At 12 noon, an electrocardiogram was sent from the 120 group and reminded us: a 45-year-old man with chest pain for 1 hour with heavy sweating, considered acute myocardial infarction.
After rescuing the patient, sending the patient back to the intensive care unit, and communicating with the family again, we learned that this Mr. Zhang's myocardial infarction was actually completely avoidable!
3 days ago, when Mr. Zhang went upstairs, jogged, and walked fast, he felt chest pain and needed to stop passively and rest for 3-5 minutes to relieve it. This happens many times over 3 days, but it can be completely alleviated by a few minutes each time.
It is precisely because it can be completely relieved every time, so Mr. Zhang feels that it is okay. Don't you know that this relief is temporary, which is the characteristic of angina, episodic, especially uncomfortable when the attack occurs, and after remission, it is the same as that of healthy people.
This is also the confusion of angina, many people will be fooled, thinking that it is okay, and eventually lead to the continuous onset of angina, causing myocardial infarction.
Over the past 3 days, Mr. Zhang has had chest pain many times, and the number of attacks on the last day is frequent, and sometimes chest pain occurs when he is inactive. However, it still did not attract Mr. Zhang's attention.
Until 11 o'clock at noon today, the chest pain again, continued not to ease, accompanied by heavy sweating, this felt "broken", quickly hit 120.
After admission, the ECG confirmed acute anterior wall myocardial infarction, cardiac angiography confirmed that the left anterior blood vessel of the heart was almost occluded, and then the blood vessel was opened, and the patient's symptoms gradually alleviated, and the patient was sent back to the intensive care unit.
In fact, this patient, if he knows a little cardiovascular common sense, should be able to avoid this acute myocardial infarction. Because the patient has 3 days of chest pain, these chest pain manifestations are actually myocardial infarction in the police, but for 3 days, they have not attracted Mr. Zhang's attention.
First, what are the manifestations of myocardial infarction in the police?
The alarm of myocardial infarction is called "angina", and every attack of angina is myocardial infarction.
Mr. Zhang had chest pain for 3 consecutive days, which was a typical angina, but it was so many times that the myocardial infarction alarm did not attract Mr. Zhang's attention, and eventually myocardial infarction occurred.
There are many manifestations of angina, such as: chest pain, anterior area pain, chest tightness, sweating, pharyngeal tightening, headache, toothache, shoulder pain, back pain, epigastric pain and so on.
Therefore, we cannot judge whether it is angina by which part of the pain is angina, but based on: discomfort after activity.
Usually there is no discomfort, but in the case of activity, exercise, fatigue, etc., there will be the above chest pain, anterior heart pain, chest tightness, sweating, pharyngeal tightening, headache, toothache, shoulder pain, back pain, epigastric pain and other discomforts. Each time lasts for a few minutes, generally not less than 2 minutes, not more than 20 minutes, rest for a few minutes can be relieved, then this discomfort, it is highly suspected to be angina, that is, myocardial infarction in the alarm.
Second, how to avoid the occurrence of myocardial infarction?
If you usually have a little common sense of cardiovascular health, then Mr. Zhang can come to the hospital at any time 3 days before the myocardial infarction.
When I came to the hospital, after the diagnosis of the cardiovascular doctor, I could basically diagnose angina. Regular statin + aspirin + heparin are given. Then it can effectively prevent thrombosis and prevent myocardial infarction.
Of course, for unstable angina, an contrast examination is required after hospitalization, and if severe cardiovascular stenosis is found, it is estimated that stents are also required. Although stents cannot be avoided, myocardial necrosis can be avoided and the risk of heart failure can be reduced. The most important thing is that sudden death will occur at any time after myocardial infarction, early diagnosis, formal treatment, can greatly reduce the risk of sudden death.
Of course, the timely medical treatment of angina is the last line of defense against myocardial infarction. It was precisely because Mr. Zhang failed to defend the last line of defense that Mr. Zhang suffered a myocardial infarction.
Before the last line of defense, there are actually two lines of defense:
The first is a healthy lifestyle, because whether it is three highs or atherosclerosis, it is closely related to our lifestyle.
Smoking and drinking, obesity, inactivity, staying up late, stressful, unhealthy diet, etc. are all high risk factors for atherosclerosis. When atherosclerosis worsens, it leads to plaque formation, which causes narrowing of blood vessels, leading to ischemia. A ruptured plaque can form a blood clot, triggering a myocardial infarction. Therefore, adhering to a long-term healthy life is the basis for preventing myocardial infarction.
Mr. Zhang smoked, was obese, stayed up late, ate unhealthily, and never exercised.
The second line of defense is to detect early and control the three highs early. Because hypertension, diabetes, and hyperlipidemia are more direct causes of atherosclerosis. If the three highs are not found in time and the three highs are not effectively controlled, then it will lead to accelerated exacerbation of atherosclerosis. Eventually, coronary heart disease can lead to myocardial infarction.
After being admitted to the hospital, it was found that Mr. Zhang's LDL cholesterol was 4.9mmol/L, which had seriously exceeded the standard.
Therefore, there are three lines of defense to prevent myocardial infarction: 1, healthy life 2, control of three highs 3, angina in time.
Missing one, the next risk is greater, until a myocardial infarction occurs...
To say that Mr. Zhang, luck is still good, although he failed to see a doctor in time, there was a myocardial infarction. But most myocardial infarctions may not come to the hospital, and sudden death may occur outside the hospital. Mr. Zhang dialed 120 in time, opened the blood vessels in time, and saved lives.
But I still hope that more people can take the time to look at medical science, as far as possible to prevent myocardial infarction, avoid myocardial infarction, and avoid sudden death!