Seize The Golden Moments After A Heart Attack


The sudden death of singer KK yesterday was a shocking news for music lovers and his fans across the world. What was even more shocking was that he showed the typical symptoms of a heart attack including sudden onset chest uneasiness and profuse sweating, which was not recognised in time. Off course he could have survived if the all important ‘ PAL – In the Golden Hours’ would not have been wasted. Read on to find out more.

Heart diseases are the number one killer in India. A heart attack is caused when a clot completely blocks a blood vessel in the heart.

Worldwide, people fail to identify heart attack symptoms on time or seek appropriate medical help.

Post a heart attack, the heart muscle starts to die within 60-90 minutes after it stops getting blood and within six hours, almost all the affected parts of the heart could be irreversibly damaged.

As a consequence of damaged heart muscles, either the heart can go into a sudden complete standstill, or into abnormal heart rhythms called ‘ventricular tachycardia’ and ‘ventricular fibrillation’ where the heart muscles contract at a rapid rate, without any active pumping of blood from the heart – called as a cardiac arrest. A person with a cardiac arrest will be unresponsive, will not be breathing and will not have a pulse.

Cardiac arrest occurs suddenly, disrupting the blood flow to the brain and other parts of the body. Lack of oxygen causes irreversible damage to vital organs and within minutes, patients die.

Most patients don’t get another chance if heart attack is not treated in time.

The first hour of definitive medical care is called the ‘golden hour’. Nearly 47 per cent of deaths occur due to cardiac arrests during this period, even before an individual reaches the hospital. It is a window of opportunity to the patients, their families and doctors to take appropriate and quick actions, thereby impacting a patient’s survival and quality of life following a heart attack.

Reaching a hospital, which has an in-house cardiac cath lab, within this golden hour period, provides emergency physicians and cardiologists ample time to perform ECGs, appropriate diagnostic tests and scans on the patient to ascertain the occurrence of heart attack and the extent of damage and take necessary steps to reinstate proper blood flow to the heart immediately.

A person who reaches the hospital and gets treated within this period can expect near-complete recovery.

Hence, ‘golden hour’ becomes ‘the game-changing event’ in saving the life of the patient.



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An Emergency Physician by profession; writer, musician, entrepreneur, sportsman and a poet by passion, Dr. Mohit Garg is currently working as Sr. Consultant & Head of the Accident & Emergency department at Gleneagles Hospital, Mumbai. Apart from his zeal to write, he is also passionate about academics and is involved in teaching activities to young doctors, nurses and other health care professionals. This website is a source through which he fulfils his talent to write, and also to bring about a social change for society & the medical fraternity.

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