General Medical Advices

The goals of heart attack treatment are to return blood flow to your heart muscle, bring back a regular heartbeat, and give your heart time to recover.

The development of “clot busters” called thrombolytic agents (streptokinase, urokinase, tissue plasminogen activator) has increased survival rates for heart attack patients when these medicines are given as soon as possible after an attack. The term thrombolysis means to break up a clot, and that is exactly what these medicines do. In some cases, these medicines can break up a clot within minutes. To work best, they must be given as soon as possible after a heart attack.

Most patients respond well to thrombolytic agents. But, if patients are at a facility with a cardiac catheterization laboratory, they may not be given clot busters and instead may be taken right away to the cardiac catheterization laboratory. While in the cardiac catheterization laboratory, techniques such as balloon angioplasty and stenting are used to open the vessel. Patients who do not respond to these interventions may then need futher emergency care, such as coronary artery bypass surgery or a related procedure.

Heart attack patients may also receive antiplatelet therapy, including aspirin, and blood-thinning medicines (anticoagulants) to stop clots fromforming or growing in size. Also, oxygen may be given to increase the amount of oxygen in the blood still flowing through your heart. Painkillers may be used to reduce the pain. Some patients are also given medicines aimed at slowing their heart rate, opening and relaxing their blood vessels, and reducing the work of the heart.
Rest is important very early after a heart attack. But within a few days, you should be up and moving around, taking short walks, and getting other kinds of limited exercise. Studies have shown that the heart benefits from exercise, even after a heart attack.

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