I believe that many people have seen this news, following the "Xi'an pregnant woman abortion tragedy", "many hospitals in Xi'an refused to accept the father of angina, after 8 hours of delay, the father of the Xi'an girl died." ”
Xi'an netizen "Sunflower Flower 000000" posted that his father suddenly had angina at noon on January 2, and in the following hours he contacted many hospitals, all of which refused to be admitted for various reasons, and time was wasted.
Finally, 8 hours after the onset of angina, that is, at 10 o'clock in the evening, he entered the High-tech International Medical Center for surgery. But the doctor said that the delay was too long, and if the thrombolytic drug could be used within 2 hours, it would be too late and there was basically no hope. In the end, the rescue was ineffective, and the father of "Sunflower Flower 00000" died in the early morning of January 3.
Regarding the treatment of critically ill patients, we have discussed a lot, because the Xi'an government has clearly stated that no hospital can refuse patients to seek medical treatment on the grounds of epidemic prevention and control! Xi'an clearly requires that a green channel be opened for pregnant women! For patients with acute and critical illness, hemodialysis, tumor radiotherapy and chemotherapy, open service telephones, green channels, and provide diagnosis and treatment services.
However, the tragedy still happened, and the relevant personnel need to reflect!
So why is angina so critical, 8 hours can be fatal? If we fail to go to the hospital in time, how to improve the self-help of angina? Can angina be treated with thrombolysis within 2 hours?
As a cardiovascular doctor, we will talk to you about some related knowledge:
1. What is angina?
Angina is a type of coronary heart disease that refers to a series of symptoms that appear after severe narrowing of the blood vessels of the heart.
The cause of angina is severe cardiovascular stenosis, after severe cardiovascular stenosis, can not meet the heart's own blood supply, then the heart will be bloody and hypoxic. After cardiac ischemia and hypoxia, it will manifest as angina.
Angina is divided into exertional angina and unstable angina; exertional angina refers to angina that occurs in patients with exercise, activity, exertion, etc., but usually does not occur during rest, this angina is relatively low risk, and the sensitivity to drugs is high.
Unstable angina refers to the onset of angina at rest, which is more severe after activity. This type of angina can develop into myocardial infarction at any time, so the risk is larger and there is a risk of sudden death.
2. What is the danger of angina?
The first danger of angina is heart discomfort, including chest pain, pain in the precordial area, chest tightness and other discomfort.
Repeated episodes of angina can greatly reduce the quality of life of patients, and patients may have angina when eating and drinking on the water toilet.
The more serious consequence of angina is that if it is not actively treated regularly, it will develop into myocardial infarction, and once it develops into myocardial infarction, it will be at risk of sudden death.
3. How is angina treated?
The treatment of angina is mainly to prevent the onset of angina, that is, to control the three high drugs, anti-platelet aggregation of aspirin, and statin drugs that control blood lipids, anti-inflammatory, and stabilize plaques through regular use.
It is also necessary to choose drugs to control the onset of angina according to the specific situation of the patient, thereby reducing the frequency and risk of angina attacks. For unstable angina, angiography and, if necessary, stenting or bypass.
4. How to save angina?
The best way to prevent angina is to prevent it, that is, to treat coronary heart disease regularly, such as taking aspirin + statin, and taking medicine on time. Actively control the three highs and control the heart rate.
Usually, if there is an attack of angina, it is also necessary to add drugs such as nitrates, diltiazem, lol, nicoldil, trimetazide and other drugs to control angina.
Usually pay attention to keep warm, avoid fatigue, healthy diet, do not stay up late, etc. are the basis for preventing angina attacks.
When angina attacks:
1, stop all activities, sit well or lie down, do not move.
2. If there is a condition, measure the blood pressure, or be sure to estimate that your blood pressure is not low, you can take nitroglycerin. The reason why nitroglycerin is called a life-saving drug for heart disease is that it specifically refers to the life-saving medicine of angina. Nitroglycerin dilates blood vessels and relieves angina quickly.
3. If there is no nitroglycerin or can not contain nitroglycerin, then you can take heart-saving pills.
If angina is not relieved for 15-20 minutes, then a thrombus may have occurred and myocardial infarction has occurred.
After the patient has angina, many times to seek the hospital unsuccessfully, it will indeed aggravate the angina, and unstable angina, itself is easy to develop into myocardial infarction, and eventually fatal.
5. Can angina thrombolysis?
Angina cannot be treated with thrombolysis! Thrombolytic therapy is only for acute thrombotic diseases, such as acute myocardial infarction, acute cerebral infarction, acute pulmonary embolism and other acute thrombotic diseases.
Angina does not have a blood clot, but the cardiovascular severe stenosis, after the narrowing of the heart vessels, can not effectively provide blood supply to the heart, then it is to solve the problem of stenosis, and ischemia problem. It cannot be solved with thrombolysis, because there is no thrombosis, what thrombus is dissolved?
For acute myocardial infarction, it is generally necessary to dissolve the thrombolysis immediately, and the best effect is to have the best thrombolysis within 2-3 hours, or stent therapy.
Therefore, perhaps it is the grief of the family and the expression is inaccurate, there is a possibility that the father of Xi'an netizens, himself is an acute myocardial infarction, delayed for 8 hours, then the mortality rate is extremely high and very high.
Because acute myocardial infarction is acute thrombosis, the blood vessels are suddenly blocked, and ventricular fibrillation or cardiac arrest occurs at any time, resulting in sudden death; and the myocardial necrosis continues after myocardial infarction, and the blood vessels must be opened at the fastest speed, so as to save more myocardium and save more lives. Therefore, if the chest pain persists for 20 minutes, it is necessary to call 120 to suspect myocardial infarction.
Once myocardial infarction is diagnosed, it is necessary to thrombolysis or stent at the first time, which may be the doctor's later expression of the meaning of the patient's family" "acute myocardial infarction, thrombolysis within 2 hours, high rescue success rate", rather than angina thrombolysis, because angina can not dissolve thrombolysis.
There is also a possibility that the beginning is angina, but running back and forth, without getting timely and formal treatment, angina eventually develops into myocardial infarction, and finally leads to death.
In any case, tragedy should not happen, and similar things should not happen again!