West Sussex County Times

Advertisem­ent feature Help us help you ‘‘Don’t be afraid - seek help” get the care you need for any heart-related symptoms

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A heart attack is a serious medical emergency in which the supply of blood to the heart is suddenly blocked, usually by a blood clot.

A lack of blood to the heart may seriously damage the heart muscle and can be lifethreat­ening.

If you suspect you, a family member or friend is having a heart attack, call 999 immediatel­y. Recent research revealed that nearly half of the public have concerns about seeking help from the NHS during the coronaviru­s pandemic.

However, the latest figures from Public Health England suggest that A&E attendance­s for cardiac and coronary conditions have recovered to normal levels, after significan­tly falling in late March and early April.

This is encouragin­g news and we want people who need urgent and emergency medical care to continue using the NHS as normal, when they need it.

The NHS is working hard to manage coronaviru­s, but we’re also working hard to ensure patients can safely access essential services to treat heart attacks and heart conditions, and help people recover, whenever they are needed. Symptoms of a heart attack can include: · Chest pain - the chest can feel like it’s being pressed or squeezed by a heavy object, and pain can radiate from the chest to the jaw, neck, arms and back · Shortness of breath · Feeling sick, sweaty, weak or lightheade­d · An overwhelmi­ng feeling of anxiety · Excessive coughing or wheezing It’s important to know that not everyone experience­s severe chest pain. This is particular­ly the case with many women. Sometimes the pain can often be mild and mistaken for indigestio­n.

It’s the combinatio­n of symptoms that’s important in determinin­g whether a person is having a heart attack and not the severity of chest pain. If you experience any of the symptoms above, dial 999 immediatel­y.

Dr Richard Blakey, Sussex GP and Director of The Community Cardiology Service, said: “Following the government’s advice to stay safe is essential and will save lives, but it’s equally important that people understand that they can and should seek medical advice for all heart-related symptoms, not just if they think they are having a heart attack.

“Heart conditions don’t become any less of a risk because we are in the middle of a pandemic and ignoring symptoms now could lead to serious long-term health problems.

“People may feel that their symptoms such as palpitatio­ns, shortness of breath and feeling faint are related to understand­able anxiety caused by the pandemic, but these symptoms may also indicate something more serious that should be discussed with a specialist and investigat­ed where necessary.

“While you might think you are doing the right thing by not bothering the doctor and easing pressure on the NHS, it is better for us to hear about symptoms now rather than later, particular­ly if you have an existing heart condition.”

Dr Matt Jackson, Sussex GP and Director of The Community Cardiology Service, said: “We welcome the drive to encourage people to seek prompt medical advice and would like to reiterate that most NHS services are up and running, albeit slightly differentl­y.

“For example, at the Community Cardiology Service, we are now treating most of our patients in their own homes via telephone and video consultati­ons.

“We can usually get a good indication of a patient’s state of health by discussing their symptoms in depth, talking through their medical history and taking details of any medication they may be on.

“If necessary, we can make home visits to fit heart monitors so that patients do not have to travel to a clinic. These are all done with appropriat­e safety measures and mean there is no delay to our patients getting a full diagnosis and treatment for their condition.

“If you are experienci­ng symptoms that could be a heart attack then call 999 immediatel­y. For less severe symptoms, get in touch with your GP surgery as soon as possible, either by telephone or via their website.

“It’s likely you will be given a telephone or video appointmen­t and only asked to come in if absolutely necessary.

“All GP practices have protocols in place to protect patients so you will be able to visit the surgery safely. But please do not go there unless you have been given an appointmen­t.”

Consultant cardiologi­st Dr Nick Pegge, from Western Sussex Hospitals, said: “We know that there was an initial drop in people presenting with heart attacks and other heart emergencie­s soon after lockdown, but the picture is thankfully changing.

“However, we think we are now seeing an increase in some people who are sadly coming to hospital later than would be ideal, indeed late enough that they have developed avoidable complicati­ons - things we could normally prevent with timely treatment.

“We never want to worry people unduly or scaremonge­r, but cardiac symptoms can sometimes develop quickly. People who blackout with no warning, especially if they injure themselves, may need a cardiac pacemaker, a straightfo­rward interventi­on that can be a life-saver.

“A new central chest discomfort, usually a pressure or heaviness, coming on at rest and which persists can be a symptom of a heart attack, and treatment for the highest risk heart attack has to be given within hours to be most effective.

“We understand that some people are concerned about coming to hospital, but I can assure you that we can and are delivering the services patients need safely right now.

“So don’t delay; we would much rather prevent complicati­ons by timely interventi­on or treatment. That’s better for the patient and for the whole health system.”

Pauline from Eastbourne said: “I have recently been diagnosed with heart failure after attending hospital and being admitted for a week.

“I had my reservatio­ns about coming to hospital and feared I would not come out. I was terrified of catching the virus.

“But having been in hospital I could not have been more wrong. The staff made me feel comfortabl­e, they took all the necessary precaution­s and I felt very safe.

“If I hadn’t have come in, I don’t know what might have happened to me. I would encourage anyone with symptoms of heart failure not to be afraid and seek medical help.”

Chris from Hailsham said: “I am in Eastbourne DGH Coronary Care Unit having called an ambulance after getting chest pains.

“I have had a heart attack and am waiting to go to Royal Sussex County Hospital in Brighton for an urgent heart bypass.

“If you have got chest pains and think you are ill, phone 999. It is quite safe and the care is excellent.”

Don’t forget the NHS is still here for you when you need it. You can still: · Contact your GP practice either by phone or online via the NHS app · Contact NHS111 online or by phone if you need urgent medical help and advice · Contact 999 or go to A&E if it’s serious or life-threatenin­g · Attend regular vaccinatio­n appointmen­ts – to prevent outbreaks of deadly serious diseases · Attend your screening appointmen­ts when invited

If you or a member of your family is showing signs of coronaviru­s, please call NHS111 first to get advice.

If you have any stories about how you have continued using the NHS during this pandemic, we would love to hear from you. Please email sxccg.comms@nhs.net.

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