I received this message from many of you on: "How to Survive a Heart Attack When Alone" recommending - "if everyone who

gets this sends it to 10 people, you can bet that we'll save at least one life." This chain e-mail recommends a procedure to survive a heart attack in which the victim is advised to repeatedly cough at regular intervals until help arrives. It claims that anyone who feels heart attack symptoms while alone should cough "repeatedly and very vigorously, repeating a breath about every two seconds until help arrives, or (a normal heartbeat returns)." Wow....!!! "Save at least one life!" Who wouldn't want to do that? Many kind-hearted and caring brothers and sisters did just that by clicking "send" to everyone with the best of intentions of course - however, without a second thought as to the authenticity of the information after I read this message, I felt it somehow didn't seem the correct procedure to address a cardiac case. Results of a quick search basically confirmed that coughing will not fend off a heart attack! If you think what you were recommending to your family, friends and those on your mailing list that this procedure might help one of them save their life, you should also know that to recommend them to use the cough CPR at the wrong time (because they trusted your email message and misjudged the kind of cardiac event being experienced) or went about it in the wrong way, could potentially be very harmful to someone undergoing a heart attack Based on these findings, I have attached below the statements from the American Heart Association and the American Red Cross as well as three (3) search results on "How to survive a heart attack when alone" The American Heart Association states that it does not endorse "cough CPR," a coughing procedure widely publicized on the Internet." Read the rest at:
http://urbanlegends.about.com/gi/dynamic/offsite.htm?site=http://216.185.112.5/presenter.jhtml%3Fidentifi er=4535

American Red Cross statement - "The American Red Cross does not endorse the 'How to Survive A Heart Attack When Alone' coughing technique which is being publicized on the Internet." http://www.snopes.com/toxins/coughcpr.htm#add I hope this information will help remind us to exercise discipline in what we send out in future, ins haa'Allaah. And Allaah Subhaanahu wa Ta'aala knows best. Fi Amman Allaah, Your sister, Karima =============================================================== ====================

WHAT CAN YOU DO? You've been trained in CPR but the guy that taught the course neglected to tell you how to perform it on yourself. has only about 10 seconds left before losing consciousness. on the other hand. Without help. the person whose heart stops beating properly and who begins to feel faint. Let's say it's 6:15 p. unfortunately you don't know if you'll be able to make it that far. How To Survive A Heart Attack Alone http://www. It was intended to serve as a useful know-how to help possible sufferers of heart attacks. You are only about five miles from the hospital nearest your home. It claims that heart attack victims can help themselves through a procedure known as cough CPR . The said procedure is not recommended for non-medically skilled individuals. You're really tired. this article seemed to be in order. upset and frustrated.com/vinfo/hoaxes/hoax5. The email message also suggests that this cough CPR technique was recommended by Rochester General Hospital and The Mended Hearts support group.m. Although cough CPR is a medically approved procedure. these victims can help themselves by coughing repeatedly and very vigorously. However. Rochester General Hospital has denied this. wherein the victim coughs repeatedly and vigorously while taking deep breaths before each cough. this must only be done with professional supervision. Daniel Rochman MD If everyone who gets this sends it to 10 people.1. you can bet that we'll save at least one life. Trend Micro advises recipients of this email to treat the information contained with much caution. .trendmicro. However.aspHName=How+To+Survive+A+Heart+Attack+Alone Description This email hoax started circulating on the Internet in June 1999. especially to those who are not knowledgeable of this procedure. and you're driving home (alone of course). Original hoax message HOW TO SURVIVE A HEART ATTACK ALONE From F. Suddenly you start experiencing severe pain in your chest that starts to radiate out into your arm and up into your jaw. and The Mended Hearts. released a disclaimer which states. Since many people are alone when they suffer a heart attack. The American Heart Association does not recommend that the public use this method in a situation where there is no medical supervision. sources of this email had really little to no idea as to how potentially harmful this information could be. after an unusually hard day on the job.

1999] Text of the chain e-mail message This one is serious . (alone of course) after an unusually hard day on the job. heart attack victims can get to a hospital. and a cough must be repeated about every 2 seconds without let up until help arrives. You're really upset and the more you think about it the more up tight you become.trendmicro. you also had a disagreement with your boss. publication.. . Let's say it's 4:17 p. it could save their lives! From Health Cares. The squeezing pressure on the heart also helps it regain normal rhythm. unfortunately you don't know if you'll be able to make it that far. .com/vinfo/hoaxes/hoax5. and the cough must be deep and prolonged.A deep breath should be taken before each cough. and no matter how hard you tried he just wouldn't see your side of the situation. In this way. and you're driving home. or until the heart is felt to be beating normally again.. Tell as many other people as possible about this. Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood circulating. Heart response) End of original hoax message http://www.htm 2. (reprint from The Mended Hearts.. Not only was the work load extraordinarily heavy. Example: [Collected on the Internet. Claim: Doctors generally recommend that one attempt to rhythmically cough during a heart attack to increase the chance of surviving it. You are only about five miles from the hospital nearest your home. Status: False.com/toxins/coughcpr. as when producing sputum from deep inside the chest. Rochester General Hospital via Chapter 240s newsletter AND THE BEAT GOES ON . Inc.m.snopes. What can you do? You've been trained in CPR but the guy that taught the course . All of a sudden you start experiencing severe pain in your chest that starts to radiate out into your arm and up into your jaw.aspHName=How+To+Survive+A+Heart+Attack+Alone =============================================================== ==================== http://www.

as when producing sputum from deep inside the chest. has only about 10 seconds left before losing consciousness. A breath and a cough must be repeated about every two seconds without let up until help arrives. Tell as many other people as possible about this. If. it could save their lives! From Health Cares. Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood circulating. and in the spring of 2004. without specific training to hit the right rhythms their coughing could turn mild heart attacks into fatal ones. a doctor in Poland has been attempting exactly that. Cough CPR is not a new procedure it has been around for years and has been used successfully in isolated emergency cases where victims realized they were on the verge of fainting and about to go into full cardiac arrest (their hearts were about to stop) and knew exactly how to cough so as to keep enough oxygen-enriched blood circulating to prevent them from losing consciousness until help could be sought. call for help. Those kindhearted souls who started it on its way likely had no inkling the advice they were forwarding could potentially be harmful to someone undergoing a heart attack. this procedure it might help save your life. If you knew exactly what you were doing. This is not to say cough CPR couldn't be effectively taught to patients deemed at risk of further heart attacks. Tadeusz . it could make matters worse. (reprint from The Mended Hearts. publication. Without help the person whose heart stops beating properly and who begins to feel Faint. However. these victims can help themselves by coughing repeatedly and very vigorously. and the cough must be deep and prolonged. you were to attempt cough CPR at the wrong time (because you misjudged the kind of cardiac event being experienced) or went about it in the wrong way. this article seemed in order. Dr.. a Powerpoint presentation of it began circulating online. A deep breath should be taken before each cough.neglected to tell you how to perform it on yourself. Even were the afflicted to correctly recognize they were experiencing the sort of cardiac event where cough CPR could help. Inc. Rochester General Hospital via Chapter 240's newsletter. In this way. According to a widely circulated news report surfacing in September 2003. or they were under the direct care of physicians who recognized the crises as they were taking place and were on hand to instruct patients step by step through the coughing. between breaths.. The squeezing pressure on the heart also helps it regain normal rhythm. or until the heart is felt to be beating normally again. HOW TO SURVIVE A HEART ATTACK WHEN ALONE Since many people are alone when they suffer a heart attack. however. heart attack victims can get to a phone and. Heart Response) Origins: This helpful e-mail began its life on the Internet in June 1999. AND THE BEAT GOES ON. but that is indeed the case.

While a September 2003 Reuters article detailed the Polish doctor's championing of cough CPR. Sweden. it's not going to be learned from an e-mail. It is one thing for success to be achieved in a hospital setting where patients know intervention will swiftly follow if problems are encountered. there's a wide (and dangerous) gap between in-person one-onone training by a professional on hand to quickly correct a patient's mistakes before they become habit and generic printed instruction wholly lacking in direct feedback and guidance. said the concept is interesting but that Petelenz showed no evidence his patients actually had arrhythmias. or while driving in a car). Mended Hearts (a support group for heart disease patients and their families) is not nearly so blameless. professor of cardiology at the Karolinska Institute in Stockholm. Attempts now to distance the organization from it don't begin to undo the damage done by the piece having been picked up from there. Darla Bonham. Marten Rosenquist. the organization has since disavowed it and has a page on its web site asking readers not to heed the advisory. a similar Associated Press report on the same subject noted that "Experts said while the concept is provocative. other chapters picked it up. and quite another when patients are in unscripted settings (at home. See their denial of having endorsed this e-mail. it needs more study" and that "Dr. and he was able to track a . at least not well enough to be safe.Petelenz of the Silesian Medical Academy in Katowice Province claims to have successfully instructed a number of his patients in the procedure. where those about to go into full cardiac arrest know there's no net under the tightrope? Yet even if cough CPR can be effectively taught by physicians. Although the text of the e-mailed advice was published in a Mended Hearts newsletter. spreading the notion to an even wider audience. Even if Dr. The piece on cough CPR found its way into that publication through a blend of too much enthusiasm and a dearth of fact checking." It is unclear from the news reports whether the Polish heart patients who supposedly experienced success with cough CPR were doing so under strict medical supervision in a hospital or were going about their private lives at the time of the cardiac events that prompted them to attempt the procedure. Mended Heart's executive director. and an expert in heart beat abnormalities. has since issued a statement about cough CPR: I've received email from people all across the country wanting to know if it is a valid medically approved procedure. but it should be noted his results have not been independently confirmed. at work. Would such instruction hold up in field conditions. Petelenz's findings prove out. I contacted a scientist on staff with the American Heart Association Emergency Cardiac Care division. From there. Thinking one is a valid substitute for the other would be akin to believing studying a typed set of instructions is all it takes to learn how to drive a car well enough to take it down the freeway and back. The e-mailed advice about coughing during a heart attack leaves the impression the "cough CPR" technique is endorsed by Rochester General Hospital and Mended Hearts. Rochester General had nothing to do with any of this how its name came to be attached to this message is a mystery.

This procedure is also known as "cough CPR" and is used in emergency situations by professional staff. The sooner it is dispersed by the stomach. he says. Aspirin which is known to prevent blood platelets from sticking together can prevent a clot from getting bigger. Cummins.possible source of the information. It can be dangerous for someone having a heart attack that does not result in cardiac arrest. Often mild heart attacks are left untreated and undetected because hospital staff mistake a heart attack for something more benign because the presenting symptoms are minor. Most patients who present with minor chest pains usually look healthy and show no signs of a heart attack. president of the American Board of Emergency Medicine. recommended that people who think they are having a heart attack should "Call 911. the better the chances of survival are. Without a doctor there to judge the situation and. if cough CPR is indicated. Seattle's director of emergency cardiac care. . In 1991 Dr. waiting for the enteric coating surrounding the pill to break down naturally could be a mistake." Oh. Michael Vance. Electrocardiogram (ECG) results tell the story though. It's a race against the clock. those experiencing a heart attack should heed the advice of physicians the world over down a couple of Aspirin as an emergency remedy. In 1993 The American Heart Association began recommending a 325 mg Aspirin at the onset of chest pain or other symptoms of a severe heart attack. Once an acute myocardial infarction (AMI) has been diagnosed. Richard O. then take an Aspirin. he cautions. The information comes from a professional textbook on emergency cardiac care. Dr.000 American lives a year could be saved if more people who think they're having a heart attack took an aspirin at the start of chest pains. and it probably makes a great deal of sense to chew the Aspirin before swallowing. to supervise the rhythmic coughing. The American Heart Association does not recommend that the public use this method in a situation where there is no medical supervision. Forget about coughing key to surviving a heart attack is obtaining proper medical assistance within a very limited window of opportunity. That bit of advice is going unheeded though a follow-up report published in 1997 shows as many as 10. During a heart attack. speedy injection of thrombolytic agents to dissolve clots is of the utmost importance the more quickly those drugs are delivered. Such a person should call for help and then sit quietly until help arrives. Rather than risk killing yourself with cough CPR. explains that cough CPR raises the pressure in the chest just enough to maintain some circulation of oxygen-containing blood and help enough get to the brain to maintain consciousness for a prolonged period. But cough CPR should be used only by a person about to lose consciousness. In other words. Doctors believe that during the early stages of a heart attack. the procedure might be the right thing to attempt or it might be the very thing that would kill the afflicted depending on which sort of cardiac crisis is being experienced. the procedure is just far too risky for a layman to attempt. the sooner it gets to where it is needed. an indication of cardiac arrest. so be sure to insist upon one being performed if you've any doubts at all.

What can you do? You've been trained in CPR but the guy that taught the course neglected to tell you how to perform it on yourself. this article seemed in order. unfortunately you don't know if you'll be able to make it that far.m.com/library/blcpr.com/toxins/coughcpr.) Without help the person whose heart stops beating properly and who begins to feel Faint.. Less flamboyant is better. swallowing an Aspirin seems quite a come-down from bravely trying to induce a perfectly timed coughing fit. as when producing sputum from deep inside the chest.htm =============================================================== =================== 3. You are only about five miles from the hospital nearest you home.. You're really upset and the more you think about it the more up tight you become. you can save your own life during a heart attack . Aspirin saves lives. has only about 10 seconds left before losing consciousness. Not only was the work load extraordinarily heavy. All of a sudden you start experiencing severe pain in your chest that starts to radiate out into your arm and up into your jaw.about. or until the heart is felt to be beating normally again. HOW TO SURVIVE A HEART ATTACK WHEN ALONE Since many people are alone when they suffer a heart attack. http://urbanlegends.snopes.. you also had a disagreement with your boss. and you're driving home. Let's say it's 4:17 p.. However. Barbara "from coughing to coffin?" Mikkelson Last updated: 17 June 2004 http://www. A breath and a cough must be repeated about every two seconds without let up until help arrives. A deep breath should be taken before each cough. and the cough must be deep and prolonged. and no matter how hard you tried he just wouldn't see your side of the situation. these victims can help themselves by coughing repeatedly and very vigorously. whereas coughing might well cost them. Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood .In terms of the drama of it.htm Urban Legends and Folklore Can 'Cough CPR' Save Your Life During a Heart Attack? Netlore Archive: Self-CPR? According to this 1999 email rumor. by coughing Description: Email rumor Status: Disputed by experts Circulating since: 1999 Analysis: See below Email text as circulated in 1999: This one is serious. (alone of course) after an unusually hard day on the job. though.

. though not intentionally. The American Heart Association does not recommend that the public use this method in a situation where there is no medical supervision. in certain cases where a patient has abnormal heart rhythms. For example.circulating. Inc. call for help. publication. According to the best information I can find. and he was able to track a possible source of the information. in part: I've received email from people all across the country wanting to know if it is a valid medically approved procedure. according to Dr. I contacted a scientist on staff with the American Heart Association Emergency Cardiac Care division. issued a statement afterward which read. This is a case where a nugget of truth has apparently been misunderstood and misrepresented to the public. This procedure is also known as "cough CPR" and is used in emergency situations by professional staff. the organization's executive director. "cough CPR" (referred to some variants as "self-CPR") is a real procedure occasionally used in emergency situations under professional supervision. A chapter of Mended Hearts published it without proper research. It was then reprinted by other chapters and eventually found its way into email form.. Heart Response) Comments: This message gives the impression that the technique described has the endorsement of Rochester General Hospital and Mended Hearts. nor do most medical professionals presently recommend it as a "life-saving" measure for people who experience the most common types of heart attack while alone (note: see update below). It is not. Although the text was first published in a Mended Hearts newsletter. In this way. Rochester General Hospital via Chapter 240's newsletter AND THE BEAT GOES ON.. Inc. however. heart attack victims can get to a phone and. (reprint from The Mended Hearts. One doctor I contacted procedure. nor does it endorse its contents. Stephen Bohan of Brigham and Women's Hospital in Boston. The information comes from a professional textbook on emergency cardiac care. between breaths. It does not. . Dr. taught in standard CPR courses. the organization has since retracted it. Bohan says the best course of action for a typical heart attack victim is to immediately take an aspirin (which helps dissolve blood clots) and call 911. Rochester General Hospital played no part in the creation or dissemination of the message. Tell as many other people as possible about this. The squeezing pressure on the heart also helps it regain normal rhythm. However. a heart attack victims' support group. Darla Bonham. it could save their lives! from Health Cares. coughing can help normalize them. most heart attacks are not of this type. a heart specialist had never even heard of the Other doctors say they're aware of the "cough CPR" technique but would only advise it under very specific circumstances.

" At least one heart specialist. While not immediately embraced by all the members attending the European Society of Cardiology meeting where Petelenz spoke. the findings were characterized by some as "interesting. 2003 update: In September 2003. four years after this email rumor began circulating. Marten Rosenquist of Sweden. Read more.As with all medical rumors.. the most prudent course of action is to verify the information with your own doctor or other medical professional before acting upon it or sharing it with others. objecting that Petelenz had presented no evidence that the subjects had actually experienced cardiac arythmias. found fault with the study.. He called for further research. Dr. Polish physician Tadeusz Petelenz presented the results of a study which he said demonstrates that cough CPR can indeed save the lives of some heart attack victims. .