“Cough CPR” is a myth which claims that rhythmic coughing can reduce the impact of a heart attack. It has been circulating for over two decades via email and on social media platforms (Wikipedia, 2023).
Why doesn’t it work?
A heart attack happens when the blood flow to the heart is restricted due to blockage. Cardiac arrest is when your heart stops pumping completely (British Heart Foundation, n.d.).
These definitions alone should demonstrate the problem with “cough CPR”. If you have a heart attack, your heart is still pumping, so you do not need CPR. If you experience cardiac arrest, you will fall unconscious within seconds (Resuscitation Council UK, 2021) and therefore won’t be able to perform “cough CPR”.
In many cases, “cough CPR” could even worsen the problem or prove fatal if coughing is undertaken to the wrong rhythm (Snopes, 2003).
Is “cough CPR” ever useful?
Coughing creates pressure that forces blood to flow to the brain (Cleveland Clinic, 2020).
It may therefore be possible for someone experiencing sudden arrhythmia to maintain consciousness for a few seconds by coughing. However, the patient would already need to be under constant monitoring for the arrhythmia to be detected. It should also only be done at the instruction of a doctor, as a medical professional will still be needed to treat the abnormal heart rhythm (American Heart Association, 2023).
Cases where “cough CPR” has been useful have all been isolated incidents performed in this kind of clinical setting (see Snopes, 2003; UChicago Medicine, 2019; American Heart Association, 2023).
Reference list
American Heart Association. (2023) Cough CPR. Available at: https://web.archive.org/web/20231204210831/https://www.heart.org/en/health-topics/cardiac-arrest/emergency-treatment-of-cardiac-arrest/cough-cpr (Accessed: 4 December 2023).
British Heart Foundation. (n.d.) Could something called ‘cough CPR’ save my life? Available at: https://web.archive.org/web/20231204210457/https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/ask-the-experts/cough-cpr (Accessed: 4 December 2023).
Cleveland Clinic. (2020) The dangerous truth about cough CPR. Available at: https://web.archive.org/web/20231204205549/https://health.clevelandclinic.org/can-you-cough-away-a-heart-attack (Accessed: 4 December 2023).
Resuscitation Council UK. (2021). Resuscitation Council UK’s statement on cough CPR. Available at: https://web.archive.org/web/20231204211021/https://www.resus.org.uk/about-us/news-and-events/resuscitation-council-uks-statement-cough-cpr (Accessed: 4 December 2023).
Snopes. (2003). How to survive a heart attack when alone. Available at: https://web.archive.org/web/20231204214909/https://www.snopes.com/fact-check/cough-cpr/ (Accessed: 4 December 2023).
UChicago Medicine. (2019) Can coughing stop a heart attack? Available at: https://web.archive.org/web/20231204213936/https://www.uchicagomedicine.org/forefront/heart-and-vascular-articles/can-coughing-stop-a-heart-attack (Accessed: 4 December 2023).
Wikipedia. (2023) Cough CPR. Available at: https://web.archive.org/web/20231204211113/https://en.wikipedia.org/wiki/Cough_CPR (Accessed: 4 December 2023).
The Difference Between Heart Attack, Heart Failure, and Cardiac Arrest
I think fiction has done us a huge disservice when they conflate the above, but even my nursing students were kind of on the edge of not understanding this, so we're gonna talk about it here.
Heart Attack: A blockage in the coronary arteries
A heart attack, also called a myocardial infarction, is when one of the arteries that supplies the actual muscle of the heart gets blocked by a blood clot. When this happens, the muscle the artery was supplying starts to die. The more muscle impacted, or the longer the heart attack goes untreated, the worse the outcome for the patient.
Symptoms of this are different between men and women:
Treatment for a heart attack usually involves inserting a small tube into the wrist or groin, snaking it up to the blocked artery, and stenting open the blockage, thus returning blood flow to the heart muscle.
Heart Failure: A problem with the heart's ability to pump
Heart failure occurs when the heart is not beating hart enough or well enough to adequately get blood out to the body. This can occur for several reasons. It can be because of damage from a heart attack, because a valve in the heart isn't working right, from poorly functioning electrical system, or from long term exposure to untreated high blood pressure.
The symptoms of heart failure come both from blood collecting "in front" of the heart waiting to get pumped (swelling, shortness of breath, weight gain), and not enough blood getting pumped out to the body (dizziness, fatigue).
Heart failure is treated with medications that make the heart beat more normally and get rid of excess fluid to take workload off the heart. It can also be treated with surgery if the problem is with a valve, or with a pacemaker if the heart is beating too slowly.
Cardiac Arrest: A problem with the heart's electrical system
The heart beats in a synchronized way because it is made of muscle cells that are responsive to electricity. Special cells called pacemaker cells generate small electrical currents, which wash over the heart. When the cells are stimulated with that current, they contract, creating a beat.
Cardiac arrest occurs when that normally organized current becomes disorganized, and lots of cells, not just the pacemaker cells, start making their own currents. This can happen because of a lack of oxygen, too much or too little of particular electrolytes like potassium, an electrical shock, or damage to the muscle from a heart attack.
See below for a comparison between the normal electrical activity of the heart (top) and the disorganized rhythm of ventricular fibrillation:
When the electrical rhythm is disorganized, the heart isn't beating, just quivering, and no blood gets out to the body. This is treated with CPR to keep some blood flowing to vital organs, medications that can stabilize the heart's electrical system, and defibrillation. Defibrillation works by stopping the heart with an overwhelming amount of electricity and letting it restart (hopefully) in a normal rhythm.
If someone has no electrical activity in their heart (known as asystole), defibrillation won't work, but sometimes medication will.
You might think a massive heart attack would force you to reevaluate your life choices, but what it really does is give you plenty of free time and a heady late night morphine buzz. That - plus having my tablet - equals whatever this is... Did I mention the morphine? Wow, look at all the wires and tubes comin' out of me! I look like a cyborg!
I'm going in for bypass surgery in two days so wish me luck. Inquiries about the availability of abelmvada.tumblr.com and science70.tumblr.com should wait a respectable period of time after that (you vultures!) as I plan on being around for a while yet.
wahoo! my uncle had heart surgery (thankfully dodged the open heart surgery bullet) and so far things are looking alright, so I’ll be taking the weekend to just. do stuff. and then get caught up on emails and whatever else starting monday!
this man has a heart condition and collapsed during a fight with his friend inside the emergency room. he went into v-fib and was revived after a shock of defib.
Hello out there! This is my first post, as you can see English is not my native language, so I try my best. Please be kind and let me know what do you think 😊 if there's someone who likes to read this in Spanish DM me 🫀
1. The Stress Test.
Universidad Europea. 10:23 am.
It was an ordinary day, I went to the clinic to get my pre-season stress tests. My muscle fat percentage was correct, my weight was within the FIA standards allowed me to, the resting electrocardiogram showed as a result that my heart rate was 80 bpm, my blood oxygen saturation was normal, everything seemed to be in order, until I started the last round on the treadmill.
I was already at level 9, my heart rate was already at 180 bpm, I had kept that pace for the last two levels. I felt fine until I started to feel a strong pressure on my chest which I tried to ignore and continue with the test, I needed to get to level 10. After a few more minutes the feeling of not being able to breathe became present and with this anxiety and worry caused my heart rate to shoot up to 210 bpm, the doctor asked me if everything was okay, but it was getting more complicated to be able to breathe, my vision began to blur and the pressure on my chest became stronger and stronger.
The doctor stopped the treadmill and the nurse helped me get off of it to a stretcher, on which I was immediately connected to a monitor to see my heart rate which was already at 220 bpm, tachycardia.
I began to hyperventilate, the nurse placed an oxygen mask on my face in an attempt to regulate my breathing, with one hand I held the mask tightly as if this was to expel more oxygen and enter directly into my lungs while with the other hand I pressed my chest tightly on the left side as I felt my heart beating hard against my chest.
They couldn't control my heartbeat, so the doctor decided to try cardioversion. He took both paddles of the defibrillator, put gel on one and rubbed the other paddle over it, placing one on my right pectoral and the other on my left lower ribs, charged to 100J, made sure no one was touching me and performed the first discharge. My chest rose when I felt that electric shock, my heart rate did not sow down, the doctor recharged now to 140J, performed the same procedure and discharged. Once again, my body twisted upward once I received the shock, my back hit the stretcher violently as the discharge was finished.
I quickly went into cardiac arrest, the last thing I remember is the nurse removing the mask from my face and starting compressions on my chest.
Okay so I'm cis but there's something about HRT I've been wondering for a while. Please tell me if I've accidentally said something insensitive I promise I won't get upset.
So you see different heart attack symptoms lists for men and women right. But one thing I've never seen mentioned: does that come from some difference in genetics or from hormone balance? In other words, if someone is on HRT, should they be looking out for the symptoms of their AGAB or the "men" symptoms if they're on T and the "women" ones if they're on E? (in quotes since yknow. nb people get heart attacks too)
I feel like that's vital information to be common knowledge but I've never seen any information on it spreading. I would hope doctors know but even if they do I know not all doctors are good about informing people properly.
If any trans people who've had heart attacks while on HRT see this could you reblog with some information about what you experienced? I feel like that kind of information is important and could save lives and I tried Googling it and found nothing so that is not readily available! All I found was articles on trans people possibly having higher risk of heart attacks and I wonder if any part of that is not knowing what symptoms to look for.
She loosened her bra, for it was much to tight around her chest. But the tightness stayed. She had an angina attack, for an hour..... Was this one of her coronary infarctions? Caused by her morbid obesity?For a short time she was unresponsive, but soon regained her breath. Sweating and farting. And as always, she did not want to call medical help, for she did'nt want to be put on a diet. And so it must be, because this way, she is attractive and beautiful. The same evening we went to the buffet restaurant an celebrated her survival.