How to deal with a heart attack urgently?

Emergency treatment
First, identify heart attacks and deal with them accurately

How to deal with a heart attack urgently?

Angina, myocardial infarction, aortic dissection, and pulmonary embolism can be typical of chest pain; toothache, left shoulder pain, and even vomiting can also be signs of myocardial infarction.

After a chest pain of 15 minutes lasts, please identify these issues:

1. Can you specify a clear location?

If it is, it may be other diseases that are generally not life-threatening.

If not, go to the second step.

2. Is there any skin coldness?

If yes, please call 120 and wait for the emergency personnel to arrive.

If not, go to the next step.

3. Take a piece of nitroglycerin under the tongue and wait for 5 minutes. Is it significantly relieved?

If it is, it may be angina. If skin is cold at the same time, please do not take nitroglycerin.

If not, please call 911 and wait for the emergency personnel to arrive.

If the sublingual nitroglycerin is significantly relieved, this condition is generally not a myocardial infarction. If it occurs repeatedly within a few days, you need to go to the cardiovascular clinic for further examination.


Keep the following two special cases in mind:
Severe tear-like back pain: Call 911 immediately and wait for emergency personnel to arrive.

Upper abdominal pain, vomiting, left shoulder pain, toothache: When the symptoms last for 15 minutes or longer, take a ride to the emergency room. The on-duty doctor may recommend an electrocardiogram and continue observation.

Do not want
Do not take nitroglycerin if your skin is cold.

Patients with chest pain can't drive to the emergency room by themselves!

Operational matters
There are many contraindications to nitroglycerin, but contraindications are not common. Taking 5-phosphodiesterase inhibitors within 24 hours, or having severe hypotension is an absolute contraindication to nitroglycerin, which means you can't use it! Right ventricular myocardial infarction is not an absolute contraindication to the use of nitroglycerin.

Aspirin may aggravate aortic dissection and may even directly lead to bleeding death. Non-emergency personnel are not recommended to use aspirin

Medical advice
You must go to a hospital that has 24 days of emergency, 24 hours a day, and if you are not sure, confirm this with the other party when you call 911.

If it is not possible to reach a hospital with emergency surgery capacity due to geographical reasons, intravenous thrombolysis should be performed at the nearest state-of-the-art medical facility and immediately transferred to the nearest competent medical facility.