Hirotsugu Honda writes:
O should understand most that his
condition is not good. His sharp chest pains is a clear symptom of angina
pectoris. And mild myocardial infarction may be the effect of narrowing
carotid arteries.
He should know the information about heart diseases and understand the
risk of heart diseases. For example, sudden death occurs at from four to
six times the rate of the general population among people who have had
heart attack, 27 percent of men and 44 percent of women will die within
one year after having a heart attack. After that I will tell him about
his situation. His elder brother died of heart disease. He had once been
a heavy cigarette smoker. He has moderate to high hypertension. His cholesterol
level is high. He is almost 20 kilos overweight. He must be aware of his
bad health.
First I advise him about the right kind of behavior in the event he should
have another heart attack. he should act quickly and take the following
steps:
#Sit down or lie down.
#If symptoms persist for 2 minutes, call your local emergency telephone
number and say you may be having a heart attack. Leave the phone off the
hook so that medical personnel can locate your address if you should become
unconscious.
#If you have nitroglycerin tablets, take up to three pills, one at a time
every 5 minutes.
#Ambulances are well equipped to provide emergency care for people who
are having hear attacks. It is usually better to have medical personnel
come to you than for you to start of for the hospital.
#If you can get to the hospital faster by car than by ambulance, have someone
drive you. Do not drive yourself--it could be dangerous.
#Do not delay getting medical treatment, even if you are not sure you are
having a heart attack. A delay can cause permanent damage to your heart
muscle or even death. Let the doctor determine whether or not you are having
a heart attack.
#If your breathing or pulse stops, any person who is trained in cardiopulmonary
resuscitation (CPR) should immediately begin the procedure. Call your local
emergency telephone number first.
#When you arrive at the emergency room, you or the person who brought you
should announce clearly that you may be having a heart attack. Make sure
you are seen at once.
Second, I advise him about what should he do within the next few weeks
to improve his health outlook. He should not do hard work to cause his
heart to beat hard. And he should take nitroglycerin tablets that reduce
the pain of angina by widening blood vessels to allow more blood to reach
the heart muscle.
Finally, I will advise him about what
he should he do in the longer term to help prevent the occurrence of another
heart attack.
(1) He should reduce his cholesterol level.
The cholesterol level in the blood appears to be an accurate barometer
of the amount of fatty plaque clogging a person's coronary arteries. So
he should not eat cholesterol and saturated fat rich foods. Being overweight
may also increase his blood cholesterol level, so he should exercise every
day.
(2) He should reduce his high blood
pressure.
Dietary and lifestyle changes may help control high blood pressure. He
should lower his blood pressure by reducing sodium in his diet. And he
should exercise every day to lose weight. He should also constantly take
a nitroglycerin tablets.
In short, he should take care of himself more. And eat a balanced diet.
| Click the BACK button to return to the student index.|