Presenter:
Md Khairulamin AS Nursing Lecturer PAPRSB Institute of Health Sciences UBD
Heart
Msc Adv Clinical Pract, PGCTE, BA Nursing, Dip Nursing, AHA ITC Training Coordinator, AHA BLS & ACLS Instructor, PHTLS Provider,
Pan Asia Simulation Society for Healthcare General Secretary
Your Heart
My
OUR STORIES: What can you learn?
Is Your Heart Healthy? How do you know if NOT?
“I’m too young to worry about heart Attack.”
“I’ll know when I’m having a heart attack because I’ll have chest pain.”
“I don’t need to have my cholesterol checked until I’m middle-aged.”
The symptoms of a heart attack is dramatic “A Drama Heart Attack”
Q: Are these TRUE or NOT?
Non-modifiable Modifiable
Age Genetic Gender(M)
Physical inactivity Obesity Hypertension Diabetes mellitus High Cholesterol Unhealthy diet Smoking Steroid abuse
Heart Attack
Hospital
Early warning signs
Impending HA
Tanda-tanda awal SJ Tanda-tanda akhir SJ
PreHospital/ Di luar Hospital
“Know the WARNING SIGNS, Act Fast and Save Life”
Trajectory of Heart Attack
Cardiac Arrest
Early warning signs
Unexplained weakness or fatigue
(Keletihan tanpa sebab yang
munasabah)
o Fatique with non-
endurance activity e.g
walking
o Fatique at rest
Fatique during activity
(Keletihan yg berlebihan)
o Easily get tired with
bearable chest
discomfort/pain
o Shortness of breath
Feeling cool /cold sweat
(Sentiasa rasa sejuk)
o Feeling cold toward the
evening
o Always use warm water
to bath or shower
o Wear sweater all time
Lightheadedness
(Mudah Pening)
o feeling pass out if
try to stand up or
overexert
Pale
(Pucat)
Sleepiness
(Penidur)
o Unusual feeling of
o sleepiness
Our Stories: Early Warning
“Dalam sebulan dua kalau jalan jauh rasa sangal-sangal panat ara rahang..”
“Dlm setahun atu selalu sangal di bahu dan melarat k tangan walaupun
inda buat aktibiti ..bawa berurut..Ok...”
“Sebulan 2 sebelum atu mudah mengantuk walaupun rasanya cukup tidur”
Mudah ngalih dengan aktibiti yang ringan dan makin betambah dengan waktu…
JANGAN DI PANDANG RINGAN.
If tiredness progressing over time even with simple activities
..DO NOT IGNORE THIS SIGN. Need medical check up.
Late warning signs
“Ampir Hari”
Purely Chest pain (left) Sakit dada-kiri Unbearable Chest pain like being squeeze, sharp pain, being compress “Rasa nya dada atu kan pacah”
Shortness of breath
Sanak/Singkat Nafas
Nausea and
vomiting
Mual dan Muntah
“Rasa kan muntah
tapi nada kan di
muntah kan
Numbness or Pain
Rasa Panat or sakit
- Hand, Neck, Jaw
Profuse sweating even witout activity Paluh yg berlebihan
Chest discomfort
Dada rasa kurang selesa
- No chest pain
- On/off increase in
frequency and
duration
Palpitation
Jantung Labuk-labuk
Our Stories: Late Warning
Do not wait for CARDIAC ARREST to happen. If it happen better in Hospital than at Home
“ Setelah lebih kurang 30minutes ku mengurak
tikar sembahyang, dada ku rasa kurang selesa,
tangan rasa sangal, ada rasa kan muntah tapi di
pajal jua menghabis kan urakan tikar sembayang
untuk sembahyang jumat. Sudah atu aku
membuka pagar masuk, rasa nya kan inda
kesampaian ku pajal jua..Cukup waktu balik
keraja, rasa lalah dan kalat mata berabis
walaupun sebelum atu cukup tidur. Tidur dari
pagi sampai kan ptg..tempat tidur basah
berpaluh yang luar biasa.. dalam kul 6 ptg anak
ku datang melawat dan perasaan macam ada
yang inda kena, walaupun di pajal mula-mula nya
inda kan mau kan ke hospita kan tidur tah
pulang...”
I was tired, felt like I was coming down with a cold or something. I started getting "funny" sensations in my chest. They weren't painful at first, it just felt like my heart was "throbbing" or sometimes the beats would be harder. As the night went on they got worse. When I would kneel down, it was like my heart was slowly pounding in my throat, and the beats started to have some pain associated with them. ……
“Mengambil kayu di hutan pagi dalam pukul 8
rasa sanak dada tapi sampai di rumah rasa
kurang..mencuci mesin...sanak dada mcm
berdugal rasa nya...bawa tidur tapi sakit nya
datang2 dan inda berkurang..dlm kul 4 ptg baru
ku bawa ke hospital..”
Time subuh rasa tangan panat2. Berpaluh macam buat
keraja barat walaupun beraircon... Tapi pukul 2 ptg baru ke
hospital pasal inda tahan lagi...
When you have chest pain/discomfort accompanied with numbess radiating to hand, neck and jaw…a strong warning signs and need urgent attention.
DO NOT DELAY/ LAKAS LAKAS TA KE HOSPITAL
Sakit nya macam kena tabak dari belakang……
No warning signs
“Saya menghidapi kencing manis sejak 1994 dan berperiksa setiap 6
bulan. Pada Dec 2016 Dr kata ada perubahan pada ECG saya lalu Dr
membuat appointment untuk “stress test” ..Selepas itu Dr merujuk saya ke
pada pakar jantung dan di arahkan untuk angiogram. Kata Dr ada 4 saluran
darah tersumbut..70, 70, 70 dan 60%. 10 hari lepas itu saya menjalani
operation jantung.....
Saya rasa sehat saja tidak ada tanda2 seperti yang lain sebut kan..yang
sama hanya lah rasa kuat tidur”
Saya di dapati menghadapi masalah jantung melalui “medial check up- ECG dan
Stress Test” sebelum menjalani tugas ramai kerajaan di luar negara... Angiogram
pertama 65% blok, Angiogram ke 2 60% blok dan ketiga 70% blok.....
Tidak ada tanda2 awal
Risk factors: Family history Age >40 Male Diabetes High blood pressure High Cholesterol Smoker Inactivity Obesity Unhealthy diet Steroid/supplement usage
Chest discomfort with exertion Unexplained fatigue Cold sweat Lightheadedness Pale Unexplained Sleepiness Excessive snoring
Chest discomfort Chest pain Radiating pain or numbness Shortness of breath Profuse sweating Palpitation Nausea vomiting
Early signs
Late signs
Seek M
edic
al A
ttentio
n
Urg
ent M
edic
al A
ttentio
n
Take Home Message The facts What can you do
Heart attack can occur regardless of age Heart attack can occur even if you at your ideal weight Heart attack occur at sudden but the warning signs occur long before it happens Heart attack does not always occur with severe chest pain. Sometime occurs without warning Heart attack is preventable or delayed The multiple the risks the higher chances of having heart attack Delay in seeking treatment may cause loss of life
Do regular medical check up Watch out your diet Pay attention on the modifiable risk factors If you are HIGH CHOLESTEROL (medication, diet and activity is a must) If showing the warning signs— Don't Delay—Get Help Quickly
For First Aid, BLS/CPR AED, ACLS: [email protected]
