Heart Attack

A heart attack, also known as myocardial infarction, occurs when the blood flow to the heart is blocked, causing damage to the heart muscle. This blockage is usually due to a blood clot that forms in a coronary artery, which supplies blood to the heart.

Causes and Risk Factors

The most common cause of a heart attack is atherosclerosis, a condition in which plaque builds up in the coronary arteries, narrowing them and reducing blood flow. Other risk factors include:

  • High blood pressure
  • High cholesterol
  • Smoking
  • Diabetes
  • Obesity
  • Family history of heart disease
  • Age (risk increases with age)
  • Physical inactivity
  • Stress

Symptoms

The symptoms of a heart attack can vary, but common signs include:

  • Chest pain or discomfort (pressure, tightness, or heaviness) that lasts for more than a few minutes
  • Pain or discomfort in one or both arms, the back, neck, jaw, or stomach
  • Shortness of breath or difficulty breathing
  • Cold sweats or nausea
  • Lightheadedness or dizziness
  • Fatigue or weakness

Types of Heart Attacks

There are several types of heart attacks, including:

  • ST-elevation myocardial infarction (STEMI): a severe heart attack caused by a complete blockage of a coronary artery
  • Non-ST-elevation myocardial infarction (NSTEMI): a less severe heart attack caused by a partial blockage of a coronary artery
  • Microvascular myocardial infarction: a heart attack that occurs in the small blood vessels of the heart

Treatments

Treatment for a heart attack usually involves a combination of medications and procedures, including:

  • Aspirin or other antiplatelet medications to prevent further clotting
  • Nitroglycerin to improve blood flow to the heart
  • Beta blockers to slow the heart rate and reduce blood pressure
  • Thrombolytic medications to dissolve the blood clot
  • Primary percutaneous coronary intervention (PCI): a procedure in which a catheter is used to open the blocked artery and restore blood flow
  • Coronary artery bypass grafting (CABG): surgery to bypass the blocked artery and improve blood flow to the heart

Complications

If left untreated, a heart attack can lead to serious complications, including:

  • Heart failure: the heart is unable to pump enough blood to meet the body's needs
  • Arrhythmias: abnormal heart rhythms that can be life-threatening
  • Cardiac arrest: the heart stops beating suddenly
  • Death: a heart attack can be fatal if not treated promptly and effectively

Prevention

To reduce the risk of having a heart attack, it is essential to:

  • Maintain a healthy diet low in saturated fats, salt, and sugar
  • Exercise regularly (at least 30 minutes per day)
  • Manage stress through relaxation techniques such as meditation or yoga
  • Get enough sleep (7-8 hours per night)
  • Monitor and control blood pressure, cholesterol, and blood sugar levels
  • Quit smoking and avoid exposure to secondhand smoke

Article last updated on: 11th April 2025.
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