My 97-year-old grandmother suddenly had a myocardial infarction, and such a long-lived myocardial infarction was the oldest patient I have ever met in the hospital.
When the grandmother was taken to the hospital, her heartbeat was only about 20 times a minute, and she couldn't see people.
In fact, the grandmother has been having chest pain at home for 2 hours, and it is known from the exchanges of the family: after the grandmother began to fall ill, several sons and several girls gathered together to discuss what to do next. After several children basically went to the old lady or had communicated by phone, the old lady had been ill for almost 2 hours.
Looking at the old lady was still in excruciating pain, and finally everyone unanimously decided to send it to the hospital to see first, and it was really not possible to pull it back.
After being sent to the hospital, the ecG was diagnosed, and the acute inferior myocardial infarction was made, which was the grandmother's heart rate had dropped to 40 beats per minute, and the heart rate had been declining.
First let the family sign the critical illness notice, and at the same time inform the family that the operation needs to be understood, and the angiography is taken to see which blood vessel is blocked, and see if the stent can be placed. Open the blood vessels, release the stent, the condition will turn around, otherwise the heart rate will become slower and slower, and it will not be long before the person may be gone.
At this time, a large number of sons and daughters, in fact, the children of the old lady are already old people, at least more than 70 years old; there is a wave of 50-year-olds who should be grandchildren. Seven mouths and eight tongues, basically means: so old, still cure what treatment, do stents are estimated to not live, waste of money. At such an old age, it is enough to use some medicine, or conservative treatment.
We have repeatedly explained that for the elderly over 75 years of age, acute myocardial infarction is not recommended, because thrombolysis can cause heavy bleeding and is more dangerous. For patients with myocardial infarction over the age of 80, thrombolysis is certainly not possible because the risk of thrombolysis is greater.
So for the 97-year-old man, there is an acute myocardial infarction, on the one hand, the so-called conservative treatment, conservative treatment means not to open blood vessels, symptomatic infusion, eating aspirin and statin and other drugs, has been observing, good luck can survive, bad luck people are gone.
For the 97-year-old grandmother, there is only one active and formal treatment, that is, the method of opening blood vessels and using only stents. Some people must wonder whether they can't stent when they are older, in fact, there is no necessary relationship between doing stent and age. As long as half of the conditions are OK, then for the elderly with acute myocardial infarction, stents are the only option.
The old lady usually does not have chronic diseases such as liver, kidney and lung, so it is possible to operate, if you can open the blood vessels early, the prognosis should be good.
After repeated explanations by the doctor, the children and grandchildren still could not come up with an idea, either to say goodbye or to be silent. In the process of communication between the doctor and the family, the grandmother's heart rate became slower and slower, and the heart rate slowed down to 20 times, even if the drug that raised the heart rate was used, it did not have much effect. The reason why the old lady's heart rate is slow is because of the acute inferior wall myocardial infarction, the blood vessel on the right side of the heart is blocked, and the blood vessel on the right side of the heart is mainly to supply blood to the sinus node of the heart beating, so after the blood vessel is blocked, the sinus node area will also be ischemic, so it will affect the heartbeat, the heartbeat will slow down, and even the heart will stop beating.
Only by opening the blood vessels in time can not only save more myocardium and improve the survival rate, but also restore the patient's heart rate after the right coronary blood flow is opened.
In the case of a stalemate between children and grandchildren, at this time, a young man, about 20 years old, stood up and spoke: Don't fight, hurry up, there is nothing wrong with being right; don't fight for it and can only wait for the heart to stop beating, isn't it just spending more money?
The crowd interjected: it is not a matter of money or no money, it is too risky.
This young man said: Now the grandmother's heart beats 20 times, and her heart is going to stop beating, what is greater than this risk, this disease is the biggest risk.
Only then did the family agree to give the grandmother surgery, and the angiography found that the beginning of the root of the blood vessel on the right side of the old woman's heart was occluded, and after balloon expansion and implantation of the stent, the blood flow was restored. Subsequently, the grandmother's heartbeat gradually recovered to 60 beats per minute.
The grandmother did not say a word before the whole operation, on the one hand, the illness was too serious, the grandmother was uncomfortable and in shock, and could not speak; on the other hand, she may not be willing to speak.
After the operation, just out of the operating room, the family gathered around, all concerned about the grandmother, but the grandmother did not take care of anyone except the grandson who had just strongly requested to operate on herself in the emergency department. Just say in a very subtle voice: Granny is all right, rest assured! Can't die!
I don't know who these two sentences were addressed to...
Sending the grandmother back to the intensive care unit, the grandmother saw that the children were not in the ward, so she asked: Doctor, am I not okay?
I took my grandmother's hand and said: It's okay, just now the blood vessel is blocked, now it's open, it's all right, you see just now the heartbeat is only 20 times, and now the heartbeat has recovered to 60 times. 100 years old is no problem.
I admit that I have the intention of comforting the grandmother, but for a 97-year-old grandmother who has no anemia, no liver and kidney function problems, no lung disease, can eat and drink, and communicate normally, if there is no accident, living to the age of 100 should indeed not be a big problem.
There is an old home, such as a treasure!
Let's all cherish the old man at home, when your grandparents leave, your parents are the old man, when your parents leave, you will become the old man...