Myocardial Infarction (Heart Attack)

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Heart Attack

NIH - Heart Attack

"A heart attack occurs when the supply of blood and oxygen to an area of heart muscle is blocked, usually by a clot in a coronary artery. ...Prompt treatment of a heart attack can help prevent or limit lasting damage to the heart and can prevent sudden death. ...The sooner treatment begins, the better your chances of recovering."

Highlighted Article

[Complications of an unrecognized myocardial infarction] (Ned Tijdschr Geneeskd. 2005)

"Around one-third of patients who have a myocardial infarction do not have chest pain but experience shortness of breath, autonomic nervous symptoms (sweating, nausea, vomiting), extreme and inexplicable tiredness and fainting. These atypical symptoms should suggest myocardial infarction. In order to avoid high morbidity and death from complications such as arrhythmias, heart failure, rupture and aneurysm formation it is important that a patient who has had a myocardial infarction should be treated as soon as possible ..."

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Myocardial Infarction (Heart Attack)

Rehabilitation

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JOURNAL ARTICLES:

Bed rest for acute uncomplicated myocardial infarction. (Cochrane Database Syst Rev. 2007) "AUTHORS' CONCLUSIONS: Bed rest ranging from 2 to 12 days appears to be as safe as longer periods of bed rest. The quality of most trials is unsatisfactory. Current bed rest recommendations are not supported by the existing evidence as the optimal duration of bed rest is unknown. The lack of adequate trials is surprising, considering the large size of several studies to compare effectiveness of drugs on people with AMI."

Impact of cardiac rehabilitation on depression and its associated mortality. (Am J Med. 2007) "CONCLUSION: In patients following major coronary events, cardiac rehabilitation is associated with both reductions in depressive symptoms and the excess mortality associated with it. Moreover, only mild improvements in levels of fitness appear to be needed to produce these benefits on depressive symptoms and its associated mortality."

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