the Fall of heart is then of fragment of muscle heart caused with his ischaemia necrosis, usually on background of coronary disease. The fall of heart is one from the most well-known and the the most dramatic figures of coronary disease. There in developed the fall of heart countries is one of the most frequent causes of deceases.
it As a result of advanced arteriosclerosis comes to rise of atherosclerotic plate in walls of arteries. It from sometimes can accesses to fracture of this plate it - does not give to establish mostly why it came to fracture. When such plate cracks comes to formation in this place the thrombus, sometimes from lock through these thrombus of light of whole artery, which causes break of flow of blood. Blood flowing to tissues across arteries it nourishes it how was it is knowed these tissues. If the artery be becomes closed through thrombus came into being as a result of connected from fracture the atherosclerotic plate process it can to necrosis of dożywiany tissues the accesses, and so of area of organ provided through this vessel fall.
the Consequences of ischaemia depend from degree of limitation of flow blood through given area of muscle as well as the time of duration of ischaemia. The fall is first symptom of coronary disease comparatively often.
Different, thinner mechanisms of sharp fall of heart, then np. the cramp of coronary artery the the, jams, inflammation the coronary arteries – they are this however the thin causes.
the large physical effort is provocative the fall moment Sometimes, different together the emotional stress, large hesitation of arterial pressure or the crossed injury. The falls of heart step out with more often early morning (40% the falls of boundary strip hour 6.00 and 12.00), which can larger thrombotic susceptibility of blood about this time of day be caused and the enlarged level the katecholamin.
the Typical symptoms of fall of heart then the pain in chest, the pain for bridge, the shortness of breathe the, sweats, the feeling of phobia of, nauseas, alternatively the subfebrile states. Pain can radiate to lower jaw, backs, cocktail cabinets and epigastrium. Heart - attack pain lasts more mostly not briefly than 20 minutes, often several hours. They on intensive long keeping pains do not influence nor rest, nor glonoine.
15 – it 25% falls of heart gives atypical, small affections or bezbólowo runs completely (tzw. "mute falls”). The most often falls bezbólowe step out at chorych's persons on diabetes, at which diabetical neuropatia is cause the reduced perception of pain.
it Happens, that the fall of heart manifests itself in dramatic way: sudden stop circulation and sudden heart decease (flicker chambers, exacting defibrillation).
Patient with fall requires exact intensive medical supervision! It it was not one should was pull off from call ambulance service, when the coronary pain does not pass after 2 - 3 tablets of glonoine. Retrosternal lasting pain longer than suspicion 20 minutes pushes, that it is the symptom of fall of heart. You near suspicion of symptoms of fall to call in the rescue ambulance service should immediately.
the most Dangerous period this first 72 hour. Many patients die then. Fall is very dangerous for life. The necrosis of part of muscle heart, then to have the can damage many very serious of after-effects – the disorder of rhythm, failure of heart you will crack the muscle of heart, the stop the work of heart. Often indispensable the zaawansowe are the resuscitative interventions( the ALS – the advanced the life the suport), which the team of rescue ambulance service executes ( the intravenous application of medicines, electric defibrillation).
Unfortunately, it comes with time to stop of circulation. In situation, when it came to stop of circulation ( the lack of breath and the pulse, the patient is then always unconscious) and it it was waited was on arrival of ambulance, the basic resuscitative interventions should be led ( the BLS – the basic the life the suport), that is tzw. first help: the massage of heart and the artificial breathing. The massaging the heart across pressing the chest causes the supporting the circulation of blood. This very important is, particularly for brain – after 4 minutes of anoxaemia irreversible changes set in him. It chest was pressed was at dorosłych on depth 4-5 cm, more or less in 1/3 bottom length mostka, with frequency ok. 100 razy on minute, executing what 30 pressing two breaths. How do to execute correc breath? After upewnieniu, that respiratory roads are patent ( to remove strange bodies, dental artificial limbs) nose it, unbends head saved to so many, tightens fingers and it air was blowed was to mouths, chest lightly rose so. The leadership of basic resuscitative interventions is for chorego only rescue sometimes, can to save him life. Knowledge about basic interventions was if resuscitative would more widespread, less persons would perish in sharp phaze of fall of heart.
the investigation of ECG was Executed was first of all. Principal meaning has just electrocardiographic investigation. The ECG makes possible moreover the diagnosis of location of necrosis muscle heart (which wall of heart underwent the fall) and getting to know, which coronary artery underwent critical narrowing. My this meaning near more far treatment.
Moreover the presence of substance was marked was in blood freed from damaged cells of muscle of heart: mioglobina, troponina, CK - MB.
the echocardiography is the Valuable investigation also (tzw. the "echo of heart”), especially, when necessary differentiating with different causing in chest the pains diseases the fall of heart is (np. the stratifying the aorta aneurism).
compiled is Treatment. It depends on opening the a passage of clogged artery. Near lack the przeciwwskazań complies the suitable medicines the fibrynolityczne "dissolving” the blod clot in artery as well as the surgical the surgery treatment ( the angioplastyka of coronary arteries). It complies moreover analgesic as well as przeciwkrzepliwe treatment.
the Fall of heart be connected the most often from fracture atherosclerotic gill, preventive treatment depends fall on preventive treatment the progress of atherosclerotic process from here.
the Factors of risk (accelerating and intensifying the pace of development of arteriosclerosis) poddający the man's control, tzw. niemodyfikowalnymi are conditioning genetic, the sex ( the men more often are ill) the, dirt of environment, the psychosocial stress, age.
it Is however to reduce across this second group of factors of risk we on which can, the risk of development of arteriosclerosis, and the same the risk of fall of heart. They are this: inappropriate nourishing, obesity, diabetes, smoking the tobacco, lack of movement, stress, arterial hypertension. Full success in preventive treatment arteriosclerosis and it will be the fall of heart easier to achievement simultaneously, if many factors will will fight.
was Can reduce factors of risk of many diseases, in tym the fall of heart living "healthily”. The abandonment the bad habits in worry about health, about better quality the purposeful lives is how the smoking the tobacco the, "unhealthy nourishment”, the lack of physical exercises. The healthy model of life pozwalać on avoidance in future the unpleasant affections, the improvement of quality of life and also on prolongation the life. It health then value, about which was one should take care particularly, then priceless good.
In case of doubt, what to conduct wholesome was one should be successful after advice to doctor. You to answer to doctor in razie of wholesome problems should also. Doctor has relating diseases, their prophylaxis knowledge and treatment. Only medical leaning on personal examining patient, interview with sick leave advice and treatment guarantees additional investigations always safe, such, which can give desirable effect.