High Blood Pressure. Over time, high blood pressure can damage arteries that feed your heart. High blood pressure that occurs with other conditions such as obesity, high cholesterol or diabetes, increases your risk even more.
d. High Blood Cholesterol or Triglyceride Levels. A high level of low density lipoprotein (LDL) cholesterol is most likely to narrow arteries. A high level of triglycerides is a type of blood fat also ups your risk of heart attack. However, a high level of high density lipoprotein (HDL) cholesterol lowers your risk of heart attack.
e. Obesity. Obesity is associated with high blood cholesterol levels, high triglyceride levels, high blood pressure and diabetes. Losing just 10 percent of your body weight can lower this risk.
f. Diabetes. Not producing enough of a hormone secreted by your pancreas (insulin) or not responding to insulin properly causes your body's blood sugar levels to rise increasing your risk of heart attack.
g. Metabolic Syndrome. This occurs when you have obesity, high blood pressure and high blood sugar. Having metabolic syndrome makes you twice as likely to develop heart disease than if you don't have it.
h. Family History of Heart Attack. If your siblings, parents or grandparents have had early heart attacks, you might be at increased risk.
i. Lack of Physical Activity. Being inactive contributes to high blood cholesterol levels and obesity. People who exercise regularly have better cardiovascular fitness including lower high blood pressure.
j. Stress. You might respond to stress in ways that can increase your risk of a heart attack.
k. Illicit Drug Use. Using stimulant drugs such as cocaine or amphetamines can trigger a spasm of your coronary arteries that can cause a heart attack.
l. An Autoimmune Condition. Having a condition such as rheumatoid arthritis or lupus can increase your risk of heart attack.
12. By acting on the risk factors you have control over, you may help prevent or delay CHD. The keys to reducing your risk are living a heart healthy lifestyle and following the recommendations of your healthcare provider.

13. Complications are often related to the damage done to your heart during an attack which can lead to:
a. Heart Failure. An attack might damage so much heart tissue that the remaining heart muscle can not pump enough blood out of your heart. Heart failure can be temporary or it can be a chronic condition resulting from extensive and permanent damage to your heart.
b. Abnormal Heart Rhythms. Electrical 'short circuits' can develop resulting in abnormal heart rhythms, some of which can be serious even fatal.
c. Sudden Cardiac Arrest. Without warning, your heart stops due to an electrical disturbance that causes an arrhythmia. Heart attacks increase the risk of sudden cardiac arrest which can be fatal without immediate treatment.


Lifestyle Tips For Disease Prevention
"Going 'meat free' can make a huge difference. Studies show that vegetarians are, on average, 10 to 20 pounds lighter than 'meat eaters' and that a vegetarian diet reduces our risk of heart disease by 40 percent and adds seven or more years to our lifespan"
- Ingrid Newkirk
14. To prevent heart disease, incorporate the necessary steps to keep your blood pressure, cholesterol and blood sugar within healthy ranges into your lifestyle.
15. Pay attention to food labels so that you eat a balanced diet, low in salt, sugar, cholesterol, saturated fat and trans fat.
16. Monitor your blood pressure as follows:
a. Get regular exercise several times per week.
b. Keep your weight in a healthy range.
c. Quit smoking to protect your arteries.

17. It is never too late to take steps to prevent a heart attack even if you have already had one. Here are ways to prevent a heart attack:
a. Medications. Taking medications can reduce your risk of a subsequent heart attack and help your damaged heart function better. Continue to take what your doctor prescribes and ask your doctor how often you need to be monitored.
b. Lifestyle Factors. Maintain a healthy weight with a heart healthy diet. Don't smoke, exercise regularly, manage stress and control conditions that can lead to heart attack such as high blood pressure, high cholesterol and diabetes.
18. Prevention of cardiac arrest is as follows:
a. Cardiac arrest is reversible but it is vital. It is Recognized and acted upon in the first few seconds or minutes.
b. Seconds Count - Call Emergency FIRST.
c. You can save a life by trying chest Compression or using a defibrillator.
d. Chest Compression/ hand-only cardiopulmonary resuscitation (CPR).
e. If someone is having a cardiac arrest after calling emergency, you can chest Compression to save his life.
f. To carry out a chest compression:

1] Place the heel of your hand on the breastbone at the Center of the patient's chest, Place your other hand on top of your first hand and interlock your fingers.
2] Using your body weight - not just your arms, press straight down by 5/6 cm on the patient's chest.
3] Repeat this until the ambulance arrives.
4] Try to do the chest Compression's at a rate of 100 - 120 Compression's a minute.
Refs:
1. Scans Cut Heart Attack Rates And Save Lives, Major Study Finds.
2. Heart Attack or Sudden Cardiac Arrest: How Are They Different?
3. Act Fast When Having A Heart Attack.
4. Heart Attack - Causes, Treatment And Recovery.
5. 11 Possible Heart Symptoms You Should Never Ignore.
6. How Does Aspirin Work To Help Keep Blood Flowing?
7. Heart Attack Rehab at Home Could Save Lives.
8. Six Minutes To Save A Life.
9. Three Ways to Avoid Cardiovascular Disease.
10. How to Survive a Heart Attack.
11. Heart Attack and Unstable Angina.
12. Heart Attack - Understand Your Condition.
13. Heart Attack.
14. Cardiovascular Diseases In the Mirror of Science.
15. Coronary Heart Disease: Reducing the Risk.
16. Heart Disease News.
17. Getting the Right Treatment Can Prevent Heart Attacks - Here is How.
18. If You Are Stricken, Minutes Matter, Yet Many Ignore Signs, Delay Treatment of Heart Attack.
20. Congestive heart failure: What you need to know.
21. How to Know if You are Having a Silent Heart Attack.
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Warmly
Major (R) Md Lutful Huda
Editor In Chief
Crime And Justice Journal