On Monday, June 13, the emergency department of Shenzhen Third People’s Hospital admitted 7 cases in one and a half days myocardial infarction patients.

7 cases of myocardial infarction were received in one and a half days

Shenzhen Third People’s Hospital’s official WeChat account released these cases:< /span>

On June 13, 30-year-old Mr. Xu (pseudonym) arrived at the unit on Monday and began to deal with various tasks non-stop. At 3 pm, he He suddenly felt chest tightness and chest pain. He wanted to get over it, but he didn’t expect it to be a severe chest pain that was stronger than a while, and the pain made him sweat profusely.

My colleague saw something was wrong and immediately called 120 for help. After being sent to the emergency department for examination, it was confirmed that it was an acute myocardial infarction, and the heart blood vessel was blocked. The condition is very critical, and interventional surgery must be performed as soon as possible to open the blocked blood vessels.

During the operation, the team of Wu Jiafeng, Deputy Chief Physician of the Cardiovascular Department of Shenzhen Third People’s Hospital, found that Mr. Xu was young and had the largest heart. One of the blood vessels of the patient, the opening of the anterior descending branch, was completely blocked, resulting in a large area of ​​​​myocardial infarction, the heart function was very poor, and the condition was critical.

After follow-up, it was found that he usually had the habit of smoking and drinking. The lifestyle of staying up late + smoking + drinking, coupled with unhealthy living habits such as irregular diet, has already overwhelmed his body.

Shenzhen Third People’s Hospital

The blood vessels were opened for Mr. Xu. Unexpectedly, six more patients with acute myocardial infarction came one after another in one and a half days:

A 41-year-old man with a history of ischemic cerebral infarction suffered sudden chest tightness during walking at 21:30 on June 13.

A 60-year-old male with a history of cerebral infarction and left upper extremity weakness; a history of hypertension and diabetes. On June 13, ventricular fibrillation suddenly occurred during hospitalization in the ICU (Intensive Care Unit).

A 51-year-old woman experienced sudden chest pain and sweating at 6:30 a.m. on June 14 ,Pale.

A 39-year-old man with a history of hypertension, hyperlipidemia, and hyperuricemia, and smoking , drinking history. He started having recurring chest pains the day before and went to the emergency department at 9:21 on June 14.

A 60-year-old female with a history of hypertension and diabetes. At 23:00 on June 13, he experienced sudden chest tightness and difficulty breathing.

A 70-year-old woman experienced sudden severe chest and back pain in her sleep at 15:00 on June 14, accompanied by sweat. ①

Doctors review, they all have these characteristics

In just one and a half days, The Cardiology Department of Shenzhen Third People’s Hospital has rescued 7 patients with myocardial infarction and 2 patients with angina pectoris. After careful inquiry, we found that they have the following common characteristics:

long-term smoking

long-term drinking< /span>

staying up late for a long time

Obesity

Hyperlipidemia

Hypertension

diabetes

Previous heart disease

Tian Ye, director of the Department of Cardiology of Shenzhen Third People’s Hospital, introduced that coronary heart disease such as myocardial infarction is a disease related to multiple risk factors. It is actually a chronic disease. It will eventually cause blood vessel blockage, which is often long-term;< /span>

For example, symptoms such as hyperlipidemia, high blood pressure or abnormal metabolism will gradually accumulate until the blood vessels are slowly blocked, and eventually myocardial infarction will occur. Happening.

The patient’s “own factors” encounter the time node of “extreme weather” + “Monday”, and multiple risk factors are stacked, causing their heart attack. ①

The heart is afraid of “Monday”, anxiety or the reason

Director of Cardiology Department of Shenzhen Third People’s Hospital Tian Ye introduced that during the week, Monday had the highest incidence rate, because after the relaxation on the weekend, on Monday, the spirit was extremely tense and the pressure on the blood vessels increased, which caused myocardial infarction. ①

Indeed, for the relaxed state on the weekend, Monday means that the relaxed state suddenly “brakes” and turns into a tense and normal working state. There will be some uncomfortable reactions in people’s physical and psychological.

2008 “Journal of Hunan Normal University (Medical Edition)” published a study on 2856 patients with myocardial infarction in 2 hospitals in Hunan. The survey found that the number of cases on Monday was the highest, which was nearly twice that of Thursday when the incidence was the lowest, and the number of cases gradually decreased from Monday to Thursday, and then gradually increased, reaching a peak again on Saturday. ②

Research points out that within a week, Monday is the first day of the week from a rest day to a working day, the pace of life is accelerated, and the first day of every week Generally facing new work tasks, may bear more work pressure or work fatigue, etc., which promotes the occurrence of myocardial infarction. ②

A similar situation also happened in foreign countries. A new Swedish study, published in the European Journal of Cardiology, found that different days affect the probability of a heart attack. The study, which combined data from 156,000 hospitalized heart patients over a seven-year period, found that the most heart attacks occurred on Mondays and the fewest on Saturdays. Heart attack on Monday, study saysThe risk was 11% higher than every day Tuesday through Friday. ③

Pay attention to these 6 points to stay away from myocardial infarction!

1. Don’t stay up late for a long time

Zhejiang University School of Medicine Zhu Ying, chief physician of the Department of Cardiovascular Medicine of the Second Affiliated Hospital, introduced in an article in Health Times in 2016: “Working overtime, staying up late, and increasing pressure will cause the arteries to be completely blocked in an emergency, which may suddenly increase from 50% to 85%. %, or even more serious, it will be completely blocked all at once, then a myocardial infarction will occur.”④

2. Don’t eat too much Too salty

Chen Manhua, director of the Department of Cardiovascular Medicine, Wuhan Central Hospital, Hubei Province, said in an article in Health Times in 2017 that eating salt Too much can increase the cardiovascular load and cause arterial blood pressure to rise, which in turn can lead to acute myocardial infarction. ⑤

However, the “China Cardiovascular Health and Disease Report 2021” pointed out that the consumption of edible oil and cooking salt in my country is much higher. at the recommended amount. ⑥

3. Control the three highs

Controlling the three highs can effectively prevent and delay the formation and development of plaques and prevent myocardial infarction. Wang Fang, chief physician of the Department of Cardiology of Beijing Hospital, mentioned at the “China Cholesterol Health Education Ten Thousand Miles” event in 2017 that we often talk about the three highs, among which blood pressure is the lateral pressure of blood on the blood vessel wall, and blood lipids are the neutral fat and The general term for lipids, they are very directly related to vascular plaque, cerebral infarction and myocardial infarction, and must be grasped with both hands. ⑦

4. Control your emotions

< span>Liu Meiyan, chief physician of the Department of Cardiology of Beijing Anzhen Hospital, introduced in an interview with Health Times in 2017 that studies have found that people who are usually stressed or have adverse psychological states such as anxiety and depression are more likely to suffer from heart disease. Cardiac patients with psychological problems also had a poorer prognosis than those without psychological problems. The mechanism may be related to that increased mental stress can cause arrhythmia, increase platelet aggregation, and promote the development of atherosclerosis. ⑧

5. Try not to drink alcohol

< span>Wang Lixiang, the former director of the emergency department of the Third Medical Center of the PLA General Hospital, said in an article in Health Times in 2018 that drinking a little wine during meals is a habit of many people, but alcohol can stimulate the brain and increase the heart rate. Accelerates, increases blood pressure, and can induce arrhythmias. For patients with cardiovascular and cerebrovascular diseases, coronary artery spasm or acute myocardial infarction may be induced. ⑨

6. Be sure to quit smoking

< span>According to a report released by the World Health Organization in September 2020, one in five heart disease deaths is caused by tobacco. Worldwide, 1.9 million people die every year from heart disease caused by tobacco. This number has increased by more than 200,000 in just two decades.

The health benefits of quitting smoking can be seen within hours and continue for decades. After 15 years of quitting smoking, the risk of coronary heart disease can be reduced to the same as a person who has never smoked. ⑩

Editor: Ren Xuan

Reviewer: Yang Xiaoming

This article is synthesized from:

< span>① 2022-06-27 Shenzhen Third People’s Hospital “7 cases of myocardial infarction in one and a half days! Doctor: They all have these characteristics in common! 》

②Jiang Xinhua, Yang Tianlun, Huang Cheng, et al. A study on the characteristics of daily, weekly and seasonal rhythms of the onset time of acute myocardial infarction[ J]. Journal of Hunan Normal University: Medical Edition, 2008(2):4.

③ 2017-12-08 Health Times “Heart Disease” Now is the season of high incidence”

④ 2016-08-09 Health Times “Stay up late for a week with myocardial infarction”

⑤ 2017-02-03 Health Times “Eating too much waxed products hurts the heart”

⑥ 2017-07-21 Health Times “Half of a good heart depends on eating”

⑦ 2017-01-06 Health Times “Healthy Blood Vessels” Less Trouble”

⑧ 2017-06-20 Health Times “Positive People Are Healthier”

⑨ 2018-03-09 Health Times “Top Ten Darkest Moments with High Incidence of Myocardial Infarction”

⑩ 2020-09-23 World Health Organization official micro “WHO latest report: one fifth of annual heart disease deaths are related to tobacco”