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Heart Attack: Simple Facts Everyone Should Know

Computer-Based Learning Module 2013 Edition. Heart Attack: Simple Facts Everyone Should Know. A CUTE C ORONARY S YNDROME. A cknowledging C hest Pain S aves Lives. Every 36 seconds, someone dies from heart attack and blood vessel disease. What is a Heart Attack?.

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Heart Attack: Simple Facts Everyone Should Know

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  1. Computer-Based Learning Module 2013 Edition Heart Attack:Simple Facts EveryoneShould Know

  2. ACUTE CORONARY SYNDROME Acknowledging Chest Pain Saves Lives

  3. Every 36 seconds, someone dies from heart attack and blood vessel disease

  4. What is a Heart Attack? A coronary attack (heart attack) occurs when the blood flow to a part of the heart is blocked.

  5. Heart Attack Signs & Symptoms Signs & Symptoms of a Heart Attack include, but are not limited to: Uncomfortable pressure, squeezing, fullness or pain in the center of your chest. It lasts more than a few minutes, or goes away and comes back Pain or discomfort in one or both arms, back, neck, jaw or stomach

  6. Heart Attack Signs & Symptoms Signs & Symptoms of a Heart Attack include, but are not limited to: Shortness of breath with or without chest discomfort Other signs such as breaking out in a cold sweat, nausea or lightheadedness Women often present with atypical symptoms such as fatigue and indigestion. They will report pain in the shoulder, neck and/or shoulder.

  7. If you are caring for a patient who develops CHEST PAIN Notify the Charge Nurse and the patient’s primary physician. Follow unit protocol for management of Chest Pain. Place the patient on O2 @ 2L/NC and obtain a STAT 12 lead EKG. Place patient on EKG monitor and document Vital Signs every 5 minutes until additional orders received.

  8. If you encounter a visitor having CHEST PAIN Call Rapid Response/House Supervisor and notify Charge Nurse. Assist individual into Wheelchair if possible. Explain to visitor and any family that treatment in ED is indicated and ask if they would allow us to take them for evaluation.

  9. 27 yo male presented to the ED with complaints of Chest Pain and diaphoresis. He arrested almost immediately after arrival. EKG done and showed ST elevation in leads V1 – V6 (indicating Acute Anterior MI with LAD involvement). Be aware! Age is not a defining factor to rule out Acute Coronary Syndrome. This gentleman had a family history of heart disease and was a smoker. Not all patients will present with typical symptoms.

  10. First EKG shows ST elevation in leads V1-V6 indicative of LAD involvement.Second EKG shows normalization of ST segment after blood flow re-established.

  11. Patient taken to Cath Lab and found to have 100% occlusion of the Left anterior descending artery.The first image shows 100% occlusion.The second image shows a normal artery after blood flow is re-established. .

  12. 54 yo female presented to ED with complaints of nausea/vomiting, right upper quadrant pain x 5 days and diaphoresis – no complaints of CHEST PAIN verbalized @ triage. She had seen her Primary MD earlier in the day and received an Rx for Protonix. No EKG was ordered due to presenting complaint. Approx 90 minutes later, she developed CHEST PAIN with ST segment elevation and depression noted. Patient was taken to Cath Lab and found to have ~ 95% Obtuse Marginal that was stented. In addition, she also had LAD and RCA disease. Lesson learned: Not all females present with typical symptoms reflective of Acute Coronary syndrome. This patient was discharged to home 4 days later. Had she ignored the symptoms, she would be a statistic.

  13. How to Prevent Heart Attacks The following are ways to prevent a heart attack: Don’t smoke, and avoid other people’s tobacco smoke Treat high blood pressure if you have it Eat a healthy diet that’s low in saturated fat, trans fat, cholesterol and salt Exercise at least 30 minutes on most or all days of the week

  14. How to Prevent Heart Attacks The following are ways to prevent a heart attack: Keep your weight in the normal range See your doctor for regular check-ups Take your medicines exactly as prescribed Control your blood sugar if you have diabetes

  15. If you are caring for a patient that develops CHEST PAIN ACT FAST!!! Time = Muscle

  16. Chest Pain w/PCI Center • Good Shepherd Medical Center was designated as a Chest Pain w/PCI Center in August 2010. • As part of our designation requirements, all hospital staff, both clinical and ancillary staff receive annual education regarding Early Heart Attack Care along with recognition of signs/symptoms and management of risk factors. • Remember, it isn’t just our patients we treat, it could be visitors, family members, or other staff members, or even ourselves. • Early recognition is the key….. Time = Muscle.

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