Myocardial Infarction
Myocardial Infarction (MI) is also referred to as a heart attack or coronary thrombosis. It is a condition where a part of the heart muscle suddenly loses blood supply. Typically, a heart attack occurs due to a thrombosis (blood clot) formed within a coronary artery. This obstructs normal blood flow to some part of the heart. If left untreated, myocardial infarction can cause damage to the heart. Besides a severe myocardial infarction can be fatal. There is shortness of breath and profuse sweating. It is essential to seek immediate medical help if you feel that you are suffering a myocardial infarction. Sudden overwhelming stress or laborious exertion or physical activity might bring on a myocardial infarction.
A heart attack is felt as a sudden and severe chest pain that may also travel up and down both arms. The pain felt during myocardial infarction lasts longer than that felt during an angina. In rare cases, a person does not feel any noticeable symptoms and is even unaware that he has suffered a heart attack. Smoking, diabetes, hypertension, high cholesterol and obesity puts a person at increased risk of heart attacks. Heart attacks are more noticed in older men and women, though there is an increasing trend for younger persons to suffer heart disease too. Female sex hormones protect women from heart disease till menopause. Heart ailments and coronary heart disease is sometimes genetic.
An ECG (electrocardiograph) can help trace your heart activity and whether you have suffered a heart attack. A Doppler ultrasound helps examine the heart valves, muscles and blood flow. A coronary angiogram is a special x-ray procedure that tests the severity of the blood vessel block with the help of a dye. The presence of certain enzymes like Troponin-I and Creatinine Kinase (CK) are indicative of a heart attack.
Hospital treatment is esential for a person suffering from a MI. The nature of the treatment hinges on the extent of damage of the heart muscle as well as the blockage of the blood vessels. Medication for dissolving the blood clot is administered. The patient is given drugs to reduce the pain and breathe easier. Beta-blocker drugs may be given to reduce the chances of another heart attacks. ACE Inhibitors may be prescribed to prevent heart failure. Balloon angioplasty may be recommended to improve blood flow to the heart.
Cardiologist
Cardiologists are physicians who diagnose and treat ailments related to the cardiovascular system that comprises of the heart, arteries, and veins. Pediatric cardiologist is a physician who focuses on diagnosing and treating heart problems in infants, children and young adults. Cardiologists specialize in treatment of angina (chest pain), heart attack, heart failure, high blood pressure and irregular heart beats. A cardiologist has to complete medical school and undergo residency in internal medicine for a period of three years. Further three years of specialization in the field of cardiology is required. For pediatric cardiologists a specialization in pediatrics is required prior to cardiology specialization. Cardiologists are specialists who provide complete heart care; they can determine the working condition of a person's heart by means of different tests. The responsibilities of the cardiologist include:
The primary function of a cardiologist is to check on how well a person's heart is working.
They determine this by asking for various tests like the treadmill test (exercise electrocardiogram), and through procedures like angioplasty, cardiac catheterization etc.
They offer treatments for the diagnosed heart diseases through interventional cardiology like angioplasty, where a mechanical device is used to set right the problem in the heart.
They use electrophysiology that helps in treating the electrical functioning of the heart.
They also have the additional responsibility of keeping control over the factors that determine the health of the heart such as blood pressure and cholesterol levels. These levels in the blood of a person are kept under control thus keeping the heart comfortably functioning.
Modern techniques used in the field of cardiology
With the advancement in the field of medicine, cardiologists have the access to the latest technologies like:
Auscultation: A stethoscope is used to identify and detect heart abnormalities and murmur in the heart.
Echocardiography: Ultrasonic waves are used to visualize the heart.
Electrocardiography: EKG instruments are used to monitor the electrical activity of the heart.
Holter monitor: Records the EKG for 24 hours and more non-stop.
Modern blood tests: Determining the levels of HDL, LDL, triglycerides, homocysteine, and C-reactive protein helps in easy identification of heart problems.
Stress testing: Determines the levels of stress and cardiac function of the heart.
Coronary catheterization: Functioning of the heart is determined by inserting catheter into the heart.
Echocardiogram
An echocardiogram is a diagnostic test that gives the doctor an idea of how the heart appears in motion. An echo uses ultrasound waves to pick up echoes from different parts of your heart. An echocardiogram throws light on the size of the heart and the condition of the heart valves. The pumping capacity of the heart is determined with an echocardiogram. Any damage to heart muscles or valves can be diagnosed with an echocardiogram. An echocardiogram is helpful in detecting any structural problems of the heart, its chambers or blood vessels surrounding it. An echocardiogram is used to detect any blood clots within the heart. This diagnostic test is used to check for causes of irregular heartbeats, enlarged heart or heart murmurs. The functioning of the heart after an attack can be checked with an echocardiogram.
Transthoracic echocardiogram is the standard cardiogram where the doctor monitors sound wave echoes that bounce off the heart and other internal structures.
Doppler echocardiogram is based on Doppler signals that change pitch when they bounce off the heart and blood vessels. This feature is often part of other cardiogram procedures.
Stress echocardiogram is taken when a patient is undergoing a treadmill stress test.
Transesophageal echocardiogram involves passing a probe through the throat into the chest wall. The transducer then shows clear images of the heart. This type of echocardiogram can be uncomfortable and is often performed under sedative. Transesophageal echocardiogram is also used during surgery to monitor the heart function. Abnormal blood flow between the heart's chambers can be detected.
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