If you've had a heart attack , you will most likely be prescribed medication that you will take for the rest of your life. There are many types and combinations of drugs used to treat coronary artery disease CA and your doctor or other health care provider will decide the best treatment combination for your situation. The following gives you a quick look at many typical cardiac medications. Your prescription may have a different name from the ones listed on this chart. Brand names commonly available in the U. For your information and reference, we have included generic names as well as major trade names to help you identify what you may be taking. However, the AHA is not recommending or endorsing any specific products.
A normal ECG does not rule out acute myocardial infarction. Mistakes in interpretation are relatively common, and the failure to identify high risk features has a negative effect on the quality of patient care. It should be determined if a person is at high risk for myocardial infarction before conducting imaging tests to make a diagnosis.
Cardiac markers or cardiac enzymes are proteins that leak out of injured myocardial cells through their damaged cell membranes into the bloodstream. Now, the markers most widely used in detection of MI are MB subtype of the enzyme creatine kinase and cardiac troponins T and I as they are more specific for myocardial injury. The cardiac troponins T and I which are released within hours of an attack of MI and remain elevated for up to 2 weeks, have nearly complete tissue specificity and are now the preferred markers for assessing myocardial damage.
Elevated troponins in the setting of chest pain may accurately predict a high likelihood of a myocardial infarction in the near future. The diagnosis of myocardial infarction requires two out of three components history, ECG, and enzymes. When damage to the heart occurs, levels of cardiac markers rise over time, which is why blood tests for them are taken over a hour period. Because these enzyme levels are not elevated immediately following a heart attack, patients presenting with chest pain are generally treated with the assumption that a myocardial infarction has occurred and then evaluated for a more precise diagnosis.
In difficult cases or in situations where intervention to restore blood flow is appropriate, coronary angiography can be performed. A catheter is inserted into an artery typically the radial or femoral artery  and pushed to the vessels supplying the heart. A radio-opaque dye is administered through the catheter and a sequence of x-rays fluoroscopy is performed.
Obstructed or narrowed arteries can be identified, and angioplasty applied as a therapeutic measure see below. Angioplasty requires extensive skill, especially in emergency settings. It is performed by a physician trained in interventional cardiology. Histopathological examination of the heart may reveal infarction at autopsy.
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Under the microscope, myocardial infarction presents as a circumscribed area of ischemic, coagulative necrosis cell death. On gross examination, the infarct is not identifiable within the first 12 hours. Although earlier changes can be discerned using electron microscopyone of the earliest changes under a normal microscope are so-called wavy fibers.
The necrotic area is surrounded and progressively invaded by granulation tissuewhich will replace the infarct with a fibrous collagenous scar which are typical steps in wound healing. The interstitial space the space between cells outside of blood vessels may be infiltrated with red blood cells.
These features can be recognized in cases where the perfusion was not restored; reperfused infarcts can have other hallmarks, such as contraction band necrosis. These tables gives an overview of the histopathology seen in myocardial infarction by time after obstruction. From Wikipedia, the free encyclopedia. Redirected from Timeline of myocardial infarction pathology. Main article: Myocardial infarction.
Main article: Electrocardiography in myocardial infarction. Main article: Cardiac marker.
Main article: Coronary catheterization. Healthy myocardium versus interstitial fibrosis in dilated cardiomyopathy. Alcian blue stain. However, in electron microscopy relaxed myofibrils, as well as glycogen loss and mitochondrial swelling can be observered.
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This dye imparts a brick-red color to intact, noninfarcted myocardium where the dehydrogenase activity is preserved. Because dehydrogenases are depleted in the area of ischemic necrosis i. Instead of a triphenyltetrazolium chloride dye, a LDH lactate dehydrogenase dye can also be used to visualize an area of necrosis. Focus on First Aid 15 : Archived from the original on Retrieved Myocardial infarction - eMedicineretrieved November 27, Retrieved November 27, Tex Heart Inst J.
J Am Coll Cardiol. Garas et al.
Myocardial Infarction. Retrieved November 22, Harrison's Principles of Internal Medicine. New York: McGraw-Hill, Management of Acute Coronary Syndromes.
New Jersey: Humana Press, October Journal of the American College of Cardiology.
Taylor, A. If you are that fragile, you are not ready for relationship give and take yet. Be brutally honest with yourself If you only have the stamina for watching movies from a couch, don't pretend you're thrilled to be with a person who loves to dance all night.
Jan 01, Cardiac troponin I (cTnI) and cardiac troponin T (cTnT) determinations are fixtures in clinical practice and research. Cardiac troponin testing has been the standard of practice for the diagnosis of acute myocardial infarction (AMI), early rule-out, risk stratification, and outcomes assessment in patients presenting with acute coronary syndrome (ACS) and non-ACS myocardial injury. The Department of Anesthesiology has a long tradition of excellence in the clinical care of cardiac surgical patients dating back to the development of the clinical application of pulmonary artery catheterization and transesophageal echocardiography. Today, Yale-New Haven Hospital is a busy pediatric and adult cardiac surgery center, delivering. When you think of heart disease in men, you likely think of coronary artery disease (narrowing of the arteries leading to the heart), but coronary artery disease is just one type of heart disease.
If you are a high-maintenance 'diva' type yourself, pickins are gonna be slim until you grow yourself up and out of that. What I needed in my 30s, my 40s And yet precisely that came to my door. This is an important topic. I'm going to be meeting a gentleman and a widower, this coming weekend that I met on online at yahoo personals. This is a first meeting in person. We are both over He knows I have a pacemaker but have not told him about the chest scar or the seriousness of my heart issues.
You can have sex or love making so long as you're not fatigued, no interruptions and no rush, take your time and enjoy each others company. Doing it slower is more enjoyable, hey weren't not in our 20's. Be well every one. Advertisement martzj April 7, at pm In Reply To by Gammacygnus Report " I'm going to be meeting a gentleman and a widower, this coming weekend that I met on online at yahoo personals.
Good luck! Jaynie Gammacygnus April 7, at pm Report Thank you! A bit nervous. Patybluetx April 8, at am Report Well even though I'm married.
I think that honesty is really the best policy. Afterall, you want a man that loves you for you and everything that entails :. Annoying as it may be, heart disease is a part of us and even though we all don't want that part to rule our lives, it's still a part of who we are.
It's what keeps us from eating a whole bag of potato chips, or downing 2 hotdogs with mustard and ketchup, or eating that little Mexican deathsoup menudo like I used to once upon a time. It's the reason behind doing exercise instead of the once purely vain motives we all used to have. There's no point in hiding any part of you, it will only keep you from fiding true love sooner. May you soon find your happily ever after! Martha Hany April 8, at pm Report I think this is a very difficult situation.
People are so scared of heart disease.
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I agree they probably imediately assume you will croak in the midst of passion. I am scared to be left behind. But its also a survival instinct for guys and finding partners to have a family with. Some guy asked me out the other day but I was too ill to go out. I told him that I have problems with my heart and his jaw just dropped. Imediately he treated me differently. Anyway it is a very difficult situation. But not impossible. I think its possible to meet people on the net.
Also through support groups. And I was suprised when I had a relationship last year despite telling all. Very suprised. But I am not ready for it now. I need to get a bit better.
Good luck to everyone in finding love. Hana saranyos April 8, at pm Report I am going through a divorce and have been lonely by myself. I did go out with one guy, I mentioned I had a heart attack a year and a half ago and was revived after 4 minutes, and I never heard back from him.
I think I will try not to mention it so early, it's just such a part of me. I have to take my pills at a set time and put my patch on at night, it's kinda hard to not show the patch and since I had a spasm that caused my HA so the nighttime patch is my lifesaver. I love my dog, but it's tough being alone on the weekends. I haven't had much of a support group at work since I also have a balance disorder so I can't go to the movie theatre or do that type of thing due to the visual stimuli.
A group of people were asking me to do that or go out do dinner or Dave n Busters when I came back to work after my 12 week absence, but I can't do those things due to my other disorder. I am now finding single girlfriends at work that I can spend time with on the weekends so I won't be so lonely and maybe I can meet someone through them. But I agree it will be awkward being in my 30's telling a new boyfriend that I had a heart attack, but it's okay.
I don't have a physical scar like a lot of you, but I definitely have an emotional one. Thanks for listening, Sandy A. I am bedeviled with some inner drive that only allows me peace for a period of time, then I am beset with restlessness So I take my time to prepare myself mentally, physcially and in spirit as best I can. And when a woman is 'ready', it is somehow broadcast outward and men respond.
Or, that has always been my experience. On the first or second dates, I still don't bring up my health issues These are the times to get a sense of the other person, what their interests, values, lifestyles and future plans may be If you feel compatibility and that 'spark' appears, and the interest is clear from both sides That feels like the time to bring up any health and other baggage. Speak of yourself and your experiences with respect and give the other person plenty of time for questions and answers.
If they are unable to handle your heart issues, then respect that is where they are Try not to feel discarded or fall into despair. They wanted to continue, to their great credit. Seemed to find me intriguing. But one flew to New Zealand for a summer of research, the others had a lot of still unresolved raw issues with ex's So I ended up with the most wonderful man of all, even though he showed up in the middle of all this. The way we are treated by the medical world can make women feel very discarded and depressed It is important to constantly shift our thinking in directions of a fulfilling life Use your doctors to get the life-extending medications you need then forget about them.
It is important that we live our lives as fully adult women and all that implies. Don't be tempted to lower your standards because your heart is damaged.
Nov 25, Dating and developing relationship is challenging at any agebut adding heart disease, medications, etc. to the mix adds one more dimension. Please let me know your thoughts about dating, love and having heart disease. The MM fraction is present in both cardiac and skeletal muscle, but the MB fraction is much more specific for cardiac muscle: about 15 to 40of CK in cardiac muscle is MB, while less than 2in skeletal muscle is MB. The BB fraction (found in brain, bowel, and bladder) is not routinely measured. Jul 27, The American Heart Association says cardiac rehab and exercise can cut the risk of sex-related complications in those with heart failure. Research suggests that participating in an exercise program helps boost oxygen levels and reduces your heart rate during sexual activity, making it .
It took years for friends to understand that I just couldn't do anything beyond struggle through work and home to family. That was already taking more than I had and my health eroded because of it. But I have a few friends I see every week and a boyfriend of almost 2 years.
My relationships are good ones, long time friends. If he was that shallow at the beginning of the relationship, what would he be like in the "comfort zone"? I think if you feel confident that you a beautiful sexy woman that comes through and that is what fuels desire. Good Luck man shopping!!!
Sandy Ecksunbeam April 10, at am Report Personally, I don't think having heart disease makes it any different than any other relationship. When, and if, the right person comes along, even your medical limitations will not be an issue.
Supporting a man in his hopes and dreams, genuine friendship, and providing a cozy domestic environment, along with some good cooking, goes a long way in developing a strong relationship. May the Blessings Be! Sherrie Advertisement plexi August 5, at am Report I can relate to you all. I had a small heart attack a month ago. I am 30 years old. My boyfriend of five years barely even came to see me in the hospital. The first few days I was home, he was incredibly sweet.
After that, he came home wasted every night, He is angry at me. We were so happy right before this happened. Now, he doesn't know if he can stay with me because I am "sickly. I have stayed by his side through so much. Now, I have one little attack and I am a waste of space. I am trying to figure out what to do. When he is sober, he is sweet but deep down I know he is unhappy. I lie every day, hiding my pain, shortness of breath, etc. I don't want him to be right, that I am "weak.
He is mad that I can't work or go to the gym, and is afraid he is going to have to take care of me. I literally am heart broken EchoJen August 5, at am Report plexi, Here's my little love story perhaps it may help.
I found out about my hereditary heart disease at 29 and then had open heart at I was in a long distance relationship at the time, we both worked for the airlines, but months before my surgery our relationship ended. It was hard being sick at 32 and dealing with the rollercoaster of proper diagnosis. I just couldn't understand why my boyfriend of 3 years wasn't there for me the way he was in the past. So I actually broke up during an unexpected random moment on the phone one morning.
I just realized that my health was rather important and I needed to have supportive people around me so I could take care of me.
Mind you everybody's situation is different.
The Heart and Circulatory System - How They Work
But I had waited for him to be there for me for almost a year. I was gradually getting sicker and I was hoping my boyfriend was going to come around and provide some support for me too.
Considering I had moved for him and supported him during his layoff and career upgrade. Now when I look back on breakup I felt as if I may have may made a mistake.
But after my surgery when I went back to work and Who did I see on my very first trip back at work? Yes there he was, I figured it was fate. So eventually we started dating again and he moved for me this time. Wow I thought finally after all this time we are finally getting a second chance, and then.
He decided he wanted go backwards and be friends. How perplexing, right? Well I went along with it and then he decided we needed to go to dinner on Valentines Day, started walking me to the door, kisses goodnight and I was like whatever. He needed to decide what he wanted. Well I had a doctors appointment and I needed to have some lab work, needless to say It was one of those mornings that went on and on.
He was hoping to go to lunch with me and was disappointed when I met him much later than we planned to meet. He had waited for me but by this time, I just wanted or needed to go home.
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After this bizarre day he never called me again. I only wish that perhaps I would have worried more about me instead of waiting for him to worry about me. Since, I was laid off, I went back to school and I have moved three times. Finally I started again and my last boyfriend was great; very open and asked alot of questions, although he wasn't the one for me. I think communication is key when we lose our job or get sick and find out we have heart disease or whatever mountains we find ourselves climbing in our lives.
These are all big issues and how we react, how our significant others react, and how we react to these situations together, is very important. It's just a little something I have learned during my journey of love with heart disease. By the way are there any dating websites for the "Broken Hearted"-Ha Ha Ha May we all be in the right place at the right time and find the love of our lives.
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11 rows A diagnosis of myocardial infarction is created by integrating the history of the presenting Purpose: diagnose myocardial infarct via physical exam and EKG(plus blood test). Sep 30, Multiple award-winning artiste, Davido, has revealed the cause of his mother's death. The Fem singer stated that his mother died of cardiac arrest on his father's birthday. He stated that he. You could start dating as soon as today! What are you waiting for? Join Now. Start Your Search. Heart 2 Heart Dating has loads of members so it is very likely you will find someone you like. Our advanced search features make it easy to find people near you. Join Now. Register for Free. And begin your search. Heart 2 Heart Dating. About;.
Hello from Costa Mesa, California! I am Mattie. I am single, age 58 Pacific Islander. I had a very successful paralegal career. Yet,I am a survivor Warning: Long. Definitely recommend this for women with diagnoses of epicardial disease, microvasular disease without larger coronary artery So now that I have gotten your attention.
This is was told to me at my last visit to my new Cardioligist. I fired my last one because she told I wanted to find out how many of you with coronary artery spasm have had an actual heart attack as a result of a spasm? Thank you, Karin My first was from Hello all I'm going to get into my personal life a bit, but I need some advise. Before I found Hi, everyone. I am wondering how much everyone tells their children about their heart disease and any procedures or devices.
I have CHF and Having experienced every single medical side fandango listed below, it is not reassuring to see the trend is vastly widespread There is a message somewhere that the site is being redesigned and I wanted to get in my two cents. Apologies in advance if this has already I'm posting this for those of you too busy to check out the News from WH e-newsletter today.
It is chock full of great stuff! Check out the Disclaimer: This is a pretty pointed essay; I hope I don't offend anyone When I agreed to Hi ladies!! Just thought I would check in and give you an ate on this plan that I started last week. I was reading posts on our awesome site First, I want to say I am sorry to be such a "taker" on this board