Xiao Sun, who lives on the outskirts of Beijing, felt sternal pain and originally thought it was on fire. The next day, the left arm also suddenly appeared pain, thinking that it was caused by recent fatigue and the air conditioning was too cold, so he lay in the duty room for a day.
Without thinking about that night, Xiaosun felt that the pain in his chest intensified, and he could hardly sleep all night. After 5 days of pain, Xiaosun decided to go to the orthopedic department to see, the doctor realized that it was not right, let him go to the heart center for examination, and the ECG results showed acute anterior myocardial infarction.
If it is not found in time, Xiaosun is likely to have a sudden heart attack and be in danger of life at any time.
I believe that many people know that after the occurrence of angina, there are actually "life-saving drugs", which are quick-acting heart-saving pills and nitroglycerin, but when should I eat? Who can eat it?
<h1 class="pgc-h-arrow-right" data-track="5" >. Angina is not equal to myocardial infarction</h1>
First of all, we need to understand that the presence of angina is not the same as myocardial infarction.
Angina is a coronary artery blood supply can not meet the needs of myocardial metabolism in a short period of time, resulting in transient myocardial ischemia; myocardial infarction is coronary arteries due to atherosclerotic plaque formation of thrombosis or prolonged spasm, resulting in arterial lumen occlusion, blood flow interruption, resulting in myocardial ischemic necrosis.
Obviously, angina is a milder coronary artery condition, while myocardial infarction is more severe and a serious condition. Therefore, when there are two situations, the drugs that need to be used are not the same.
Angina is mostly crushing or asphyxiating, often induced by fatigue, cold, agitation and other factors, when the attack, can be taken under the tongue with quick-acting heart-saving pills, nitroglycerin and so on to alleviate.
The pain of myocardial infarction is more intense, can have no precipitating factors, is unbearable, the patient's onset is urgent, the condition is critical, once it occurs, it should immediately dial 120 first aid, and at the same time should immediately chew aspirin to alleviate the disease.
<h1 class="pgc-h-arrow-right" data-track="42" >2, quick-acting heart-saving pills, nitroglycerin, how should it be used? </h1>
Coronary atherosclerotic heart attack is urgent, which drug should be used for emergency treatment? Which one to use in any situation?
1. Quick-acting heart-saving pills
Quick-acting heart-saving pills are first aid drugs for the treatment of coronary heart disease and angina, which have been used in clinical practice for more than 20 years, and have the triple effect of prevention, treatment and first aid.
When there is chest tightness, precordial discomfort, left shoulder soreness and other aura symptoms, you should quickly take quick-acting heart-saving pills, which can generally take effect after a few minutes of taking, which can effectively prevent sudden death.
The quick-acting heart-saving pill is suitable for sublingual absorption through the sublingual mucosa and can quickly enter the blood circulation. If the symptoms do not resolve after two consecutive times, the patient should be admitted to the hospital in time.
Special reminder: When there are contraindications to nitroglycerin, such as patients with severe anemia, glaucoma, increased intracranial pressure, hypertrophic obstructive cardiomyopathy, and patients with known allergy to nitroglycerin, quick-acting heart-saving pills should be used.
2. Nitroglycerin
Nitroglycerin tablets are a common drug available in patients with coronary heart disease, and in the absence of contraindications, nitroglycerin is recognized as the drug of choice for acute episodes of angina.
Appears in the epigastric region or radiates to the neck, jaw, left shoulder, or right front chest. Nitroglycerin may be used when the attack may feel crushing pain or swelling, or even suffocation with a fear of imminent death.
Nitroglycerin is also taken sublingually, do not swallow, but chew slightly. It can be effective after taking 2 to 3 minutes, and the effect can last for 20 to 30 minutes. If the condition does not resolve after taking 3 times, it is not possible to continue to take nitroglycerin tablets, and the patient should be admitted to the hospital in time.
Special reminder: Because the quick-acting heart-saving pills are composed of Sichuan root and ice chips, which can aggravate the symptoms of spleen and stomach deficiency, nitroglycerin is best selected for patients with such angina.
In addition, it should be noted that when a myocardial infarction occurs and the patient has lost consciousness, neither drug has much effect. Therefore, when you feel the sign of a myocardial infarction, it is best to call the emergency telephone first, wait for rescue at the same time, you can take 300 mg of aspirin, to achieve the purpose of inhibiting platelet aggregation. To speed up absorption, chewing is more useful than "drinking water and swallowing".
<h1 class="pgc-h-arrow-right" data-track="43" > third, experts teach you to identify myocardial infarction signals</h1>
Although emergency drugs can temporarily alleviate the disease, they are required to be taken by patients at the moment when there are obvious signs, and the longer the attack, the worse the efficacy. Therefore, it is very important to identify myocardial infarction signals, Chen Ming, chief physician of the Department of Cardiology of Peking University First Hospital, said that these signals need to be kept in mind:
One is pain, excluding pain induced by exercise and emotion, the degree of pain is heavier, and it lasts for hours or even days;
Second, the patient is also accompanied by irritability, low-grade fever, palpitation, sweating and other discomforts;
Third, severe myocardial infarction may lead to a decrease in blood pressure, confusion, fainting, and a rapid decrease in urine output.
When encountering an emergency of sudden myocardial infarction, you should maintain your composure and call the 120 emergency number at the first time. At the same time, stop the activity, take a semi-recumbent position on the spot, keep the airway unobstructed, and if possible, you can inhale oxygen, and pay attention to keep warm.
Chen Ming reminded that although acute myocardial infarction is a very common disease, as long as it is well prevented, the occurrence of such events can be completely avoided:
Patients should develop a regular life, quit smoking and limit alcohol, avoid staying up late to work, and maintain a peaceful attitude;
At the same time, according to the physical condition, adhere to regular exercise, enhance cardiopulmonary function;
In terms of diet, it is mainly based on a light diet and eats on time;
If you are a patient with a habit of tobacco and alcohol, it is best to change your poor lifestyle.
In short, whether it is nitroglycerin, quick-acting heart-saving pills, or aspirin are only drugs that temporarily relieve symptoms, not specific drugs. For patients, once they find that they are unwell, it is most reliable to pick up the phone and dial 120.
#谣零零计划 #
Resources:
[1] To speed up absorption, chewing is more useful than "drinking water and swallowing."] 》. Clinical Pharmacy Channel of The Medical Community.2020-07-16
[2] Who can save lives with the miracle drugs "Quick-Acting Heart-Saving Pills" and "Nitroglycerin"? 》. Jingyitong.2021-05-07
[3] Is chest pain a precursor to myocardial infarction? Do this to prevent the occurrence of myocardial infarction". People's Daily Health.2021-06-02
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