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Cardiologist saves man experiencing heart attack symptoms mid-flight

Cardiologist saves man experiencing heart attack symptoms mid-flight
UPDATES. WELL, FEBRUARY IS HEART MONTH AND TODAY IS NATIONAL WEAR RED DAY. YOU CAN SEE SOME OF US ARE TAKING PART OF THAT. AND I’M NOW JOINED LIVE BY DOCTOR PATRICK FITZSIMMONS, A CARDIOLOGIST WITH PENN STATE HEALTH. THANK YOU, DOCTOR, FOR JOINING US. GOOD AFTERNOON. GOOD TO BE HERE. THANK YOU. GREAT TO HAVE YOU. SO FIRST WE WANT TO START WITH WHAT ARE SOME OF THE WARNING SIGNS WHEN IT COMES TO A HEART ATTACK. WELL MOST COMMONLY PEOPLE THINK OF CHEST PRESSURE RADIATING DOWN THE LEFT ARM ASSOCIATED WITH SHORTNESS OF BREATH. TYPICALLY A LOT OF TIMES THEY WILL START WITH ACTIVITY OR EXERCISE. WHEN YOU’RE WALKING AROUND DOING THINGS AND THEN LATER DEVELOP MORE AT REST. AND SO WHO IS AT RISK FOR HEART ATTACKS WHEN YOU TAKE A LOOK AT THAT? CERTAINLY ANYBODY IN THE MIDDLE AGE. SO UNFORTUNATELY IT’S PART OF THE PRICE OF AGING BUT ALSO RISK FACTORS, DIABETES, HIGH BLOOD PRESSURE, CHOLESTEROL PROBLEMS, BUT AGE AND SMOKING WOULD BE ANOTHER ONE. I GOT TO ASK YOU, AND I THINK WE TALKED ABOUT THIS A LITTLE BIT AT THE COMMERCIAL BREAK. HOW CAN YOU TELL THE DIFFERENCE? AND I KNOW SOME PEOPLE MAY SAY THIS IS CRAZY. HOW CAN YOU TELL THE DIFFERENCE BETWEEN HEARTBURN AND THAT YOU ARE ACTUALLY HAVING WARNING SIGNS OF A HEART ATTACK, BECAUSE PEOPLE CAN FEEL THAT TIGHTNESS IN THEIR CHEST AND BECOME NERVOUS? SURE. YEAH. YOU KNOW, BELIEVE IT OR NOT, SOMETIMES YOU CAN’T TELL THE DIFFERENCE. I HAVE SOME PATIENTS IN MY OFFICE THAT TAKES A LONG TIME TO TEASE OUT, BECAUSE THEY BOTH HAVE REFLUX AND HEART DISEASE, AND THE SYMPTOMS ARE VERY, VERY SIMILAR. SO FOR A LOT OF FOLKS IT CAN BE MISSED. SO WHEN YOU TAKE A LOOK AT THE GENDER, ARE MEN OR WOMEN AT MORE RISK FOR A HEART ATTACK? MEN BELIEVE IT OR NOT, MEN. SO AS YOU GET OLDER THOUGH, IT KIND OF FLATTENS OUT. SO, YOU KNOW, MIDDLE AGED MEN. BUT THEN AS YOU GET OLDER, YOU KNOW, POSTMENOPAUSAL WOMEN TEND TO CATCH UP. I WAS GOING TO SAY, WHY IS THAT? IS THAT BECAUSE MEN MAYBE AREN’T TAKING CARE OF THEIR HEALTH AS MUCH OR GOING TO THE DOCTORS? IS THERE A PARTICULAR REASON FOR THAT? THERE’S PROBABLY SOME ESTROGEN EFFECTS THAT PROTECT WOMEN. I THINK THAT WOMEN ARE TYPICALLY BETTER ABOUT GOING TO HEALTH CARE, BUT UNFORTUNATELY THEY PROBABLY ARE MISSED BECAUSE THEY HAVE EIGHT MORE ATYPICAL SYMPTOMS THAN MEN. SO LET’S TALK ABOUT SILENT HEART ATTACKS. HOW ARE THEY DIFFERENT? SO THEY’RE DIFFERENT BECAUSE PEOPLE DON’T OFTEN RECOGNIZE I MEAN, I THINK WHEN MOST PEOPLE THINK OF A HEART ATTACK, THEY THINK OF THAT OLD TV SHOW SANFORD, RIGHT? WHERE IT’S LIKE, OH, I’M HAVING THE BIG ONE, YOU KNOW? BUT A LOT OF TIMES IT’S A LOT MORE SUBTLE THAN THAT. IT COULD BE SHORTNESS OF BREATH. IT COULD BE MORE FATIGUE, YOU KNOW? SO I ALWAYS TELL PEOPLE THAT REALLY WHAT YOU’RE THINKING ABOUT IS A CHANGE. IF THERE’S A CHANGE IN YOUR SYMPTOMS OR ACTIVITY LEVELS, THAT MAY BE A CAUSE, CERTAINLY TO GET LOOKED AT. YOU KNOW, WHEN PEOPLE HAVE SYMPTOMS MORE AT REST, THEN YOU’RE TALKING MORE LIKE 911 EMERGENCY. IF SYMPTOMS ARE OCCURRING WITH ACTIVITY OR EXERCISE, YOU KNOW, THE FIRST STEP IS REALLY GETTING TO SEE YOUR PRIMARY CARE. YOU KNOW, AS SOON AS YOU CAN. YEAH. AND ONE OF THE BIG TAKEAWAYS HERE AGAIN, WHAT KIND OF STEPS CAN PEOPLE TAKE TO LOWER THEIR RISK FOR HAVING A HEART ATTACK? THE BIG THINGS ARE ALL THE SIMPLE THINGS ARE SO HARD. DIET AND EXERCISE, SO MEDITERRANEAN DIET, WHICH IS A DIET THAT’S REALLY AVOIDS RED MEATS BUT REALLY BASE THEIR PROTEINS AND FISH AND LEGUMES. AND THEN JUST SIMPLE WALKING, WALKING 50 MINUTES A DAY AND A MEDITERRANEAN DIET COMBINED WILL LOWER YOUR RISK BY ABOUT 40 TO 50%. TRYING TO LIVE A HEALTHY LIFESTYLE AS MUCH AS YOU CAN. DOCTOR FITZSIMONS, THANK Y
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Cardiologist saves man experiencing heart attack symptoms mid-flight
Oklahoma cardiologist Dr. TJ Trad was fast asleep on his flight from Uganda last month when a member of his team woke him up to say someone needed a doctor.Trad rushed over to the passenger who needed help to find a man drenched with sweat and complaining of chest pain. The man looked at the doctor and anxiously asked, ā€œam I going to die?ā€ā€œNot today,ā€ Trad told the man.He believed that the man in front of him was having a heart attack – pain the doctor was intimately familiar with after surviving one just last year.Trad also knew he had the tools that might help save the man’s life if it was a heart attack: medication and medical devices he had on him because he was flying home from a medical mission trip in Uganda with Cura for the World – an organization he founded that builds clinics in areas of need.He also had a pocket-sized electrocardiogram, or ECG – something he never leaves home without after his own heart attack. The device, about the size of a credit card, would be a crucial tool in understanding the man’s symptoms.Now he just had to get to work.A makeshift emergency roomIt was three hours into the April 29 KLM flight to Amsterdam when Trad was thrust into emergency response mode.The patient said that on a scale of one to 10, his chest pain was at a 10.ā€œDo we land right now?ā€ Trad recalled the man’s wife nervously asking.Trad realized the first step was to calm down the Dutch couple, nearby passengers and flight crew.ā€œI think our training is so extensive that you almost get trained to be the captain of the ship and to calm everyone around you,ā€ he said.Trad then created a makeshift emergency room across a row of airplane seats, laid the man down with airplane pillows and propped his feet up to bring blood back to his heart.After ruling out blood sugar and blood clot complications, the doctor used a 12-lead ECG from the medical mission trip to assess whether the man was having a heart attack. He quickly gave him five medications typically used to treat heart attacks.Trad then used his personal ECG – an electrocardiogram that measures the heart’s electrical activity – to help monitor the man’s heart for abnormal beats, or arrhythmias. Trad has kept the device, a KardiaMobile card, in his wallet ever since his heart attack last year in case he has another cardiac event.ā€œThe later manifestation of a heart attack is an arrhythmia. That’s how people die,ā€ Trad explained.Although the 12-lead ECG was crucial to confirm the man was showing symptoms of a heart attack, the doctor said the card allowed him to continually monitor for arrhythmias in the three hours that followed.The man put his thumbs on the card, and it transmitted data on his heart activity to Trad’s app via Bluetooth.Within 45 minutes after he took the medication, the man’s chest pain and heart rate started to get better, the doctor said.Right place at the right timeTrad’s own heart attack had prevented him from going on his medical mission trip to Uganda in February 2024, leading him to go on a make-up trip that put him on the same plane as the man he helped save.The doctor said his heart attack led to him being in the right place at the right time.ā€œI believe everything happens for a reason, I truly do,ā€ he said.During the ordeal, the pilot asked if they should divert the flight to Tunisia after speaking with the KLM on-ground physician, but Trad assured the crew that the patient was stable enough to make it to Amsterdam.ā€œWe had a nurse that was taking his vitals every 10 to 15 minutes… and we had him hooked up to all these things… if we would have landed in Tunisia, they wouldn’t have done anything differently other than obviously taking him to get a heart cath,ā€ Trad said, referring to the catheterization procedure that allows doctors to examine or treat the heart and coronary arteries.The man was stable throughout the remaining two hours of the flight. His chest pain returned as the plane was about to land, but additional medication resolved it, Trad said.The man’s wife told CNN that Trad and a nurse helped prevent her husband’s condition from getting worse and did an ā€œunforgettable job.ā€Once they landed, the man thanked the doctor and his wife hugged him ā€œvery, very tight.ā€ā€œShe said that you’re our angel in the sky,ā€ Trad recalled.KLM told CNN the plane landed safely at Amsterdam Airport Schiphol, where an ambulance was waiting to take the man to a nearby hospital.The man’s wife said he is doing reasonably well considering the traumatic event. The hospital examined him for 12 hours and did not diagnose him with a heart attack, stroke or pulmonary embolism, she told CNN.Trad believes this could be because of his timely treatment of the patient.After having to cancel his Uganda trip last year because of his own heart attack, Trad said that helping save this man feels like a full circle moment for him.He told the man it was a pleasure taking care of him and wished him the best before he ran to catch his connecting flight home.

Oklahoma cardiologist Dr. TJ Trad was fast asleep on his flight from Uganda last month when a member of his team woke him up to say someone needed a doctor.

Trad rushed over to the passenger who needed help to find a man drenched with sweat and complaining of chest pain. The man looked at the doctor and anxiously asked, ā€œam I going to die?ā€

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ā€œNot today,ā€ Trad told the man.

He believed that the man in front of him was having a heart attack – pain the doctor was intimately familiar with after surviving one just last year.

Trad also knew he had the tools that might help save the man’s life if it was a heart attack: medication and medical devices he had on him because he was flying home from a medical mission trip in Uganda with Cura for the World – an organization he founded that builds clinics in areas of need.

He also had a pocket-sized electrocardiogram, or ECG – something he never leaves home without after his own heart attack. The device, about the size of a credit card, would be a crucial tool in understanding the man’s symptoms.

Now he just had to get to work.

A makeshift emergency room

It was three hours into the April 29 KLM flight to Amsterdam when Trad was thrust into emergency response mode.

plane cardiologist rescue
Cura for the World via CNN Newsource
Dr. TJ Trad helps a man on a flight from Uganda

The patient said that on a scale of one to 10, his chest pain was at a 10.

ā€œDo we land right now?ā€ Trad recalled the man’s wife nervously asking.

Trad realized the first step was to calm down the Dutch couple, nearby passengers and flight crew.

ā€œI think our training is so extensive that you almost get trained to be the captain of the ship and to calm everyone around you,ā€ he said.

Trad then created a makeshift emergency room across a row of airplane seats, laid the man down with airplane pillows and propped his feet up to bring blood back to his heart.

After ruling out blood sugar and blood clot complications, the doctor used a 12-lead ECG from the medical mission trip to assess whether the man was having a heart attack. He quickly gave him five medications typically used to treat heart attacks.

Trad then used his personal ECG – an electrocardiogram that measures the heart’s electrical activity – to help monitor the man’s heart for abnormal beats, or arrhythmias. Trad has kept the device, a KardiaMobile card, in his wallet ever since his heart attack last year in case he has another cardiac event.

ā€œThe later manifestation of a heart attack is an arrhythmia. That’s how people die,ā€ Trad explained.

Although the 12-lead ECG was crucial to confirm the man was showing symptoms of a heart attack, the doctor said the card allowed him to continually monitor for arrhythmias in the three hours that followed.

The man put his thumbs on the card, and it transmitted data on his heart activity to Trad’s app via Bluetooth.

Within 45 minutes after he took the medication, the man’s chest pain and heart rate started to get better, the doctor said.

Right place at the right time

Trad’s own heart attack had prevented him from going on his medical mission trip to Uganda in February 2024, leading him to go on a make-up trip that put him on the same plane as the man he helped save.

The doctor said his heart attack led to him being in the right place at the right time.

ā€œI believe everything happens for a reason, I truly do,ā€ he said.

During the ordeal, the pilot asked if they should divert the flight to Tunisia after speaking with the KLM on-ground physician, but Trad assured the crew that the patient was stable enough to make it to Amsterdam.

ā€œWe had a nurse that was taking his vitals every 10 to 15 minutes… and we had him hooked up to all these things… if we would have landed in Tunisia, they wouldn’t have done anything differently other than obviously taking him to get a heart cath,ā€ Trad said, referring to the catheterization procedure that allows doctors to examine or treat the heart and coronary arteries.

The man was stable throughout the remaining two hours of the flight. His chest pain returned as the plane was about to land, but additional medication resolved it, Trad said.

The man’s wife told CNN that Trad and a nurse helped prevent her husband’s condition from getting worse and did an ā€œunforgettable job.ā€

Once they landed, the man thanked the doctor and his wife hugged him ā€œvery, very tight.ā€

ā€œShe said that you’re our angel in the sky,ā€ Trad recalled.

KLM told CNN the plane landed safely at Amsterdam Airport Schiphol, where an ambulance was waiting to take the man to a nearby hospital.

The man’s wife said he is doing reasonably well considering the traumatic event. The hospital examined him for 12 hours and did not diagnose him with a heart attack, stroke or pulmonary embolism, she told CNN.

Trad believes this could be because of his timely treatment of the patient.

After having to cancel his Uganda trip last year because of his own heart attack, Trad said that helping save this man feels like a full circle moment for him.

He told the man it was a pleasure taking care of him and wished him the best before he ran to catch his connecting flight home.