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A USER’S GUIDE OF YOUR HEART: HEART ATTACK
What happens if the blockage, constriction or obstruction of blood flow to the heart doesn’t let up? Obviously, the pain continues, unlike the normal episode of angina. And the heart begins to literally scream for oxygen for its depleted muscle. In a very short time after blood flow ceases to supply life-giving oxygen to part of the heart muscle, that part begins to die. We’re now in the state of heart attack.
Doctors have given this a few different names over the years, but the meaning remains the same. Heart attack can be called myocardial infarction, referring to the blockage of flow of blood to the heart muscle. Another term is coronary occlusion, or thrombosis, the blockage of the coronary artery supplying the blood. Short-hand terms include an “MI” for the former, and simply “a coronary” for the latter.
Sometimes patients don’t even know they’ve suffered a heart attack. They might pass it off as indigestion or some kind of strain. On occasion, the heart attack isn’t diagnosed until years later during a cardiac examination. But more often the symptoms are more obvious, including angina, shortness of breath, clammy skin, restlessness, apprehension, nausea or vomiting, and sometimes even loss of consciousness. For me the most horribly memorable symptom was a vague sense of impending doom. Probably because I felt no more pain, especially no chest-clutching, Hollywood-style agony, I didn’t recognise it as being a heart attack at the time. The diagnosis, as I mentioned earlier, was made from the presence of enzymes in my blood.
Those enzymes are released in response to the damage done to the heart muscle during the time of oxygen deprivation and signal the fact that some of that muscle tissue is, indeed, dead and will never return to normal or be replaced. The presence of an area of dead tissue in the heart will be detected on future electrocardiograms.
I was one of the lucky ones. I survived my heart attack. Too often, the first symptom of heart disease is sudden death. That was my father’s fate at age 57 in 1969.
Researchers are currently exploring the role of emotions, personality and psychological stress in triggering the ventricular fibrillation, whereby the heart’s contractions become wildly erratic, which can result in sudden death. My father, I know, was under tremendous strain at the time of his death. And I was extremely distressed when I had my own heart attack.
Scientists are looking for what they think might be a chemical that precipitates the process. It may be that those of us who are affected may be unable to “turn off the chemical flood as well as those who do cope with stress more effectively. This is another dramatic example of why we should all learn valuable coping strategies and relaxation techniques.
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