A heart attack occurs when the blood flow to a part of the heart is blocked by a blood clot. If this clot cuts off the blood flow completely, the part of the heart muscle supplied by that artery begins to die. Most people survive their first heart attack and return to their normal lives to enjoy many more years of productive activity. But having a heart attack does mean you have to make some changes. The doctor will advise you of medications and lifestyle changes according to how badly the heart was damaged and what degree of heart disease caused the heart attack. What happens when a blood vessel that feeds the brain gets blocked, usually from a blood clot. When the blood supply to a part of the brain is shut off, brain cells will die. The result will be the inability to carry out some of the previous functions as before like walking or talking. A hemorrhagic stroke occurs when a blood vessel within the brain bursts. The most likely cause is uncontrolled hypertension (blood pressure).
Some effects of stroke are permanent if too many brain cells die after a stroke due to lack of blood and oxygen to the brain. These cells are never replaced. The good news is that some brain cells don't die — they're only temporarily out of order. Injured cells can repair themselves. Over time, as the repair takes place, some body functioning improves. Also, other brain cells may take control of those areas that were injured. In this way, strength may improve, speech may get better and memory may improve. This recovery process is what rehabilitation is all about.
Other Types of Cardiovascular Disease
Heart failure: This doesn't mean that the heart stops beating. Heart failure, sometimes called congestive heart failure, means the heart isn't pumping blood as well as it should. The heart keeps working, but the body's need for blood and oxygen isn't being met. Heart failure can get worse if it's not treated. If your loved one has heart failure, it's very important to follow the doctor's orders.
Arrhythmia : This is an abnormal rhythm of the heart. There are various types of arrhythmias. The heart can beat too slow, too fast or irregularly. Bradycardia is when the heart rate is less than 60 beats per minute. Tachycardia is when the heart rate is more than 100 beats per minute. An arrhythmia can affect how well the heart works. The heart may not be able to pump enough blood to meet the body's needs.
Heart valve problems: When heart valves don't open enough to allow the blood to flow through as it should, it's called stenosis . When the heart valves don't close properly and allow blood to leak through, it's called regurgitation . When the valve leaflets bulge or prolapse back into the upper chamber, it’s a condition called prolapse .
Cardiovascular Disease Treatment
Heart Valve Problems Medications Heart Valve Surgery Arrhythmia Medications Pacemaker Heart Attack Medications — clotbusters (should be administered as soon as possible for certain types of heart attacks) Coronary Angioplasty Coronary Artery Bypass Graft Surgery Stroke Medications — clotbusters (must be administered within 3 hours from onset of stroke symptoms for certain types of strokes.
Diagnostic Tests, Surgical Procedures and Medications
In the hospital and during the first few weeks at home, your loved one's doctor may perform several tests and procedures. These tests help the doctor determine what caused the stroke or heart attack and how much damage was done. Some tests monitor progress to see if treatment is working.
Your loved one may have undergone additional surgical procedures.
Your first goal is to help your loved one enjoy life again and work to prevent another stroke or heart attack. As a caregiver, you're responsible for helping your loved one take medications as directed and on time. Find out about the new medications your loved one must take. Know what they're for and what they do. It's important to follow your doctor's directions closely, so ask questions and take notes.
PHARMACOLOGY
Treatment of cardiovascular (CV) disease often requires the administration of numerous medications for long periods of time to patients likely to be old and suffering from a range of comorbid conditions. Rational prescribing informed by clinical pharmacology is essential if the right drug is to be administered to the right patient, at the right time, and for the right price. This requires an appreciation of the key principles of clinical pharmacology, and specific knowledge of individual therapies. Knowledge of polypharmacy and drug interactions is crucial, and the pharmacokinetic and pharmacodynamic challenges associated with advanced patient age, comorbidity, and sometimes frailty must be addressed and overcome. The environmental and genetic determinants of variability in response to treatment are increasingly well understood, and new biomarkers and pharmacogenetic techniques provide the foundations of the emerging discipline of personalized medicine. Long-term preventive medication raises issues concerning safety, adherence, and cost to healthcare providers. A basic familiarity with the principles of pharmaco-vigilance, pharmaco-epidemiology, and pharmaco-economics may therefore be of some value to practitioners....
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