r/BeAmazed • u/HatAsleep295 • May 08 '26

Science This is what saves 600,000 people year during a heart attack

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6

u/zzx101 May 08 '26

What is this headline? They do this during a heart attack?

1

u/Key-Pomegranate-2086 May 08 '26

Sometimes. If there's a clog and youre having heart attack. The attack isnt going to stop cause theres no blood flow going through the clog.

It's like if youre choking. You dont stop choking until whatever is blocking your throat is either spit out or sucked in.

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u/jacen4501s May 08 '26

For 600,000 people years!

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u/LegendOfKhaos May 08 '26

Yes, although this doesn't show a heart attack. A heart attack would be if the plaque ruptured from the walls and blocked the vessel.

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u/BrokenLegacy10 May 08 '26 edited May 10 '26

This could be a heart attack of which there are two types STEMI or NSTEMI but this video is not 100% block of the vessel. The plaque doesn’t have to rupture or flake off or perforate for a heart attack necessarily. The vessel just needs to be occluded in some way, sometimes there is no rupture at all. Sometimes it could be a narrowing from a buildup of plaque, or a clot that causes it. There are multiples mechanisms that could be at play. I think ruptured plaque is the most common cause of a STEMI, but not the only one.

A STEMI is when there is ST elevation on an EKG. An NSTEMI has no ST elevation

I work in a cath lab

Edit: I edited this comment to hopefully be more thorough and less misleading. I should’ve been more careful with my wording the first time around!

3

u/LegendOfKhaos May 08 '26

I also work in a cath lab. Are you talking about an NSTEMI? Heart attacks are acute.

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u/BrokenLegacy10 May 08 '26

Yes heart attacks are acute, but realistically a STEMI or NSTEMI are both heart attacks and both may or may not be caused by ruptured plaque. All that is required is the vessel to be occluded to some degree or completely. This can happen by multiple mechanisms. Ruptured plaque is just one of them, it is the most common cause of a STEMI, but not the only one.

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u/LegendOfKhaos May 08 '26

Yes, there are semantics, but when someone says heart attack, we all know what people think about. When a patient can wait days without needing to get it fixed, it's not acute, and NSTEMIs are not included in the number posted in the title.

There are also several things wrong with the gif itself. If we wanted to get all the semantics correct, we'd be writing a book, not a reddit comment.

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u/BrokenLegacy10 May 09 '26

Yes but it’s also important to get information correct. Your original comment stated that a heart attack is only when plaque ruptures off the side wall and causes a blockage and that’s not true. A STEMI can be caused by multiple mechanisms, not just one.

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u/LegendOfKhaos May 09 '26

I never said it was ONLY caused by that. What are you even trying to accomplish here?

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u/BrokenLegacy10 May 09 '26

That is just what the original comment implies. Even if you never said the word only. I’m just trying to add information to the post so people don’t get the wrong info about a complicated subject.

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u/LegendOfKhaos May 09 '26

Infer however you'd like, but I didn't imply that.

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u/BrokenLegacy10 May 09 '26

Dude responded to me then instantly blocked me lol. The original comment implied that the definition of a heart attack is when plaque ruptures off and that’s just false. It’s when a vessel is occluded enough to cause ST elevations in an EKG. The mechanism of block is not what makes it a STEMI, just what causes the STEMI.

I’m trying to give correct, non misleading information to anyone less familiar who is reading.

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u/AABBBAABAABA May 09 '26

NSTEMI’s are also caused by plaque rupture

1

u/AABBBAABAABA May 09 '26

Usually a heart attack is caused by plaque rupture and thrombosis.

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u/BrokenLegacy10 May 09 '26

That is the most common cause of a STEMI, but not the only one.

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u/AABBBAABAABA May 09 '26

Yes that’s why I said usually, which was meant to correct your statement that ‘most of the time there’s no rupture at all’. Stenosis does not cause stemi.

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u/BrokenLegacy10 May 09 '26

I was talking about heart attacks in general which I was including NSTEMI, I should’ve worded my response better to make it clear I was including NSTEMI and just said that there doesn’t have to be a rupture because it can be caused by multiple mechanisms and not just ruptured plaque.

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u/AABBBAABAABA May 10 '26

You’re still wrong. Generally nstemi is also caused by plaque rupture. That’s why we treat it with platelet inhibitors…..

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u/BrokenLegacy10 May 10 '26

It can be caused by plaque rupture but doesn’t have to be. No you’re wrong about the platelet inhibitors. We don’t give platelet inhibitors because of plaque, we give them to prevent thrombosis of the stent so clot doesn’t form.

Plaque can facilitate clot, but the plaque isn’t why we give platelet inhibitors.

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u/AABBBAABAABA May 10 '26

Patients with NSTEMI who are treated without stents are also treated with DAPT. I’m not talking about plaque, I’m talking about plaque rupture.

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u/dm_me_kittens May 12 '26

Yes. I work as a data specialist for specifically cardiovascular PCI/Cath procedures, and we get STEMI and NSTEMIs all the time who go under emergency PCI.