A 45-year-old male patient with myocardial infarction was rescued at 4 p.m.!
This brother had actually just been to the hospital in the morning and had a normal electrocardiogram, but the doctor considered that he had angina and suggested that he be hospitalized for observation.
However, the patient felt that the ECG was normal, and he was not hospitalized, and as a result, he suffered a myocardial infarction at home at 3 p.m., thanks to the timely time, which opened up the blood vessels and saved the patient's life.
First, why do you do an ELECTROCARD in the morning?
Mr. Zhou, recently repeated chest pain, each time will have chest pain for a few minutes, especially dare not walk too fast, or dare not go up the stairs, these situations are particularly prone to chest pain.
And the number of seizures became more and more frequent, so I went to the hospital in the morning. Because he knew that walking fast would cause chest pain, Mr. Zhou walked very slowly along the way, and he did not have chest pain.
After reading it, the doctor said that considering angina, you can first do an electrocardiogram, when doing the electrocardiogram, Mr. Zhou just did not have chest pain, and the electrocardiogram return prompted a normal electrocardiogram.
However, the doctor said: Although the ECG is normal, but the whole is still a typical angina, it is recommended to be hospitalized for observation, and the next step is to arrange an contrast examination.
Mr. Zhou thought that this electrocardiogram was normal, and he was hospitalized to observe the angiography, so he went home and was not hospitalized.
Second, in the afternoon, the myocardial infarction died, why is the ECG still normal in the morning?
In the afternoon, Mr. Zhou had a myocardial infarction, the blood vessels were blocked, and they were all stented, so why was the ECG in the morning still normal.
One of the biggest characteristics of the ELECTROCardiogram is that when the patient has a disease, the ECG can be done, then the abnormality of the ECG can be recorded, and the evidence can be provided for the diagnosis of the disease.
However, when Mr. Zhou went to the ECG in the morning, he did not have chest pain, so the ECG prompted normal. But this only proves that the few seconds of the ECG are normal, and the doctor does not rely entirely on the ECG.
The doctor combined the patient's symptoms, even if Mr. Zhou's electrocardiogram was normal, he also diagnosed angina, and suggested that the patient be hospitalized for observation and treatment, but Mr. Zhou did not take the doctor's advice. Eventually the condition worsens, from angina to myocardial infarction.
Angina indicates severe cardiovascular stenosis, but it is not completely blocked, blood vessels and blood flow, no myocardial necrosis, the relative risk is low, and the risk of sudden death is relatively low. At this time, if you can actively treat it regularly, then you can effectively prevent myocardial infarction.
However, once it is not taken seriously, angina develops to myocardial infarction, that is, the blood vessels are completely blocked, the myocardium begins to necrosis, and there is a risk of sudden death at any time.
Third, chest pain again in time
At 3 p.m., Mr. Zhou had chest pain again, because he had been to the hospital in the morning, and the doctor had said that chest pain was angina pectoris, which could develop into myocardial infarction at any time, so this chest pain just occurred, Mr. Zhou did not delay for a second, and quickly went to the hospital.
Go to the hospital to do an electrocardiogram, consider acute myocardial infarction, immediately angiography, found that the largest blood vessel root of the heart is 99% blocked, there is a blood clot, and then open the blood vessel and implant the stent.
If Mr. Zhou's decision in the morning is wrong, then Mr. Zhou in the afternoon is also a dead sheep to make up for it, because the morning doctor said that angina may cause myocardial infarction, so in the afternoon, after Mr. Zhou had chest pain again, he immediately went to the doctor, did not dare to delay, and won time for saving himself.
How to avoid such a thing from happening again?
Mr. Zhou was in a stable condition, and perhaps he himself was a little scared, but he was not necessarily really scared because he did not have ventricular fibrillation, no cardiac arrest, no heart failure. So he was just a little scared instead of really scared.
He even thought that myocardial infarction in the afternoon and angina in the morning were the same thing.
Don't you know that when a myocardial infarction occurs, many people can't go to the hospital at all, and they die suddenly at home. So Mr. Zhou can only say that he was lucky. But it is safer to take the morning when the doctor says he has angina and suggests that he be hospitalized for observation, he should listen to the advice of a professional instead of making up his own mind.
Secondly, we should usually strengthen prevention, such as what I often said: stay away from tobacco and alcohol, insist on exercise, control weight, healthy diet, avoid staying up late, control the three highs, etc. are all effective ways to prevent coronary heart disease and prevent myocardial infarction.
In short, if angina is not treated regularly, it will develop into myocardial infarction, which will be fatal and must be paid attention to!