[This article declares: This story is pure fiction, if there is any similarity, it is purely a coincidence, do not sit in the right seat. 】
Chen Qiang, 39, is a senior programmer at an IT company.
Recently, he has been experiencing pain in his left shoulder, sometimes accompanied by numbness and soreness in his left arm. At first, Chen Qiang didn't care too much, but thought it was a cervical spondylosis caused by long-term desk work.
The pain lasted for a week, and Chen Qiang felt that something was wrong and decided to go to the hospital for a check-up. At the Second Municipal Hospital, the orthopedic surgeon took X-rays of his cervical spine and shoulder joints and did some physical examinations.
"From the imaging point of view, there are no major problems with your cervical spine and shoulder joints."
The doctor said, "It may be the pain caused by long-term computer use and neck and shoulder muscle strain." I'll prescribe you some anti-inflammatory analgesics, pay attention to rest, it should be relieved soon. "
Chen Qiang breathed a sigh of relief and went home with the medicine. Disappointingly, the pain has not lessened, but has tended to get worse. Moreover, he also experienced chest tightness, palpitations and other uncomfortable symptoms.
Just one day before Chen Qiang was about to go to the hospital for a follow-up visit, tragedy struck. He suffered a sudden cardiac arrest on his way to work, and died after being taken to the hospital.
"It's another case of 'heart attack' that was delayed." Dr. Zhou from the emergency department said regretfully.
It turned out that Chen Qiang's shoulder pain was actually a precursor to acute myocardial infarction. He is at high risk of death from a heart attack: a history of high blood pressure, long-term smoking, high work pressure, irregular eating and sleeping.
"Many patients with myocardial infarction do not feel chest pain first, but pain or discomfort in the shoulder, back, and upper arm."
"This is because cardiac ischemia and hypoxia can irritate the nerves in the inner wall of the heart, causing 'referred pain' that radiates to the left shoulder. In medicine, this phenomenon is called 'pseudofrozen shoulder'. "
If the shoulder pain caused by cervical spondylosis is "true frozen shoulder", then the shoulder pain caused by myocardial infarction is "pseudofrozen shoulder".
"'Pseudofrozen shoulder' also has some characteristics, such as the pain is mostly located in the left shoulder, often accompanied by chest tightness, palpitations, sweating and other precursor symptoms of myocardial infarction."
"In addition, this pain does not respond well to general analgesics and physiotherapy, and it is not relieved by rest.
Chen Qiang's unfortunate experience is a wake-up call for us: shoulder pain is not a trivial problem, and it must be taken seriously!
Especially for middle-aged and elderly men, if there is unexplained shoulder pain, they must consider the possibility of myocardial infarction and seek treatment from a professional cardiologist in time.
After all, a fatal disease like a heart attack, if you delay for a while, you may regret it for life.
In fact, myocardial infarctions often have a long "crawling period". If we pay more attention to our physical condition, have regular physical examinations, and control the risk factors of cardiovascular disease, the tragedy may be avoided.
As a high-risk group of IT practitioners, it is necessary to pay more attention to the combination of work and rest, manage work pressure, and develop good living habits.
Write at the end
Shoulder pain may seem like a small thing, but it can be a big problem behind it. We must be vigilant, learn to distinguish between "true and false frozen shoulder", and beware of irreparable losses caused by "disguised" heart attacks.
Prevention is better than cure, and only by protecting our hearts can we embrace a healthy and happy life.
What do you have to say about this? Feel free to leave your thoughts in the comment section!
Bibliography:
[1] Chen Haozhu, Lin Xiaoxi, Zheng Xiaoyu. Beijing:People's Medical Publishing House,2013:243-246.
[2] Wang Jian'an, Liu Xuejun. Myocardial infarction was misdiagnosed as frozen shoulder[J].Chinese Journal of General Practice,2016,19(S2):207-208.)
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