"It's not going to be, it's really going to me off. 40-year-old Ms. Wang often puts this sentence on her lips when tutoring her children's homework, but she almost became a prophecy!
On the afternoon of January 29, Ms. Wang suddenly suffered chest pain and shortness of breath. The symptoms were relieved after taking the "Quick Relief Pill" under the tongue, but it only lasted for half an hour, and then it became even more uncomfortable - sweating profusely, persistent chest tightness, and unbearable chest pain. Subsequently, he hurriedly went to the emergency department of the nearest hospital for help, and the initial diagnosis was that the problem was cardiovascular, and he was quickly transferred to the Third People's Hospital of Chengdu.
Coronary tear myocardial infarction
What's going on? Coronary artery tear and heart attack
After Ms. Wang was quickly escorted to the catheterization laboratory by the medical team, three doctors from the Department of Cardiovascular Medicine, Xia Ming, Ye Tao and Chen Zhongbo worked together to complete the coronary angiography examination for her as soon as possible. The results suggested: "Severe stenosis of the anterior descending artery, and the vascular imbalance in the middle of the blood vessels".
Doctors are treating it
Blood vessels exhibit "disconnected stenosis", which is not a routine manifestation of atherosclerotic disease. After a quick diagnosis, the chest pain emergency team of the Department of Cardiovascular Medicine carried out a further examination of Ms. Wang with endovascular imaging IVUS (coronary intravascular ultrasound) and accurately found the cause - anterior descending artery dissection imaging, commonly known as spontaneous coronary artery dissection (SCAD). To put it simply, there is a tear in the inner wall of the blood vessel, and the leaking blood is still intact by the outer wall of the blood vessel, like a bicycle tire "bulging".
Xia said that spontaneous coronary artery dissection is a relatively rare cardiovascular disease, which can cause myocardial infarction due to the formation of hematoma compressing blood vessels, but its mortality rate is as high as 70-75%, "Fortunately, the dissection tear stops when it reaches the middle and distal ends, and the hematoma does not completely compress the blood vessels, and the degree of myocardial infarction is mild." ”
What is the reason? It has to do with long-term emotional agitation
She is only 40 years old, has no history of high blood pressure, diabetes, coronary heart disease, etc., and usually has no habit of smoking and drinking, why did the coronary artery tear?
Coronary tear myocardial infarction
It turned out that Ms. Wang had always been strict with her children's academic requirements, and would personally check the completion of homework every night. "I've been really angry lately, and I've been talking about it repeatedly, but I just can't do it. Looking at a bunch of winter vacation homework, both mother and son have "brain pain". Although the more counseling she went, the more angry she became, and the volume became higher and higher, Ms. Wang still tried to restrain herself and did not "knock" on the doll. The night before the onset of the disease, Ms. Wang was furious and fell asleep with sullen breath.
According to reports, the cause of spontaneous coronary artery dissection is not clear, but it is recognized that in addition to abnormal hormone regulation and fibromuscular dysplasia, there is also a fluctuating mood. Ms. Wang's admission to the hospital this time is closely related to her daily violent mood swings.
The doctor reminded parents who are trying to help their babies with their winter vacation homework really don't be irritable anymore. The cold weather in winter, frequent dinner and wine during the Spring Festival, and the fatigue of long-distance travel during the Spring Festival are also important factors that induce myocardial infarction. Recently, there has been a significant increase in the admission of patients with myocardial infarction in hospitals.
The most effective way is to quickly dial 120 for helpIn addition, please check the following "heart care guide" ↓ ↓ ↓
A common symptom of acute myocardial infarction
Typical symptoms:
Severe squeezing pain in the retrosternal or precordial area, radiating to the left upper arm, jaw, neck, back or shoulder;
Some patients may be accompanied by nausea, vomiting, sweating or dyspnea, and even fainting;
Usually, the symptoms of chest discomfort caused by myocardial ischemia are diffuse rather than localized, and there is no clear localization.
Precursor symptoms:
Sudden chest pain at rest: After a day at work, when you come home to sit down and rest or sleep at night, you suddenly have pain in your left front chest.
Exacerbation of angina symptoms: Patients who have had angina before have experienced a gradual increase in angina symptoms in recent times, or chest pain that is more frequent, more extensive, and lasts longer.
Chest pain without obvious cause: Chest pain symptoms occur in the absence of obvious cause, accompanied by sweating, vomiting, nausea, etc.
Sudden palpitation, suffocation: Sudden onset of unprecedented symptoms of chest tightness, fatigue, palpitation, or palpitation, shortness of breath during activity, and the symptoms tend to gradually worsen.
Pain in other areas: Epigastric pain, toothache, jaw pain, left upper limb pain, and back pain in one or more of the present.
Other serious conditions: sudden onset of acute left heart failure, cardiogenic shock, severe arrhythmia, syncope, etc.
First aid for acute myocardial infarction
Sudden acute chest pain is a fatal signal, in addition to sudden, severe and persistent chest pain, it is often accompanied by irritability, sweating, fear or a sense of impending death, which cannot be relieved by rest or nitroglycerin or fast-acting heart pills.
There are also shortness of breath or pain in the upper abdomen, neck, jaw and pharynx, or toothache, but the degree is more severe, with indescribable general malaise or fever. In this case, a myocardial infarction should be considered.
The most effective way to provide first aid is to call 120 and get to the hospital as soon as possible.
Prevention of acute myocardial infarction in winter
Smoking cessation and alcohol restriction: Smoking is a high-risk factor for heart disease, and long-term smoking will damage the vascular endothelium and reduce the elasticity of blood vessels, so you should quit smoking as soon as possible.
Healthy diet: regular meals, balanced diet, strengthen physical exercise, improve self-immunity, and maintain a reasonable weight.
Regular work and rest: standardize work and rest time and reduce staying up late. Avoid violent mood swings and prevent overactivity of nerves innervating vasoconstriction and excessive and persistent coronary vasoconstriction that can cause myocardial ischemia.
Cold protection and warmth: When the temperature drops suddenly, the blood vessels spasm and contraction, and the coronary blood supply decreases suddenly, clothing should be increased in time.
Active treatment of underlying diseases: Actively and effectively control hypertension, hyperglycemia and hyperlipidemia, which helps to reduce the incidence of myocardial infarction.
Source丨Red Star News, Guangzhou Daily
Editor丨Qian Jiayue