Qianjiang Evening News Hourly News Reporter Shi Wen Correspondent Zhao Ling Fan Qin
Hangzhou Linping's big brother Li is 52 years old this year, usually likes sports, as long as the weather is good, he will go downstairs to the park near his home for morning exercise.
Yesterday morning at about six o'clock, Brother Li got up early to go to the park to run, but who knew that running and suddenly fell to the ground, fortunately was found by the passing citizens, quickly dialed the 120 emergency number, and performed simple cardiopulmonary resuscitation for him.
The 120 ambulance arrived quickly, and the emergency doctor found that Brother Li had no breathing heartbeat, and along the way the doctor relayed CPR and sent people to the emergency room of the Linping District Hospital of Integrated Traditional Chinese and Western Medicine.
As soon as the ambulance arrived, the doctor immediately gave Brother Li a tracheal intubation, and after about 30 minutes of rescue, he finally had a short spontaneous heartbeat, and the director of the emergency department, Chen Zhan, conducted an electrocardiogram examination on him, and the test result was considered to be myocardial infarction.
After more than an hour of rescue, Brother Li finally resumed spontaneous breathing, his dilated pupils shrank, and his heart rate stabilized.
The most dangerous first level is over, and next, Brother Li needs to go to a higher hospital for PCI surgery.
Now whether it is young people or middle-aged and elderly, sports have become a fashion. Young people basically choose to exercise in the gym, and middle-aged and elderly people generally exercise in parks or communities.
In the end, how should exercise be the most scientific? How should middle-aged and elderly people choose the sport that is suitable for them? With these questions in mind, we consulted Zhang Zhongnan, director of the Cardiovascular Department of Linping District Hospital of Integrated Traditional Chinese and Western Medicine.
Director Zhang introduced: "Life lies in movement, which is true. But in recent years, there have been no shortage of cases of sudden death due to blind exercise, so we must exercise scientifically. ”
According to the doctor's analysis, the unexpected situation of Li Brother's age generally shows that he had cardiovascular problems before, such as coronary heart disease, cardiomyopathy and cardiac conduction disease. It may be that the problem is not very big, so it is ignored, and then under the stimulation of certain factors, these problems will expand and even affect the safety of life.
Therefore, the doctor emphasizes that it is necessary to know whether you have cardiovascular disease and arrange the amount of exercise reasonably.
Director Zhang gave us an analogy: for example, when people with coronary heart disease perform strenuous exercise, the surging blood flow hits the fat plaque on the coronary artery, and finally the plaque cannot withstand the impact and falls from the arterial wall, drifting with the blood flow, blocking the small blood vessels that supply blood to the myocardium at the distal end, at this time the myocardial ischemia, ventricular fibrillation occurs, and eventually leads to respiratory cardiac arrest.
Many young people feel that their health is very good, and they usually have no problems, so they are easy to accept some high-intensity exercise, which also has hidden dangers. First of all, some young people do not know whether they have underlying cardiac diseases because they do not have regular health check-ups. Secondly, young people have better physical tolerance, plus some people usually exercise regularly will produce a certain tolerance, so it is not easy to detect slight chest tightness discomfort during exercise. Therefore, young people should also pay attention to their physical health and do the right amount of exercise, so as to do it step by step to avoid accidents.
Dr. Feng Jun of the Rehabilitation Department said that the cardiopulmonary exercise test has a diagnostic effect on the early stage of the disease, such as hypertension, myocardial ischemia, coronary heart disease, cardiac insufficiency and other cardiovascular diseases and respiratory diseases; it can identify unexplained chest tightness and shortness of breath, and assess the exercise ability and exercise risk assessment of healthy people.
There is also a very safe and convenient monitoring method called the six-minute walk test, which needs to be carried out under the professional guidance of a doctor, which can help measure the state of cardiopulmonary function in patients with cardiovascular disease, so as to relatively determine the intensity of exercise that is suitable for them.
The impact of exercise on physical health varies greatly according to the intensity of exercise, normal people or patients with coronary heart disease, moderate exercise can strengthen the body, so that the probability of death due to cardiovascular disease is reduced compared to the sedentary lifestyle, and often too much exercise is not conducive to good health, so we still have to follow the principle of "moderation and moderation" on weekdays. At the same time, morning exercise should not be too early, after sunrise is the best time for morning exercise, the elderly do not recommend fasting morning exercise, do not choose strenuous exercise, warm up before exercise, try to choose gentle, slower rhythm of exercise.
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