|
|
|
Heart Attacks
and Strokes
|
A heart attack
occurs when the supply of blood and oxygen to an area of heart muscle
is blocked, usually by a clot in a coronary artery. Often, this blockage
leads to arrhythmias (irregular heartbeat or rhythm) that cause a
severe decrease in the pumping function of the heart and may bring
about sudden death. If the blockage is not treated within a few hours,
the affected heart muscle will die and be replaced by scar tissue.
|
 |
How
does an arterial-blockage occur?
|
It
occurs as a result of a combination of things.
It occurs as a result of a combination of things.
|
- Over time, the wall of our artery becomes
diseased or "corroded"
- As our blood passes through this corroded
section, it dumps some of the fat which it is carrying, and this
fat forms a bulge in the wall of the artery. Result? In the same
way that double-parking narrows a road and causes a slow down
in the flow of traffic, this fatty bulge narrows the width of
the artery and slows down the flow of blood as it passes around
it.
- If the blood flow gets too slow, and
if tiny bits break off the bulge in the wall "clogging up
the blood even more" the blood will form a spontaneous clot,
completely blocking the artery.
|
Causes
and risk-factors of heart attacks & strokes
|
Things
we can't change Certain factors
increase the risk of a heart attack. Some can be changed, while
others are inherited. The major factors individuals can't change
include: age, gender and heredity.
Age
Four out of five deaths from the disease
are in people over age 65. In this age group, women are twice as
likely to die from heart attacks as men.
Gender
- Women are more likely to die from heart
disease than from all forms of cancer, chronic lung disease, pneumonia,
diabetes, accidents and AIDS combined.
- However, men have a greater life-long
risk of heart attack, and experience attacks earlier in life.
Heredity You're
at greater risk if your parents had heart disease.
|
Things
we can change
|
The
major factors individuals can change include: smoking, high blood
cholesterol levels, high blood pressure, obesity, physical inactivity
and being overweight.
|
Smoking
Smokers have twice as high a risk of heart
attack as nonsmokers, and have two to four times the risk of sudden
cardiac death. Smokers are also more likely to die quickly and suddenly
than nonsmokers.
|
High
blood pressure African-Americans
have the highest death rates from the disease. This may be due to
their higher rates of high blood pressure; about 1 in 3 black adults
have high blood pressure, compared to about 1 in 4 white adults. High
blood pressure is also generally more severe among elderly African-Americans
than elderly whites, leading to more cases of strokes, heart disease
and kidney failure.
|
Cholesterol
and cholesterol levels Cholesterol
is a waxy substance found in all parts of your body. It helps make
cell membranes, some hormones, and vitamin D. Cholesterol comes from
two sources: your body and the foods you eat.
|
- Blood cholesterol is made in your liver.
Your liver makes all the cholesterol your body needs.
- Dietary cholesterol comes from animal
foods like meats, whole milk dairy foods, egg yolks, poultry and
fish.
- Eating too much dietary cholesterol
can make your blood cholesterol go up. Foods from plants, like
vegetables, fruits, grains, and cereals, do not have any dietary
cholesterol.
|
Heart
attack outcomes
|
The
outcome of a heart attack depends on several factors:
- Where the coronary blockage happens.
Blockages on the left side of your heart are usually more dangerous.
- Whether rhythm is disturbed. If the
blockage also causes an irregular heartbeat called an arrhythmia,
it may cause sudden death. Either fast beating called tachycardia
or rapid, uncoordinated contractions called ventricular fibrillation
may happen. Ventricular fibrillation prevents blood flow, which
must be quickly restored through cardiopulmonary resuscitation
(CPR) or electrical therapy (defibrillation).
- Whether your heart is supplied by another
blood source. Sometimes a person's body responds to a gradual
blocking of an artery by widening another vessel that supplies
blood to that same part of the heart. This makes what is called
a collateral blood source. If this is the case, you will have
less severe damage from the major blockage.
- How soon you got help. In most cases,
getting medical attention within an hour of the start of your
attack reduces the amount of heart muscle you lose.
|
Left
Ventricular Aneurysms
|
Sometimes
after a heart attack, an aneurysm forms in the heart's main pumping
chamber, called the left ventricle. If a section of the heart wall
becomes damaged after a heart attack, it causes scarring and the heart
wall grows thinner and weaker. This may cause a ventricular aneurysm
to form. The weakened area of aneurysm does not work well, which makes
your heart work harder to pump blood to the rest of your body. Ventricular
aneurysms may cause shortness of breath, chest pain, or an irregular
heart beat (arrhythmia). If a ventricular aneurysm leads to congestive
heart failure, left ventricular heart failure, or arrhythmia, your
doctor may want you to have surgery.
|
 |
|
|
|
 |
|
|
| |
Copyright 2006 ©yourheartguide.com.
All rights reserved. |
|