HEART DISEASE AND EARLY HEART ATTACK CARE PAMELA

HEART DISEASE AND EARLY HEART ATTACK CARE PAMELA KOSTIC, RN, CCCC, CHEST PAIN COORDINATOR STONY BROOK MEDICINE “NO RELEVANT FINANCIAL RELATIONSHIP EXIST”

All communities should create and maintain a regional system of STEMI CARE that includes assessment & continuous quality improvement of EMS & Hospital based activities…. ACC/AHA

ULITMATE GOAL…. Make a difference in our community by educating your colleagues and including EHAC education before each CPR class/EMS event.

WHAT IS THE LEADING CAUSE OF DEATH FOR MEN? WHAT ABOUT WOMEN? HEART DISEASE IS THE LEADING CAUSE OF DEATH FOR BOTH MEN AND WOMEN HOW MANY LIVES DOES HEART DISEASE CLAIM EACH YEAR? ABOUT 800, 000 PEOPLE DIE OF HEART DISEASE IN THE UNITED STATES EVERY YEAR ARE THERE ANY REOCCURING TRENDS FOR PEOPLE WHO DIE OF HEART DISEASE? OF THESE 800, 000 PEOPLE, 425, 000 HAPPEN IN PEOPLE WHO HAVE ALREADY HAD A HEART ATTACK QUICK FACTS

HEART ATTACK IT’S SNEAKY PRESENTS IN 3 WAYS 1 2 3 THE FINAL STAGE OF HEART ATTACK CARDIAC ARREST PROGRESSION OF HEART ATTACK SEVERE CHEST PAIN INITIAL STAGE OF HEART ATTACK MILD DISCOMFORT

HEART ATTACK POP QUIZ ANSWERS QUESTION THE QUESTION IS THE FOLLOWING: & WHY IS THE TIME FROM FIRST SYMPTOMS TO CATHETERIZATION IMPORTANT? THE ANSWER IS THE FOLLOWING: 85% OF HEART DAMAGE OCCURS WITHIN THE FIRST TWO (2) HOURS OF A HEART ATTACK.

A BALLOON TIME STUDY SEPT 5 2013 NEW ENGLAND JOURNAL OF MEDICINE : DOOR TO BALLOON TIMES HAS DROPPED SIGNIFICANTLY, HOWEVER THE FASTER RESPONSE HAS NOT IMPROVE THE OVERALL PATIENTS MORTALITY. FURTHER REASEARCH SHOWED THAT: REDUCING DOOR TO BALLOON TIME DID IMPROVE PATIENT SURVIVAL RATES, HOWEVER EARLY RECOGNITION PROVED TO HAVE THE GREATEST IMPACT ON PATIENT’S LIFE AND “QUALITY OF LIFE”

WITH RESEARCH INTO HEART ATTACKS: STUDY CONCLUDED THAT TIME BETWEEN THE PATIENT’S ONSET OF SYMPTOMS AND TREATMENT IS THE MOST CRITICAL QUICK FACTS

EARLY HEART ATTACK CARE A CAMPAIGN TO EDUCATE THE COMMUNITY TO BE RESPONSIBLE NOT ONLY FOR THEMSELVES, BUT FOR THOSE AROUND THEM WHO MAYBE EXPERIENCING EARLY HEART ATTACK SYMPTOMS AND TO HELP THEM OBTAIN IMMEDIATE TREATMENT BY CALLING 911.

CHEST PAIN CERTIFIED THE CARDIOVASCULAR SOCIETY HAS ACCREDITED MORE THAN 900 HOSPITALS THIS IS DIVDED INTO SEVERAL DIFFERENT CATEGORIES STONY BROOK MEDICINE HAS MAINTAINED ITS ACCREDITATION SINCE 2005

BECOMING A DEPUTY HOW YOU CAN BECOME MORE ACTIVELY INVOLVED WWW. DEPUTYHEARTATTACK. ORG TAKE THE EHAC (EARLY HEART ATTACK CARE) EDUCATIONAL COURSE & BECOME DEPUTIZED IN HEART ATTACK CARE. WHAT THE WEBSITE WILL TEACH YOU ABOUT: EHAC TEACHES CAREGIVERS “SOFT "CARDIAC SYMPTOMS & “NOT LOOKING THAT SICK” WILL NOT PREVENT THEM FROM CALLING 911, RECEIVING EARLY CARE, AND PREVENTING A HEART ATTACK.

SURVEY SHOWS CDC STATS AN IMPORTANT TREND 1 2 3 92% PEOPLE SURVEYED RECOGNIZED CHEST PAIN AS A SYMPTOM OF A HEART ATTACK RECOGNITION OF CHEST PAIN ONLY 27% PEOPLE RECOGNIZED OTHER TYPES OF SYMPTOMS AS A HEART ATTACK RECOGNITION OF OTHER SIGNS ONLY THOSE 27% KNEW TO CALL 911 TO REPORT A POSSIBLE HEART ATTACK RECOGNITION OF AN EMERGENCY

WITH RESEARCH INTO HEART ATTACKS: 47% OF SUDDEN CARDIAC DEATHS OCCUR OUTSIDE A HOSPITAL AND THIS 47% WITH HEART DISEASE DO NOT ACT ON EARLY WARNING SIGNS QUICK FACTS

HEART ATTACK POP QUIZ ANSWERS QUESTION & THE HEART ATTACK QUESTION IS THE FOLLOWING: WHY ARE THESE EARLY HEART ATTACK SYMPTOMS OCCURRING? THE HEART ATTACK ANSWER IS THE FOLLOWING: SYMPTOMS WILL OCCUR IF THERE IS NARROWING OF ARTERIES THAT LEAD TO THE HEART CAUSING INTERRUPTION OF THE HEART’S BLOOD SUPPLY

GENDER SPECIFIC TRENDS SINCE 1984 THE NUMBER OF DEATHS ATTRIBUTED TO HEART AND CARDIOVASCULAR DISEASES HAS BEEN REPORTED AS BEING GREATER FOR FEMALES THAN MALES HEART DISEASE IS THE NUMBER ONE KILLER FOR WOMEN OVER THE AGE OF 65.

SYMPTOMS OF ATTACKS IT FEELS LIKE… MOST PEOPLE CHARACTERIZE IT SIMILAR TO “HEARTBURN” OR “INDIGESTION” AS WELL AS OTHER SIMILAR DISCOMFORTS PRESSURE/DISCOMFORT IN CHEST USUALLY A POUNDING OR THROBBING SENSATION IS COMMON OF HEART ATTACKS PECULIAR SENSATIONS BURNING SENSATION/ACHING/SQUEEZING “FEELING” IN THE CHEST, BACK, SHOULDER, ARMS, NECK & JAW. PSYCHOLOGICAL FEELINGS OF ANXIETY OR IMPENDING DOOM ARE ALSO FREQUENTLY EXPERIENCED SYMPTOMS

WOMEN’S SURVEY A GROUP OF WOMEN WERE SURVEYS AND MANY OF THEM SHARED SIMILAR SYMPTOMS IN EARLY STAGES BELOW ARE THE MOST COMMON REOCCURING SYMPTOMS IN THE SURVEY THE FOLLOWING ARE THE SYMPTOMS UNUSUAL FATIGUE – 71% SLEEP DISTURBANCE – 48% SHORTNESS OF BREATH – 42% INDIGESTION/NAUSEA – 39% ANXIETY – 35%

MALE HEART ATTACKS ACCORDING TO A STUDY CONDUCTED IN OREGON MEN 35 TO 65 YEARS OLD WHO HAD OUT-OFHOSPITAL CARDIAC ARRESTS IN 2002– 2012 FOUND 53% HAD SYMPTOMS PRIOR TO THE CARDIAC ARREST THE SYMPTOMS THAT APPEARED THE MOST FREQUENT INCLUDED: 56% CHEST PAIN AND DISCOMFORT 13% SHORTNESS OF BREATH 4% DIZZINESS OR EVEN FAINTING

ALMOST 80 PERCENT OF THE SYMPTOMS OCCURRED BETWEEN FOUR WEEKS AND ONE HOUR BEFORE THE SUDDEN CARDIAC ARREST (MOST MEN HAD CORONARY ARTERY DISEASE, BUT ONLY ABOUT HALF HAD BEEN TESTED FOR IT BEFORE THEIR CARDIAC ARREST). QUICK FACTS

SYMPTOMS OF ATTACKS ATYPICAL & THE HEART ATTACK QUESTION IS THE FOLLOWING: HEARTBURN THE HEART ATTACK ANSWER IS THE FOLLOWING: NAUSEA JAW/BACK/SHOULDER PAIN FATIGUE PAIN TRAVELING DOWN ARM(S) CHEST PRESSURE/PAIN/ACHE ANXIETY CHEST SQUEEZING/BURNING FEELING OF FULLNESS SHORTNESS OF BREATH COLD SWEAT NOT FEELING RIGHT

HOW EMS CAN A FEW TIPS FIGHT A HEART ATTACK 1 2 3 SINCE HEART ATTACKS ARE VERY TIME SENSITIVE, IT IS IMPORTANT TO BEGIN TREATMENT UPON ARRIVAL BECAUSE NOT ALL NECESSARY RESOURCES ARE AVAILABLE AT THE SITE OF DISPATCH RAPID TRANSPORT TO THE ER IN AN ADVERSE EVENT WHERE A PATIENT LOSES PULSE, IT MAY BE USEFUL TO BE TRAINED IN CPR & RESUSCITATION

THE OATH I UNDERSTAND THAT HEART ATTACKS HAVE BEGINNINGS THAT MAY INCLUDE CHEST DISCOMFORT, SHORTNESS OF BREATH, ARM PAIN, AND WEAKNESS. THESE MAY OCCUR HOURS OR WEEKS BEFORE THE ACTUAL HEART ATTACK. I SOLEMNLY SWEAR THAT IF IT HAPPENS TO ME OR ANYONE I KNOW, I WILL CALL 911 BECAUSE EVERY HEART MATTERS

CREDITS & REFERENCES POWERPOINT BY PAMELA KOSTIC & PAK CHAU DEPUTYHEARTATTACK. ORG KIDS. BRITANNICA. COM NHLBI. NIH. GOV YOUTUBE. COM ABCNEWS. COM VARIETY. COM KTLA. COM HUFFINGTONPOST. COM PEOPLE. COM DEPUTYHEARTATTACK. ORG SCPCP. ORG CNN. COM BIOGRAPHY. COM