This May Day holiday is the same as most small holidays.
Every time there is a small long holiday, it will surely rescue patients with myocardial infarction. On the third day of the May Day holiday, we rescued a 34-year-old man, which can really be said to be a thrill, and the loss was treated in time. If you arrive a few minutes late and have ventricular fibrillation at home, then even if the gods come, they will not be able to return to heaven.
At six or seven o'clock in the evening, Xiao Zhao, who had just finished dinner, accompanied his parents and family to watch TV.
Xiao Zhao ate a little too much for dinner and drank a few drinks. After eating, I began to feel that my stomach was propped up, so I prepared to go downstairs for a walk and consume food. Before the cigarette in my hand was lit, I felt uncomfortable in my heart, chest pain, and chest tightness.
So he didn't go downstairs, and he lay down on the couch, ready to lie down and rest.
The mother, who had not finished cleaning up the kitchen, saw that her son was uncomfortable and asked: What? Do you want to drink some hot water?
Xiao Zhao said: My heart is uncomfortable, my chest is a little sore, I don't want to drink water, and I am holding my breath.
When Mother Zhao touched Xiao Zhao's forehead, it was full of beads of sweat, but it was cold sweat, and she said: Broken, don't have a heart problem. Hurry up and go to the hospital.
Xiao Zhao said: It's okay, so young, why may I have heart problems." Usually can eat, drink and run, it is impossible to have heart problems.
Then Mother Zhao turned over a few heart-saving pills from the small medicine box and gave them to Xiao Zhao. After about 5 minutes, Xiao Zhao's symptoms did not ease. Mother Zhao did not discuss with Xiao Zhao and directly dialed 120.
After 120 arrived, he immediately gave Xiao Zhao an electrocardiogram, prompting: the ST section of the lower wall lead is raised, and the ST section of the high side wall and the anterior wall is depressed.
It is a typical electrocardiogram of acute inferior myocardial infarction, measuring the patient's blood pressure of 80/50 mmHg, and shock has occurred, so the vasopressor is given immediately, and the patient is given 300 mg of aspirin + 180 mg of ticagrelor orally. And activated the chest pain center and carried the patient to the 120 car.
The reason why Zhao's mother can quickly reflect that her son is a heart disease is because Zhao's mother usually has high blood pressure and can often see the scientific knowledge of cardiovascular disease. So today I saw my son suddenly chest pain, chest tightness, breath holding, sweating, so the first time I thought it might be heart disease.
Xiao Zhao's family is not very far from the hospital, and in less than 20 minutes, Xiao Zhao was sent to the hospital. When Xiao Zhao was carried down from the 120 car, the patient suddenly convulsed his limbs and lost consciousness. The doctor immediately gave a 200J electric shock to defibrillation, and the patient's consciousness gradually recovered.
The most common cause of sudden death due to myocardial infarction is ventricular fibrillation.
We all know that when the heart stops beating, human life will end. In fact, there are two kinds of heart arrest, one is the familiar electrocardiogram straight line, the heart does not beat. The other is ventricular fibrillation, a malignant arrhythmia, simply put, the heart beats infinitely fast, the heart beats infinitely fast, and it will not beat the blood out, so it is equivalent to the heart stopping.
Heart stopping, straight electrocardiogram, must be immediately chest compressions, cardiopulmonary resuscitation.
Ventricular fibrillation, ventricular fibrillation electrocardiogram, must be electrically shocked to defibrillation, so we often watch TV movies on which there is electric shock defibrillation. In fact, this is to rescue patients with ventricular fibrillation, not patients with a straight line of ECG.
If you think that if Zhao's mother did not dial 120 in time, but delayed at home for an extra 20 minutes, then Xiao Zhao was very likely to tremble in the home room. At home room fibrillation, without a defibrillator, the likelihood of rescue is close to 0.
After Xiao Zhao was nearly defibrillated, his heartbeat returned to normal, he was sent to the catheter room, and the angiography found that the blood vessel on the right side of the heart was completely occluded, and then the blood vessel was opened, and the defibrillator was taken, and the monitor sent the patient back to the intensive care unit.
So how can a 34-year-old young man say that a heart attack is a heart attack?
In fact, at the beginning we have briefly introduced, you look at Xiao Zhao smoking, drinking, unhealthy diet, and not very active, overweight, these factors will lead to an increased risk of blood vessel blockage.
So why is it that Xiao Zhao is not uncomfortable and suddenly has a myocardial infarction?
The essence of myocardial infarction is thrombosis, which blocks the blood vessels of the heart and the myocardium begins to necrosis. In the process of myocardial necrosis, it will not only affect the blood supply to blood vessels, resulting in myocardial necrosis. At the same time, it will also affect the beating of the heart, that is to say, the water pipe at home is cracked, a lot of water is run, and the power lines at home are also broken, which is easy to have ventricular fibrillation. So Xiao Zhao had ventricular tremor.
The process by which our blood vessels are blocked is not from 70-71-72%..... Step by step to 97-98-99-100% such a blockage.
When the narrowing caused by vascular plaques exceeds 70%, under the stimulation of smoking, drinking, staying up late, strenuous exercise, irritability, anger, etc., it is easy to induce plaque rupture, even 75% of plaques, it will suddenly rupture, form blood clots, block blood vessels, and myocardial infarction.
However, if it is 70-75% of this plaque, there are usually no symptoms of angina, so Xiao Zhao said that he can usually eat, drink and run, and nothing affects.
In short, Xiao Zhao's case tells us that we should be like Zhao's mother, usually learn a little medical knowledge, and save lives at critical moments. At the same time, the most critical thing is to focus on prevention, life should be healthy, and youth is not a shield for myocardial infarction!