Today this young man is only 23 years old, and the first discomfort is nausea and vomiting.
In our routine, even doctors will think that nausea and vomiting are digestive tract diseases. So the young man himself thought it was inappropriate for him to eat. I bought some stomach rejuvenation anti-ememesis and nausea drugs, and a few hours after taking the medicine, the guy's nausea and vomiting symptoms were not alleviated.
In the end, the young man had to go to the hospital, to the gastroenterology department, and the diagnosis was carried out step by step. However, no clear gastrointestinal problems or other related problems caused by nausea and vomiting were detected in the gastroenterology department.
Subsequently, the doctor said that if you get an electrocardiogram, it will not be caused by heart disease.
The young man was not very satisfied, and said: It is nausea and vomiting, you can give me an anti-emetic injection. Or do I have to do an ELECTROCARDI? I was sick and vomiting, and you still suspected it was heart disease. Shouldn't heart disease have chest pain, chest tightness and breath holding?
The doctor explained: Now the body examination, the possibility of digestive tract problems is small, you yourself have taken antiemetic drugs, and there is no improvement. So we have to do an electrocardiogram, because heart disease, such as myocardial infarction, can manifest as nausea and vomiting.
Then the young man was not very happy to do an electrocardiogram, after doing the electrocardiogram, the doctor in the electrocardiogram room did not let the patient move the ground. Immediately called the cardiologist and said that he suspected myocardial infarction. After the doctor arrived, the confirmed patient was a myocardial infarction, because the hospital could not open the blood vessels, so immediately contacted 120 and transferred the patient to a higher-level hospital.
After arriving at the higher hospital, the angiography was immediately taken, and the angiography found that the patient's heart vessels were completely occluded, and then the blood vessels were opened, and the patient's symptoms gradually eased, and then the patient was sent back to the intensive care unit.
How can myocardial infarction manifest as nausea and vomiting?
People who often watch popular science know that there are many manifestations of myocardial infarction, and myocardial infarction with abdominal pain as the main manifestation accounts for about 4.3% of myocardial infarction. Abdominal pain myocardial infarction is often accompanied by nausea, vomiting, hiccups and so on.
There are also some myocardial infarction without abdominal pain, that is, nausea and vomiting. In particular, two types of myocardial infarction often manifest as nausea and vomiting.
For example, the occlusion of blood vessels on the right side of the heart often affects the heart rate and blood pressure, resulting in slowing down the heart rate, decreasing blood pressure, affecting the atrioventricular nodal blood supply or elevated vagus tone, at which time the patient will appear as nausea and vomiting.
There is also a more serious acute anterior wall myocardial infarction, because this time is often blocked by the anterior descending branch, affecting the left ventricular blood supply, cardiogenic shock, which will also manifest as nausea and vomiting. Once anterior myocardial infarction is combined with cardiogenic shock, the mortality rate is extremely high.
Myocardial infarction has many manifestations and cannot be careless:
The most common manifestations of myocardial infarction are chest pain or anterior area pain, but there are other manifestations such as headache, toothache, back pain, shoulder pain, and abdominal pain. It may also be painless, such as chest tightness, nausea and vomiting, pharyngeal discomfort and so on.
Therefore, we can't solidify our thinking that only chest pain is myocardial infarction. To identify whether it is myocardial infarction, in fact, it is relatively simple, do an electrocardiogram, you can accurately judge, so when a lot of discomfort, you must think of an electrocardiogram examination.
At the age of 23, how did the heart and blood vessels become blocked?
Everyone is most curious about why the heart and blood vessels are blocked at the age of 23.
There are many causes of blood vessel blockage, not the only reason, such as: high blood pressure, diabetes, hyperlipidemia, obesity, unhealthy diet, staying up late, not exercising, stress and so on. There are also such things as old age, genetic factors, etc.
The more of these factors, the higher our risk of developing cardiovascular disease.
Let's take a look at this young man and what are the high risk factors:
Since childhood, I love to eat fried foods, drink carbonated drinks, and look like overweight people, never exercise, often stay up late, and smoke.
These factors are the main causes of myocardial infarction in young people.
Popular science key points:
1. Youth is not a shield for myocardial infarction, only a healthy life can prevent myocardial infarction.
2. Nausea and vomiting, it is indeed necessary to do an electrocardiogram to exclude acute myocardial infarction.