Signs of a heart attack include pain in the chest area, which may radiate to left hand, shoulder blade, hands, left half neck and lower jaw, in both hands, in the shoulders, top part belly. The pain can be pressing, squeezing, burning or intense aching. If the pain is characterized as stabbing, cutting, aching, intensifying when changing body position or breathing, then we cannot talk about making an accurate diagnosis of a heart attack. Often the pain may be accompanied by weakness, shortness of breath, and severe sweating. The pain is felt for more than 5 minutes.

First aid for a heart attack

1.Accept sitting position, it is best to lie in bed so that the head of the bed is raised, or sit in a chair with armrests;

2. It is necessary to free the neck and give access to fresh air. You can open a window or vents;

3.Give the patient aspirin and nitroglycerin. If severe weakness, sweating, shortness of breath or a sharp headache appears after taking nitroglycerin, the patient should be laid down, legs raised (on a pillow, cushion, etc.), given 1 glass of water, and no longer take the medicine. If the pain disappears and the condition improves after taking medications, you must call a doctor and follow his instructions;

4.If the pain persists, then you also need to take nitroglycerin and call “ ambulance" If 10 minutes after taking nitroglycerin for the second time, the pain does not subside, then you need to take it a third time.

What not to do if you have a heart attack

1. A person with a heart attack should not get up, walk, smoke, or eat until the doctor’s permission;

2. If you are intolerant to aspirin or you took it that day, then you should not take it. Also, aspirin should be excluded if peptic ulcer of the stomach and duodenum is clearly worsened;

3.If blood pressure is low, if there is severe weakness, sweating, and severe headache, dizziness, acute disturbance of speech, vision or coordination of movements, then you should not take nitroglycerin.

Waiting for an ambulance

While you are waiting for the ambulance to arrive, provide first aid: make sure that the patient is sitting or lying down. Free the patient from constrictive clothing and do not leave him unattended until doctors arrive.

It is more difficult to provide first aid heart attack if a person has lost consciousness. First of all, you need to check your pulse and breathing. To do this, you need to approach the patient’s mouth and nose with your cheek, feel his breathing and at the same time you need to monitor his movements chest. Try to feel your pulse carotid artery, which is located just under the jaw on the side of the neck.

If a person's heart has stopped and you cannot feel them breathing, you need to perform cardiopulmonary resuscitation (CPR). By performing indirect body massage, even without the skills, you can save a person’s life. If CPR is not performed, a person’s chances of surviving cardiac arrest decrease by 7-10% every minute. Thanks for what was done on time indirect massage heart, you can double or even triple the chances of your heart working again.

Before the arrival of the ambulance, you need to prepare all the medicine packages or the medicines themselves taken by the patient the day before; scroll medicines, which can cause allergies in the patient or are intolerable to him. If there are films with recordings of electrocardiograms, then you need to arrange them in order, if time allows, according to the dates of their recording. If you found any medical documents(extracts, certificates), it is also advisable to arrange them in chronological order.

Characteristic signs (symptoms) of a heart attack (myocardial infarction):

• Sudden (paroxysmal) pressing, squeezing, burning, aching pain in the chest (behind the sternum) lasting more than 5 minutes;
• Similar pains are often observed in the left shoulder (forearm), left shoulder blade, left half of the neck and lower jaw, both shoulders, both arms, the lower part of the sternum along with top part belly;
• Lack of air, shortness of breath, severe weakness, cold sweat, nausea often occurs together, sometimes following or preceding chest discomfort/pain;
• It is not uncommon for these manifestations of the disease to develop against the background of physical or psycho-emotional stress, but more often with some interval after them.

Not characteristic features which are often confused with a heart attack:

• Stitching, cutting, pulsating, boring, constant aching pain for many hours and not changing its intensity in the heart area or in a specific clearly defined area of ​​the chest.

Algorithm of urgent actions:

If you or someone else suddenly has the above characteristic signs of a heart attack, even at mild or moderate intensity, and lasting more than 5 minutes. – don’t hesitate, call an ambulance immediately. Do not wait more than 10 minutes - in such a situation it is life-threatening.

If you have symptoms of a heart attack and there is no way to call an ambulance, then ask someone to take you to the hospital - this is the only right decision. Never drive yourself unless complete absence another choice.

In the most optimal option if a heart attack occurs, you must follow the instructions received from your doctor; if there are no such instructions, then you must follow the following algorithm:

• Call an ambulance;
• Sit (preferably in a chair with armrests) or lie in bed with the head of the bed raised, take 0.25 g of acetylsalicylic acid (aspirin) (chew the tablet, swallow) and 0.5 mg of Nitroglycerin (put the tablet/capsule under the tongue, first bite the capsule, do not swallow); release the neck and ensure flow fresh air(open the vents or window);
• If after 5-7 minutes. After taking acetylsalicylic acid (aspirin) and nitroglycerin, pain persists, you need to take nitroglycerin a second time.
• If after 10 min. after taking the second dose of nitroglycerin, the pain persists, it is necessary to take nitroglycerin a third time;
• If after the first or subsequent doses of nitroglycerin there is severe weakness, sweating, shortness of breath, you need to lie down, raise your legs (on a bolster, etc.), drink 1 glass of water and then, as with a severe headache, do not take nitroglycerin;
• If the patient has previously taken medicines lowering blood cholesterol levels from the statin group (simvastatin, lovastatin, fluvastatin, pravastatin, atorvastatin, rosuvastatin) give it to the patient usual dose and take the drug with you to the hospital.

ATTENTION! A patient with a heart attack is strictly forbidden to get up, walk, smoke or eat until specifically authorized by a doctor.

Do not take aspirin (acetylsalicylic acid) if intolerance to it (allergic reactions), as well as with obvious exacerbation peptic ulcer stomach and duodenum.

Nitroglycerin should not be taken if severe weakness, sweating, as well as severe headache, dizziness, acute disorder vision, speech or motor coordination.

REMEMBER!

• That only caused in the first 10 minutes. from the onset of a heart attack ambulance medical care, allows full use of modern highly effective methods inpatient treatment and reduce mortality from these diseases many times;
• What is aspirin ( acetylsalicylic acid) and nitroglycerin taken in the first minutes can prevent the development of myocardial infarction and significantly reduce the risk of death from it;
• What's the condition alcohol intoxication is not a reasonable basis for delaying calling an ambulance in the event of a heart attack - about 30% of people who died suddenly at home were intoxicated;
• What indoor massage cardiac examination, carried out in the first 60-120 seconds after sudden cardiac arrest, allows up to 50% of patients to be brought back to life.

No one is immune from a heart attack, but since this critical condition most often develops in middle-aged and elderly people, this category of the population needs to be especially vigilant. It is useful to know the signs of a myocardial infarction and the actions that need to be taken to provide emergency assistance.

Heart attack (or myocardial infarction, MI) is a disease from a clinical group called ischemic disease hearts. During the development of this pathology, necrotic damage to the myocardium develops, caused by partial or complete cessation of blood circulation.

During the development of a heart attack, there are four stages, of which the largest is clinical significance has the most acute (lasts the first 6 hours from the onset of MI) and acute (its duration is 12-14 days from the onset of the attack). (According to wikipedia.org).

When MI develops, it is very important to promptly initiate appropriate treatment. To do this, the pathology with characteristic symptoms. In some cases, first aid can save the patient’s life, so it is important to know the basic steps that need to be taken before doctors arrive.

Video: Heart attack || How to recognize and provide first aid in case of a heart attack?

Heart Attack Symptoms

A heart attack is a life-threatening emergency that requires quick action. Even minor symptoms of a heart attack should not be ignored. Immediate treatment reduces damage to the heart and saves lives.

Characteristic symptoms

They vary from person to person. Not all heart attacks begin with the sudden, crushing chest pain that victims most often report. In some cases, no symptoms occur, especially when the patient is diagnosed with diabetes.

Most often, pain and discomfort occurs that extends beyond the chest and into other parts of the upper half of the body (one or both arms, back, neck, abdomen, teeth and lower jaw).

The clinical picture of a heart attack may begin slowly, with a feeling of mild pain and discomfort in the chest. Sometimes it happens that a patient is resting or doing physical activity and suddenly feels a sharp pain in the heart area. The severity of signs of MI largely depends on the age, gender and health of the patient.

Warning Symptoms

Usually defined:

• Chest discomfort, felt as pressure, fullness, or squeezing pain, lasts more than a few minutes or goes away and returns.
• Unexplained shortness of breath or a feeling of difficulty taking a full breath, with or without chest discomfort

Additional symptoms may include:

• Cold sweat
• Fear of death
• Pale skin
• Fast and weak heartbeat
• Nausea or vomiting
• Dizziness, weakness
• Anxiety, upset stomach.

Women are more likely than men to have additional symptoms, such as neck, shoulder, upper back, or abdominal pain.

Symptoms of a heart attack that may occur a month before it occurs

Chronic stress and a busy work schedule contribute to the development of a heart attack. But prevention emergency is a separate topic, so now only the signs by which you can recognize an approaching threat will be indicated.

1. Fatigue and “eternal drowsiness” - when the blood vessels are excessively and long time taper, central nervous system is the first to react to a lack of oxygen, since it is very sensitive to this. At the same time, signs such as drowsiness, melancholy, and fatigue appear, occurring for no apparent reason.
2. Shortness of breath - if the heart begins to work incorrectly due to lack of oxygen, then the normal process of gas exchange in the lungs is also disrupted. Therefore, dysfunction cardiovascular system immediately affects the activity of the lungs and is most often expressed in intermittent breathing.
3. Attacks of “cold” - some patients experience a feeling of cold throughout the body a few days before a heart attack, they were frozen and it seemed that the flu was developing. In such cases, an important difference from infectious disease- temperature is within normal limits. If this has been observed in close relatives, then you need to visit a cardiologist without delay.

First aid for a heart attack

If a person experiences chest discomfort or other symptoms of a heart attack in a loved one, they should immediately call emergency medical services. While the first instinct may be to rush the heart attack victim to the hospital, it is better to receive or provide emergency assistance at the scene. At the same time, emergency medical personnel can begin treatment en route to medical institution. They are trained to provide resuscitation if a person's cardiac activity stops (heart stops).

If you cannot contact an ambulance, you need to take the victim to the hospital. If the victim is you yourself, you need to go to the hospital if there is no other way out.

In many cases, treatment is delayed because doubts arise as to whether a heart attack has actually occurred? Often, victims in such cases do not want to worry or worry about their friends and relatives.

It is important to remember that a heart attack is a critical condition, so it is always better to worry once again, but be safe than to be sorry later.

Acting quickly can save lives. If necessary medications will be used as quickly as possible after the development of the first symptoms, the risk of death and occurrence of various complications. In particular, drugs are used to thicken the blood and widen the arteries, which can stop the progression of a heart attack, and even a closed blood vessel can open when catheterized with a stent inserted.

The longer the time passes from the onset of the attack to treatment, the lower the chances of survival, since the degree of damage to the heart becomes more severe.

About half of those who die from heart attacks seek help an hour or more after the onset of the clinical picture.

First aid provided in case of a heart attack before the arrival of doctors:

• You need to try to make the injured person calm down.
• The patient needs to be laid down or seated.
• If a person is not allergic to aspirin, chew or swallow the appropriate dose, usually 0.3 g. (Aspirin works faster if you chew it rather than swallow it whole).
• Nitroglycerin, which should be taken in a dose of 0.5 g, can improve blood circulation.
• If the patient stops breathing, a person nearby who is suitably qualified or skilled should immediately perform cardiopulmonary resuscitation (CPR). If you don't know how to perform CPR, an ambulance operator can help with it even before the medical team arrives.

First aid to yourself when there is no one around

During a heart attack, people are often left alone with themselves and at such moments it is extremely difficult to reach anyone. A person can be at home, in the evening on a deserted street, or somewhere on the road in a car. In this case, it may happen that the phone is discharged, and there is no one nearby at all.

It is important to know that only a few minutes can pass from the moment a myocardial infarction begins to loss of consciousness due to lack of oxygen, and during this time you need to improve your condition enough to get to the nearest hospital.

To slow down the development of myocardial infarction, you need to perform next steps:

1. Actively cough - before doing this, you need to take a deep breath and then cough just as deeply, approximately every two seconds for several minutes. This action will allow the lungs to fill with oxygen and restore normal cardiac activity. Ideally, this coughing should be done before the ambulance arrives.
2. It is important not to panic, but to try to calm down and relax, although with MI, on the contrary, the fear of death is often overcome. But anxiety only contributes to the narrowing of blood vessels and poor circulation (since during stress, adrenaline is released, which narrows the arteries), so this will only worsen the course of the attack.
3. You should definitely try to call an ambulance or turn to someone for help. In such cases, there is no shame in even knocking on closed windows and doors, since life depends on it.
4. If you have aspirin and nitroglycerin with you, then you need to take them in a dose of 0.3 and 0.5, respectively. It is better not to use other heart medications, as there is a risk of only worsening the course of the disease.

Cardiopulmonary resuscitation

CPR or cardiopulmonary resuscitation is an emergency life-saving procedure performed when the heart stops beating or breathing stops.

Immediate CPR can double or triple your chances of surviving cardiac arrest. This procedure is especially necessary when there is no other medical equipment like a defibrillator to start the heart.

Preserving blood circulation - even partial - increases the possibilities for successful resuscitation while waiting for medical personnel to arrive on the scene.

CPR is a critical step in the chain of survival as outlined by the world's cardiology organizations. Today, there are five links in the out-of-hospital chain of survival for adults:

1. Determining cardiac arrest and calling an ambulance.
2. Early CPR with emphasis on chest compressions.
3. Rapid defibrillation.
4. Basic and emergency medical services.
5. Active life support and care after cardiac arrest.

A well-organized chain of survival can reduce the risk of death and improve the patient's recovery process after cardiac arrest.

Most reliable way performing CPR- use of an automated external defibrillator (AED). The devices can significantly increase a victim's chance of survival after a heart attack. To minimize defibrillation time in cardiac arrest patients, preparation for the procedure should not be limited to trained individuals (although training is still recommended).

Performing CPR

There are two widely known ways to perform CPR:

1. For medical workers and trained individuals: Traditional CPR using chest compressions and mouth-to-mouth breathing at an appropriate ratio of 30:2. In adults suffering from cardiac arrest, rescuers should be required to perform chest compressions at a rate of 100 to 120/ min and to a depth of at least 5 cm for the average adult, avoiding excessive depth of chest compression (6 cm). Otherwise, complications such as rib fractures, etc., may occur.
2. For people who witness an adult fall suddenly: CPR is performed using hands-on compressions only. Hands-Only CPR is mouth-to-mouth CPR without breathing. This method is recommended for use by people who have seen an adult fall suddenly in a non-hospital setting (eg, at home, at work, in a park, or other public place).

Hands-Only CPR consists of two simple steps:

1. You need to call an ambulance or send someone for medical workers.
2. The victim should be placed on a flat surface with the CPR provider's hands placed in the center of the chest and rhythmic pressure applied back and forth.

CPR can be performed by anyone, including bystanders who happen to be near the victim. There are five important components successful CPR:

1. Minimize interruptions when pressing on the chest.
2. Carrying out chest compressions at an adequate speed and to the required depth (in adults, 5-6 cm).
3. Avoid leaning on the victim between compressions.
4. Ensuring proper hand placement.
5. Prevention of overactive ventilation.

Thus, even unprofessional CPR can, in some cases, keep a person in a state acceptable for revival.

It is important to prepare in advance for a heart attack

No one can plan for a heart attack or know where or how it will happen, so it's best to be prepared in advance. This is especially true for those people who have an increased risk of developing myocardial infarction. Steps you can take before symptoms begin include:

• Memorize a list of heart attack symptoms and warning signs.
• Remember that you need to call an ambulance within 5 minutes after the attack begins.
• Talk to family and friends about warning signs and the importance of immediate call ambulance.
• Know your risk factors and do everything you can to reduce them.
• Create an immediate response plan for a heart attack that includes information:
  • about the medications you need to take;
  • about possible allergic reactions;
  • about the telephone number of the attending physician;
  • about all relatives who need to be contacted if you have to go to the hospital.

You need to store this information in your wallet or other quickly accessible place.

Additionally, you need to think about your wards in advance and talk with those who can take care of them if an emergency arises.

Video: HOW TO RECOGNIZE AND PREVENT A HEART ATTACK IN A MONTH

In the event of a heart attack, proper first aid can save a person's life. Mortality statistics around the world are known for their disappointing results.

A significant percentage of total number falls specifically on diseases that are associated with the cardiovascular system.

Every day, several thousand people die who did not have time to receive timely, correct, high-quality and, in addition, qualified assistance.

A significant percentage of the population suffers from cardiovascular diseases. Those who know this for sure always have at hand necessary medications and know what to do with them.

There is also a category of people who are not at all aware of their heart problems. The pain overtakes them by surprise; they do not know what and how to do and what measures to take. As a result, in many cases everything ends in failure.

Statistics show that a significant percentage of mortality is caused by the fact that people do not immediately turn to specialists, do not pay attention to symptoms, are patient, and do not rush to call an ambulance.

If you have a heart attack, you must act immediately. This will save lives.

Determine the nature of the disease and establish accurate diagnosis It's not always easy. After all, often the symptoms are similar in several diseases or do not manifest themselves immediately. This can be done effectively by qualified specialists.

But heart diseases still have their own distinctive features.

You should pay attention if you experience the following symptoms:

1) Presence of shortness of breath. It can be not only after heavy or light physical activity, but also in a calm state.

2) Increased sweating. This sign is more typical for people of the stronger sex than for women. But the latter may also have it.

3) High frequency heartbeat. For heart diseases main body The human life support system begins to work intensively. Because more loads are placed on it.

4) Painful sensations in the chest area. Initially, these pains may be slightly noticeable, but soon their strength increases.

In addition, they are accompanied by a burning effect, tingling and a feeling of heaviness, as if something is squeezing the chest. Pain can manifest itself not only in the sternum area, but also in the back, arm, leg, and abdomen.

The peculiarity is that the localization site is always located on the left side of the body.

5) In case of a heart attack a person may lose orientation in space. This is accompanied by dizziness in the head and a significant deterioration in balance.

6) A heart attack may be accompanied by sharp pains in the stomach, nausea, occasional vomiting, heartburn.

7) More like harbingers rather than symptoms are weakness and fatigue. The person becomes lethargic and unable to work.

8) Insomnia, Bad mood, anxiety, snoring during sleep - these are all also harbingers of heart disease. Monitor how your nervous system functions. It is directly related to cardiovascular health.

9) Imminent heart problems also promise heaviness in the legs. They become soft and it is difficult for a person to move.

Of course, all the signs cannot suddenly appear in a person at once. You should always take care of your body and body. They warn of problems and give signals.

To one degree or another, at least some, but there are always harbingers of the disease. An attack cannot come out of nowhere.

In case of a heart attack, if such a disaster has happened, you need to act quickly and correctly. It is worth adhering to a certain algorithm that will allow you to provide quality help. Here is a list of primary actions:

1. The victim must be seated or reclined. Remember: you cannot place it horizontally. The vertical position will reduce the load on the heart muscle and relieve pain in the sternum.

2. It is necessary to free the person from excess clothing: remove the tie, unfasten the buttons and belt.

3. Maximize the flow of fresh air - open windows and doors.

4. Ask the patient to breathe deeply but gently.

5. Call an ambulance. If the situation is critical, then medical workers should be called in the first seconds.

6. Give it your all necessary efforts to calm the patient. Nervous condition will only make the situation worse.

7. Give the patient an aspirin tablet. This will reduce the risk of blood clots. The tablet must be chewed. If the patient is unable to do this, then give him the already crushed pill.

8. The victim should also be given a nitroglycerin tablet.. This drug will help eliminate pain and stabbing sensations. If the first dose does not help, you can take it again.

IMPORTANT: medications - aspirin and nitroglycerin - can be given only when you are absolutely sure that the victim is not allergic to them. Also, nitroglycerin should not be given at low blood pressure, because it lowers it even more.

9. After taking the pills, weakness may appear, then you should elevate lower limbs patient so that they are located higher from the level of the head. This will increase and speed up blood flow. You can also give him a little water to drink.

10.Monitor the victim's pulse. If it is poorly felt or the person loses consciousness altogether, then do light massage hearts. In critical cases - artificial respiration.

In addition to providing first aid, you need to know those measures that absolutely cannot be taken during a heart attack.

The patient cannot move - walk, run, or go to the hospital himself.

Be calm until medical professionals arrive. The medical team will provide qualified assistance and take you to the hospital.

Remember that a heart attack can occur in a completely healthy person.

Excessive smoking, alcohol consumption, poor quality lifestyle, regular consumption fatty foods, nervous breakdowns, excess weight - all these components can cause a heart attack.

People who know about the problems of their body always have aspirin and nitroglycerin on hand. In cases of an attack, they help immediately.

If you do not belong to the category of core patients, then you should not neglect these rules. They will not be superfluous for you either. After all, anyone can fall into the risk category.

A heart attack occurs when the blood supply to the heart is suddenly blocked by a blood clot. Many people recover fully from a heart attack, but there is a serious risk that the heart may stop beating—cardiac arrest. It is very important to provide prompt first aid in case of a heart attack. People with angina are more likely to have a heart attack. It occurs when the arteries leading to the heart become narrow and the heart muscle cannot receive enough blood. It can occur not only during physical activity, but also during the rest period (more dangerous condition). Heart pain is usually a tight chest pain that can be relieved by immediately calming down and taking angina medicine. It may only last a few minutes. If the pain lasts longer, assume it is a heart attack.

Signs of a heart attack

One of the symptoms of a heart attack, chest pain, often begins in the middle of the chest and may move to the neck, jaw, ears, arms and wrists. It can be localized between the shoulder blades, in the back and in the stomach area.

If a patient has chest pain, the pain can be either sharp or dull. It is described as "heaviness, burning, tightness, constriction, squeezing" or a feeling of intense pressure. The attack may be similar to indigestion or heartburn.

Precursors of a heart attack: increased anxiety, unexplained fatigue, discomfort, excitement, difficulty in performing physical activities that were previously easy, pain is observed not only in the chest, but also in the back, arms, etc., the intensity of heart pain increases, accompanied by squeezing and intense burning, attacks of heart pain become longer, occur sharp pains in the chest area. Women, older people and people with any stage of diabetes are at risk. At the slightest suspicion of a heart attack, it is recommended to call an ambulance as quickly as possible.

Among the types of heart attack, it is worth noting the painful form (sudden intense, pressing, burning, squeezing, paroxysmal pain for up to five minutes in the left half of the chest or behind the sternum, sometimes the pain radiates to the upper abdomen, the left half of the neck, under left shoulder blade, left arm) and without pain (a sharp feeling of suffocation, single vomiting, dizziness, weakness, interruptions in heart function, shortness of breath).

Only a doctor can make an accurate diagnosis, therefore, mandatory, at the first signs of an attack, it is necessary to call an ambulance or take the patient to the nearest medical facility.

Algorithm of action in the event of a heart attack

If the above symptoms are observed at any stage of intensity for more than five minutes, you must urgently call an ambulance. During the development of an attack, it is important to provide the patient with rest. Strictly prohibited:

• intake of food and alcoholic beverages;
• smoking;
• driving a car independently;
• performing any kind of physical activity.

Before the ambulance arrives, you must do the following: record the time of the onset of the attack, measure your pulse, heart rate and blood pressure, take a sitting or lying position, it is important that your head is slightly elevated.

Be sure to open the window and free your neck to allow free access of oxygen. After this, you need to give the patient aspirin - the tablet is chewed and swallowed (important: the drug should not be allergic reactions and contraindications). You can take 0.5 milligrams of nitroglycerin (place the tablet under the tongue, inject the spray into oral cavity, bite the capsule and do not swallow), after taking it you will experience a severe headache, shortness of breath, sweating, severe weakness; to suppress symptoms, you can drink a glass.

If the patient's condition worsens, it is necessary to perform artificial respiration until the ambulance arrives. Fifteen minutes after taking nitroglycerin, if there is no relief, you should take a second nitroglycerin tablet. The third dose of nitroglycerin is allowed after another ten minutes - but usually an ambulance arrives before this time.

Ways to Prevent a Heart Attack

If the patient is diagnosed with coronary artery disease or is observed sharp increase pressure, it is recommended to always have nitroglycerin and aspirin with you. The risk of developing SP is much higher:

• in the presence of great physical and psychological stress;
• with excessive levels in the blood;
• alcohol abuse;
• smoking;
• the presence of a genetic predisposition.

It is important that relatives or others have basic CPR skills, measuring blood pressure, pulse, and heart rate.

If you are predisposed to a heart attack, it is recommended to visit regularly and keep a “Diary” in which you note your pulse and blood pressure daily. "Control Diary" blood pressure“You need to show it to the doctor to select effective drug therapy.

Important information

An ambulance can be called from mobile phone(regardless of the operator) by number 103, from a landline phone by number 03 or 103. Before the arrival of the ambulance team, it is necessary to prepare medical card the patient, certificates and extracts, test results (if any), a list of medications to which the patient is allergic, medications that the patient is taking or took the day before.

In any case, it is important to provide first aid in a timely manner emergency assistance in order to prevent the development of complications and death. A heart attack is a serious and dangerous condition for the patient, which absolutely cannot be ignored and for which self-medication is not recommended.