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Brystsmerter, akutte

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NHI.no

--&gt; https://nrr.org/images/nedlasting/pdf/NRR_og_NFR_Guidelines_2021_Generell_forstehjelp.pdf

Norsk Resuscitasjonsråd. Norsk Førstehjelpsråd sine anbefalinger for generell førstehjelp 2021. Publisert 18.06.2021. 

Et hjerteattakk skyldes en blokkering, vanligvis en blodpropp, som dannes inne i en pulsåre (koronararterie) som bringer blod til deler av hjertemuskelen

Blokkeringen medfører at denne delen av hjertemuskelen mister blodforsyningen. Konsekvensene av blokkeringen avhenger av hvor mye av hjertemuskelen som frarøves blodforsyning. Uansett oppstår i de aller fleste tilfeller akutte brystsmerter

Den alvorligste komplikasjonen til et hjerteattakk er at det oppstår en rytmefeil i hjertet - asystole eller ventrikkelflimmer - noe som fører til hjertestans

Hvis du mistenker et hjerteattakk, må pasienten ta det med ro og man må sørge for at vedkommende kommer på sykehus så raskt som mulig

Bakgrunn

Brystsmerter, sammensnørende, kan stråle opp i kjeven og ut i armene

Eventuelt svimmelhet og besvimelsestendens

Typiske symptomer og tegn

Få vedkommende til å sette seg ned og slappe av

Ring 113 eller tilkall på annen måte akutt medisinsk hjelp

Bor du langt fra sykehus eller lege, kan det noen ganger være raskere å få den syke inn i en bil og kjøre til nærmeste sykehus 

Eventuelt kan det være aktuelt å bruke luftambulanse

Hvis du selv har et hjerteattakk, må du aldri kjøre bil selv

Dersom tilgjengelig, i samråd med 113 ta en tablett med salisylat og eventuelt nitroglycerin 

Aspirin eller Albyl 300-350 mg - tygg den for å påskynde opptaket

Om pasienten har anginamedisin som nitroglycerin, bør det tas

Hvis den syke er bevisstløs, kan det være at den akuttmedisinske sentralen du ringer (113) ber deg om å begynne med hjertelungeredning

Selv om du ikke har trening i det, kan sentralen forklare hvordan du gjør det

Hjerteinfarkt

--&gt; http://dx.doi.org/10.1093/eurheartj/ehad191

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Journal of the American Medical Association

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--&gt; http://dx.doi.org/10.1136/bmj.o1444

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--&gt; http://dx.doi.org/10.1056/NEJMoa1707914

Ridker PM, Everett BM, Thuren T, et al. Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease. N Engl J Med 2017. doi:10.1056/NEJMoa1707914 

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Jolly SS, d'Entremont MA, Lee SF, et al. Colchicine in Acute Myocardial Infarction. N Engl J Med 2024. pmid:39555823 

Brystsmerter, akutte: Typiske symptomer og tegn

Vil du vite mer