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To: Jacques Chitte who wrote (25286)	5/22/1999 7:40:00 AM
From: nihil	Read Replies (1) of 71178

Emergency care for suspected MI is of critical importance. The first thing for everyone is have a thorough cardiac examination before any attack occurs. First heart attacks can be prevented in many cases (~40%) by a daily aspirin and metoprolol. I am told most physicians take a daily aspirin, and that a daily metoprolol has been considered for everyone but appears not to be cost effective (that's socially cost effective, it may be cost effective for you). Heart pains (angina -- its like a anvil on your chest and left arm) call for a EKG and blood tests for tissue injury (elevated CK-MB), aspirin, IV heparin, morphine, nitroglycerin, oxygen, and on evidence of MI a clot buster (in the first few hours, very expensive and has some risk). It is critically important to get to a well-equipped cardiac care unit emergency center (the ambulance crew has defibrillators and will take you to the right place). A substantial proportion of first heart attacks are fatal and many are impossible to predict. Don't see your doctor -- get to a CCU!

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