Why do doctors always say that 90% of myocardial infarctions can be prevented!
But in reality, there are still hundreds of thousands of people with myocardial infarction sudden death, and millions of people die of myocardial infarction every year?
This is because most people simply do not know which uncomfortable feelings are myocardial infarction died in the police!
In reality, on the contrary, there are still some people who are too nervous, suspecting any chest pain as myocardial ischemia angina myocardial infarction, so that the heart is uneasy, from time to time to hit 120, engaged in the family is also panicked.
Today we will share 5 kinds of chest pain that can initially exclude myocardial ischemia and angina, and share which chest pain or discomfort is myocardial infarction.
First, the chest pain caused by myocardial ischemia can be excluded initially
1. Instant chest pain
There are often some friends who will suddenly feel chest pain, but the duration is very short; sometimes it is a moment, half a second to 1 second, and at most it will not exceed 2-3 seconds.
This kind of chest pain is generally not directly related to myocardial ischemia and angina.
Chest pain caused by myocardial ischemia angina, most of which is more than a few minutes, generally not less than 2 minutes. Therefore, chest pain for a few seconds is generally not myocardial ischemic angina.
2. Chest pain of pressing
There are also some friends who have chest pain, which is the pain after pressing. That is, waiting for nothing, but after pressing the chest with the hand, it will feel pain; or it is usually slightly painful, but after pressing with the hand, the pain will be aggravated, it will be severely painful, and the pain has a fixed and clear position. This type of chest pain is generally not myocardial ischemic angina.
Chest pain due to myocardial ischemia angina has nothing to do with compression. Rather, it is a kind of chest pain that is conscious, and even if it is not pressed, it will not be aggravated by compression. In addition, the chest pain caused by myocardial ischemia and angina is generally a radioactive pulling pain, and it is difficult to clarify a specific location.
3. Chest pain caused by breathing
Usually there is no chest pain, and chest pain will be felt after exhaling and inhaling, especially after deep breathing, chest pain will appear or worsen. This chest pain is also not myocardial ischemic angina.
Chest pain caused by myocardial ischemia and angina is not directly related to breathing; whether we exhale, inhale, hold our breath, or breathe deeply, we will not cause chest pain because of these actions; nor will we have no chest pain because we do not breathe deeply.
4. Chest pain in the size of the needle tip range
There are also many people who often feel needle-like, needle-tip-sized pain in the chest.
This kind of chest pain is generally not myocardial ischemic angina, because most of the myocardial ischemic angina is involved pain, radiating pain, at least in the size of the fist, or even larger, or spread to the shoulder, left arm, abdomen, back and so on.
Myocardial ischemic angina is hardly a chest pain in the tit-sized range.
5. Chest pain all day long
There are also people who have chest pain all day long, for hours, or even for more than a dozen hours.
This condition does not directly exclude myocardial ischemia angina. Because myocardial infarction is persistent myocardial ischemic angina, myocardial infarction is characterized by persistent chest pain that does not relieve. Therefore, this kind of chest pain that lasts for more than 20 minutes must be done with an electrocardiogram to rule out whether it is myocardial ischemia and angina.
If chest pain persists for several hours, the ECG is normal, or the myocardial enzymes are normal, then myocardial ischemia angina can be ruled out.
So what are the causes of the above 5 types of chest pain?
There are many reasons, because there are more than a dozen common diseases hidden behind the chest pain itself, so it is necessary to clarify the causes of the above 5 kinds of chest pain, and further differential diagnosis is needed.
It may be neuropathic pain, or it may be a problem in the lungs, chest, pleura, esophagus, trachea, etc., but the above 5 types of chest pain can initially exclude myocardial ischemia and angina.
Second, chest pain caused by myocardial ischemia has the following characteristics:
1. Time: 2-15 minutes, 3-8 minutes is common.
2. Nature: stuffy pain, squeezing pain and so on are more common.
3. Accompanied by: chest tightness, breath holding, breathlessness, sweating, nausea, vomiting, feeling of near-death, etc.
4, the scope: the fist is large, or even larger range.
5. Post-activity attack or aggravation after activity: The biggest feature of myocardial ischemia angina is that it may not have chest pain usually, but after activity, exercise, labor, and exertion, you will feel chest pain, and it will be completely relieved after a few minutes of rest. Or the symptoms are mild during rest, but after activity, exercise, labor, and exertion, the symptoms are significantly worse.
If chest pain meets the above five characteristics, especially point 5, then there is a high suspicion of myocardial ischemia and angina must be diagnosed immediately.
Every time myocardial ischemia angina occurs, it is myocardial infarction that is reported to the police, so if you understand what myocardial ischemic angina, then you can see a doctor in time and treat it regularly, so as to prevent most of the myocardial infarction.
Of course, myocardial ischemia angina is not only chest pain, but also headaches, toothaches, shoulder pain, back pain, epigastric pain, or even no pain, but chest tightness, sweating, nausea and vomiting, pharyngeal tightening and other discomfort. At this time, refer to the above article 5, through the characteristics of article 5 to determine whether it is myocardial ischemia and angina.
In short, the real myocardial ischemic angina must not be careless, can not be let go, must be diagnosed immediately; but the fake myocardial ischemic angina, there is no need to be grass and trees, making people panic.