Tomorrow will be the May Day holiday, and most people can rest and rest.
However, Mr. Liang suddenly fainted and fell to the ground while he was eating at noon.
The family immediately dialed 120 and called out to Mr. Liang, fed him medicine, pinched people, slapped his arms...
After 120 arrived, the patient did not answer, the blood pressure was measured 40/20mmHg, the electrocardiogram suggested acute myocardial infarction, and the heart rate was 20 beats/min.
While giving rescue treatment, contact the hospital chest pain center to activate the catheterization chamber and the green channel.
But because the patient was too ill and sent to the hospital, there was no chance of thrombolysis or stents, and eventually the person was gone.
Family members say the patient has been a little uncomfortable in the last week and often feels that his throat is tight, as if he has been choked by someone's neck, and he is breathless. Especially when going upstairs it will appear, but it lasts a short time, just a few minutes. So the patient didn't care at all, and he didn't go to see it. I didn't expect a sudden heart attack, I didn't expect sudden death.
First, how can a tight throat be heart disease?
There are many kinds of heart disease, such as heart vessels, circuits, atrioventrics, myocardium and so on.
Even if it is angina of coronary heart disease that we often say, there are many manifestations of myocardial ischemia. In addition to the familiar precordial pain, chest pain, chest tightness and breath holding.
Angina may also manifest as a tightness in the throat, as if someone is holding the neck and breathless. If the discomfort is episodic, it can be relieved by continuing for a few minutes each time and resting for a few minutes. Then there must be a high suspicion of myocardial ischemia and angina.
Second, why did you faint?
Myocardial infarction is the heart's blood vessel blockage, heart blood vessel blockage, not only will affect the heart to the whole body blood supply, will cause hypotension, hypotension, the patient will be shock, syncope.
After myocardial infarction, it will not only affect the blood supply to the heart, but also affect the circuit system of the heart, that is, the heart will have arrhythmias, such as ventricular fibrillation, which is also a heart stop, after the heart stops beating, people will also faint.
There will also be a chronic arrhythmia, such as conduction block, the heartbeat will be very slow, the heartbeat will be too slow to complete the blood supply, the brain does not have enough blood supply, and the person will faint.
Third, why was it sent to the hospital or sudden death?
Not everyone is taken to the hospital and rescued.
Especially myocardial infarction, a disease that counts every second. Many people with myocardial infarction do not come to the hospital, and sudden death at home, or sudden death on the way to the hospital.
The sooner you go to the hospital, the sooner you go through formal treatment, such as as aspirin, clopidogrel, anticoagulant therapy, thrombolysis, or stent opening of blood vessels. Then the more you can save the patient's life.
However, the later you go to the hospital and the later you open your blood vessels, the chances of patients with myocardial infarction being rescued will be greatly reduced. When the patient had myocardial infarction at home, he had fainted, and after 120 years, the heart rate of the patient who did the ECG was only 20 beats per minute, and the blood pressure was 40/20 mmHg. He was already dying, even if he used rescue drugs, he was unable to return to heaven.
When it was too late to reach the hospital, the thrombolysis or stent stopped beating, and the patient's heart stopped beating.
4. How to judge whether the heart vessels are blocked or not?
Complete blockage of heart vessels is myocardial infarction, and the simple understanding of myocardial infarction is persistent unresponsive angina.
So what is angina?
There are many manifestations of angina, like this patient who died suddenly, he actually had no pain, nor pain in the anterior region. So he didn't see a doctor in time because he didn't think he was having a heart attack.
Angina does often present as pain in the precordial area or chest pain. But there are many people who are not so typical, but manifested as others, such as the patient's pharyngeal tightness, as well as chest tightness, sweating, and what toothache, headache, back pain, shoulder pain, epigastric pain, etc. may be angina.
Therefore, we cannot judge or rule out whether we have blood vessel blockages based on where it hurts or where it does not hurt, but according to the characteristics of angina:
1. Not all angina will be painful, and not all angina will be painful in the anterior region.
2. Angina generally lasts for 2-15 minutes, and is most common for about 3-5 minutes.
3. More seizures occur in the case of activities, exercise, fatigue, going upstairs, running, etc. After the attack, the patient will passively rest, after a few minutes of rest, the angina will gradually ease, after remission, the patient will feel as normal, feel okay.
The simple judgment is to say that you did not feel uncomfortable in the original activity, exercise, fatigue, going upstairs, running, etc., but recently suddenly appeared unexplained discomfort after activity, exercise, fatigue, going upstairs, running, then you should have a high degree of suspicion of angina.
At this time, it is necessary to see a doctor as soon as possible, because angina is a myocardial infarction and dies in the police. If the patient can see the patient in time when the pharynx is tight in the first few days, after formal treatment, then the patient can avoid this myocardial infarction and avoid sudden death.
Learn a little common sense to judge angina, there is no harm!