PAMELA KOSTIC, RN, CCCC, CHEST PAIN COORDINATOR

STONY BROOK MEDICINE

“NO RELEVANT FINANCIAL RELATIONSHIP EXIST”

HEARTAND EARLY HEART ATTACK CAREDISEASE

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.

HEART DISEASE IS THE LEADING CAUSE OF DEATH FOR BOTH MEN AND WOMEN

ABOUT 800,000 PEOPLE DIE OF HEART DISEASE IN THE UNITED STATES EVERY YEAR

OF THESE 800,000 PEOPLE, 425,000 HAPPEN IN PEOPLE WHO HAVE ALREADY HAD A HEART ATTACK

QUICK FACTS

HOW MANY LIVES DOES HEART DISEASE CLAIM EACH YEAR?

ARE THERE ANY REOCCURING TRENDS FOR PEOPLE WHO DIE OF HEART DISEASE?

WHAT IS THE LEADING CAUSE OF DEATH FOR MEN? WHAT ABOUT WOMEN?

HEART ATTACKPRESENTS IN 3 WAYS

MILD DISCOMFORT

SEVERE CHEST PAIN

CARDIAC ARREST

THE FINAL STAGE OF HEART ATTACK

PROGRESSION OF HEART ATTACK

INITIAL STAGE OF HEART ATTACK

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IT’S SNEAKY

HEART ATTACK POP QUIZQUESTI

ONWHY IS THE TIME FROM FIRST SYMPTOMS TO CATHETERIZATION IMPORTANT?

THE QUESTION IS THE FOLLOWING:

ANSWERS85% OF HEART DAMAGE OCCURS WITHIN THE FIRST TWO (2) HOURS OF A HEART ATTACK.

THE ANSWER IS THE FOLLOWING:

&

A BALLOON TIME STUDY

DOOR TO BALLOON TIMES HAS DROPPED SIGNIFICANTLY, HOWEVER THE FASTER RESPONSE HAS NOT IMPROVE THE OVERALL PATIENTS MORTALITY.

SEPT 5 2013 NEW ENGLAND JOURNAL OF MEDICINE :

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”

FURTHER REASEARCH SHOWED THAT:

STUDY CONCLUDED THAT TIME BETWEEN THE PATIENT’S ONSET OF SYMPTOMS AND TREATMENT IS THE MOST CRITICAL

QUICK FACTS

WITH RESEARCH INTO HEART ATTACKS:

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.

ATTACK CARE

EARLY

HEART

CHEST PAINCERTIFIEDTHIS IS DIVDED INTO SEVERAL DIFFERENT

CATEGORIES

THE CARDIOVASCULAR SOCIETY HAS ACCREDITED MORE THAN 900 HOSPITALS

2005

STONY BROOK MEDICINE HAS MAINTAINED ITS ACCREDITATION SINCE

BECOMING A DEPUTY

WWW.DEPUTYHEARTATTACK.ORG TAKE THE EHAC (EARLY HEART ATTACK CARE) EDUCATIONAL COURSE & BECOME DEPUTIZED IN HEART ATTACK CARE.

HOW YOU CAN BECOME MORE ACTIVELY INVOLVED

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.

WHAT THE WEBSITE WILL TEACH YOU ABOUT:

SURVEY SHOWSAN IMPORTANT TREND

RECOGNITION OF CHEST PAIN92% PEOPLE SURVEYED RECOGNIZED CHEST PAIN AS A SYMPTOM OF A HEART ATTACK

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CDC STATS

RECOGNITION OF OTHER SIGNS ONLY 27% PEOPLE RECOGNIZED OTHER TYPES OF SYMPTOMS AS A HEART ATTACK

RECOGNITION OF AN EMERGENCY

ONLY THOSE 27% KNEW TO CALL 911 TO REPORT A POSSIBLE HEART ATTACK

47% OF SUDDEN CARDIAC DEATHS OCCUR OUTSIDE A HOSPITAL AND THIS 47% WITH HEART DISEASE DO NOT ACT ON EARLY WARNING SIGNS

QUICK FACTS

WITH RESEARCH INTO HEART ATTACKS:

HEART ATTACK POP QUIZQUESTI

ONWHY ARE THESE EARLY HEART ATTACK SYMPTOMS OCCURRING?

THE HEART ATTACK QUESTION IS THE FOLLOWING:

ANSWERSSYMPTOMS WILL OCCUR IF THERE IS NARROWING OF ARTERIES THAT LEAD TO THE HEART CAUSING INTERRUPTION OF THE HEART’S BLOOD SUPPLY

THE HEART ATTACK ANSWER IS THE FOLLOWING:

&

SINCE 1984 THE NUMBER OF DEATHS ATTRIBUTED TO HEART AND CARDIOVASCULAR DISEASES HAS BEEN REPORTED AS BEING GREATER FOR FEMALES THAN MALES

TRENDS

GENDERSPECIFI

CHEART DISEASE IS THE NUMBER ONE KILLER FOR WOMEN OVER THE AGE OF 65.

MOST PEOPLE CHARACTERIZE IT SIMILAR TO “HEARTBURN” OR “INDIGESTION” AS WELL AS OTHER SIMILAR DISCOMFORTS

IT FEELS LIKE…

SYMPTOMS OF ATTACKS

USUALLY A POUNDING OR THROBBING SENSATION IS COMMON OF HEART ATTACKS

PRESSURE/DISCOMFORT IN CHEST

BURNING SENSATION/ACHING/SQUEEZING “FEELING” IN THE CHEST, BACK, SHOULDER, ARMS, NECK & JAW.

PECULIAR SENSATIONS

FEELINGS OF ANXIETY OR IMPENDING DOOM ARE ALSO FREQUENTLY EXPERIENCED SYMPTOMS

PSYCHOLOGICAL FEELING

WOMEN’SSURVEY

BELOW ARE THE MOST COMMON REOCCURING SYMPTOMS IN THE SURVEY

A GROUP OF WOMEN WERE SURVEYS AND MANY OFTHEM SHARED SIMILAR SYMPTOMS IN EARLY STAGES

UNUSUAL FATIGUE – 71% SLEEP DISTURBANCE – 48%SHORTNESS OF BREATH – 42%INDIGESTION/NAUSEA – 39%ANXIETY – 35%

THE SYMPTOMS

THE FOLLOWING ARE

MALE HEART ATTACKS

MEN 35 TO 65 YEARS OLD WHO HAD OUT-OF-HOSPITAL CARDIAC ARRESTS IN 2002–2012 FOUND 53% HAD SYMPTOMS PRIOR TO THE CARDIAC ARREST

ACCORDING TO A STUDY CONDUCTED IN OREGON

56% CHEST PAIN AND DISCOMFORT13% SHORTNESS OF BREATH4% DIZZINESS OR EVEN FAINTING

THE SYMPTOMS THAT APPEARED THE MOST FREQUENT INCLUDED:

ALMOST 80 PERCENT OF THE SYMPTOMS OCCURRED BETWEEN FOUR WEEKS AND ONE HOUR BEFORE THE SUDDEN CARDIAC ARREST

QUICK FACTS

(MOST MEN HAD CORONARY ARTERY DISEASE, BUT ONLY ABOUT HALF HAD BEEN TESTED FOR IT BEFORE THEIR CARDIAC ARREST).

SYMPTOMS OF ATTACKSTYPICA

LHEARTBURN

JAW/BACK/SHOULDER PAIN

PAIN TRAVELING DOWN ARM(S)CHEST PRESSURE/PAIN/ACHE

CHEST SQUEEZING/BURNING

SHORTNESS OF BREATH

COLD SWEAT

THE HEART ATTACK QUESTION IS THE FOLLOWING:

ATYPICALNAUSEA

FATIGUE

ANXIETY

FEELING OF FULLNESS

SHORTNESS OF BREATH

NOT FEELING RIGHT

THE HEART ATTACK ANSWER IS THE FOLLOWING:&

HOW EMS CANFIGHT A HEART

ATTACK

BEGIN TREATMENT UPON ARRIVAL

SINCE HEART ATTACKS ARE VERY TIME SENSITIVE, IT IS IMPORTANT TO

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A FEW TIPS

RAPID TRANSPORT TO THE ERBECAUSE NOT ALL NECESSARY RESOURCES ARE AVAILABLE AT THE SITE OF DISPATCH

TRAINED IN CPR & RESUSCITATION

IN AN ADVERSE EVENT WHERE A PATIENT LOSES PULSE, IT MAY BE USEFUL TO BE

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

THE OATH

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CREDITS & REFERENCES

POWERPOINT BY PAMELA KOSTIC & PAK CHAU