Myocardial infarction
November 20 is “China’s 1120 Myocardial Infarction Treatment Day”, smoking, alcoholism, obesity, hyperlipidemia, hyperglycemia etc. are common risk factors for myocardial infarction, but there is one factor that is easily overlooked by everyone. It is very hidden and not easy to be discovered. It is “morning hypertension”.
Most hypertensive patients often miss the early morning period when they see a doctor in the hospital, or have already taken antihypertensive drugs when they see a doctor, so the morning blood pressure is often easily overlooked.
If within 1 hour after waking up in the morning, before taking medicine, before breakfast, at 6~10 o’clock, home self-test blood pressure≥ 135/85mmHg or clinic blood pressure ≥140/90mmHg, that means morning hypertension.
Morning hypertension is divided into two types: generally It is the “morning peak” type and the “sustained hypertension at night and early morning” type. Morning hypertension is an important cause of myocardial infarction, and a little neglect may cause serious consequences. Especially for hypertensive patients with atherosclerotic plaques, plaques are prone to rupture at this time, greatly increasing the risk of myocardial infarction and sudden death.
If you have the following symptoms, be alert to morning hypertension~
5 symptoms
①headache, dizziness;
②tinnitus;
④Chest tightness;< /p>
⑤ Limb numbness.
The reason why morning hypertension occurs is that many people ignore the measurement of blood pressure. Then how to measure blood pressure to detect morning hypertension?
One day Four times: the first blood pressure measurement after getting up in the morning and before taking antihypertensive drugs; the second time after taking the medicine in the morning at around 9:00; Around 1:00 p.m.; before going to bed for the fourth time.
continuous After 7-10 days, you can feel the law of blood pressure fluctuations.
Yes Two groups of people are particularly prone to “morning hypertension”. Why is this?
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People taking antihypertensive drugs
The medicine taken the day before did not continue to play a role in controlling blood pressure, and the antihypertensive medicine in the morning has not been taken, and blood pressure naturally rises. For example, taking short-acting antihypertensive drugs (such as nifedipine ordinary tablets, captopril) will easily lead to morning hypertension if the drug does not last long.
Tips: If you find that you have morning high blood pressure, It is recommended to discuss with a specialist in time to choose a longer-acting antihypertensive drug or increase the frequency of medication.
02
Snoring crowd
Many people think that snoring is a sign of sound sleep, but in fact, the potential harm of snoring is very great, especially for continuous snoring, it often leads to Cause sleep apnea, which is called in medicine – Sleep apnea syndrome.
The harm of this sleep apnea syndrome is that snoring causes sleep apnea to stop repeatedly, causes severe hypoxia in the brain and blood, and easily induces high blood pressure, Myocardial infarction, or even sudden death.
Tip: If you want to correct For the problem of snoring, you can go to the respiratory department for respiratory sleep monitoring, and wear a ventilator if necessary.
Case
7 of this year In January, a 48-year-old middle-aged man had a sudden myocardial infarction and was rushed to the hospital for treatment. After examination, it was found that his right coronary artery was blocked, which caused the “sinus chamber” in the heart “Nodal junction” and sub-headquarters “atrioventricular junction” malfunctioned, almost leading to death. Fortunately, after emergency rescue at the hospital, the the patient’s life.
When a myocardial infarction occurs, what should we do to save our lives at critical moments?
1,Sedation, cessation of all activities
Acute myocardial infarction is coronary artery occlusion , blood flow interruption, myocardial cell ischemia and hypoxia lead to necrosis of a critical illness. So the less activity , the less oxygen the heart consumes. On the contrary the more nervous, more anxious, and more restless, it will cause sympathetic nerve excitement, and then release some catecholamine substances, inducing malignant arrhythmia.
2、Call an ambulance at the first time
“1120” has two meanings, one is “I have chest pain, I want to call 120“; the second is “Myocardial infarction treatment, strive for golden 120 minutes“.
3、Sublingual administration of nitroglycerin
Nitroglycerin tablets are one of the special medicines for preventing and treating angina pectoris of coronary heart disease. It acts quickly and has a short duration of action. Once acute angina pectoris occurs, immediately take 1 tablet of nitroglycerin under the tongue. If it is not effective or the curative effect is not obvious, you can take it again after 2 minutes, up to 3 times in a row. If the curative effect is still not obvious, take it again Suspected acute myocardial infarction.
Tips: Don’t eat too much Vasodilators.
4、If you have chest pain, go to the emergency department first
It is recommended to choose the emergency department first. If it is a heart problem, the emergency department will immediately contact the cardiologist through the chest pain greenway, activate the chest pain greenway, and perform surgery in time.
5、Choose sitting or lying down as much as possible
When heart attack is uncomfortable, you should To reduce the oxygen consumption of the heart machine, it is recommended to sit and lie down.