According to reports, Wu, a 28-year-old student who works at ByteDance, went to the gym after work, suddenly felt unwell after 1 hour of exercise, and then did cardiopulmonary resuscitation (CPR) rescue by witnesses present and called for 120 emergency to the scene, rescued for more than 40 minutes, and the family was transferred to the hospital after arriving at the scene, "the hospital used ECMO for rescue according to the requirements of the family", and finally died after 41 hours due to ineffectiveness.
The information about the disease on the Internet is very limited, from the report, it is a 28-year-old male youth, the previous living conditions, disease conditions, family medical history is not known; onset of illness after 1 hour of gym exercise, soon there is cardiac arrest, because more than 10 minutes after the onset of the disease, security personnel carried out cardiopulmonary resuscitation operations; then the emergency personnel to the scene to rescue more than 40 minutes, should be poor resuscitation effect, family members to the scene after the transfer to the hospital on ECMO, that is, the meaning of artificial heart and lung, with the instrument to maintain breathing and circulation, He died of brain death 41 hours later.
According to reports, although the patient died after 41 hours of rescue, in fact, CPR was not successful, and the follow-up 40 hours were maintained by artificial heart and lung. Therefore, it should also be sudden death.
Sudden death after exercise should be considered sudden motor death. Because according to the definition of sudden sports death, it is an accidental death of an athlete or physical exerciser with or without symptoms during or within 24 hours of exercise. Of course sudden cardiac death is defined as within 1 hour.
In the population where sudden motor death occurs, more men than women, and the majority are young and middle-aged.
Studies have found that more than 75% of patients with sudden motor death are under the age of 35, and the age group of 16 to 20 years old is a high incidence period, and even studies have shown a high incidence of freshmen. Because it occurs mostly in young and middle-aged people, although the overall incidence is not so high, it has a great impact.
No matter how sudden it is, the occurrence of sudden death still has a basis for disease. Although about half of people with sudden cardiac death do not have a known heart disease, most have hidden ischemic heart disease.
Sudden motor death, most commonly, sudden cardiac death. It's still cardiovascular disease.
Now cardiovascular disease is younger, and young people in their 20s suffer from coronary heart disease and acute myocardial infarction. However, the main causes of sudden motor death in young people are congenital cardiovascular structural abnormalities, myocarditis, hypertrophic heart disease, and myocardial ion channel disease. Ion channel disease is a hereditary arrhythmia, some of which are not usually visible. High-intensity exercise as a trigger induces the onset of potential disease, resulting in myocardial ischemia, malignant arrhythmias and sudden death.
It is more likely to be induced when emotional stress, anxiety, anger, or physical fatigue, lack of sleep, after illness, when you have a cold and fever, or when you are overexpressed or sweating too much.
How can young people prevent sudden cardiac death?
* Adhere to a healthy lifestyle. An unhealthy lifestyle can damage the heart, such as smoking, drinking, greasy eating, staying up late, nervous anxiety, lack of exercise, etc., will damage the heart through different ways.
Busy work, stress, nervousness and anxiety are the norm in the current workplace. But the individual still has to have some control, psychological guidance. Moderate rest and relaxation, it is important to maintain good sleep, and it must be relaxed to last.
* Pay attention to physical examination, timely detection of physical abnormalities. For young and middle-aged people, if there is sudden death of human origin in the family, it is necessary to pay attention to checking for heart disease; if they have had unexplained syncope, the examination does not find ischemic heart disease or other structural heart disease, it is necessary to evaluate the hereditary arrhythmia syndrome, and if necessary, long-distance ECG monitoring and some genetic screening can be done.
* Prevention and treatment of cardiovascular disease. Patients with "three highs", of course, to control the "three highs", to prevent cardiovascular disease, if there is discomfort during exercise must be timely medical examination; there is already cardiovascular disease, it is necessary to standardize treatment. Exercise should be evaluated by a doctor, and moderate exercise is conducive to cardiovascular rehabilitation.
* Exercise should be moderate and gradual. Don't suddenly do strenuous overload exercise, don't exercise when you are tired, sleep-deprived, in a bad mood, or in poor physical condition.
*In the event of cardiac arrest, witnesses are required to start resuscitation. In addition to cardiac compressions, be sure to electrically defibrillate as early as possible. Therefore, in public places, physical exercise places to configure AED - automatic external defibrillator is very important.
Because the most common and early ECG disorder in cardiac arrest is ventricular fibrillation, ventricular fibrillation. The most effective way to rescue is to give the patient electrical defibrillation as soon as possible. For every 1 minute delay in defibrillation, the success rate is reduced by 10%.
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