Since the New Year, many patients with myocardial infarction have been rescued.
Among all patients with myocardial infarction, most of them can see a doctor in time or dial 120 in time, most of them are typical myocardial infarction patients, they can realize that they may be heart disease at the first time, so they rarely delay.
However, for atypical myocardial infarction patients, they are often delayed at home for a long time, and some even delay for more than ten hours, or even a day or two later. More than half of these late myocardial infarction patients came to the hospital on their own because they didn't realize they were myocardial infarction and didn't dial 120 at all.
As a result, the more atypical the symptoms, the more they fail to see a doctor in time, the more delayed, the worse the prognosis, and most of them will have heart failure.
Of course, we are only discussing patients who have the opportunity to come to the hospital, there are many myocardial infarction will suddenly die outside the hospital, almost the vast majority of sudden death is caused by myocardial infarction, so don't think that some people can still go to the hospital after a day or two, this situation is minimal, many patients who failed to see the hospital in time, and finally did not have the opportunity to come to the hospital.
Today it is necessary to tell you about the early identification of typical myocardial infarction and atypical myocardial infarction, please forward it to more people, so as not to cause more people with myocardial infarction, miss the best rescue time, and even sudden death outside the hospital...
1. Typical myocardial infarction
Sudden onset of persistent squeezing pain in the chest or precordial area, feeling of imminent death, or with chest tightness and breath holding, or with heavy sweating.
This is basically a typical myocardial infarction medical record written original words.
1. Suddenly
Usually there may be some symptoms of angina, but the patient does not pay attention, but when myocardial infarction occurs, it is much more severe than the usual symptoms, so it is generally sudden.
2. Continuity
It refers to the discomfort that occurs, which lasts for more than 15-20 minutes, has not been relieved, and has been uncomfortable. Myocardial infarction is generally not considered if it is less than 10 minutes.
(Here to interject: myocardial infarction is actually a complete blockage of heart vessels, then it is an extreme of the most serious myocardial ischemia, or myocardial bloodless.) The simple difference with angina is that angina is generally a few minutes, while myocardial infarction is persistent once it occurs, and angina more than 15-20 minutes can be simply understood as myocardial infarction. ）
3. Chest pain or anterior cardiac pain
Most myocardial infarctions may manifest as chest pain or precordial pain, which tells us that it is mainly pain, so we are accustomed to calling it angina. This, on the other hand, tells us the site, the chest or the heart disease site (left chest). At the same time, the nature of the pain is common in the form of a squeeze, like a large stone pressed against the chest, as if it were about to crack. Or it's stuffy or suffocating.
4. Feeling of imminent death
Endangerment means quick, and death means death. Many people will definitely say, "I haven't experienced death, how do I know what a feeling of imminent death is?" ”
The simple description is: it is very uncomfortable, it is too uncomfortable to be able to express it, it cannot be expressed in words, I feel that I am about to die, and I am in a hurry to save me.
5. Chest tightness and breath holding
It can be a concomitant symptom of myocardial infarction or an independent symptom of myocardial infarction.
This kind of chest tightness is persistent, cannot be relieved by deep breathing, and it is impossible to last for a few seconds. This chest tightness is persistent and uncomfortable all the time. If the heart is blocked, there is not enough gas and so on.
6. Sweating heavily
This sweating is inexplicable sweating, not because of exercise or hot weather to sweat normally.
It was inexplicable sweating, and it was wet cold sweat, not hot sweat. Sweating can also be independent of myocardial infarction or as a concomitant symptom of other manifestations of myocardial infarction.
It is believed that when a person has the above typical myocardial infarction performance, he will dial 120 in time, or seek medical treatment in time, and generally will not be delayed. As a result, most people with typical myocardial infarction generally do not delay and can get effective treatment. Then the mortality rate is relatively low in patients with typical myocardial infarction.
But in reality, not all myocardial infarctions are typical of this. Even if it is the above typical myocardial infarction, it is not that the above 6 characteristics will appear, generally only one or several of them will appear, so there will often be some people with myocardial infarction who have not found themselves having myocardial infarction, and eventually delay, the wrong optimal time, and even sudden death.
More importantly, nearly 40% of myocardial infarction does not have the above chest pain or precordial pain, but manifests as other discomfort, so it is easier to be mistaken by everyone, and it will delay medical treatment, then the result is that the mortality rate will be higher.
2. Atypical myocardial infarction
1. Pain in other parts
In addition to the above chest pain or precordial pain, in fact, myocardial infarction is often pain in other parts, such as toothache, back pain, shoulder pain, abdominal pain, pharyngeal pain and so on. These can be manifestations of myocardial infarction.
Therefore, heart disease cannot be ruled out just because you do not have chest pain or precordial pain. Of course, you can't suspect myocardial infarction because of the random pain, which is a bit of a grass and tree!
Toothache: If it is painful to brush your teeth, swollen gums, and painful to eat hot and cold, sweet and sour, then these are the toothaches themselves. If there is usually no tooth problem, sudden toothache, especially with chest tightness or sweating toothache, to highly suspect myocardial ischemia, persistent toothache to suspect myocardial infarction. I have met no less than 10 people clinically with angina or myocardial infarction manifested by toothache.
Back pain: Mr. Guo Degang Guo mentioned in an interview that his master, Mr. Hou Yaowen, did not pay attention to the back pain, did not think that it was myocardial infarction, missed the best treatment, and eventually died. If it is a back massage, it will hurt, or move your arms and turn around, and the back pain will be aggravated, and in general, this back pain is not heart disease. The back pain caused by myocardial ischemia is basically the same as the above chest pain or anterior area pain, like a stone pressed on the back, at this time to suspect cardiovascular problems.
Abdominal pain: We recently rescued a patient with abdominal pain as a manifestation of myocardial infarction, and she did not think she was a heart attack at all. Because abdominal pain, the first thing that everyone thinks of is definitely gastrointestinal disease, or liver and gallbladder disease, no one will think of heart disease. After 6 hours of delay at home, I finally couldn't stand it, so I asked my child to drive her to the hospital. If abdominal compressions are painful, then it is generally not heart disease. Because of abdominal pain caused by myocardial infarction, compression is not painful, but conscious pain.
Sore throat: One of the sore throat patients we received last week hung up on the fever clinic. Because she thought it was a cold, now during the epidemic period, the cold must first be checked through the fever clinic. It turned out that it was not a respiratory problem, and an electrocardiogram was done to find that it was myocardial infarction. If the sore throat is a digestive tract problem, it is related to swallowing food, and the pharynx will be painful, which should be suspected of esophageal disease. If it is a respiratory disease, most of them have other symptoms of a cold, or a sore throat. Or look at the tonsils and so on. If there is no above feature, accompanied by chest discomfort, chest tightness and other discomforts, then it is suspected that it is myocardial ischemia or myocardial infarction.
Shoulder pain: Stretching the arm and moving the arm will not hurt, but it is a conscious pain. The last time we had a rarer angina, he had a handache. Hands are not red or swollen, take things, work is fine, no pain. But it is episodic pain, each time for a few minutes, more aggravated after exercise, and later diagnosed with coronary heart disease angina, angiography also confirmed severe cardiovascular stenosis. After the brace is done, the hand no longer hurts.
2. Painless myocardial infarction
Angina is called angina because most of it is pain in the heart area, or most of it has painful manifestations.
But not all angina or myocardial infarction will be painful, especially these painless angina or myocardial infarction, it is easier to be ignored by everyone, it is easier to mistake the golden rescue time, and eventually lead to a catastrophe.
We began to say that chest tightness and sweating can be seen as independent manifestations of myocardial infarction. In addition to chest tightness and heavy sweating, myocardial infarction may also be manifested as fatigue, lack of energy, nausea, vomiting, shortness of breath, neck tightness, palpitation, dizziness, confusion and so on.
Neck tightening or pharyngeal contraction, this performance is basically similar to the above sore throat, that is, inexplicably feeling as if someone is pinching their neck and breathless, this feeling should be suspected of myocardial ischemia or myocardial infarction.
However, some other atypical manifestations of myocardial ischemia or myocardial infarction are difficult to tell you a relatively simple way to judge. Of course, these weaknesses, weakness, nausea, vomiting, shortness of breath, palpitations, dizziness, confusion and so on are more rare.
The general principle is that if we have a kind of discomfort and have a clear reason for ourselves, then we don't have to worry, just treat it according to this clear reason. But if there is some kind of discomfort, you don't know what's going on, and it lasts for 15 minutes and can't alleviate it, then the first thing to think about is not heart disease, at least you should go to an electrocardiogram, which is the minimum requirement.
In short, after reading today's popular science, we are best to initially learn that typical myocardial ischemia angina or myocardial infarction must not be missed, and must be treated immediately. Atypical myocardial ischemia angina or myocardial infarction, we should also pay attention to, no certainty of discomfort, at least to do an electrocardiogram, find a doctor to see!
We don't want to be a soldier, but we also don't want to be indifferent, blind, and indifferent!