hearth attack during or after training?!.

two days ago i experienced such an event ..after training one of my students (42 years of age) who has been training always hard(harder than most of the youngers), had told that he has been feeling himself not so good and had some pain starting from left shoulder and going down to the finger...in the beginning i couldn't decide so well since the the description of the pain was not so clear...however, after my question "whether there is cold sweat or not" ,i decided that he was under the danger of a hearth attack...so , i gave him two undertongue pills (isordil) and 300 mgr aspirine (disprile) and let him laying down without moving and after 5 minutes rest brought him directly to a good expertised hospital...so, he was under heavy hearth attack, one vessel 100% blocked ...they opened the vessel by anjio and treatment of stent...the doctors said if we hadn't done the treatment in the gym and been late for another 15 minutes ,he was died...

i now strongly believe that the isordil, aspirine should be also kept among gym medicine always...

(funny but, the guy was training good, dieting (like vegeterian) well,not taking alcohol,no likely people in the family,not overweighedü, only 2-3 cigarettes daily...)

We had a guy died in the gym. He was around that age. We are not allowed to give any medication, not that I would have known what to give anyway!

dave,

i see the point that in many countries (here also) it is not allowed to make medicine treatment by ordinary people ...however, as a certified trainer i think that we have a door to make such treatments since most times it may be late...

i think that the said medicals are not harmful i.e. isordil and aspirine...

the most important fact is how to understand the typical sendroms of the heart attack (or anjino pectoris) since i believe that this may be headache for any trainer for any time in their lives :

-a stress feeling on the chest...
-pain ,pressure,burnings starting from the neck (behind) through deltoids & triceps down to the fingers...
-cold sweat...
-feeling that you are squezeed from sides...
-weight on the chest...

if you feel that there are some of them , f...k(!) the medical authorities and give those pills without hesitating (they can also taken by normal fellows without any doubt,harm,risk) ...the risk of those pills may be only during brain bleeding events since they are increasing the viscosity of the blood, but the appereances of this event are totaly different...we are trainers and are also responsible against the student at any time...

(another point is that over 35 the fellows would not train so hard ...)

ercan

Well done ! sounds like your thinking and swift action saved his life!!

I bet most people would have said 'Sit down and rest for a few minutes'. If you had done that he wouldn't be here.

FB'Slim

thanks fatboy,

otherwise ,i would feel myself a bit responsible ...

After reading this thread....(Dave's especially) i think i should pack in! 42!
But well done Ercan,It does sound like you saved this guy.

Aspirin is proven to help in preventing the clot inside the coronary artery to develop further. Heparin is a better choice but not easy to handle if there is no medical qualified personnel available to administer. Nitrites (isosorbide dinitrate and derivatives) have only a short-term activity but can relieve extra-strain by reducing heart strain in the first hours after the onset. One should keep in mind that nitrites have a different activity if administered in pills (longer effect) and some types of infarction (right ventricular) represent contra-indications. To be sure one is not wrong, it's worth to administer either per-lingual forms (chewable pills or spray) or ointments/adhesive bands with percutaneous release, which act very shortly and can be interrupted promptly if proven wrong. Nitroglycerine and isosorbide-dinitrate (ISDN) sprays with per-lingual administration are the best in an emergency kit. If wrong, their effect ends within 15-30' since administration or shorter. So a combination of aspirin + ISDN or nitroglycerine spray is indeed the thing to do if a better choice is not available/medical personnel not accessible.

A very important matter : once suspicion of heart attack clear, urgent administration of enzymes which dissolve the clot (streptokinase, urokinase) or other human-derived compounds with fibrinolytic activity within THE FIRST 12 H since the onset of symptoms can result in restitutio ad integrum (complete restoration of threatened heart muscle) whilst temporising too much can lead to the infarction to become irreversible. Such compounds are available in most clinics with modern cardiology facilities. So even if things look so'n so don't waste time ! Better have a false emergency than compromise for good the health of a person. Those treated accurately can benefit of a pretty normal life even after the attack, to an extent that they can even enjoy moderate physical activity.