Keep alive without stopping! More than 30 patients with acute myocardial infarction and macrovascular dissection were treated in three days

Jimu news reporter Liu Xun

Correspondent Lu Hui

During the Spring Festival holiday, the reunion dinner bureau was one after another, playing cards day and night, coupled with the severe cold weather, acute myocardial infarction entered a high incidence period. It is understood that in the three days before the Spring Festival holiday of the Chest Pain Center of Wuhan Asian Heart Hospital, more than 80 patients with chest pain were treated, including more than 30 patients with acute myocardial infarction and aortic dissection. On Chinese New Year's Eve alone, Wuhan Asian Heart Hospital received and treated 11 patients with acute myocardial infarction and 4 patients with emergency large blood vessel dissection. Li Bei, deputy director of the emergency department and chest pain center, said that cold weather, the impact of bad living habits and the long-term delay of chest pain are the main causes of acute myocardial infarction or dissection.

The Spring Festival became a "spring robbery", and the fifty-year-old man suffered a heart attack and died

Chinese New Year's Eve night was a family reunion day, but Mr. Zhao, 58, had to spend time in the hospital because of a sudden heart attack. He was diagnosed with coronary heart disease half a year ago and has been left unattended. Chinese New Year's Eve this day and his family had a New Year's dinner, and after a few glasses of white wine, Mr. Zhao suddenly felt a tight pain in his chest and a cold sweat all over his body. His family advised him to go to the hospital to see him, but he refused. "Don't run to the hospital for the New Year, I can take a break." But three hours passed, Mr. Zhao's chest pain symptoms could not be alleviated, and he immediately came to Wuhan Asian Heart Hospital for treatment.

When he came to the hospital, he had ventricular premature beats, and the electrocardiogram showed acute myocardial infarction, large-scale myocardial ischemia, low blood pressure, and the risk of sudden death at any time. The hospital immediately opened the green channel for emergency treatment, and all departments closely cooperated with relay treatment. The emergency and critical care team immediately placed IABP (aortic balloon counterpulsation technology) to give life support and improve preoperative preparation; the intervention center followed closely after completing coronary angiography, and found that 90% of the left trunk blood vessels were narrowed during the operation, the right coronary artery was sub-complete occlusion, and the heart blood supply was seriously insufficient; the surgical team urgently took over the baton to carry out cardiac bypass surgery, which lasted 4 and a half hours, successfully opened the blocked blood vessels, and the condition turned critical, and Mr. Zhao successfully escaped the disaster of life and death.

Holiday blood vessels are the most "tired", myocardial infarction should not be delayed

Spring Festival is often a small peak of myocardial infarction, a cold climate, low temperature will make the human blood vessels contract, blood flow resistance increases, blood pressure rises, myocardial oxygen consumption increases, if the original heart coronary arteries have different degrees of atherosclerotic plaque blockage, will lead to myocardial ischemia, and even plaque rupture, thrombosis, thereby inducing acute myocardial infarction; second, Eat the sea to drink, drink a lot of alcohol, consume a lot of high-fat, high-calorie food in a short period of time, easy to lead to a sudden increase in blood lipid concentration, increased blood viscosity, On the basis of coronary artery stenosis, a thrombus is formed, causing acute myocardial infarction. In addition, excessive mood swings and disordered work and rest time are also common factors that lead to myocardial infarction.

Director Li Bei reminded that during the Spring Festival, it is very important to eat moderately and drink moderately, and each meal should not be too full; try to avoid staying up late and develop a good work and rest law; do a good job of keeping warm when going out, while maintaining a peaceful attitude, and do not get too excited and excited when gathering, especially for the elderly with heart disease. In addition to staying up late to eat and drink, we must be vigilant against the distress signal sent by the heart and pay attention to preventing the onset of myocardial infarction. Once chest pain, chest tightness, panic, shortness of breath, dial 120 in time for medical treatment, do not delay treatment with the excuse of "wait and see" and "New Year hospitalization is unlucky", thus causing life danger.