heart
It is generally believed that cardiac arrest and sudden death usually occur in patients with serious heart disease, but in fact, "healthy" hearts will suddenly strike!
Case
The 60-year-old Uncle Wang's heart suddenly went on strike and began to experience a 90-day rescue process, a total of 8 major systems in the human body, his 7 major systems have failed, and more than 20 departments of the hospital have participated in the rescue. Why does sudden death occur in a heart that looks "healthy"?
Mr. Wang, 60, had a cardiac arrest (ventricular fibrillation) for 180 minutes, continued to perform uninterrupted CPR for 90 minutes, and then urgently opened the blood vessels before resuming his spontaneous heartbeat.
The audience, who had experience in cardiac compression training, only pressed for less than 1 minute, and they were already out of breath. The standard CPR is a high-intensity physical activity, and the strength of each compression should make the chest sink by 5 cm, and the frequency reaches 100-120 times per minute, so the average of about 2 minutes needs to change people. If the doctor was not sufficient at that time, it was likely that the pressure was not in place, resulting in unsatisfactory rescue effect.
Correct chest compressions ↑
According to the doctor's judgment, Mr. Wang had 90% of the infarction of the left coronary artery anterior descending branch of the heart before the onset of the disease, but Mr. Wang did not have any symptoms.
Mr. Wang belongs to the sudden death type of coronary heart disease, after the doctor's judgment, before the onset of the disease, his left coronary artery anterior descending branch of his heart has had 90% of the infarction, but did not show serious symptoms, so it seems that the heart seems to be very "healthy".
The anterior descending branch supplies 50% of the heart's blood, and once it is completely blocked, it is likely to occur immediately after cardiac arrest.
01
Males are older than 45 years and females are older than 50 years
02
Risk factors: hypertension, hyperlipidemia, diabetes, obesity, smoking, family history, inactivity, irregular lifestyle, etc.
If the age meets the standard, plus the risk factors that meet more than 3 risk factors, it belongs to the high-risk group and can be checked as follows:
- Echocardiography – Look at the structure of the heart at rest, and the blood vessels are blocked by more than 75% before they can be detected
- Cardiopulmonary function – Chronic myocardial ischemia is more pronounced during exercise
When does it hurt?
Occurs during exercise or when angry and anxious.
When does it not hurt?
After quieting down and taking nitroglycerin for 5 minutes, the chest pain is relieved.
03
What kind of pain?
Pain in the middle of the sternum is a pain, not a certain point of pain; mainly stuffy pain; angina generally lasts 5 to 15 minutes, myocardial infarction is more than 30 minutes of severe pain, combined with nausea, vomiting, sweating and even coma and other manifestations.
If the chest pain worsens after labor, it hurts to walk 1000 meters, and now it hurts to walk 200 meters, and even in the resting state, or it recurs after 30 days after being cured, and it needs to go to the hospital in time for relevant examinations.
The first principle is "fast", first call to ask how long the ambulance will arrive, if the ambulance is the fastest, then give priority to the ambulance; if it is closer to the hospital, faster than the ambulance, then you can let the family drive to the hospital.
When you go to the nearest hospital with rescue conditions, first tell the emergency department doctor about your chronic disease and whether you have had a myocardial infarction and other important information.