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Aggrenox (Aspirin, DipyridamoIe)

Even though heart attack is common, the experience of heart attack is anything but commonplace. The same can be said for any cardiac event. What each person goes through is an experience special to him or her, and no amount of dramatizing is necessary to underscore this fact. How the event is directly experienced by each individual will vary widely. One way of understanding what happens is to say that patients who have suffered a cardiac event ask two questions of crucial, and interrelated, importance. The words are the same, but you can appreciate the difference by saying them out aloud.
The first is articulated in a calm, measured way. Now, say this slowly: “What. . . happened?”
Expressed this way, the question means: What, in fact, happened? The questioner is asking for information, and the response is that an event requiring immediate attention, and signifying CAD, has occurred. We will answer this query in a moment.
For the next rendition of the question, imagine you are in California and have just noticed the floors and walls and bed shaking. Now, say this with full resonance, and dramatic effect: “WHAT HAPPENED?!”
Expressed this way, the question means that a threat has occurred and an emotional alarm has been sounded. This completely different version of the question is likely processed by a separate part of the brain—the limbic system, or emotional brain.
This exercise is an exaggeration of how an individual tries to deal with a cardiac event: by attempting to make sense of what has just happened and by reacting emotionally.
Making intellectual sense of the meaning of the symptoms usually starts right away. The experience of chest pain or tightness or shortness of breath leads to an emergency hospital visit and immediate treatment. Most patients are made aware, if they are not already, that they are having cardiac symptoms and may be in the throes of a heart attack.
Making emotional sense of what has happened takes more time, This phase is especially confusing since the actual events are still unfolding, and the seriousness of the attack, its short- and long-term consequences and the treatments required are not clear right now, or even predictable. It’s a lot like longing to know how a thriller ends after reading the exciting introduction—only the patient can’t turn to the end of the book to find out what happened. The patient has to live through the story first.
By way of introduction to the event that launches the journey, we must remind our readers and their loved ones that CAD outcome has changed markedly for the better in recent years. Things are somewhat confusing during the event itself. After the event, a process of healing will take place, and will provide the time and the peace of mind necessary for the situation to become clearer.

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