Dallas County Living Well Magazine Winter 2014 | Página 15

A COUGH COULD SAVE YOUR LIFE COURTESY PRESBYTERIAN HEART & VASCULAR GROUP Which of the following could be a sign of a heart attack: neck pain, chest pain or back pain? If you answered, “All three”, you get a gold star. Although the most common sign of sudden cardiac arrest is chest pain or discomfort, it’s not always one of the symptoms. Other symptoms might include shortness of breath, nausea, sweating, dizziness, blurred vision, sudden weakness, trembling hands and/or pain or discomfort in other parts of the upper body. These symptoms can occur singly or in combination; or, there may be no symptoms at all. Now that you know what to look for with a possible heart attack, the question then becomes: What should you do if you think you are having a heart attack? ACTIONS THAT MAY HELP If you are feeling pain in your chest and there is no one around to administer life-saving resuscitation, remember to cough. It could save your life. The American Heart Association concurs that during a sudden arrhythmia (abnormal heart rhythm event that can sometimes lead to or be a result of a heart attack), it may be possible for a conscious, responsive person to cough forcefully and repetitively to maintain enough blood flow to the brain to remain alert until help can arrive. Blood flow is maintained by increased pressure in the chest that occurs during the forceful coughing. At Presbyterian Heart & Vascular Group, our physicians have practiced this measure in the cardiac catheterization lab in appropriate situations where the patient is conscious and constantly monitored. Sometimes, patients have cardiac arrest symptoms while undergoing angiography — a dye test used to diagnose blocked heart arteries. When this happens, we may instruct the patient to cough every one to three seconds during the initial seconds of the event or until the event passes; however, this is not an effective treatment for all patients and does not take the place of definitive treatment. If coughing isn’t appropriate or isn’t relieving your symptoms, here are a few other recommendations that may act as a chain of survival for you o ȁ