What can I expect at the hospital if I am having a heart attack?

Syed W. Bokhari, MD
Cardiology (Cardiovascular Disease)
Treatment at the hospital for a heart attack now involves angioplasty and stenting. In this video, Syed Bokhari, MD, an interventional cardiologist at Riverside Community Hospital, describes the process and outcomes of this treatment.
Deb Cordes
Physical Medicine & Rehabilitation

When you go to the hospital emergency room with signs and symptoms of a heart attack you will can expect the following: You will be placed on the heart monitor so the nurses/doctors can monitor your heart rhythm, you will be placed on oxygen either by mask or by prongs placed in your nose, you will have blood drawn and sent to lab to evaluate if you are having a heart attack, you will have an IV placed in your arm to administer drugs directly into your vein if necessary, you will have a 12 lead EKG performed so the nurses/doctor can evaluate if you are having a heart attack. If the diagnosis is a heart attack most likely you will be sent immediately to the cardiac catheterization lab for the cardiologist to perform a cardiac catheterization. If the physician finds your artery is blocked he/she will perform a procedure to open your blocked artery. This procedure is called an angioplasty. You will notice that the nursing staff and physician will work very quickly to evaluate and diagnose the problem because it is important to have treatment performed within 90 minutes from the time you started having symptoms.

SCAI
Administration
If you arrive at the emergency room while having a heart attack, you may be given clot-busting drugs, especially if you arrive at a hospital that does not perform the artery-opening procedure called balloon angioplasty. Alternatively, if you go to a hospital with a catheterization lab, you will be taken directly to the “cath lab,” where balloon angioplasty and stenting can be performed to open your blocked artery.
Angioplasty is performed by an interventional cardiologist to restore normal blood flow through a clogged or blocked heart artery that is causing the heart attack. It is successful in the treatment of 95 to 98 of every 100 patients. If you are having a heart attack and are able to receive angioplasty soon enough, it can stop the heart attack and possibly save your life!
The goal is to restore the blood flow to your heart in less than 90 minutes from the onset of the attack. However, even after 90 minutes, angioplasty may still help prevent additional damage to the heart muscle.
You can help your healthcare providers to meet this important deadline by being a strong advocate for your own health. This means calling for help (dial 911), or asking someone you are with to call for help, when you experience symptoms such as severe central chest discomfort associated with feeling very unwell, including feeling very sweaty and clammy. Call for help at any time of the day - wherever you may be and whatever you are doing. These symptoms could be an indication that you are having a heart attack. In these circumstances, it is better for you to seek help than not. In fact, seeking help and subsequent admission to the hospital is a crucial part of managing a heart attack. It cannot be said enough:  The sooner you come to hospital, the better for you in terms of preventing a heart attack from progressing and possibly saving your life. When you arrive at the hospital, tell the healthcare providers, “I may be having a heart attack!” or ask, “Could this be a heart attack?” Ask questions and be very clear in your communication with your doctor and other healthcare professionals. Tell your doctor about all of your symptoms, even if they seem strange or you feel embarrassed. The more information your doctor has, the easier it will be to put the puzzle pieces together.
 
 

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.