Do you know the signs and misunderstandings of myocardial infarction prevention?
November 20th is the eighth "Chinese Myocardial Infarction Day" in China
As the weather turns cold, we must guard against cardiovascular and cerebrovascular diseases
Myocardial infarction, especially acute myocardial infarction, mostly has early symptoms
It’s just that many patients don’t realize
As a result, the condition was delayed
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How to achieve early detection and early treatment
What is myocardial infarction?
Myocardial infarction means that the blood vessel supplying the heart is blocked by a thrombus, causing myocardial ischemia and necrosis.
So the typical symptoms are mostly located in the chest where the heart is.
The pain often starts behind the sternum or the front of the heart, and the range is at least the size of a palm.
Unless a cardiac arrest occurs, in fact, most acute myocardial infarctions do not faint immediately after the onset, as in the TV series.
Generally, it takes more than 15 minutes or even more than a few hours and does not relieve itself. Taking nitroglycerin or Suxiao Jiuxin Pills is also ineffective.
Long Deyong, Executive Deputy Chief Physician of Arrhythmia Center of Beijing Anzhen Hospital: When an acute myocardial infarction occurs, it usually manifests as angina, but this type of angina is not manifested as obvious pain in the precordial area in most people. Many people may show a sense of compression and urgency in the chest. We found that many people unconsciously spread their right hand and press the chest area when describing this kind of discomfort. This is a more characteristic performance.
Experts say that before most myocardial infarctions occur, there will be some precursor symptoms.
On October 11, the Wuchang First Aid Station of Wuhan First Aid Center received a call from the 120 command center, saying that an old man had a sudden myocardial infarction.
The doctor quickly rushed to the scene and performed cardiopulmonary resuscitation on the patient, and then rushed to the hospital. Unfortunately, the rescue was not successful.
It is understood that the elderly usually have the habit of smoking and drinking, and the back pain and chest pain have not attracted attention for several days.
According to experts, in addition to chest pain, a few hours or even days before the onset of myocardial infarction, some atypical symptoms may also appear.
For example, the neck and throat are uncomfortable, upper limbs and left shoulder pain, persistent back pain, persistent upper abdominal pain, and in a few cases toothache or jaw pain.
Of course, it is not to say that there is a little bit of the above-mentioned symptoms, and it is immediately suspected of myocardial infarction, but also to consider whether it is a high-risk group.
Avoid these misunderstandings
If the patient’s symptoms are highly suspected to be myocardial infarction
What should I do?
What are the misunderstandings that can be avoided?
Misunderstanding 1: Take your mouth water slowly
The golden first aid time for myocardial infarction is 2 hours.
When patients, especially the elderly, have symptoms that are highly suspected of myocardial infarction, do not have a fluke and call the emergency number in time.
The latest data from Beijing 120 show that acute myocardial infarction is the first cause of sudden death before hospitalization.
Long Deyong, Executive Deputy Chief Physician of Arrhythmia Center of Beijing Anzhen Hospital: If we can open the infarct-related blood vessel within an hour, it will greatly benefit patients, especially for these heart rhythms after acute myocardial infarction. Disorder is the most fundamental way.
Recently, Tianjin Chest Hospital admitted two patients with myocardial infarction.
A 75-year-old man suddenly felt heart discomfort at home, so he called 120 for medical treatment.
Due to timely treatment, the old man is now out of danger.
Another 36-year-old patient was not successfully treated.
Liu Yin, deputy chief administrative physician of the Department of Cardiology, Tianjin Chest Hospital: A 36-year-old patient with myocardial infarction has been onset for more than 12 hours until he was hospitalized. After he came, he developed cardiogenic shock and hypotension. The patient 'S condition is extremely critical, which has brought great difficulties to our treatment.
Misunderstanding 2: Take medicine immediately after myocardial infarction
You can take nitroglycerin if you have chest pain, but you must measure your blood pressure before taking it. Do not take it if your blood pressure is low.
Long Deyong, Executive Deputy Chief Physician of the Arrhythmia Center of Beijing Anzhen Hospital: Some people have myocardial infarction, and their blood pressure may already be very low. If you take nitroglycerin, it will be worse.
Misunderstanding 3: Transmitting anxiety
Long Deyong, Executive Deputy Chief Physician of Arrhythmia Center of Beijing Anzhen Hospital: I suspect that someone has a myocardial infarction, and the people around me are more anxious than the patient. It should not be passed on to the patient because of this anxiety. Emotions for the patient may increase his oxygen consumption and make his condition worse.
Quit bad habits
The common causes of myocardial infarction include: emotional agitation, overwork, heavy smoking, drinking, sudden climate change, etc. These should be avoided in life.
According to experts, in recent years, it has been discovered that myocardial infarction has a trend of getting younger.
Long Deyong, Executive Deputy Chief Physician of the Arrhythmia Center of Beijing Anzhen Hospital: We advise many young friends to insist on regular physical exercise, eat a reasonable diet, work regularly, quit smoking and alcohol, and treat these bad habits. Get rid of.