Ms. Luo is 44 years old, still very young, and usually does not pay much attention to personal life Xi.
About a few months ago, Ms. Luo came to the hospital near her home for a throat discomfort, and the doctor found that her thyroid gland seemed to be a little large after a physical examination, so he suggested that Ms. Luo do a thyroid B ultrasound examination, and after the examination results came out, it was found that Ms. Luo's thyroid gland had a nodule, and this nodule was not very good, and she needed immediate surgery.
Ms. Luo agreed, and she was able to get out of bed and go home three days after the operation.
She thought that the symptoms of throat discomfort were solved, but what she didn't know was that this was the beginning of the nightmare. After returning home, Ms. Luo still frequently felt discomfort in her throat, and she also asked the surgeon, who told her that this was a normal reaction after surgery.
Ms. Luo returned home in disbelief, however, after a while, the patient felt that the discomfort in her throat continued to worsen, and she began to behave more unusually, such as shortness of breath as soon as she walked fast.
There was really no way, Ms. Luo decided to believe in herself and came to a nearby tertiary hospital for an examination.
After arriving at the hospital, the doctor carefully inquired about Ms. Luo's medical history. Ms. Luo vividly described her throat as if something was clogged, although it was not painful, itchy or choking, but it was just uncomfortable.
The doctor then asked her if she had any previous examinations or surgeries, and Ms. Luo said that she had a thyroid nodule removal operation before, and the doctor's eyes lit up and asked, "Did you have fever, palpitations or cough after the operation?"
The doctor's inquiry was obviously whether she was still worried about the thyroid problem, and Ms. Luo thought about it and shook her head.
Immediately followed by the physical examination, Ms. Luo's body temperature was normal, her pulse was 77 beats per minute, her blood pressure was 125/80mmHg, her heart rhythm was regular, her lungs were clear on auscultation, and there was no edema in her lower limbs.
For the sake of safety, the doctor suggested that Ms. Luo do a blood routine, troponin, blood gas, blood biochemistry and electrocardiogram tests, and Ms. Luo was puzzled and asked, "Why do you have so many tests?" The doctor said: "There are many problems of throat discomfort, and it is better to check them."
Ms. Luo nodded, anyway, she was not short of money, so she accepted the examination, many patients may feel that these examinations are unnecessary, but for hospitals and doctors, these are basic examinations, which are examinations to ensure the life of patients and the safety of doctors.
After the examination, the doctor found that Ms. Luo's electrocardiogram was a little abnormal, and the rest was fine, and initially suspected that Ms. Luo might be a patient with laryngitis, and the doctor said to Ms. Luo: "There is no way to thoroughly investigate your heart problem now, I recommend hospitalization for observation."
Ms. Luo thought that her problem might be so troublesome, so she agreed.
However, what I didn't expect was that Ms. Luo fainted directly after getting up the next morning and had difficulty breathing, but fortunately, the medical staff found it in time, and after 1 hour of cardiopulmonary resuscitation, the patient's voluntary heart rhythm was restored, but the blood pressure was still maintained by high-dose vasopressor drugs, and was quickly transferred to the intensive care unit (ICU).
In the ICU, the cardiologist saw the electrocardiogram and said to the doctor who was attending at the time: "This is actually an obvious manifestation of myocardial infarction, you are not a cardiologist who can't see it and really can't blame you, and it is prudent to think of admitting patients to the hospital."
In the end, the patient was confirmed to have acute myocardial infarction, and coronary angiography revealed that more than 85% of the patients were occluded.
When a blockage of a coronary artery causes myocardial ischemia, heart muscle tissue begins to damage or even die. In this condition, chemicals released by the heart muscle tissue can irritate peripheral nerves, causing abnormal pain conduction. These nociceptive stimuli may be transmitted upwards from the heart area along nerve pathways in the neck to the larynx, causing a feeling of throat discomfort.
In addition, myocardial infarction may cause cardiac insufficiency, including decreased pumping capacity and pulmonary congestion. These abnormalities in heart function may cause edema and pressure around the chest and throat, which can cause throat discomfort and difficulty swallowing.
While throat discomfort and difficulty swallowing can be one of the atypical symptoms of a heart attack, not everyone who experiences these symptoms necessarily has a heart attack. This is just a reminder to be vigilant when faced with these symptoms and to seek medical attention in time for a comprehensive assessment and diagnosis.
If you have symptoms typical of myocardial infarction such as chest pain, tightness, and dyspnea, especially if accompanied by throat discomfort and difficulty swallowing, you should seek medical attention immediately to rule out heart problems. Only a professional medical evaluation and related tests can determine whether you have a heart attack or other heart disease.
What are the tests that must be done if a patient is suspected of having a heart attack?
Tests are the gold standard for determining whether a patient has a myocardial infarction, and it is not reasonable to judge by symptoms after all, so if the patient has symptoms similar to a myocardial infarction and you suspect it, then you must do these tests in time.
1. Electrocardiogram examination.
Electrocardiogram (ECG) is one of the tests necessary to diagnose acute myocardial infarction in patients, it can detect changes in the electrical activity of the heart, in the case of myocardial infarction, ECG may show specific ST-segment elevation or decrease, T wave inversion and other abnormalities.
In the early stages of a myocardial infarction, the ECG may not show an immediate abnormality, but as the myocardial damage worsens, the ECG can show a variety of abnormalities, such as changes in the heart's electrical activity after myocardial ischemia or myocardial necrosis, usually as abnormalities such as ST-segment elevation or lowering, T-wave inversion, etc.
These abnormalities can help doctors determine whether a heart muscle infarction is present, as well as the location and severity of the heart attack.
In addition, an ECG can help doctors rule out other causes of chest pain or palpitations, such as arrhythmias, myocarditis or myocardial ischemia.
2. Routine blood examination.
By taking a blood sample, levels of markers such as cardiac enzymes and troponin can be checked, and after myocardial infarction, the body has an inflammatory response, and inflammatory markers such as white blood cell count and C-reactive protein in the blood may be elevated. Routine blood tests can be done to determine the degree of inflammation in the body.
After myocardial infarction, the body's platelet activity may increase, which can lead to complications such as thrombosis and thromboembolism. Routine blood tests can assess the platelet count and help doctors determine a person's risk of thrombosis.
3. Coronary angiography.
Coronary angiography is an invasive test that looks at the coronary arteries by injecting a contrast agent into them to determine if there is a narrowing or blockage of the coronary arteries.
The three tests are the most essential to quickly determine whether the patient has actually had an acute myocardial infarction, and it is recommended that everyone follow the doctor's treatment plan and not be foolish.
Acute myocardial infarction is associated with the following factors
(1) Coronary heart disease.
Coronary heart disease is the most common cause of acute myocardial infarction. Coronary heart disease is a narrowing or blockage of the coronary arteries, resulting in insufficient blood supply to the heart muscle. The main causes of coronary heart disease include atherosclerosis, thrombosis, etc.
(2) High blood pressure.
Long-term high blood pressure can cause damage to the coronary arteries and increase the probability of myocardial infarction.
(3), High blood lipids.
When the patient's blood lipids are elevated, the occurrence of atherosclerosis will be accelerated, which in turn will lead to coronary heart disease and myocardial infarction.
(4) Smoking.
Smoking increases the risk of atherosclerosis and increases the chance of thrombosis, which increases the incidence of myocardial infarction.
(5) Other factors.
Factors such as lack of exercise, mental stress, unhealthy diet, and long-term exposure to environmental pollution may also increase the risk of myocardial infarction.
All in all, when acute myocardial infarction occurs, it is sometimes difficult to detect it by conventional examination means, at this time, it is necessary to test the doctor's command, you let the patient go home to rest, that is, wait for death, you should let the patient stay for a period of time to see the situation, and then be careful to make the ship of ten thousand years.
Disclaimer: The picture and text originate from the Internet, the copyright belongs to the original author, if there is any infringement, please contact the editor to delete, the content of the article does not represent the views of the platform.