What kind of electrocardiogram does stomach pain do?Isn't your over -check just to collect more money?

Recently, Mr. Zhou, who was in his 40s, had a stomach pain. The doctor suspected myocardial infarction after checking the physical examination. It was recommended that the ECG test was immediately performed.

Mr. Zhou's son suddenly became angry and said, "What kind of electrocardiogram does stomach pain do? Do you over -check to collect more money!"

At this time, the doctor couldn't care too much about explanation, and only said one sentence: "If the ECG checks the problem, you will not collect your money!" Then he explained the assistant to check immediately.

Sure enough, the ECG test found that it was indeed a heart problem, and it was a fatal "myocardial infarction". The doctor gave it in time to save the patient's life.

For myocardial infarction, we can simply understand that due to obstruction of the coronary arteries, the blood supply to the myocardium is reduced or interrupted, which causes necrosis of myocardial muscle.

Myocardial muscle refers to the muscle of the heart. What does coronary arteries mean?

Coronary arteries are distributed on the surface of the heart to supply blood vessels in the heart itself.

The coronary arteries are divided from the aortic artery, with left coronary arteries and right coronary arteries.

The left coronary artery is divided into anterior downship and a rotation branch to supply blood for most of the myocardial muscle in the left ventricle of the heart. The right coronary arteries are mainly supplying blood on the back of the heart and lower walls.

We know that under normal circumstances, there is no plaques in the coronary artery, and the blood flow is smooth.

So how does coronary arterial obstruction happen?

High -risk groups such as patients with high blood pressure and smokers, under the long -term effects of risk factors, the arteries of these people are easily damaged, and the cholesterol in the blood vessels will deposit into the blood vessel wall to form lipid stripes.

The cholesterol deposited in the vascular wall will be devoured by the phagocytes, producing some inflammatory reactions, and the blood vessels' smooth muscle cells and fibrous tissue hyperplasia, forming fibrous plaques, which will cause thickening blood vessel walls and cause vascular stenosis.

When plaques are getting bigger and bigger, porridge hardened plaques will be formed. This is what we call "coronary heart disease", that is, "coronary atherosclerotic heart disease".

When the stenosis reaches 50%of the diameter of the blood vessels, once the cause of fatigue, emotional excitement, and increased blood pressure occur, the blood flow will not be enough, and then "angina pectoris" will occur.

After that, the lesions have been further developed. If the coronary plaque is ruptured due to certain factors, shellatic thrombosis will occur, causing blood vessels to block, which leads to what we call "myocardial infarction".

Therefore, angina pectoris is a symptom of coronary heart disease, and myocardial infarction is the most serious type of coronary heart disease.

Since it is a heart problem, shouldn't the symptoms be chest pain?

That's right! The most typical symptom of myocardial infarction is indeed chest pain. This kind of chest pain is a kind of pain that is squeezed, narrowed, and burned.

General chest pain is behind the left chest and sternum. This kind of chest pain can be radiated to the back, it can be radiated to the left neck, and even the inside of the lower jaw and the left upper limb, and sometimes it can be radiated to the upper abdomen.

This kind of chest pain usually lasts more than 20 minutes. After taking nitroglycerin, the pain cannot be relieved.

In addition, because patients have severe chest pain, they often have symptoms such as cold sweat, pale, and even nausea, vomiting.

This is often the earlier and typical symptoms of myocardial infarction.

Why does Mr. Zhou have myocardial infarction, without chest pain, only stomach pain?

In fact, patients with myocardial infarction cause this typical chest pain, only about 2/3, while 1/3 patients with chest pain are not typical, or there is no chest pain at all.

Especially for the elderly, diabetic patients and other people, they have myocardial infarction and may not have chest pain, which is a difficult discomfort, or particularly weak, or sweating, nausea, vomiting, and collapse.

Some patients show severe toothache, jaw pain, and some patients show upper abdominal pain, just like stomach pain.

This kind of non -typical pain, or patients with myocardial infarction at all, is very easy to misdiagnose.

If the family has a myocardial infarction,

What should family members do?

Generally, if the patient originally had angina pectoris, but after a sudden angina pectoris occurred, it was particularly painful to take nitroglycerin, and it was particularly painful. In this case, myocardial infarction may be considered.

In this case, it is best to stay at home at this time. It contains nitroglycerin under the tongue. If the chest pain is not relieved, it can be contained after 5 minutes, and it does not exceed 3 times.

If chest pain still cannot be relieved, go to the hospital immediately.

Note that you must not drive or ride to the hospital by yourself. This is very dangerous.

The best way is to call an ambulance, because there are also monitoring equipment on the ambulance, which can monitor early arrhythmia. Once sudden death occurs, rescue can be implemented immediately.

After arriving at the hospital, you need to further check the type of myocardial infarction, and determine the specific treatment plan according to the actual condition.

Written at the end:

As an ordinary person, when there is a symptom of discomfort, we actually do not have enough medical professional knowledge to make the correct judgment.

At this time, I hope that everyone can trust the doctor and one less suspicion, and check and treat it in accordance with the doctor's advice, so that our lives will have a better guarantee!

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