Lao Zhang in Hubei is 56 years old this year. People who know Lao Zhang know that he usually has two major hobbies: smoking cigarettes and drinking small wine.
Lao Zhang has to smoke a pack of cigarettes every day, a habit that has been going on for decades. And drinking? In addition to not drinking in the morning, be sure to accompany the wine when eating at noon and in the evening.
One evening, after Lao Zhang returned home, he still opened two bottles of beer. Watching TV while drinking beer and having dinner.
Not long after drinking, Lao Zhang felt that his elbow suddenly hurt a little. This feeling is particularly like after a cold wind blows, the joints are stimulated and stinging. Could it be gout? Old Zhang muttered in his heart.
Before long after waiting, Lao Zhang not only began to hurt his arm, but even his chest began to hurt. Just below the throat, a large area of the body burned with pain.
Lao Zhang felt too uncomfortable, and the way he kept holding his hand on his chest was seen by his family and rushed to ask him what was wrong. As soon as he said that he was a little out of breath, the family did not dare to delay, and immediately sent to the hospital.
Emergency doctors with no abnormalities in the ECG are helpless
Arriving at the hospital emergency room, a young doctor was received. He carefully examined Lao Zhang's body, clear consciousness, fluent language, normal breathing, and no obvious trauma. Even, the patient kept saying that the elbow was so sore that there was not even a redness and swelling.
The doctor immediately made a decision and quickly measured the blood pressure of the old tensor. After measuring it, Lao Zhang's blood pressure actually rushed to 200/130mmHg. How can this be done? Such a high blood pressure coupled with severe pain, there must be a big problem. In the emergency department, this is the most frightening chest pain.
The emergency doctor did not dare to delay and quickly took an electrocardiogram. Hopefully, the ECG will tell everyone the real cause of the chest pain.
The ELECTROCardiogram came out. The interns and emergency department doctors on duty all surrounded the ECG report and did not see anything unusual.
The intern saw that the ECG was not abnormal and thought it was all right. The emergency department doctor instead broke out in a cold sweat, the patient's symptoms were obviously in line with the symptoms of myocardial infarction, and the electrocardiogram was not abnormal. This does not mean that there is no problem, but it shows that the problem is big!
One possibility is hyperuricemia caused by drinking beer. Hyperuricemia can trigger gout. If it is gout, then Lao Zhang may be chest pain caused by strong gout.
In order to further determine, the emergency department doctor did a lot of examinations for Lao Zhang. Liver function, blood routine, kidney function and other items have been done, but all show no abnormalities.
What to do? Is it treated according to gout?
The ecglyogram has no abnormalities and the director is out of the horse: immediate rescue
The emergency department doctor thought left and right, thinking that he still could not be careless, in case the situation was dangerous. It may be that they are inexperienced and cannot see the doorway. He quickly contacted the director of the Cardiology Department and asked him to come out.
The cardiology director who was also on duty rushed to the emergency room, picked up the stethoscope to examine Lao Zhang, and carefully looked at the electrocardiogram. While listening to the medical history report, the director observed the lower wall lead, aVL lead, and thoracic lead of the ECG.
He pointed to these locations, looked at the V3R-V5R lead position, and said to the emergency department doctor: Look at these data, consider acute myocardial infarction! Coronary angiography needs to be done immediately!
The experienced cardiology director discovered the "abnormal signal" hidden behind the ECG and proposed to do a coronary angiogram. This one decision saved Lao Zhang's life.
It turned out that the proximal left branch of Lao Zhang's heart coronary artery had been occluded and needed to be treated by cardiology quickly. If you mistake it for gout, it will delay the disease and the consequences will be unimaginable!
Highlights:
In the clinic, patients often have different manifestations than "most people". After drinking alcohol, the middle-aged and elderly people have elbow pain, and many people feel that it is a gout attack. But because he has unassemblable symptoms of acute chest pain, it may indicate greater health risks.
How can myocardial infarction be prevented?
01 Control "Three Highs"
Controlling blood pressure/lipids/blood sugar is the first step in preventing myocardial infarction. The cardiovascular damage they bring is terrible.
02 Quit smoking and alcohol
The harm of tobacco and alcohol to the body is chronic permeation. If you insist on a pack of cigarettes and two bottles of wine every day, this "health debt" will be repaid in the future!
03 Adhere to regular physical examinations
Everyone's physical condition is different, and the symptoms are different. There are a variety of undesirable inducers in life. By the time we find out, it may be too late. It is best to adhere to regular physical examinations in order to eliminate health risks.
Dr.X said
Middle-aged and elderly people need to take more care of their bodies. Many diseases are very hidden, and they test the skills of doctors. After seeing that the ELECTROCardiogram is normal and the myocardial enzymes are normal, many people feel that they are okay and are clamoring to go home. But the danger of chest pain lies in 1. the variety of types 2. the consequences are serious. Listen to the doctor, it is still right to cooperate with the treatment!