Recognizing Stroke and Heart Attack

In the morning he was driving to town in his tricycle to visit his daughter and son-in-law. Several hours later, his wife was being told by his attending physician he had very low chances of survival. The next day, he was dead. The culprit? Stroke.

When I heard of the story, I commented, knowing full well how minutes matter in cases of heart and stroke attack, that maybe the man wasn’t rushed to the hospital immediately, that’s why he died on his first attack.

It turned out I was right.

Dad recounted that the morning before the man died, he and the man nearly had an accident along a narrow barangay road, as neither saw the other approaching. Dad was driving his owner-type jeep, and the man was driving a tricycle. It was when they were already very close that they saw each other. When finally, both of them maneuvered so that they could pass each other, Dad said to the other man, “Pasensiakan kabagis. Di ka napasungadan.”
The other man replied, “Uray siak ngarud, kabagis. Di ka nakita a sumungsungad.” The two men saluted each other, and drove off.

Dad recalled much later that the other man’s voice was indistinct, as if it was coming from a tunnel. It seemed the man might already be having a stroke at that time, but still managed to get to his daughter’s house which was about 15 minutes’ drive from where Dad met him. As soon as the produce he had brought was unloaded from his tricycle, the man asked his son-in-law to drive him back to the barrio as he wasn’t feeling well. “Naam-amlinganak sa,” he complained.

The son-in-law later narrated that when he and his father-in-law got to the barrio, the fqther-in-law could hardly walk to the house; he was staggering like a drunk. Later that day, they brought him to a clinic, where they were advised by the doctor to bring him to a hospital where there are facilities that might save him.

At the hospital much later in the afternoon, the man's wife was briefed by the doctor of the prognosis. The following morning, the man breathed his last.


Major killer diseases

Heart attacks and strokes are among the top ten causes of death around the world. Coronary heart disease, which includes heart attack, ranks first; whereas, stroke ranks second (WHO, 2007).

This is unsettling, especially if you or someone you love becomes part of the statistics. That’s why it is becoming more important that we become very vigilant, especially when we are with high-risk people. Studies say that people who are considered high-risk are those who are above 40 (although there are now folks who experience attacks in their late 20s and early 30s), smokers, leading a stressful lifestyle, fond of unhealthy food, and have a sedentary lifestyle.

However, an even sadder revelation is that not many would recognize stroke and heart attack if they stare them in the face, and would not know what to do in case they happen. So I thought, I should compile some information I could find about these, translate them to Ilokano, and distribute them among family members and friends.

Here is the first installment of the things I’ve gathered:


Heart Attack Warning Signs

According to the American Heart Association (AHA), not all heart attacks are strong and sudden. In fact, most are slow, with only mild pain or discomfort. People having this kind of heart attack are not sure what’s wrong, so they often wait long before seeking help.

Here are the signs (Lifted from the AHA website):

• Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.
• Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.
• Shortness of breath with or without chest discomfort.
• Other signs may include breaking out in a cold sweat, nausea or lightheadedness.
  As with men, women's most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain.

Stroke Warning Signs (Lifted from the AHA website):

• Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
• Sudden confusion, trouble speaking or understanding
• Sudden trouble seeing in one or both eyes
• Sudden trouble walking, dizziness, loss of balance or coordination
• Sudden, severe headache with no known cause

Cardiac Arrest Warning Signs (Lifted from AHA website):

• Sudden loss of responsiveness (no response to tapping on shoulders).
• No normal breathing (the victim does not take a normal breath when you tilt the head up and check for at least five seconds).

When you or your loved one experiences any of the signs above (not all signs will manifest during an attack), AHA advises that you should seek medical help, even if the symptoms are very mild, and seem to go away. The association likewise advises calling 911, but for folks in the Philippines, especially in the barrios where it takes time before an ambulance could come to you, asking a loved one to bring you or the patient to the hospital might be the wisest course of action instead of simply lying down to rest. As they say, better sure than dead.

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Personal Note

I have always wanted to write a “premier” about recognizing heart and stoke attacks when I realized my folks are getting old and are now at risk of having any of these attacks. My plan had been to gather data, write, have my write-up checked by a specialist, then translate my article to Ilokano so that everyone in the household would understand it, and hopefully do the right thing when something like this happen. But somehow I always forgot about actually doing it. But having heard of the recent attack in our barrio, I was spurred to action, realizing that I must do it NOW, not LATER. So here is the first step.

If you’d notice, I lifted a part from the American Heart Association website verbatim, as I am afraid of making a mistake in re-stating them. (I would when I am ready to show it to a specialist).

I hope this article would be of help. For more information about stroke and heart disease, I advise that you go directly to the AMERICAN HEART ASSOCIATION website. Thank you.


References

American Heart Association. (n.d.) Heart Attack, Stroke, and Cardiac Arrest Warning Signs. Accessed February 6, 2008 from http://www.americanheart.org/presenter.jhtml?identifier=3053#Heart_Attack

World Health Organization. (February, 2007). Top Ten Causes of Death. Accessed February 6, 2008 from http://www.who.int/mediacentre/factsheets/fs310.pdf

//Sherma E. Benosa; 06 February 2008

Also posted in the IMAGES AND LINES page of my ILUKO.COM BLOG

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