Spring Festival is the day when relatives and friends get together, but if you go to the emergency department of the hospital to see, but it is a different scene, every year during the Spring Festival, there will be many patients with sudden chest pain who are sent to the hospital, some serious situations may be fatal, this year's Spring Festival is no exception, the emergency department of many hospitals have appeared cardiovascular and cerebrovascular diseases, chest pain patients are treated "small peaks".
There are many friends, for the sudden insurmountable chest pain, the first thing that comes to mind is "myocardial infarction", of course, this is a major risk event for cardiovascular disease patients with sudden chest pain that deserves vigilance, but if a variety of chest pain problems are treated as myocardial infarction, it may delay or affect the subsequent treatment, today's popular science article, combined with relevant knowledge, for everyone to introduce 3 types of chest pain that can be fatal, I hope to be able to correctly identify the possible causes of the disease when chest pain attacks are helpful.
Chest pain is divided into several types and symptoms vary
What we call chest pain usually refers to pain and discomfort in the anterior region of the heart, usually accompanied by symptoms such as tightening, burning, squeezing, chest tightness, etc. The type of pain may also be stuffy, stinging, tearing pain or knife-like pain, etc. The range of chest pain generally includes from the neck to the lower end of the chest, but sometimes it may also radiate to the maxillofacial, throat, and even teeth, shoulders and back and other parts.
According to the different risk levels of chest pain, chest pain can usually be divided into two categories: fatal chest pain and non-fatal chest pain, such as stable angina in patients with coronary heart disease, chest pain caused by hypertrophic cardiomyopathy, and other non-cardiogenic chest pain such as pleurisy and pulmonary hypertension, which are non-fatal chest pain, while chest pain caused by acute coronary syndrome (myocardial infarction), aortic dissection, etc., is more dangerous, and improper treatment may have a fatal risk. When patients with chest pain show the following signs, it suggests a high-risk chest pain -
Confusion or loss of consciousness.
pallor.
Sweating profusely and cold limbs.
Blood pressure is below 90/60mmHg.
Shortness of breath or difficulty.
Pulse oximetry is less than 90%.
When the above symptoms appear, there may be a fatal disease caused by chest pain problems, in the timely treatment of treatment at the same time, combined with symptoms and detection, it is also very important to clarify the cause, today to introduce 4 types of common fatal chest pain for you.
The most notable chest pain in patients with coronary heart disease is myocardial infarction
If it comes to fatal chest pain, myocardial infarction is the most common and well-known common cardiovascular event, the coronary artery that supplies blood to the heart is blocked by thrombosis, which will affect the blood supply of the myocardium, light cause damage to the myocardium and heart function, and cause electrophysiological disorders of the heart, resulting in cardiac arrest and causing sudden cardiac death. For patients who have been diagnosed with coronary heart disease problems, we must pay more attention.
The typical symptoms of myocardial infarction will be manifested as chest tightness, compared to stable angina, when the myocardial infarction occurs, the degree of chest pain is generally more serious, the duration is longer, and continuous nitroglycerin (up to 3 times) can not be relieved, and may be accompanied by chest tightness, shortness of breath, sweating, near-death and other symptoms, in this case, be sure to call 120 emergency telephone in time, the sooner you get treatment, the smaller the chance of myocardial damage.
It should be noted that not all myocardial infarction attacks, there will be typical chest pain or crushing pain symptoms, myocardial infarction pain may also occur in the neck and shoulders, jaw, and even the upper limbs, upper abdomen and other parts, but at the same time, the accompanying chest tightness, dying feeling, sweating and other issues are worth noting. Symptoms of advanced age, diabetes and other patients are often atypical, if it is inferior wall myocardial infarction, there may also be bradycardia, blood pressure reduction, syncope, etc., may also be accompanied by nausea, vomiting and other digestive tract symptoms, are worthy of special attention.
All in all, for friends who already have cardiovascular disease, or who are themselves at high risk of cardiovascular disease, if the above symptoms cannot be relieved for a long time, the possibility of acute myocardial infarction should be considered, and it is very important to deal with and obtain treatment in a timely manner.
High-risk disease in patients with hypertension – aortic dissection
Cardiogenic fatal chest pain, in addition to acute myocardial infarction, the problem of aortic dissection is also worth vigilance. In particular, patients with hypertension problems that are not well controlled should pay special attention to the onset of acute chest pain, which may be in addition to myocardial infarction, but also aortic dissection problems.
About half of the aortic dissection is caused by hypertension, and its symptoms usually manifest as sudden onset of severe chest pain, unlike the pain of myocardial infarction, the chest pain of the aortic dissection is mostly "tearing" or "knife-like" pain, the pain is stronger, often unbearable, and will manifest as a persistent sharp pain, which can be accompanied by shock. However, the location of chest pain, with its symptoms and signs, is related to the location of dissection and the site of involvement, and the manifestations are also more complex.
In addition to hypertensive patients, patients with a history or family history of aortic disease, aortic valve disease, thoracic aortic aneurysm, aortic intervention or surgical history, in the sudden chest pain, if the symptoms are more typical, should pay attention to the risk of aortic dissection, aortic dissection occurs, may also be accompanied by high-risk signs and loss of pulse, significant differences in blood pressure in the extremities, new aortic valve murmurs and hypotension, shock, etc.,
A dangerous disease brought about by venous thrombosis - pulmonary embolism
Pulmonary embolism is also a very dangerous disease problem, and if it is not treated in time, it can also be fatal. The main source of pulmonary embolism, generally is the lower extremity deep vein thrombosis with blood circulation into the lungs, resulting in pulmonary vascular embolism, the most typical symptoms are dyspnea and shortness of breath, but can also be accompanied by chest pain, mostly pleurisy pain, usually can be unilateral, knife-like pain, cough and large inhalation can make the pain worse. In addition to chest pain, it can also be accompanied by hemoptysis, irritability, and even near-death feeling; shortness of breath can also be accompanied by symptoms such as cyanosis and low-grade fever, and if it is a large-scale pulmonary embolism, symptoms such as hypotension and shock usually occur.
Patients with a history of pulmonary embolism or deep vein thrombosis, long-term bed rest or "immobilization", cases with a history of surgery within 4 weeks, active tumor patients, are high-risk groups for the development of pulmonary embolism, which deserve special vigilance, when pulmonary embolism occurs, it is often accompanied by an accelerated heart rate, the number of heartbeats can reach more than 110 beats / minute, if the test D-dimer is positive, combined signs can be judged as pulmonary embolism problems.
Through the above introduction, we can see that different types of disease problems, resulting in chest pain attack symptoms, and accompanying related symptoms, will be different, understand the relevant knowledge, while understanding their own disease risk situation, in the chest pain suddenly, there is no professional testing equipment to identify the case, combined with the symptoms of the initial judgment of possible sudden disease problems, is also a very important aspect, if you read these related knowledge you feel useful, but also welcome to share and forward, so that more friends can learn the relevant knowledge , take good care of your health.