Mr. Zhou, 39, woke up early in the morning and felt chest discomfort and shortness of breath.
He himself thought that maybe he smoked too much last night, so he didn't go to his heart. At noon, chest tightness worsened and chest pain developed. I checked it on the Internet, and there are different opinions, some say that it is heart disease, some say that it is leukemia, some say that it is costochondritis, anyway, there are many possibilities.
Mr. Zhou later simply ignored it, did not eat at noon, and went directly to sleep.
At noon, he did not sleep steadily, and at about 2 p.m., Mr. Zhou's chest pain worsened, and he was afraid that it was a heart attack, so he found a few pieces of aspirin to eat.
Because he saw on the Internet: aspirin is a lifesaver for myocardial infarction, and eating aspirin immediately after myocardial infarction can save lives.
After eating aspirin, Mr. Zhou's chest pain did not alleviate, but worsened, at this time he was a little scared, only to hit 120.
After 120 arrived, after the ELECTROCARDI was done, there was no manifestation of acute myocardial infarction, so he did not immediately give Mr. Zhou aspirin + tigrelor or clopidogrel and other drugs. 120 Measure the patient's blood pressure 140/90mmHg, infuse the patient with nitroglycerin, control the blood pressure, and send it to the hospital.
The patient's chest pain has not been alleviated, arrived at the hospital, immediately reviewed the ECG again, the ECG still did not see obvious manifestations of myocardial infarction.
Knowing that patients usually have high blood pressure, but never take antihypertensive drugs, so they quickly changed an arm to measure blood pressure. The arm blood pressure monitored by ECG was 130/80mmHg at the time of admission, and the blood pressure on the other side was found to be 190/110mmHg. Increase the dose of nitroglycerin immediately, control blood pressure as soon as possible, and control heart rate with lol drugs.
(The wide difference in blood pressure in the arms is a feature of aortic dissection.) ）
At this time, a disease is suspected: aortic dissection!
Patients are scheduled to have chest enhancement CT, CT return: aortic dissection. The Thoracic Surgery Department hurriedly arranged the operation.
But the disease is so dangerous that 25% die within 24 hours; 50% die within 1 week; and 75% die within 1 month. It can be said that it is the most dangerous disease of all diseases!
Even if the patient went to the operating table, he could not be rescued...
The aorta is the largest artery in the human body, the diameter of the aorta is about 25-35mm; and we usually say coronary heart disease, angina, myocardial infarction, refers to the artery of the heart, also known as the coronary artery, the diameter of the heart artery is generally 3-6mm.
So the aorta is much thicker than the heart artery.
Myocardial infarction refers to the thrombosis of the heart arteries, blocking the heart blood vessels, at this time needs thrombolytic therapy, the need to open the blood vessels. So you need to take drugs such as aspirin.
But aortic dissection refers to the largest artery in the human body, rupturing from the inside is constantly bleeding, you think about the largest artery is bleeding, how dangerous. Rescue of aortic dissection requires surgery, or stenting.
Both myocardial infarction and aortic dissection may present with chest pain, but the treatment is completely different.
50% to 76% of patients with aortic dissection have a history of hypertension, and patients with long-term hypertension, dyslipidemia, diabetes mellitus, smoking and other diseases are more likely to lead to aortic dissection. Mr. Zhou has many years of hypertension, never controlled, coupled with smoking, led to the rupture of the aorta, chest pain, but also at home for a long time, failed to see the doctor in time, and finally died.
Popular science key points:
First, even if it is a real myocardial infarction, aspirin is not a lifesaver. Nor does it mean that eating aspirin after myocardial infarction can open up blood vessels. Only after the diagnosis of myocardial infarction, to eat aspirin immediately, can play an anti-platelet aggregation, prevent blood clot effect.
Second, chest pain can not eat aspirin indiscriminately, after doing the ECG to consider that it is myocardial infarction and then eat too late, if it is aortic dissection to eat aspirin will aggravate the disease. Because aortic dissection is bleeding, eating aspirin can make the bleeding worse. The biggest blood vessel bleeding, that is even worse.
Third, chest pain lasts for 15 minutes without relief, immediately call 120, do not delay the time.
Fourth, usually there is high blood pressure, we must actively control, long-term hypertension, whether it is leading to myocardial infarction or aortic dissection, is very dangerous.
High blood pressure is not shallow, no cardiovascular common sense is harmful!
I hope that everyone must pay attention to high blood pressure and control high blood pressure; I hope that everyone has nothing to know more about the real cardiovascular health knowledge!