How To Prevent Panic Attacks Permanently.

Predicting heart attacks

Doctors and emergency room staff can often anticipate an imminent heart attack by:

· Carefully reviewing patient history

· Conducting a thorough physical exam

· Electrocardiogram testing (ECG or EKG)

· Blood tests

Detecting heart attacks

When a heart attack is not anticipated and prevented, it can still be treated successfully if quickly recognized. Prompt treatment can save a heart attack patient’s life and/or prevent permanent injury. In order to properly diagnose a heart attack, health care professionals must recognize and respond to the symptoms. These symptoms include:

· Chest pain

· Pain radiating through the shoulder, arm, or jaw

· Indigestion symptoms

· Nausea

· Dizziness

· Shortness of breath

· Weakness

If a patient displays these or other heart attack symptoms an ECG or EKG and blood tests should be performed immediately. Elevated levels of the enzyme tropan, in the blood, can indicate a heart attack. Another enzyme, called Creatine phosphokinase (CPK), can indicate tissue or muscle death. If these tests indicate the likelihood of a heart attack, more extensive tests should follow.

Common misdiagnosis

Because heart attack symptoms are similar to symptoms of other medical problems heart attacks are often misdiagnosed as:

· Heartburn

· Acid reflux

· Anxiety attack

· Musculoskeletal pain

· Bronchitis

· Pneumonia

· Esophagitis

· Angina

· Gallstones

Common mistakes that led to undiagnosed heart attacks

Besides simply mistaking heart attack symptoms for those of other health problems, doctors and emergency room staff sometimes don’t consider the possibility of a heart attack in people who seem unlikely victims. Women are at a much greater risk than is commonly believed, and young people can suffer heart attacks. Certain medications and other underlying health problems can cause heart attacks in people who don’t obviously fit the profile for a heart attack candidate. Common factors leading to heart attack misdiagnosis include:

· Failure to consider heart attacks in women

· Failure to consider heart attacks in younger people

· Failure to review a patients medical history, including suspect medications

· Failure to recognize symptoms

· Failure to administer the necessary tests

· Misreading EKG results

· Over reliance on EKG results

During a heart attack, an artery providing the heart with oxygen-rich blood is blocked by blood platelets. The heart thus becomes oxygen deprived and heart muscle cells begin to die. Permanent damage can be caused in a very short time.

Signs & Symptoms

Heart attacks can occur quickly but there may be warning signs and symptoms. These can include:

• Pressure, squeezing, or pain in the chest

• Shortness of breath

• Sweating, nausea, or shortness of breath

• Back, stomach, neck, or jaw pain or discomfort

• Irregular or rapid heart beats

These symptoms may develop over minutes, hours, or days before the heart attack occurs. It is also possible to have a ‘silent’ heart attack, occurring without symptoms, although these are most common in diabetics.

Treatments

Because permanent heart damage, or even death, can occur very quickly after the onset of the heart attack, symptoms should be treated as a medical emergency and treatment sought immediately. There are a number of medications that should be administered by medical health professionals immediately upon even the suspicion of a heart attack. These include:

• Oxygen

• Aspirin

• Beta blockers

• Angiotensin-Converting Enzyme (ACE) Inhibitors

• Thrombolytic medicines

There are also certain diagnostic tests that should be performed to verify whether a heart attack has occurred and if so, how much damage the heart has sustained.

• Electrocardiogram (ECG, EKG)

• Chest X-Rays

• Blood Tests

Misdiagnosis

Once a doctor or first responder is notified, the key to surviving and recovering from a heart attack is proper diagnosis. Diagnosis is first made based on symptoms, many of which mimic the symptoms of a number of other conditions.

• Angina: Characterized by pain in the chest lasting for a few minutes, angina is a side-effect of coronary artery disease. While abnormal angina can signal the onset of a heart attack, the pain usually passes.

• Heartburn & Indigestion: Pain associated with these common conditions can be mistaken for heart attack pain.

If an improper diagnosis is made based on symptoms, the appropriate medications will not be administered and tests will not be performed. The heart can sustain serious and irreparable damage. People who suffered from, and survived, an undiagnosed heart attack have an increased risk of a second heart attack.

Many heart attacks that go unaddressed or undiagnosed are deadly. The National Institutes of Health estimates that approximately half of the people suffering from heart attacks die will die within an hour of experiencing the first symptoms.

Legal Options

When a heart attack is misdiagnosed and further tests and treatments are not undertaken to rule out the possibility of a heart attack, there may be an issue of medical negligence. Victims may be entitled to compensation for medical bills and pain and suffering incurred as a result of the misdiagnosis. When misdiagnosis of a heart attack results in death, a wrongful death lawsuit may be appropriate.

Diagnosing medical conditions is complicated, and proving a misdiagnosis can be equally so. According to Salt Lake City medical malpractice attorney Ryan Springer of G. Eric Nielson & Associates, the medical field has its own language, which can be impossible to understand for those outside the field. The complexity of the language and issues makes medical malpractice law an area where it is essential to have legal representation skilled in medical malpractice issues.

Say Goodbye To Panic And Anxiety Attacks.

“I had a completely unexpected heart attack at about 10:30 pm with NO prior exertion; NO prior emotional trauma that one would suspect might’ve brought it on. I was sitting all snugly and warm on a cold evening, reading an interesting story my friend had sent me.  A moment later, I felt that awful sensation of indigestion, when you’ve been in a hurry and grabbed a bite of sandwich and washed it down with a dash of water, and that hurried bite seems to feel as if you’ve swallowed a golf ball going down the esophagus in slow motion, and it is most uncomfortable. You realize you shouldn’t have gulped it down so fast and needed to chew it more thoroughly, and this time drinks a glass of water to hasten its progress down to the stomach.  This was my initial sensation-the only trouble was that I hadn’t taken a bite of anything since about 5:00 p.m.
After that had seemed to subside, the next sensation was like little squeezing motions that seemed to be racing up my SPINE (hindsight, it was probably my aorta spasming), gaining speed as they continued  racing up and under my sternum (breast bone, where one presses rhythmically when administering CPR). This fascinating process continued on into my throat and branched out into both jaws.
AAH!! NOW I stopped puzzling about what was happening. We all have read and/or heard about pain in the jaws being one of the signals of an MI happening, haven’t we? I said aloud to myself, “Dear God, I think I’m having a heart attack!”
 I lowered the foot rest, started to take a step and fell on the floor instead I thought to myself “If this is a heart attack, I shouldn’t be walking into the next room where the phone is or anywhere else but, on the other hand, if I don’t, nobody will know that I need help, and if I wait any longer I may not be able to get up in another moment”.
 I pulled myself up with the arms of the chair, walked slowly into the  next room and dialed the paramedics … I told the lady who answered  that I thought I was having a heart attack due to the pressure  building under the sternum and radiating into my jaws. I didn’t feel hysterical or afraid, just stated the facts. She said she was sending  the paramedics over immediately, asked if the front door was near to  me, and if so, to unbolt the door and then lie down on the floor where  they could see me when they came in.
 I then laid down on the floor as instructed and lost consciousness,  as I don’t remember the medics coming in, their examination, lifting  me onto a gurney or getting me in to their ambulance, or hearing the  call they made on the way, but I did briefly awaken  when we arrived and saw that the cardiologist was already there in his  surgical blues and cap, helping the medics pull my stretcher out of  the ambulance. He was bending over me asking questions (probably something like “Have you taken any medications?”) but I couldn’t make my mind interpret what he was saying, or form an answer, and nodded off again, not waking up until the cardiologist and his partner had already threaded the teeny angiogram balloon up my femoral artery into the aorta and into my heart where they installed 2 side by side stints to hold open my right coronary artery.
I know it sounds as if all my thinking and actions at home must have taken at least 20-30 minutes before calling the paramedics, but actually it took perhaps 4-5 minutes before the call, and they are only minutes away from my home, and my cardiologist was already to go to the OR in his scrubs and get going on restarting my heart (which had stopped somewhere between my arrival and the procedure) and installing the stints”.
Why have I written all of this to you with so much detail? The more we know the better chance we could survive.

People who suffer illnesses or tragedies unfortunately set themselves up, saying, “It can’t happen to me”. It can happen to any of us, which is why we should take the steps in our youth to prevent illnesses and tragedies.

Exercise is the leading element we have offered to us in life that helps to reduce any disease, emotional reactions and so on. When you sit around feeling anxious, depressed, you are working toward worse health conditions. Reverse your actions and take the steps live longer by exercising each day.

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The study which done by Dr. Keith Fox, a professor of cardiology at the University of Edinburgh in Britain, tested the reflection of patients when they are treated with the latest guideline for heart attacks treatment.

The results showed that heart attack could be avoided dramatically. Also the trials founded that the faster the condition treated the better the results. For example, treating a blocked artery quickly with angioplasty, will lead to better results. Angioplasty is recommended by many heart health organizations to be taken within 90 minutes of entering the hospital.

The results data showed that there is a major decrease in the number of deaths due to heart attacks and other heart diseases in the hospitals and also there is a decrease in heart stroke and heart failure conditions. The results varied from condition to other, but the most decrease appeared in Deaths from ST-elevation heart attack which dropped to around 4.6 in the year 2006.

Researches credited the developments in treatment results to better use of drugs such as beta-blockers, cholesterol-lowering statins, ACE inhibitors, anti-clotting drugs, blood thinners and glycoprotein IIb/IIIa inhibitors, that are used to treat chest pains. Also Angioplasty was used in 2006 by two thirds of the patients which reduced the figures of deaths by 18 percent.

The settlement of better heart attack treatment lasted, the study found, with the percentages of death and stroke dropping six months after treatment.

Heart Attack Symptoms

The doctor will diagnose the heart attack after studying several tests: EKG a device that gives the graphical record of the heart’s electrical activity, a physical examination and knowing the complete medical history of the patient, high enzymes in the blood appear in heart attack, those steps are also helpfull. Cardiac enzymes may be determined later in the intensive care unit and urgent care setting so they confirm or infirm the suspicions of heart attack. Cardiac pain is dull, vague and has been described as pressure, fullness, squeezing and other sensation of discomfort.

Often heart attack is slowly with mild pain and the person in cause doesn’t understand what’s happening, on the other hand the heart attack might be intense and movie-like. The most common signs are: chest discomfort which may be felt as pain, pressure, squeezing, fullness and which may last for minutes. Other symptoms are: pain in both arms, neck, stomach, back, shortness of breath, nausea, cold sweating.

Heart attack symptoms in women

The most common symptom met in women and men is some sort of pain: pressure, discomfort in the chest. Sometimes this pain radiates in the back, in the neck and gives abdominal pain and manifestations with nausea and vomiting, dizziness and unexplained fatigue. Heart attacks may have the symptoms that you see in movies, but there are some that have no clear manifestations or very mild ones, but don’t let them cheat on you and don’t mistake them for indigestion or anxiety.

Try not to drive yourself to the hospital the best choice is to call 911 or any other emergency service as soon as possible after you suppose it’s possible to have a heart attack. Sometimes the heart attack symptoms may act as an indigestion with a sensation of fainting and pain in the middle of the abdomen.

Studies have shown that heart attacks are more frequent in winter, diabetic people have silent heart attacks which means that there is no pain in the chest.

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