“Myocardial infarction survives in more than 60% of cases,” said Dr. Perez Gill.

New technologies have managed to increase the approximate life of patients suffering from this disease.

Dr. Francisco Perez Gill, Director of Cardiology, San Lucas Episcopal Medical Center, Puerto Rico. Photo: Archive of the Journal of Medicine and Public Health. Fabiola Plaza.

When we talk about the heart muscle, we are dealing with it heart muscle cardiovascular system, therefore, when the heart muscle has a heart attack, it is due to the fact that oxygen that gets into the muscle, causing damage that can be reversible from the start.

For him Dr. Francisco Perez Gill, Director of the Cardiology Department at San Lucas Episcopal Medical CenterThis long-term problem causes heart muscle death.

First of all, it is possible to differentiate Myocardial infarction type 1 և type 2. The: Myocardial infarction Type 1 is due to an acute coronary atherothrombotic event, while type 2 is a heterogeneous whole where any condition other than an acute coronary event contributes to an imbalance in supply-demand. oxygen.

“The phenomenon of myocardial infarction is a phenomenon that we see more and more, it is due to the fact that our population is aging rapidly. However, thanks to new technologies in medicine և drugs that can limit progress, “commented the specialist.

According to Dr. Francisco, type 1 heart attacks mainly occur in young people due to acute obstruction, who mainly have a small layer of atherosclerosis (cholesterol in the arteries or we have cholesterol in the arteries).

On the other hand, type 2 heart attack occurs more often in the elderly, taking into account that type 2 exists earlier. however, older people may have type 1 heart attack, and vice versa.

“We all have a certain level of atherosclerosis, that is, a layer of cholesterol in our arteries, when that plate breaks down either due to inflammation, stress, exercise or strenuous physical activity, or just breaks abruptly, we will see. that there is an inflammatory cascade where an acute blockage forms, what do we notice there, considering that when the blood flow flows immediately, that blockage will cause immediate symptoms such as chest pain, heaviness, shortness of breath; in more severe cases it will cause cardiac arrhythmia “Sudden cardiac death,” the specialist commented.

This means that most patients are back Myocardial infarction Type 1 is going to die suddenly, more often than people with type 2 heart attack.


– Chest pain.


-Pressure or pain that can often be radiated or transmitted to the neck, left arm, shoulder. (Pain is often not on the left side, where people think it is, the heart is in the middle).

– Shortness of breath or shortness of breath.


– Dizziness.

“Type 1 patients usually realize that something very bad is happening because they already have a pre-existing illness, angina, pain, these symptoms of breathing are milder, but longer.”

Can people with a heart attack train?

Historically, patients with heart attack have been advised to rest in bed for a long time, sometimes for a limited time, and one of the most important interventions today in this population is what is called cardiac recovery with aerobic exercise.

When we talk about aerobic exercise, we mean walking, running – movements that do not require much, so that these patients can improve not only their heart recovery but also their physical fitness, which has been shown to increase the body’s capacity. increase the survival rate of these patients by requiring fewer hospitalizations and reducing mortality.

As for the prevalence of coronary heart disease in Puerto Rico, according to the Department of Health, in terms of type 1 heart attacks, which is about 4%, now the island is 7 or 8% in terms of coronary heart disease. Compared to the USA, where there is 5%, the interest rates on the island are higher.

You can watch the whole interview here.