28-year-old man dies of heart attack There is a fatal carelessness called treating a myocardial infarction as a stomach disease. How to distinguish it?

Amin is 28 years old, single, working in a garment factory. Not long after work, I got into the habit of smoking with my old friend, at least one pack a day, and I have been smoking for nearly ten years.

I rarely exercise, I often go to Internet cafes to spend the night after get off work, I don’t have regular three meals a day, I overeat when I’m too hungry, and I eat when I’m not hungry Order biscuits and instant noodles.

Amin came home from work today and felt a little stomachache.Because he had been suffering from stomach problems, he didn’t take it to heart< /span>. Until the next day, Amin’s face was pale, and the supervisor was worried and rushed him to the hospital.

Before the doctor’s consultation, Amin’s complexion suddenly changed, he fell on his back, and his breathing stopped. Considering the possibility of acute myocardial infarction, the hospital immediately organized rescue.

Fortunately, after an hour of rescue, Amin’s condition gradually stabilized. In this regard, the doctor said, Now many people regard the signs before myocardial infarction as a stomach problem, resulting in delayed rescue.

1. From anger to myocardial infarction, it only takes three steps

< span> did you know? In fact, “I’m so angry with a heart attack”, “I’m so angry that I almost have a heart attack” and so on are not exaggerations! A study found that from anger to heart attack, it only takes 3 steps.

A study published in the European Heart Journal by the Technical University of Munich, Germany, confirmed that anger is indeed a major cause of myocardial infarction and coronary heart disease.

Researchers asked 35 fans to watch their national team’s games, and recorded physical examination records 24 hours before and after the game.

It was found that when participants’ stress levels rose, blood white blood cells migrated to heart and lung tissue,increased plaque shedding risk.

So far, researchers have found that from being angry to inducing myocardial infarction, it only takes three steps: Angry/anger → migration of white blood cells → entering the artery Plaque shedding → myocardial infarction.

Actually, a heart attack poses more than a little threat. Some people use this analogy: a myocardial infarction, is equivalent to a serious car accident, Even if it is properly “repaired”, it cannot be Restoring the past may also have the following consequences:

  • cause of heart failure

< p>Long-term lack of blood supply to the myocardium will cause fibrosis and weaken the ability to pump blood. In this case, the myocardium will become more and more hypertrophic, causing heart failure;

  • Arrhythmia

When the myocardium is necrotic in a large area, or accompanied by varying degrees of myocardial ischemia and inflammation In response, patients with myocardial infarction may experience arrhythmias;

  • cardiac structural changes

Some patients may experience cardiac perforation or rupture, causing heart failure, pulmonary edema, etc.;

  • arterial embolism

Platelet aggregation, coupled with hemodynamic disturbance, is easy to form a mural thrombus in the left ventricle, and the thrombus falls off, which can cause arteries such as brain, kidney, and limbs Embolism;

  • pericarditis

the heart is covered with A thin membrane, the pericardium. When transmural acute myocardial infarction occurs, it causes inflammation of the pericardium.

Second, many people regard myocardial infarction as a stomach disease, how to distinguish it?

In daily life, many people have upper abdominal pain and treat it as a stomach problem. The results of further examination found that it turned out to be caused by myocardial infarction. Heart attack and stomach disease, how to distinguish between the two?

Director Yang Xinchun of the Heart Center of Chaoyang Hospital, Capital Medical University said that although myocardial infarction and stomach pain are similar, the difference between the two is similar. The duration of pain, how it feels, and how to relieve it vary.

1. Pain

Pain caused by myocardial infarction can be described as “heart-like” Knife cut”, mostly crushing, burning pain, the patient also felt chest tightness, breathlessness, accompanied by body Sweating; pain caused by stomach pain, mostly dull pain, accompanied by acid reflux, heartburn, belching, etc.

2. Duration of pain

Myocardial infarction pain is mostly intermittent and lasts longer short, usually no more than 30 minutes; while stomach pain can occur at any time of the day and last longer, < strong>and will ease or worsen before and after mealsstrong>.

3. Mitigation methods

Myocardial infarction requires sublingualnitroglycerin to be relieved. Symptoms can be relieved or even disappear.

In addition to epigastric pain, patients may also experience sudden deafness, sole pain, Symptoms such as inability to open eyes, numbness on one side of the limb, toothache, dizziness, weakness in the left upper limb.

Therefore, you should not only focus on chest tightness and heartache, but also be vigilant about other physical discomforts.

Three, when a myocardial infarction comes, will you really help yourself?

According to relevant data, there are 600,000 new myocardial infarction cases in my country every year, and only 30,000 cases can be treated in time. The death rate is alarming. When encountering a myocardial infarction accident, how can we “race against time” and gain vitality?

  • The Four Parts of Self-Saving

When a heart attack occurs, Without others to accompany you, you can:

First, dial the “120” emergency number, inform the operator of your exact location, and explain that you may have an acute myocardial infarction;

Second, keep the location open so that emergency personnel can arrive quickly;

Thirdly, lie down and rest in a suitable position closest to the door to ensure that emergency personnel can find you as soon as they arrive;

< span>Fourth, one tablet of sublingual nitroglycerin, or oral aspirin and clopidogrel can be taken; it should be reminded here that nitroglycerin is not suitable for patients with hypotension , may cause further reductions in blood pressure and increase the risk of shock.

Fifth, try to soothe your emotions and wait patiently.

  • First Aid Trilogy

If you are in In areas where medical treatment is inconvenient, these three first aid methods should be kept in mind:

First, detect myocardial infarction as soon as possible, and observe whether the patient has abdominal pain, toothache, sore throat, etc. In particular, the pain lasts for more than 20 minutes, with a severe burning sensation, accompanied by difficulty in breathing, vomiting, dizziness, etc.;

Second, once myocardial infarction is suspected, immediately Dial “120”, and be sure to explain the patient’s condition, the medicines they take, and the location of the scene or the place to wait for the bus; Always keep the patient supine and do not move the patient randomly. Keep the room ventilated so that the patient has enough oxygen and keeps the patient emotionally stable.

Regular physical examination, early detection is the most effective measure to reduce myocardial infarction. Terriers are not exclusive to the elderly, and awareness of prevention needs to be established from young people.

#Health2022#

References:

[1] “Three steps for anger-induced myocardial infarction! These 6 high-risk moments of myocardial infarction must be avoided! “. Health Times. 2021-09-16

[2] “The temperature plummets, be careful of myocardial infarction! How to first aid, three steps to save your life! How to prevent, pay attention at six o’clock! How to eat…”. Zhejiang Provincial Hospital of Traditional Chinese Medicine. 2021-11-08

Reprinting is prohibited without the author’s permission