Thursday December 12, 2019

Mission Delhi to Provide Care to STEMI, Very Serious Type of Heart Attack Patients

A STEMI patient requires treatment within the golden hour (90 minutes) of the onset of symptoms and providing clot buster therapy

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Mission Delhi, STEMI, Heart Attack
The Mission Delhi aims to provide care to STEMI, a very serious type of heart attack, patients. Pixabay

It takes just 10 minutes to treat someone under the Mission Delhi programme, started by the Indian Council of Medical Research (ICMR) along with the All India institute of Medical Sciences (AIIMS).

The Mission Delhi aims to provide care to STEMI, a very serious type of heart attack, patients. A STEMI patient requires treatment within the golden hour (90 minutes) of the onset of symptoms and providing clot buster therapy within 30 minutes.

“Just rang up at 14:43 and within ten minutes the team of doctors arrived with their kits. We were all surprised and amazed with the prompt service. We are happy and appreciate people who thought of this initiative,” said one of the patients treated by the staff under Mission Delhi.

Heart diseases are the leading cause of death in the country. “Ischemic heart disease and stroke account for over 80 per cent of deaths both in rural and urban areas. We need to save precious lives by increasing awareness regarding STEMI symptoms and reaching the patients at the earliest,” said Dr Ramakrishnan, a leading cardiologist at AIIMS.

Mission Delhi, STEMI, Heart Attack
It takes just 10 minutes to treat someone under the Mission Delhi programme. Pixabay

The heart is like a motor that pumps blood to the body as well as the heart through three pipes — the coronary arteries. If any of these pipes is blocked by a clot, the heart tissue beyond that area dies. In the initial hours, clot busters can restore the blood flow and stop the damage to heart tissue. If the treatment is provided in the first 30 minutes, complete recovery is possible,” said Dr Praveen Aggarwal from the Department of Emergency Medicine at AIIMS.

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THe motorcycle ambulance system moved easily through traffic jams and offer timely and quality care led by consultants at AIIMS to patients at their residence itself. (IANS)

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Listen To Music To Reduce Cardiac Stress While Driving

Listening to music while driving can reduce cardiac stress

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Reducing stress
Researchers found that listening to music while driving reduces cardiac stress. Pixabay

Stress while driving is a risk factor for the development of cardiovascular disease and sudden cardiac complications such as heart attack, but now researchers have found that listening to music while driving can reduce cardiac stress.

“We found that cardiac stress in the participants in our experiment was reduced by listening to music while they were driving,” said study lead author Vitor Engracia Valenti, Professor at Sao Paulo State University in Brazil.

For the study, published in the journal Complementary Therapies in Medicine, researchers analysed the effects of music on cardiac stress in five women between the ages of 18 and 23.

“We opted to assess women who were not habitual drivers because people who drive frequently and have had a license for a long time are better adapted to stressful situations in traffic,” Valenti explained.

The volunteers were assessed on two days, in different situations and in a random order.

stress
Researchers analysed the effects of music on cardiac stress in five women between the ages of 18 and 23. Pixabay

On one day, they drove for 20 minutes at rush hour (5:30-6:30 pm) along a three km route in a busy district of Marilia, a medium-sized city in the northwest of Sao Paulo, without listening to music.

On the other day, the volunteers drove the same route at the same time of day but listened to instrumental music on a CD player coupled to the car radio.

The use of earbuds or headphones while driving is a traffic offense.

“To increase the degree of traffic stress, we asked them to drive a car they did not own. Driving their own car might help,” Valenti said.

The level of cardiac stress was estimated by measuring heart rate variability using a heart rate monitor attached to the participant’s chest.

Defined as fluctuations in the intervals between consecutive heart beats, heart rate variability is influenced by the autonomic nervous system.

The more active the sympathetic nervous system, the faster the heart beats, while the parasympathetic nervous system tends to slow it down.

“Elevated sympathetic nervous system activity reduces heart rate variability, whereas more intense parasympathetic nervous system activity increases it,” Valenti said.

stress
The level of cardiac stress was estimated by measuring heart rate variability using a heart rate monitor attached to the participant’s chest. Pixabay

Analysis showed a reduction in heart rate variability in the volunteers who drove without music, indicating a lower level of parasympathetic nervous system activity but sympathetic nervous system activation.

Conversely, heart rate variability increased in the drivers who listened to music, indicating a higher level of parasympathetic nervous system activity and a reduction in sympathetic nervous system activity.

However, the sample size used in the study was too small but significant.

“Listening to music attenuated the moderate stress overload the volunteers experienced as they drove,” Valenti said.

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“Listening to music could be such a preventive measure in favour of cardiovascular health in situations of intense stress such as driving during rush hour,” he said. (IANS)