Source of article: People’s Daily
A 35-year-old young man, the father of two children, has suffered from partial necrosis of the myocardium and heart failure. It is unknown to what extent he can recover in the future.
And all this can be avoided.
Because, if a little If you know a little common sense about myocardial infarction and angina pectoris, you will not be where you are today.
Write this case Coming down, I want to remind everyone that you must learn to recognize the angina pectoris before the myocardial infarction and the angina pectoris that is occurring after the myocardial infarction.
Because the sooner it is found, the sooner it is treated, the better the recovery.
From “burning” to myocardial death, only 5 days!
It happened like this, Xiao Sun, who was working in Beijing, suddenly felt a faint pain in the sternum, that is, the bone that goes down the throat. He thought, got angry?
Actually, this It is the first manifestation of angina pectoris – “pain behind the sternum”.
The next day, His pain in the sternum increased. On the way to work, his left arm suddenly started to hurt, accompanied by chest tightness, and he couldn’t even hold the steering wheel. He stopped quickly and rested for 40 minutes before it was relieved.
Tired After that, it got worse and relieved after rest. This is already a very typical angina pectoris, and it has already spread to the left arm. At this time, his myocardial ischemia was already very serious, and death was beckoning to him.
However, Xiao Sun didn’t know. After arriving at the unit, Xiao Sun still felt tired. He thought it was because the air conditioner was too cold, so he turned off the air conditioner and lay down in the duty room all day.
Go home that night, He started to feel short of breath, and the pain in his chest got worse, and he couldn’t even lie down, and spent most of the night sitting. The sternum is hot, like a badly lit sore throat.
At this time it is already Acute myocardial infarction, his life is in danger at any time, and his heart muscle continues to die in large numbers.
3 more God, he took his father-in-law to the hospital to see lung disease, and then gave himself an orthopedic number! Fortunately, the orthopedic doctor was experienced. Based on his description, he immediately realized that something was wrong and asked him to go to the heart center.
This is Xiao Sun Hold your chest and come to the heart center. In the heart center, according to Xiao Sun’s condition, he was immediately asked to have an electrocardiogram and an ultrasound.
As soon as the ECG came out – acute anterior wall myocardial infarction!
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This is his ultrasound, Segmental wall motion abnormality, what does it mean?
It is his heart muscle , not one whole piece is contracting and relaxing, there are so few pieces that hardly move! This shows that that part of the myocardium has been dormant or dead! Myocardial death, left ventricular systolic function will certainly be reduced.
This is his myocardial marker. The first indicator is nearly 300 times the standard value!
Immediately enter the cath lab rescue!
< p data-track="73">Angiography shows that Xiaosun’s anterior descending artery is severely narrowed, and it is in the near section, which is equivalent to the upper reaches of the Yangtze River, and it is more harmful. This position is narrow, which will lead to a large area of myocardial ischemia!
After the operation, Xiao Sun was sent to the CCU for intensive care. All the evidence points to one, Xiao Sun’s heart muscle has a lot of necrosis! After the operation, Xiao Sun said that if he had a little common sense, he would definitely go to the emergency department as soon as possible, instead of delaying to the present level.
Now Xiao Sun’s The blood pressure is already normal, and the damaged myocardium may recover, but it will take half a year to see the result.
Best case , With compensation, no heart failure. In the most pessimistic scenario, heart failure worsens.
Xiao Sun’s experience It is a typical tragedy, and such tragedies are performed in hospitals almost every day.
Common sense, common sense, Or common sense! If they knew a little common sense about myocardial infarction and angina pectoris, this tragedy could have been completely avoided.
< span>How to identify high-risk chest pain? Remember these 16 words!
So, how do you recognize chest pain? How to know all kinds of discomfort, it may be angina pectoris, it may be a precursor to myocardial infarction? Keep these 16 words in mind:
< span>Exercise induced
Relieved by rest
Nitrate relief
More than 2 points
How to understand these 16 characters? Let’s explain one by one below:
Labor-induced
Generally in the case of fatigue, such as walking, brisk walking, on the bridge Its pain will be induced or aggravated in situations such as walking, going upstairs, or having a full meal.
Break Relief
Rest immediately after the pain occurs, and the pain will be relieved after a while.
Sweet relief
“Nitroglycerin” is nitroglycerin, which has the effect of dilating the blood vessels of the heart.
During the pain attack, take a piece of nitroglycerin sublingually. If the pain is relieved, it also means that the probability of angina pectoris is very high.
More than 2 points
The pain lasts for more than two minutes. If it’s lightning-like pain, it sure isn’t.
Reminder from the doctor: Be sure to remember these 16 words firmly, and know the angina pectoris and the myocardial ischemia. Take measures as soon as possible to minimize losses!