Snow STEMI

A powerful winter storm called a Nor’easter has brought blizzard-like conditions and a large amount of snowfall to our area.

When we get such large amounts of snow, the easy part is watching the beauty of the snow falling. Unfortunately, the most difficult part is having to shovel several inches of snow from the sidewalk and driveway.

A major worry when shoveling large amounts of snow is how it can affect our health.

According to the National Library of Medicine, heavy snowfall, cold temperatures, and low atmospheric pressure during the winter months have been associated with increased adverse cardiovascular events, such as “snow-shoveler’s ST-elevated myocardial infarction (STEMI).”

Snow-shoveler’s STEMI is a type of heart attack that occurs when there is a partial or complete blockage in one of the coronary arteries, which stops blood flow to part of the heart muscle. This can especially occur due to the over-exertion caused by shoveling snow.

Per the American Heart Association, shoveling snow can put some people at risk of a heart attack, but most people won’t have a problem. Sudden exertion, such as shoveling hundreds of pounds of snow or pushing a heavy snow blower after being sedentary for several months, can put a huge strain on the heart.

There is also a factor of cold weather, as it can increase heart rate and blood pressure, and make blood clots form more easily and constrict arteries, which can decrease blood supply. This can even affect healthy people. People who are over the age of 40 years old, or are relatively inactive, are especially at risk. Other people who are at risk of STEMI include:

Those with preexisting heart conditions:

  • Those with high blood pressure (hypertension)
  • Those who smoke tobacco products

According to Medical News Today, research indicates that heavy snowfall is linked to a 6% higher likelihood of hospital admission for men with a heart attack and a 34% increase in dying.

The National Safety Council recommends the following safety tips to shovel safely:

  • Know the signs of a heart attack, stop immediately, and call 911 if you’re experiencing any of them; every minute counts

The warning signs of a heart attack include:

    • Chest discomfort that lasts more than a few minutes or doesn’t go away and returns
    • Pain or discomfort in the arms, back, neck, jaw, and stomach
    • Shortness of breath

Other signs of a heart attack can include:

    • Breaking out in a cold sweat
    • Nausea
    • A rapid or irregular heartbeat
    • Unusual tiredness
    • Heartburn or indigestion
    • Lightheadedness
  • Take it slow and stretch before you start shoveling
  • Shovel only fresh, powdery snow because it is lighter
  • Push the snow instead of lifting it. If you do lift the snow, use a small shovel or only partially fill the shovel
  • Lift with your legs and not your back
  • Dress in warm layers
  • Do not shovel after eating or while smoking
  • Do not work to the point of exhaustion

If you have a history of heart disease, do not pick up a shovel without the permission of your healthcare provider.

If you or a loved one is experiencing any symptoms of STEMI, while, during, or after shoveling snow, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please call 911 immediately.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

How Does Winter Weather Increase Your Risk of Cardiovascular Disease?

As we get deeper into this winter season, extreme, record-low cold temperatures have brought snow and frigid winds with them. These conditions can severely affect your heart, especially if you already suffer from or are at risk of cardiovascular disease.  

The cold temperatures affect the heart by causing blood vessels to constrict, which is the body’s natural reaction to send blood deeper into the body. This doesn’t cause problems for those with healthy arteries. However, if someone has arteries that were narrowed by fatty plaque, cold-related blood vessel constriction can leave them more vulnerable to chest pain or a heart attack. This is especially true when engaging in a strenuous outdoor activity such as walking quickly in a strong wind or shoveling snow, which can commonly trigger a heart attack. 

Strenuous outdoor activity in cold weather isn’t the only thing that can put the heart at risk. Cold temperatures also increase the risk of suffering from hypothermia. Hypothermia means the body’s temperature has fallen below 95 degrees Fahrenheit or 35 degrees Celsius, and the body can’t produce enough energy to keep its temperature warm enough. Cold-related blood vessel constriction keeps vital organs warm and helps reduce heat loss. If a person has narrowed blood vessels, the heart must work harder to pump blood through the body, which then raises blood pressure and puts stress on the heart. Hypothermia has several symptoms, including: 

  • Lack of coordination 
  • Slowed reaction time 
  • Mental confusion 
  • Shivering 
  • Sleepiness 

Hypothermia can be life-threatening, so it is extremely important to take proper precautions to stay warm by dressing in layers, keeping your head and ears covered, and keeping your hands and feet warm. 

If you are going to engage in any strenuous outdoor activities, here are some tips to keep you safe: 

  • Take frequent breaks 
  • Learn the warning signs of a heart attack and listen to your body 
  • Learn CPR 
  • Be aware of the dangers of hypothermia 
  • Don’t drink alcohol before or immediately after a strenuous activity 
  • Consult with your healthcare provider 

If you have, or are at risk of developing, or are experiencing symptoms of a heart condition, you should consult a cardiologist to explore the most effective precautions you can take to protect your heart health during the winter season. You can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please dial 911 right away. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Primary Heart Attack Center Certification

Every year, more than 800,000 people in the U.S. have a heart attack. A heart attack, or myocardial infarction, occurs when blood flow to the heart muscle is reduced or blocked. The blockage is usually due to a buildup of fat, cholesterol, and other substances in the heart’s arteries. The amount of damage to the heart muscle depends on the artery and the treatment.

Most heart attacks are caused by coronary artery disease, which is the most common cause of death in the United States.

The warning signs of a heart attack include:

  • Chest discomfort that lasts more than a few minutes or doesn’t go away and returns
  • Pain or discomfort in the arms, back, neck, jaw, and stomach
  • Shortness of breath

Other signs of a heart attack can include:

  • Breaking out in a cold sweat
  • Nausea
  • A rapid or irregular heartbeat
  • Unusual tiredness
  • Heartburn or indigestion
  • Lightheadedness

Several key factors can affect your risk of having a heart attack. Unfortunately, some heart attack risk factors aren’t things you can modify. They include:

  • Age and sex
  • Family history of heart disease
  • Lifestyle
  • Certain health conditions

Healthcare providers usually diagnose heart attacks in an emergency room setting. If you have heart attack symptoms, you should undergo a physical exam. A healthcare provider will check your pulse, blood oxygen levels, and blood pressure, and listen to your heart and lung sounds. They will also ask about the symptoms you experienced.

A healthcare provider will diagnose a heart attack using the following testing procedures:

  • Blood tests
  • An Electrocardiogram (EKG or ECG)
  • An echocardiogram
  • A coronary angiogram
  • A heart computed tomography (CT) scan
  • A heart MRI
  • An exercise stress test
  • Nuclear heart scans

Treating a heart attack means restoring blood flow to the affected heart muscle immediately. This can happen in various ways, ranging from medication to surgery. Treatment will likely include:

  • Supplementary oxygen
  • Medications
  • Percutaneous coronary intervention
  • Coronary artery bypass grafting

Although several risk factors for a heart attack can’t be modified, there are many ways to reduce your risk of a heart attack, including:

  • Scheduling a check-up with a healthcare provider
  • Quitting tobacco products
  • Exercising regularly
  • Eating nutritious foods
  • Maintaining a healthy weight
  • Managing existing health conditions
  • Reducing stress
  • Taking medications as prescribed
  • Keeping all medical appointments

Jamaica Hospital Medical Center has been awarded the Joint Commission’s Primary Heart Attack Center certification with a gold seal.

This certification standardizes patient care across hospital settings regarding identification, assessment, monitoring, management, data sharing, and performance improvement for multidisciplinary STEMI heart attack care. Our hospital collaborates with the American Heart Association (AHA) in providing patient-centric cardiac care for all patients, their families, and the community the hospital serves.

The protocols and performance measures related to this designation reduce variances and promote standardization of the best practices in cardiac care. This, in turn, assists in improving clinical outcomes.

For more information about heart attacks, visit the American Heart Association’s website: https://www.heart.org/en/health-topics/heart-attack/about-heart-attacks

If you are experiencing an emergency, please dial 911 right away. If you are experiencing heart attack symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100.

 

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Coping With Mental Health Challenges After A Heart Attack

Having a heart attack can be frightening; therefore, it is common for people to experience anxiety, post-traumatic stress disorder (PTSD), or depression after surviving this life-changing event.  In fact, the risk of depression is three times higher in heart attack survivors when compared to the general population; more than 25% of survivors experience anxiety after a heart attack, and 1 in 8 heart attack survivors experience symptoms of PTSD.

Mental health challenges often develop after a cardiac event because there is an uncertainty of things to come or a fear that it can happen again.

Feeling afraid, sad, confused, worried, stressed, or angry is expected in the days or weeks of having survived a heart attack.  However, it is important that these emotions are addressed with urgency and managed because they can affect recovery.  Untreated stress, anxiety, or depression can lead to physical symptoms such as increased heart rate or blood pressure that put a strain on the heart.

Being aware of these negative emotions and learning how to cope can improve mental health.  This can be achieved by identifying triggers and practicing stress or anxiety-reducing exercises such as:

  • Speaking to someone about how you feel
  • Socializing
  • Practicing mindfulness
  • Challenging negative thoughts and thinking positively
  • Practicing deep breathing
  • Practicing gratitude
  • Spending time in nature
  • Exercising
  • Eating well
  • Getting enough sleep

In addition to practicing stress management exercises or other coping techniques, it is important to seek the assistance of a mental health provider to create a treatment plan to manage the symptoms of PTSD, anxiety, or depression.

To schedule an appointment with a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Difference Between A Heart Attack and Cardiac Arrest

Heart attack and cardiac arrest are terms that are often used interchangeably; however, the two are very different life-threatening emergencies.  A heart attack is best described as a circulation problem, while a cardiac arrest is described as an electrical problem.

A heart attack or myocardial infarction occurs when blood flow that brings oxygen to the heart is severely reduced or blocked.  This blockage can be caused by the buildup of cholesterol, fat deposits, or other substances in the coronary arteries. The decreased flow of blood and oxygen to the heart muscle can lead to severe damage or death. The most common symptoms of a heart attack are:

  • Chest pain
  • Shortness of breath
  • Pain or discomfort in the jaw, neck, back, arm, shoulder, or stomach
  • Nausea
  • Lightheadedness

Time is of the essence when treating a heart attack. Each minute that goes by can result in more damage to the heart.  Emergency treatment, which includes medications, surgery, or a combination of both, is needed to restore the flow of blood and oxygen to the heart.

Cardiac arrest occurs when there is an electrical malfunction of the heart that causes it to stop pumping blood to other parts of the body. This can result in the loss of consciousness or death if not treated quickly.   The signs of a cardiac arrest are immediate and can include:

  • Heart palpitations
  • Shortness of breath
  • Unusual fatigue
  • Collapsing suddenly
  • Not breathing or gasping for air

Treatment for cardiac arrest should be immediate. Cardiac arrest may be reversed if CPR is performed, and a defibrillator shocks the heart to restore a normal rhythm within a few minutes.  Emergency treatment is needed to treat complications that may have resulted from cardiac arrest.

Jamaica Hospital Medical Center is recognized as a Primary Heart Attack Center by The Joint Commission and the American Heart Association. This certification reflects the hospital’s commitment to providing a high standard of cardiac care to heart attack patients.

Jamaica Hospital’s Cardiology Department cardiology takes pride in providing patients with the very best in heart health care. Our experts provide a wide range of inpatient and outpatient cardiovascular services for those with known or suspected diseases of the heart and blood vessels. To schedule an appointment with our cardiologists, please call 718-206-7100.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Facts About Aspirin Therapy

Daily aspirin therapy is sometimes recommended for people who are at risk for heart attacks or diagnosed with certain heart diseases. While this form of therapy is effective, it may not be the right form of treatment for everyone.

Taking occasional doses of aspirin is typically safe; however, daily use can lead to serious side effects.  This is why it is highly advised that you speak with your doctor to determine if this approach is best for you. Serious side effects of aspirin can include:

  • Gastrointestinal bleeding
  • A stroke resulting from a burst blood vessel
  • Allergic reactions

Recommendations for daily aspirin use may vary from person-to-person. Your doctor may recommend this regimen if you have:

  • Coronary artery disease or atherosclerosis
  • Had a heart attack
  • Had a transient ischemic attack or stroke
  • Had bypass surgery or a stent placement procedure

Your doctor may not recommend daily aspirin therapy if you:

  • Have a bleeding or clotting disorder
  • Have bleeding stomach ulcers
  • Have an aspirin intolerance
  • Drink alcohol regularly
  • Are undergoing certain medical or dental procedures

If you are considering daily aspirin therapy, you must consult your physician before you begin.  You should inform your doctor about any health conditions or risks you may have that will increase the chances of complications.  Provide a list of medications that you are taking, as some may contribute to drug interactions and adverse effects.  Based on the current condition of your health, your doctor will advise you as to whether or not daily aspirin therapy is right for you.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.