24X7 Services

WARNING SIGN HEART ATTACK

Don’t wait to get help if you experience any of these heart attack warning signs. Although some heart attacks are sudden and intense, most start slowly, with mild pain or discomfort. Pay attention to your body — and call 9040183301/9040283301 if you feel:

Heart attacks (called myocardial infarction or MI) are the number one killer of men and women. Half of all adults have several risk factors. The best offense is to know the signs and symptoms.

The RKMEDICS has high standards in heart emergency care, exceeding national standards with faster and more consistent heart care delivery.

  • Chest discomfort :
    Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.
  • Discomfort in other areas of the upper body :
    Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.
  • Shortness of breath :
    with or without chest discomfort
  • Other signs :
    may include breaking out in a cold sweat, nausea or lightheadedness.



HEART Score Criteria

By assigning zero, one, or two points — towards an atypical patient history, ECG anomalies, the patient's age, any risk factors present, and elevated Troponin — patients score on a scale of 0‒10.

History Highly suspicious
Moderately suspicious
Slightly suspicious
2
1
0
ECG Significant ST-depression
Non specific repolarisation disturbance
Normal
2
1
0
Age ≥ 65 years
45 – 65 years
≤ 45 years
2
1
0
Risk Factors ≥ 3 risk factors or history of atherosclerotic disease
1 or 2 risk factors
No risk factors known
2
1
0
Troponin ≥ 3x normal limit
1 – 3x normal limit
≤ normal limit
2
1
0

Proposed Policy

Patients can be divided into three distinct groups. A score of 0-3 indicates a risk of 1.6% for reaching a MACE, and therefore supports a policy of early discharge.

In case of a HEART score of 4-6 points, with a risk of MACE of 13%, immediate discharge is not an option. These patients should be admitted for clinical observation and subjected to non-invasive investigations such as repeated troponin or advanced ischemia detection. A HEART score ≥ 7 points, with a risk of 50% for a MACE, calls for early aggressive treatments possibly including invasive strategies without preceding non-invasive testing.