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Bernie Sanders has been discharged from hospital per his campaign.

His treating physicians said:
“After presenting to an outside facility with chest pain, Sen. Sanders was diagnosed with a myocardial infarction."

A myocardial infarction is a heart attack.
Friendly neighborhood EMT here. Let's talk about the signs and symptoms of cardiac compromise.

When Bernie Sanders had a heart attack he went to the hospital.

When should you or a friend do the same? Time is critical in these sorts of situations.

Here are things to look for:
Acute coronary syndrome aka cardiac compromise refers to when heart is nor getting enough oxygen.

We are looking for:
-Chest pain, often described as crushing, dull, heavy, squeezing
-Pain that radiates along arms, down to upper abdomen, up to jaw
-Difficulty breathing
-Anxiety
A clenched fist over the sternum, also known as Levine's sign, is another telltale sign of cardiac compromise
No joke a common sign of cardiac compromise is a feeling of 'impending doom'

If the patient fits the following criteria you can administer aspirin for chest pain early:

The patient should not be allergic to aspirin, no history of asthma, no blood clotting meds, and is conscious/able to swallow

And yes, you should have already called 911
Older patients, women and diabetic patients are less likely have the typical signs of chest discomfort

Between 1/4 and 1/3 of individuals will not present these typical signs

Thus important to have high index of suspicion

What is a heart attack? It is one form of cardiac compromise.

The heart is a muscle that like any other requires oxygen

A heart attack occurs when blood flow is cut off or seriously reduced and muscle damage begins

Arteries which supply the heart can become clogged over time
References for this tweetstorm: my trusty weathered version of Emergency Care 13th Edition, and the American Heart Association
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