During the Spring Festival, cardiovascular doctors have never been idle, and every spring festival will treat patients with angina pectoris and heart failure. Every year during the Spring Festival, patients with acute myocardial infarction and acute left heart failure are rescued.
During the Spring Festival, once a heart attack occurs, how should we choose drugs to save ourselves?
First, commonly used first aid drugs
In fact, there are many kinds of heart disease, which are generally divided into: cardiovascular stenosis diseases, heart beats are arrhythmia diseases, and there is heart function, that is, heart failure disease.
However, whether it is for rapid arrhythmias or chronic arrhythmias, that is, whether it is a heartbeat of more than 200 beats / minute, or a heartbeat of 30 times / minute or less, there is currently no first aid drug for self-help. Only timely medical treatment, after the doctor through the electrocardiogram to determine which kind of arrhythmia, in order to give accurate rescue measures.
If the heart failure is a chronic heart failure that gradually worsens, you can go to the hospital on your own, such as the recent aggravation of chest tightness and breath holding, or the swelling of the lower limbs, and you often cannot sleep flat at night, and you need to sit up passively. To suspect that heart failure is worsening, it is necessary to see a doctor as soon as possible. Heart failure does not have first aid drugs to save itself.
For sudden acute left heart failure, that is, sudden dyspnea, oxygen can be inhaled if oxygen is available, but there is no specific drug that can be relieved immediately, and it is necessary to see a doctor immediately. If a diuretic, such as furosemide or hydrochlorothiazide, you can take 40 mg of furosemide or 50 mg of hydrochlorothiazide. However, oral drugs are basically insoluble for acute left heart failure, and must be treated as soon as possible to be rescued successfully after arriving at the hospital.
We often say that cardiac first aid drugs generally refer to first aid drugs for angina.
1. Nitroglycerin
Studies have shown that nitroglycerin is effective for most angina, which dilates blood vessels, thereby relieving cardiovascular stenosis, improving myocardial ischemia, and thus controlling angina.
Therefore, nitroglycerin is the most commonly used cardiovascular emergency drug. But not all angina is suitable for nitroglycerin, such as people who have been allergic to nitrates, or people who take Viagra, or people with glaucoma without treatment.
It must also be emphasized that nitroglycerin is a vasodilatory drug that lowers blood pressure. Therefore, patients with low blood pressure can not use it.
Therefore, when angina occurs, if there is no above contraindication, and there is no hypotension, you can immediately take 1 grain of nitroglycerin under the tongue. If there is no remission in 3 minutes, it can be taken again, but it is not recommended to take more than 3 doses. If you take it more than 3 times, on the one hand, it may cause hypotension, on the other hand, it means that the drug is ineffective, you must immediately dial 120, at this time there may have been myocardial infarction.
2. Heart-saving pills
If you do not have nitroglycerin at home or are not suitable for taking nitroglycerin, then you can choose to take heart-saving pills.
In general, there are no obvious side effects and will not affect blood pressure, so this part of the people can take heart-saving pills. Of course, if you can take nitroglycerin, it is recommended to choose nitroglycerin first, and only when there is no nitroglycerin or it is not advisable to take nitroglycerin, it is recommended to choose a heart-saving pill.
If you take the heart-saving pill many times and still do not relieve it, you must also call 120 immediately, because angina lasting more than 15 minutes is a high suspicion of myocardial infarction.
3. Other drugs
aspirin
Strictly speaking, aspirin is not a first aid drug. However, for confirmed myocardial infarction, it is necessary to take 300 mg of aspirin immediately. Aspirin does not relieve angina pectoris and does not directly open blood vessels. Aspirin is an anti-platelet aggregation drug that prevents thrombosis exacerbations.
Therefore, when you suspect heart disease, no matter what kind of heart disease, it is not recommended to take aspirin right away. Because aspirin is not a first aid, even if you take it, you may not be able to help yourself.
The most critical, if it is not myocardial infarction, but aortic dissection, then eating aspirin is still dangerous. Because acute myocardial infarction and aortic dissection often behave the same way, we cannot accurately determine whether it is myocardial infarction based on chest pain without ecG.
Aortic dissection is the largest blood vessel bleeding in the human body, and if you eat aspirin at this time, it will aggravate the bleeding.
Salvia tablets, what heart pills.......
Contains a lot of first aid drugs known as heart disease, which are not mentioned in the current guidelines, if there is no other medicine, and you are not allergic to this so-called first aid, you can take it. But these are so-called first aid drugs, not recognized first aid drugs.
Second, prevention is the best first aid
In fact, the best first aid method is still prevention, if we do a good job of prevention, do not make a mistake, then naturally do not need first aid.
1. Take medicine on time and regularly
A major cause of the angina, myocardial infarction, and heart failure that we rescue is that we do not take medicine regularly.
Whether it is aspirin and statin for the treatment of coronary heart disease to prevent angina and myocardial infarction, or lol, pry /satan, spironolactone, listing and other drugs for the treatment of heart failure. It should be taken for a long time under the guidance of a doctor, whether it is Chinese New Year's Eve or the first day of the Chinese New Year, it should be taken regularly.
Of course, it also includes drugs that lower blood pressure, blood sugar, and blood lipids.
Once these drugs are discontinued, the condition becomes repetitive and angina, myocardial infarction, or heart failure may occur.
2. Monitor blood pressure, blood glucose and heart rate
Increased blood pressure, elevated blood sugar, and accelerated heart rate can induce angina, induce myocardial infarction, and induce acute left heart failure. Therefore, for friends with cardiovascular disease, it is necessary to monitor blood pressure, blood sugar, and heart rate.
Especially during the New Year, many people, lively, happy, life rules change, etc. will affect blood pressure, blood sugar, heart rate, everyone should monitor their blood pressure, blood sugar, heart rate, once found that there are problems in time to correct.
3. Healthy living is the foundation
Friends with clear cardiovascular diseases, live as regularly as possible, and do not make much difference from usual.
Don't be happy to forget to take medicine because relatives and friends at home and children are back, and happy to forget to measure blood pressure and blood sugar.
Eating and drinking, smoking and drinking, not sleeping on time, sitting for hours of inactivity, etc., will increase the risk of angina or myocardial infarction.
So stick to a long-term healthy diet, proper activity, don't stay up late, don't smoke and drink, and so on.
In short, whether it is Chinese New Year's Eve or the first day of the Chinese New Year, we should maintain our usual living habits, we can be happy, we can be happy, but we must not get carried away!