Don't treat "myocardial infarction" as "heat stroke"!Five patients with myocardial infarction patients 24 hours a day of rescue in Xi'an Daxing Hospital

To summer

Cardiovascular disease patients

I think it can be "high pillow without worry"

actually

In the hot summer, high temperature shrouded

Dizziness, nausea, frequent chest tightness frequency

Most people mistakenly think of heat stroke

After rest

Never relieve

Waiting, waiting, waiting for ...

Starting vomiting, chest pain and other symptoms

Wait for God

It was found that it turned out to be "myocardial infarction"

recently

Cardiovascular Department of Cardiovascular Medicine in Xi'an Daxing Hospital

Rescue 5 patients with myocardial infarction in 24 hours

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Case 1: Check the clinic after 8 hours of chest tightness

On July 13th, at more than 2 am, suddenly chest tightness, sweating, and pain on shoulders and back pain. Aunt Liu, 64, woke up from his sleep.

Aunt Liu was lying on the bed, feeling panic, and could only be forced to sit. After a few minutes of rest, she relieved, and she continued to sleep.

At 9 o'clock in the morning, the pain hit again, chest pain, sweating, nausea, and vomiting, 10 minutes passed, still did not improve. In the continuous high temperature, Aunt Liu thought that he had a serious heat stroke and hurried to the emergency department of Daxing Hospital.

At 10:45 am, Aunt Liu shouted his chest pain as soon as he entered the emergency department. The doctor immediately started the green channel of the chest pain center.

Urgent inspection of electrical pictures and cardiac ultrasound: Prompt acute lower wall infarction. The EF value is only 30%(heart blood ejaculation score, normal range is 55-65%), and the left wall and lower wall movement is low.

At 11:05, Aunt Liu entered the intervention catheter, and the radiography showed that the rotation branch was closed.

11:49, the occlusion blood vessels were opened smoothly, and Aunt Liu returned to the ward.

At present, Aunt Liu is recovering.

Case 2: Intermittent chest tightness, chest pain for 1 month consultation

Mr. Wang, 43, likes to run. One month ago, when I ran to about 3 kilometers during a run, I felt chest tightness and relieved after rest, so I did not pay attention.

In the past week, Mr. Wang had symptoms of shortness of breath and chest pain again, and the improvement after rest was not obvious.

At 12 noon on July 13th, Mr. Wang came to the emergency department of Daxing Hospital, and urgently check the electro -image without obvious abnormalities. After consultation in the Department of Cardiology, thoracic pain occurs when patients rest, suspect that vascular lesions are serious.

At 1 o'clock in the afternoon, the coronary artery was created, which showed that the near -branch of the front decrease was 99%stenosis, and the long -distance stenosis in the middle of the right crown was 99%.

Three stents were implanted in the front of the cardiovascular department in front of Mr. Wang and the right coronary arteries. The angiography showed that the lesions disappeared and the blood flow was smooth.

Case 3: chest tightness and chest pain after 6 hours of consultation

At 5 am on July 12, 61 -year -old old Gao suddenly felt chest pain and chest tightness.

Come to the hospital at 11 noon, and the electrocardiogram reminded that the front wall guidance sT section was low, and considering the lower wall and the back wall of the myocardial infarction. The radiography shows the middle and long sections of the right crown.

11:55 Open closed plug blood vessels. It is currently returning well.

Case 4: chest tightness, chest pain for 2 days, diagnosis

At 12 noon on July 12, Uncle Xue, 70, had a sudden chest tightness and chest pain for 2 days. After 4 hours, he was diagnosed in the emergency department.

Check the acute lower wall myocardial infarction, EF value is only 29%. The radiography shows the distant end of the rotation branch.

12:50, smoothly opened the closed blood vessels and implanted a bracket.

Case 5: Check chest pain 50 minutes later

54 -year -old old payment, intermittent chest pain, chest tightness for 2 years.

At 23 o'clock on July 12, after 50 minutes of thoracic pain, he was diagnosed with the emergency department. ECG examination prompts anterior myocardial infarction.

23:55, the closed blood vessels were opened, and the surgery ended smoothly.

Currently, it has been restored to discharge.

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Li Zhili, Director of Daxing Cardiovascular Medicine

Remind everyone

Hot summer weather

Be wary of "summer heat" and the temperature difference between inside and outside the room

Tempt "myocardial infarction"

When headache, dizziness, pale complexion

Symptoms such as weak limbs, sweaty, chest dullness and other symptoms

Don't take it for granted with experience

I think it is "heat stroke"

Think that forbearance has passed

Be sure to seek medical treatment in time

Avoid delay treatment

Patients with myocardial infarction, early consultation, early treatment

Myocardial infarction is not "dying". It takes about 6-12 hours from the formation of vascular thrombosis to the complete necrosis of myocardium. During this time, if the blood vessels that can be opened in the shortest time (preferably within one hour), it may save some of the necrotic Myocardium is rescued. Therefore, the earlier the patients are found, the greater the hope of saving life.

If the patient has a history of coronary heart disease, when he is suspected of myocardial infarction, the patient and his family should be particularly vigilant, send the doctor as soon as possible, and call the emergency call immediately. Wait for the 120 process to take drugs such as nitroglycerin, aspirin. But if there is no medical history or the patient's condition, don't take medicine to the patients, let the patient lie flat, keep quiet, and not be stimulated.

High temperature weather, be alert to myocardial infarction

In summer, the environment of high temperature and high humidity can easily cause people to be irritable. The human body sympathetic nervous system is excited, the heart blood circulation increases, leading to the increase of heart load, increased oxygen consumption, and the symptoms of myocardial ischemia. , Myocardial infarction.

In summer, the indoor outdoor temperature varies greatly. When entering the cool indoor from the hot outdoor, due to the rapid decline in temperature, the vascular blood vessels will shrink violently, the blood flow resistance rises, and the blood pressure rises sharply, especially the vascular regulation capacity is poor. The elderly can easily cause the brain stroke (stroke), angina pectoris, myocardial infarction and other seizures. There are more nightlife in summer, lack of sleep staying up late, and smoking and drinking can easily induce acute myocardial infarction.

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Written: Li Xiaofan

Review: Bu Liang

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