mistaken for heatstroke The weather has been hot recently, and a diabetic friend felt palpitation, chest tightness, nausea and vomiting, and felt that it was a heat stroke, so he drank a bottle of Huoxiangzhengqi water and rested for an hour or two without symptoms. ease. He also had symptoms such as dizziness, sweating, and fatigue, and was rushed to the emergency department of a nearby hospital by his family. The result was myocardial infarction. The doctor said that if you come an hour late, you may lose your life.
How to distinguish between heat stroke and myocardial infarction? 1. Differences in sweating partsHeat stroke mainly sweats on the chest, back, forehead, neck, armpit and other parts, and the skin temperature increases; When a myocardial infarction occurs, the sweating parts are mostly on the neck, forehead, palms, soles of feet, etc., and the skin temperature is relatively low, commonly known as “cold sweating”.
2, the difference between the severity of chest tightnessthe chest tightness is relatively mild during heat stroke Acute myocardial infarction is a sudden onset of chest pain, severe and persistent, accompanied by general malaise, often with a sense of oppression and impending death. Diabetes=CHDTwo studies in Europe and China yielded similar results: Among coronary heart disease patients, 1/3 suffer from diabetes mellitus, and another 1/3 suffer from impaired glucose tolerance. The so-called impaired glucose tolerance is actually a prelude to diabetes, and almost half of the patients with impaired glucose tolerance will eventually develop diabetes. That is to say, 2/3 of patients with coronary heart disease also have abnormal glucose metabolism.
70—80% additional lethal factor , Most diabetic patients eventually die of macrovascular complications, such as coronary heart disease, myocardial infarction and so on. On this basis, many medical experts point out that diabetes is an “equivalent disease” of coronary heart disease. It can be said that diabetes and coronary heart disease are two melons growing on a vine, which can be described as “difficult brothers”. Clinical data confirm that the incidence of coronary heart disease in diabetic patients is 3-4 times that of ordinary people. 70-80% of people with diabetes eventually die of coronary heart disease. In terms of the importance of protecting life, prevention of cardiovascular and cerebrovascular complications such as coronary heart disease is more important than simple hypoglycemic!
diabetes-induced coronary heart diseaseUnder the influence of high blood sugar, blood lipids, platelets, etc. are more likely to deposit on the arterial wall, forming plaques and blocking blood vessels. This is the reason for the high incidence of cardiovascular and cerebrovascular diseases in diabetes. If the plaque ruptures, further thrombosis can be formed at the rupture, which will aggravate heart and cerebral ischemia, and cause serious cardiovascular and cerebrovascular events, such as myocardial infarction and cerebral infarction. Accelerated diseaseHyperglycemia also leads to hypertension and hyperlipidemia, coupled with obesity, insulin insensitivity The combined effect of other factors further promotes the occurrence of cardiovascular and cerebrovascular diseases.
Deadly Threat: Less SymptomsDiabetes patients, due to neurological damage, paresthesias, etc. Cardiovascular and cerebrovascular diseases often appear inconspicuous, unlike typical manifestations, and are easily overlooked. This is the greatest risk of sudden death in diabetic patients.
1. Myocardial infarction most commonly presents as persistent severe chest cramps. However, people with diabetes are insensitive to pain due to neuropathy in the body, and may not feel pain during myocardial infarction, which will lead to delayed treatment.
2. cerebral infarction with symptoms similar to heat stroke, easy to ignoreCerebral infarction caused by ischemic necrosis of cerebral tissue, in mild cases only manifested as dizziness and fatigue, which is very similar to the symptoms of heat stroke. If it is mistaken for hypoglycemia, it is also very wrong. Therefore, people with diabetes should be more alert to cardiovascular and cerebrovascular diseases. If you have the following symptoms, check immediately
- chest tightness and shortness of breath;
- chest pain;< /li>
- Unexplained stomach pain, toothache, sore throat.
- Continuous dizziness, fatigue or even paralysis, at this time blood sugar>3.9;
- continuous numbness on one side;
- < span>Suddenly can’t speak;
- Headache of unknown cause
< li>Walking unsteadily, with a feeling of falling to one side;
How to prevent myocardial infarction in summer? 1. Drink water even if you are not thirstyIf you sweat a lot in summer, timely Hydration is very important, especially for people with cardiovascular disease such as diabetics. In addition to drinking 7 glasses of water a day, you can also drink mung bean soup, and drink it in moderation several times to ensure sufficient water and avoid myocardial infarction caused by high blood viscosity.
2, air conditioner temperature 25～27℃ Turn on the air conditioner in summer and the temperature should not be too low. Entering the air-conditioned room with low temperature directly from the high temperature outdoors is prone to myocardial infarction caused by the rapid contraction of blood vessels when cold. Therefore, it is best to set the temperature of the air conditioner at about 25 to 27 °C, so that the temperature difference between indoor and outdoor is controlled within 7 °C.
3, eat less cold drinks cool stuff. The temperature of the diet should be moderate, too hot and too cold will bring great pressure on vasoconstriction, once it exceeds the tolerance range, it will causeCardiovascular and cerebrovascular diseases such as acute myocardial infarction are life-threatening.
4, take a half-hour nap every dayRecommend for sugar friends every day in summer Take a half hour nap. Because of the long days and short nights in summer, and the high temperature, people’s sleep time and quality mostly decrease in summer. Especially for people with diabetes and heart disease, taking a nap for half an hour can reduce the incidence by 1/3.
5, control 3 indicators< span>Glucose: Fasting4.4—7, after meals4.4—10, glycation<7blood lipids:total cholesterol<4.5, low density lipoprotein< 2.6 blood pressure:<130/80
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