In the face of myocardial infarction, any step may be wrong, and if you take a wrong step, you may regret for the rest of your life. Look at the 10 things that cardiologists are most afraid of in patients with sudden myocardial infarction, everyone should keep in mind! The doctor concludes that there are 10 things you are most afraid of when a myocardial infarction is coming! Geng Baoyu, deputy director of the Department of Cardiology, People’s Hospital of Taixing City, Jiangsu Province, and Wang Xing, deputy director of the Department of Cardiology, the No. 983 Hospital of the Joint Logistics Support Force reminded that a sudden myocardial infarction, 10 things doctors fear most from patients 1. I have chest pain, and I don’t think it’s a big deal Dr. Geng Baoyu pointed out that he once treated an elderly patient who had chest pain and first observed and dealt with it at home. After 9 hours, the patient was not relieved before he rushed to the hospital. The doctor immediately performed emergency surgery, and his life was saved, but because he came to the doctor too late, his heart function was severely damaged. Postoperatively, she suffered from recurrent heart failure and a marked decline in her quality of life. Time is the heart muscle, and time is life. Every minute of delay means more myocardial cell necrosis[1]. 2, deep breathing and hard coughing Wang Xing The doctor said that when a myocardial infarction occurs, it is because of a sudden blood clot in the heart blood vessel, which is suddenly blocked. Deep breathing and hard coughing will not open the blood vessels and will not improve ischemia. It will not be because of coughing, the heart will not be ventricular fibrillation, and it will not stop suddenly. On the contrary, when myocardial infarction occurs, the heart is ischemic necrosis, the heart is in a state of extreme fatigue, and absolute rest is required to reduce the burden on the heart. At this time, taking a deep breath and coughing hard can only increase physical exertion and increase the burden on the heart, which will undoubtedly aggravate the condition of myocardial infarction and even accelerate death. So, when a myocardial infarction occurs, don’t take a deep breath or cough hard[2] span>. 3. Vigorously tap the arm for first aid Wang Xing It is pointed out that when myocardial infarction occurs, the heart may strike at any time and stop beating at any time. At this time, the heart must rest absolutely, any action may increase the burden on the heart and accelerate death. Forceful behavior is even more undesirable and will aggravate the disease. Therefore, in the event of myocardial infarction, slapping the arm vigorously will not only not save oneself, but also cause fatal danger[2]. 4. Perform bloodletting with ten fingers Wang Xing pointed out , Myocardial infarction is the blockage of blood vessels in the heart, bloodletting through the ten fingers cannot melt the thrombus, and the blood vessels cannot be opened. Ten-finger bloodletting will not prevent cardiac arrest. Ten-finger is also Shixuan acupoint. Shixuan bloodletting is used to wake up comatose patients. Instead of first aid for myocardial infarction. Therefore, when myocardial infarction occurs, bloodletting of the fingers will only delay more time[2] . 5. Take aspirin without inspection Wang Xing reminded that no one can accurately determine whether chest pain is myocardial infarction before 120 does an ECG to the patient. Because chest pain may be aortic dissection, pulmonary embolism, pneumothorax and other diseases. If chest pain is caused by aortic dissection, then taking aspirin at this time will undoubtedly increase the appearance of major blood vessels and accelerate death. So, you can only take aspirin after 120 doctors have done an electrocardiogram and diagnosed myocardial infarction. Aspirin cannot be given before a diagnosis is made to avoid mistreatment[2]. 6. Find ID, health insurance and money < span>Some rumors say: No money, no ID card, no medical insurance card, and no treatment will be given to the hospital. wrong! This is a rumor. After a sudden acute myocardial infarction, it will be time-consuming to look for money to find an ID card. For patients with acute myocardial infarction, the hospital has a green channel, which can be rescued first, treated first, then paid, and then go through the formalities[2]. 7. Have to drive to the hospital by yourself Dr. Geng Baoyu pointed out that there were patients who had chest pains 2 hours later and went to a health center near their home for treatment. The electrocardiogram showed “acute inferior wall myocardial infarction” and “premature ventricular contractions”. The doctor advised them to take the 120 ambulance and rush to the hospital for rescue. The family did not listen to the advice and drove their own car to the hospital. On the way, the patient suddenly developed ventricular fibrillation and unfortunately died. After a myocardial infarction, once a malignant arrhythmia occurs again, it is difficult for the patient to save himself. The 120 ambulance has professional first aid equipment and experienced first aid personnel, which is the life guarantee on the way to the hospital. Therefore, after chest pain occurs, be sure to call 120 first and take an ambulance to the hospital[1]. 8. Go to the hospital to “pick and choose” Dr. Geng Baoyu pointed out that a patient went to the doctor with chest pain 3 hours later, and the electrocardiogram diagnosed “acute inferior myocardial infarction” and “atrioventricular block”. The doctor advised him to be hospitalized immediately, but because there were relatives in the provincial capital hospital, they did not listen to the advice and insisted on driving a private car to the provincial capital. It was a pity to die on the way! Remember that after a clear diagnosis of “acute myocardial infarction”, rapid treatment is the key. At this time, don’t pick and choose, and you must go to the nearest hospital with the ability to treat as quickly as possible. If there is a chest pain center in your area, it is best to go to a chest pain center[1]. 9, “Silly” waited in the outpatient clinic for half a day < span> Dr. Geng Baoyu said that a patient had chest pain for 3 hours and then went to the hospital to see a doctor. He insisted on hanging up the outpatient clinic. When he was waiting on the third floor of the outpatient clinic, a malignant arrhythmia (ventricular fibrillation) suddenly occurred. The medical staff immediately rescued her with electric shocks, but she still did not survive. It was later confirmed that she suffered from acute anterior myocardial infarction. Myocardial infarction can’t afford to wait, be sure to go to the emergency room! Larger hospitals and emergency departments have green channels for rapid first aid for acute chest pain. In particular, hospitals with chest pain centers often require the completion of the first ECG examination within 10 minutes, the completion of the three tests for myocardial infarction within 20 minutes, and the completion of the CT examination within 30 minutes. The green channel can help you race against time [1]! 10. Hesitant to put stents before surgery “The terrible heart stent, how many people have been harmed!” There are many such articles circulating on the Internet. Many people listened to the rumors and rejected the heart stent. After a myocardial infarction, they refused to implant it anyway, and eventually lost their lives. Dr. Geng Baoyu pointed out that after myocardial infarction, the most effective way is to perform emergency cardiac intervention to quickly open the blocked coronary artery and restore continuous blood supply to the heart muscle. Therefore, once you are diagnosed with “acute myocardial infarction”, when your doctor recommends intravenous thrombolysis or emergency interventional surgery, you must raise both hands in approval, and don’t hesitate to take it easy. Promise [1]! Be alert to these signs of myocardial infarction! Shi Hongyu, Deputy Chief Physician of the Department of Cardiology, Shanghai Chest Hospital, published in 2018 that the mortality rate of myocardial infarction is high, and one of the important reasons is some atypical auras Symptoms are not taken seriously by patients. When sudden onset occurs, it is easy to cause fatal danger if treatment is not timely. Therefore, it is very important to identify the precursor symptoms of acute myocardial infarction in time. The aura symptoms of acute myocardial infarction mostly appear one week before the onset, and a few may even be several weeks earlier. About 40% of the patients occur 1 to 2 days before the infarction. of patients can have recurrent attacks. The main manifestations are: 1. The frequency of angina pectoris is accelerated, and the pain is aggravated; 2. The duration of angina pectoris is prolonged, accompanied by cold sweats and nausea , vomiting, etc.;3. The incentive for angina pectoris changes, it is more likely to occur, and it also occurs during rest; 4. The original pain relief method fails; 5, accompanied by slow heartbeat or tachycardia, shock, syncope, etc. What should I do if I have a heart attack? Two “120s” to keep in mind: Call the “120 emergency call” in time, and grasp the golden “120 minutes” of treatment, if Without timely and effective treatment, the myocardium will experience irreversible necrosis[3]. Remember 6 points, stay away from myocardial infarction! Prevention is the best treatment. Dr. Wang Xing published an article on the WeChat public account “Cardiovascular Dr. Wang”: Do the following 6 points to effectively prevent angina pectoris and myocardial infarction[4]< /span>. 1. Monitor blood pressure, blood sugar, heart rate Don’t forget to monitor blood pressure, blood sugar and heart rate. High heart rate, high blood sugar, and high heart rate all increase the risk of angina and myocardial infarction. 2. Take medicine regularly Any medication discontinuation or medication change will cause angina pectoris or risk of myocardial infarction. Whether it is a drug to control the three highs, or a cardiovascular-related drug, such as aspirin and statin, you should take the medicine regularly. 3. Don’t stay up late Long-term staying up late can lead to increased blood pressure and increased heart rate A weakened immune system increases the risk of cardiovascular disease. Among the patients with sudden cardiovascular death every year, many of them stay up late. 4. Eating Healthy Unhealthy Eating It is not conducive to the control of blood pressure, blood sugar, lipid and weight, and will increase the risk of angina pectoris and myocardial infarction. 1) Don’t eat too much Overeating will itself cause gastrointestinal discomfort, and at the same time return to the heart Reduced blood flow, coupled with increased heart burden, these factors are intertwined to induce myocardial ischemic angina pectoris, and even overeating can directly induce myocardial infarction. 2) Eat nutritiously and healthily The healthy diet of cardiovascular friends is a protracted battle. Only people who are conscious and self-disciplined can get rid of high-oil, high-salt, and high-fine grains, and gradually develop a healthy diet with low-salt, low-oil, and low-sugar, more vegetables, fruits, whole grains, and appropriate lean meat, fish, milk, and nuts. 5. Proper activity Long-term inactivity can lead to blood pressure, blood sugar, and blood lipids Taller, heavier weight; in addition, blood circulation will slow down, more prone to angina pectoris or induce blood clots, causing myocardial infarction. Remember to go out for a walk every day and be active; it can be 3-5 times a week for more than 30 minutes each time. 6. Good Attitude Study Finds Anger Can increase our risk of heart disease by 7.5 times in 2 hours; anxiety increases the risk of heart attack by 9.5 times. So I have to find a way to adjust my mentality, find something to do, not always idle: cooking, mopping the floor, playing chess, listening to songs, watching cross talk sketches, Writing calligraphy, recording small videos, etc., can adjust your mentality. This article is synthesized from:[1]2018-07-17 WeChat public account “Friends of Public Health” ” Escape Secrets—Stay Away from Myocardial Infarction”[2] 2022-01-12 “Doctor King of Cardiovascular” (xxgwys2020) “Sudden myocardial infarction, 10 self-help methods! Which would you choose? 》[3]2018-11-27 Health Times “Myocardial infarction warnings appear one week before the onset”[4]2022-01-14 “Cardiovascular Doctor” (xxgwys2020) “Remember these 6 points to avoid angina pectoris and myocardial infarction! Especially those at home! /END/
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