Is Coughing a Life-Saving Technique During a Heart Attack? - Nutrition

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Is this cardiopulmonary resuscitation (CPR) correct?


It is uncertain whether this information is true or false.
The following is a summary of online data: If a person experiences a heart attack and is alone, they may start to feel faint and have approximately ten seconds before losing consciousness.
If there is no one around to provide immediate assistance, the patient should take advantage of this brief window to help themselves.
They should cough continuously and forcefully.
Before each cough, they should take a deep breath.
Then, they should cough vigorously, as if trying to expel phlegm from deep within the chest.
This should be done approximately every two seconds, alternating between inhaling and coughing, until help arrives or they feel their heartbeat return to normal, at which point they can rest.
The purpose of deep breathing is to bring oxygen into the lungs, while the coughing action is intended to compress the heart and promote blood circulation.
This compression can also help restore a normal pulse.
Such self-administered first aid may provide the heart attack patient with an opportunity to call for help or to cry out for assistance during each inhalation.
Is this true?

Quan, 20~29 year old female. Ask Date: 2005/10/28

Dr. Huang Shuli reply Nutrition


Dear Quan: Sorry! This is not within the expertise of a nutritionist; please consult a specialist physician.
Alternatively, you can visit the National Internet Hospital at www.webhospital.org.tw → Search: General Surgery → Full Text "Cardiopulmonary Resuscitation" → Answered by Dr.
Huang Yuan-Hui from Hsinchu Hospital regarding "Is it feasible to perform cardiopulmonary resuscitation by oneself?" (similar to your inquiry), which contains detailed explanations.
Thank you! Reply from Dietitian Huang Shu-Li, Hsinchu Hospital.

Reply Date: 2005/10/28

More Info


Coughing as a life-saving technique during a heart attack is a topic that has garnered attention, particularly in discussions about self-rescue methods when immediate help is unavailable. The idea is that if someone experiences a heart attack and is alone, they can use coughing to stimulate blood flow and potentially keep themselves conscious until help arrives. However, while this concept may seem appealing, it is essential to understand the medical basis behind it and the limitations of such an approach.

When a heart attack occurs, the heart muscle is deprived of oxygen due to a blockage in the coronary arteries. This can lead to chest pain, shortness of breath, and ultimately loss of consciousness if the heart's function deteriorates significantly. The theory behind coughing as a self-rescue method is that the act of coughing can create pressure in the chest cavity, which may help maintain blood circulation to vital organs, including the brain. The deep breaths taken before each cough are intended to increase oxygen intake, which is crucial during a heart attack.

However, while coughing may provide some temporary benefit in maintaining consciousness and circulation, it is not a substitute for professional medical intervention. The effectiveness of this technique is not well-supported by clinical evidence, and it should not be relied upon as a primary method of response during a heart attack. The best course of action when experiencing symptoms of a heart attack—such as severe chest pain, shortness of breath, or radiating pain to the arms, neck, or jaw—is to call emergency services immediately. Time is critical in the treatment of heart attacks, and the sooner medical help is received, the better the chances of survival and recovery.

Moreover, the notion that one has a mere ten seconds to act before losing consciousness is an oversimplification. While some individuals may feel faint or dizzy, the timeline can vary significantly from person to person. Some may remain conscious longer, while others may lose consciousness more quickly. Therefore, the emphasis should be on recognizing the symptoms and seeking help rather than relying solely on coughing.

In summary, while coughing may provide a temporary means of maintaining consciousness during a heart attack, it is not a reliable or effective life-saving technique. The priority should always be to seek immediate medical assistance. If you or someone else is experiencing symptoms of a heart attack, do not hesitate to call emergency services. Additionally, educating oneself about the signs of a heart attack and the importance of quick action can be life-saving. Understanding the risks and having a plan in place can make a significant difference in outcomes during such critical situations.

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