The first hour after the onset of a heart attack is called the golden hour. This concept is extremely important to understand because most deaths and cardiac arrests occur during this period. However, if the person reaches the hospital and gets treated within this period he/she can expect near-complete recovery. It is a critical time. Heart attack is caused when a clot completely blocks a blood vessel in the heart. Heart muscle starts to die within 80-90 minutes after it stops getting blood and within six hours almost all the affected parts of the heart could be irreversibly damaged. So, the faster normal blood flow is re-established, the lesser would be the damage to the heart. Once you are at the hospital, the doctors will try to get rid of the clot, either with the help of a very powerful clot buster medicine or with a procedure called primary angioplasty. Primary angioplasty is the preferred therapy in most scenarios. In primary angioplasty a stent is deployed in the blocked artery to open up the blood flow.
It’s not the heart attack itself that kills, it is also the time wasted when one is trying to decide whether or not to got to the hospital
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