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As to escape from a heart attack

- That such a heart attack? - Cardiologist Saltanat Zhubanova speaks. - the Picture looks as follows. The myocardium is a cardiac muscle. On coronary arteries to it blood arrives. If any of these arteries corks a blood clot - a blood clot or an atherosclerotic plaque the site of heart with which it feeds, remains without blood supply so, without oxygen. " On short rations "myocardium cages can live no more than 20-30 minutes. Then they perish, it and is a heart attack, a site omertvenija in a heart fabric. On the suffered place always there is a hem. All begins with an atherosclerosis, it when in large arteries fats, basically cholesterol if it contains in blood much are postponed. Basically cholesterol - a piece necessary, from it cellular covers and a part of hormones consist. Organism develops more half itself, the rest comes with food. Superfluous cholesterol is postponed on walls of vessels and forms plaques. If the gleam of vessels is narrowed more than for 50-70 percent, the person of it will not feel, but in a flash with it there can be a heart attack.

a plaque - most a weak spot in a vascular wall. Especially if it"young"and in it calcium has not had time to be postponed yet. During the most unexpected moment a plaque wall so, and the internal cover of an artery of heart can burst, overstrain. For an organism it is an alarm signal. Treshchinku he aspires to heal a blood clot. Therefore on the hurt place blood there and then starts to be turned off. Blood clot education reminds a snow clod sliding from mountain. If to it stirs nothing, the blood clot very quickly grows, yet will not close all gleam of an artery. Then the blood-groove on it stops, begins destruction of cages, and the myocardium heart attack develops. The more largely the artery which was closed by a blood clot, the is more than myocardium cages will be lost. Recently the myocardium heart attack promptly "looks younger". Today it already amazes the people who have hardly stepped a thirty-year threshold. However, at women 50 years a heart attack - the big rarity are younger. Till this boundary their vessels are protected from an atherosclerosis by an estrogen and other sexual hormones. However with approach of a climax of the woman, on the contrary, fall ill more often than men. Say also, that oblysenie at men is some kind of a heart attack harbinger as one of factors of occurrence of a bald head is the raised level androgenov, and in case of hormonal fluctuations the organism reacts to change of the maintenance of hormones by lifting of arterial pressure and increase of level of cholesterol in blood.

As it to learn?

- the First sign, allowing to suspect a heart attack, as a rule, there is a severe pain behind a breast, that is in the middle of a thorax, - speaks Saltanat ZHubanova. - Usually in a rest status: presses, burns down, compresses, can give to a hand, a shoulder, a back, a jaw, a neck. Therefore at presence at least one of these signs immediately call "first aid". Ability to suffer in this case - the dangerous enemy. After all only within first several hours, entering special preparations, it is possible to dissolve a "fresh" blood clot and to restore a blood-groove in a coronary artery. Then it is necessary to prevent education of new blood clots. For this purpose use the medicines which are slowing down curling of blood. One of the most reliable means - atsetilsalitsilovaja acid, that is usual aspirin. It reduces number of complications and prolongs a life to the people who have transferred a heart attack.

it is frequent in treatment apply beta-blokatory. These preparations reduce requirement of a myocardium for oxygen so, rescue cages of a cardiac muscle from destruction, reduce the sizes nekroza. Simultaneously they do job of heart of more economical, that at a heart attack very important. By the way, sometimes disease proves vomiting or unpleasant sensations in a stomach, faults in heart or difficulty of breath, loss of consciousness or... Anything. Yes, there is also a such: the person has transferred a heart attack, at all not having noticed it. So-called bezbolevaja the form of a heart attack of a myocardium is more often observed at the people, suffering by a diabetes.

In the first days after the transferred heart attack the strict confinement to bed is obligatory. At this time the hurt heart can not sustain even the minimum loadings. Earlier the person who has transferred a heart attack, did not rise from a bed some weeks. Today confinement to bed term considerably is reduced. But all the same, at least three days after a heart attack it is necessary to lay in bed under supervision of doctors. Then it is authorised to sit, later to rise, go... Recover, adaptation to new, "posleinfarktnoj" lives Begins.

risk Group

To begin with it is necessary to know, how much it is probable. More than others risk to catch it at whom near relations - parents, grandmothers, grandfathers - suffered illnesses of heart or a hypertension. Further there are smokers.

the People suffering from gipodinamii and excess weight, "raise" an atherosclerosis, and it is the main reason of a heart attack. By the way, if the person already has atherosclerotic plaques, but conducts a mobile way of life, its blood actively searches for roundabout ways and finds road to heart by the corked vessel.

the Heart attack "likes" men after 30, and here since 60 years overtakes representatives of both sexes equally. At last, in 3-4 times at the people, suffering a diabetes or the raised arterial pressure (more than 140/90 mm hg the risk of a heart attack increases in any age).

On a note

Unconditional leaders on harm in sense of cholesterol - black and red caviar, a liver and an egg yolk: time has bitten off - and the daily dose is seized. In one yolk, for example, - 200 mg of cholesterol. Concede a little, but sausages and sausages too are substantial.

Before frying or cooking the chicken, remove from it a skin - there a lot of cholesterol. After preparation to remove it is useless - all cholesterol already in meat.

20 g spirit daily reduce cholesterol. And 100 g lead to opposite effect.

apples, garlic, beans, a cauliflower and grapefruits Reduce level of cholesterol.

That it is necessary to do?

to Accept under language a tablet of nitroglycerine and 325 mg of aspirin.

to Lay down or at least to sit down.

Immediately to call "first aid".

That to do it is impossible?

to Accept in some minutes of more than two tablets of nitroglycerine, no less than any other preparations.

to Waste time on calls for the purpose of consultation, than to you still to undergo treatment.

Olga DEMCHENKO



© 2007 Encyclopaedia of blood

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