Heart Attack to Hua, Par hua Kyon

Case Study

Every now and then we hear that a particular person has died from heart attack or has suffered a heart attack.  The standard treatment window for a heart attack is within 2 hours of chest pain and within 90 minutes of reaching the hospital. The patient should get balloon angioplasty done which is essentially synonymous to opening a blocked artery and  putting a spring inside to  prevent  its collapse.

After the procedure is done, the  patient is sent home with medications to  lower cholesterol  to prevent re-blockage.  However, sometimes due efforts are not made in collecting sound patient history which can in turn leave out valuable medical information.

The following  factors  must be  considered in every patient:-

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  1. History of  smoking if any – whether it is more than 2 packets per day
  2. Alcohol consumption at the time of referral
  3. Having abdominal circumference 90 cm in women and 80 cm in male
  4. Having High serum insulin level with simultaneous  high BP level
  5. Suggested insulin resistance if any due to High Post Foot / Sugar Level
  6. High LPa level
  7. Cynical behaviour
  8. Intake of excess of sugar, refined when and rice

Unless we properly analyse and control these risk factors, the patient might suffer from another heart attack over a period of time.

 

Dr K K Aggarwal, Recipient of Padma Shri, Vishwa Hindi Samman, National Science Communication Award and Dr B C Roy National Award. Gold Medallist. Limca Book of Record Holder. National President, Indian Medical Association and President, Heart Care Foundation of India.

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