A 57-year-old man suffered a myocardial infarction and died suddenly after being sent to the hospital! Multiple warning signs before myocardial infarction did not attract attention

According to the global burden of disease study , during the period from 1990 to 2017, the number of deaths from coronary heart disease in China was the first in the world, accounting for 38.2%, ranking second among the major diseases of premature death in China.

The heart is the "power" of the human body. If there is an abnormality, it is related to whether the person can survive. When the heart sends out an early warning, it is very important for everyone to learn to recognize the symptoms and know how to save themselves.

Case 1: Coronary heart disease, myocardial infarction and angina pectoris are not the same disease

Lao Cao is 57 years old this year. When he participated in a company event, he suddenly felt tightness and pain in his chest. After resting for half a day, he didn't get better, so he was sent to the hospital by his colleagues. After a doctor's examination, he was diagnosed with angina pectoris and recommended hospitalization.

"This kind of minor problem also needs to be hospitalized, how can I cheat me?" Lao Cao felt that he was just too tired and didn't need to be hospitalized, so he went home directly.

After 40 days, Lao Cao drank too much alcohol and developed angina pectoris again, and the symptoms became more serious. His family gave him Jiuxin Pills but it didn't work, so he had to be sent to the hospital overnight. The doctor diagnosed acute myocardial infarction through the electrocardiogram , and was about to perform emergency surgery, but not long after he was on the operating table, Lao Cao died suddenly and died...

Many people think that angina pectoris is not coronary heart disease, let alone myocardial infarction, and they don't pay much attention to it. In fact, coronary heart disease, myocardial infarction, and angina pectoris can be compared to the relationship between mother and son . Coronary heart disease is the mother, and angina pectoris and myocardial infarction are the son.

Coronary heart disease refers to the phenomenon of myocardial ischemia and hypoxia caused by coronary artery stenosis or blockage, which causes poor blood circulation and insufficient blood supply to myocardial cells.

·Angina pectoris is an important symptom of coronary heart disease, which is caused by sudden myocardial ischemia and hypoxia.

· Myocardial infarction is the most serious consequence of coronary heart disease, usually caused byAngina pectoris develops repeatedly.

Therefore, patients should attach great importance to angina pectoris, which indicates that coronary heart disease already exists . If left untreated, it may eventually develop into myocardial infarction.

In the event of sudden coronary heart disease, patients should learn to use the correct medication. Common medications include aspirin, nitroglycerin, and Suxiao Jiuxin Pills.

① Nitroglycerin

It is the first-choice emergency medicine for acute angina pectoris . When patients have chest pain or chest tightness, take nitroglycerin under the tongue, and it will take effect within 3 minutes.

② Suxiao Jiuxin Pill

It is an emergency medicine, which has the effect of promoting qi and blood circulation and dilating blood vessels. However, it takes a long time to take effect and is suitable for high-risk groups of coronary heart disease. When angina pectoris occurs, take 10-15 capsules sublingually.

③ aspirin

If the angina lasts for 15 minutes without relief, it may be a myocardial infarction . You can chew 3000 mg of aspirin at one time to help relieve the myocardial infarction.

Case 2: Sore throat may also be a symptom of myocardial infarction!

The old lady suffered from repeated sore throat for a week. After examination, she was sent to the Department of Cardiology for hospitalization.

Grandma Li is 74 years old. She had repeated sore throat within a week , accompanied by tenderness on both sides, shoulder pain and back pain. In severe cases, she was accompanied by sweating, mostly at night. At the beginning, Grandma Li went to the ENT department for an examination. After asking about it, the doctor suggested an electrocardiogram, which turned out to be abnormal .

Subsequently, the cardiologist performed three myocardial infarction and cardiac color Doppler ultrasound examinations on Grandma Li, and found that troponin was elevated, and through angiography examination, it was found that the heart vessels were narrowed by about 90% . After a clear diagnosis, Grandma Li underwent stent implantation and was discharged from the hospital 3 days after the operation.

The cardiologist explained that myocardial infarction has typical symptoms, mainly chest pain, but there are also atypical symptoms. According to statistics, more than one-third of patients with myocardial infarction in China have atypical symptoms at the time of onset .

Here Xiao Jiu summarizes the typical and atypical symptoms of myocardial infarction as follows:

【Typical Symptoms】

Chest pain and tightness, pain in the sternum or precordial area of ​​the heart, like a big stone blocked in the chest, colic, and tightness, usually lasting for more than 15 minutes.

【Atypical Symptoms】

Stomach pain : indigestion, stomach pain, vomiting and nausea without symptoms;

·Back pain : the pain will radiate to the back, and there will be persistent back pain;

Profuse sweating : when the blood transfusion is insufficient, the blood pressure drops, the blood vessels constrict, and cold sweats appear on the neck, palms, and forehead;

Upper limb and shoulder pain : Cardiac ischemia can also cause pain to radiate to the shoulder, inner left arm and other upper limb pain;

Tooth or jaw pain : some patients also experience multiple tooth pain and jaw pain, accompanied by profuse sweating;

Sore throat : burning pain in the throat, tightness in the throat, accompanied by symptoms of chest pain and suffocation.

Case 3: The mother suffered 3 cardiac arrests, and the daughter was rescued 3 times

Professor Fu Xianghua from the Cardiology Department of the Second Hospital of Hebei Medical University shared a case where a very critical myocardial infarction patient was admitted to the hospital. She experienced three cardiac arrests while waiting for an ambulance at home. Fortunately, her daughter had learned the skills of cardiopulmonary resuscitation and rescued in time. Afterwards, an ambulance took her to the hospital, and the rescue was successful and her life was saved.

Professor Fu said that it was the daughter's three CPRs that gave the mother a chance to survive, "Mother gave you life, and you gave mother three lives"! Professor Fu called for the whole society to learn CPR skills, especially families with coronary heart disease, history of myocardial infarction, and severe heart disease.

[The correct way of cardiopulmonary resuscitation]

Step 1. Determine whether the patient is conscious, breathing, or cardiac arrest

① Shout and slap the patient vigorously to see if he is conscious;

②If the patient loses consciousness, it is necessary to quickly judge whether the patient is breathing (observe whether the chest and abdomen rise and fall, and feel whether there is airflow in the nose with fingers );

③ If the breathing stops for more than 5 seconds, it can be considered as cardiac arrest, and rescue should be started immediately.

Step 2. Dial 120

Immediately call for help from the surrounding people, and ask the surrounding people to call 120 for emergency services. If no one is around, you need to dial 120 by yourself.

Step 3: Perform CPR

① Lift the patient's head up, open the airway, and remove foreign objects in the mouth and airway;

②The pressing part is the midpoint of the line connecting the two nipples of the patient. After finding the position with the left palm, raise the five fingers, overlap the other hand, and straighten the arms. Use the strength of the upper body to press continuously for 30 times , with a frequency of 100-120 times /min, the depth is 5~6cm of sternal depression;

③After pressing for about 30 times, perform 2 consecutive artificial respirations.

In order to be more intuitive, we simplify the above process and make a picture, which can be saved for reference!

After a sudden cardiac arrest, a person loses consciousness within a few seconds, stops breathing in about 60 seconds , and brain cells begin to die within 4 minutes. Therefore, it is necessary to seize the golden time for emergency treatment and call 120 before rescue. If there is an automatic external defibrillator (AED) nearby , contact the staff as soon as possible for first aid.

After reading today's article, how much have you learned? If you have other knowledge you need to know, please leave a message to Xiaojiu in the comment area and share your own experience. Xiaojiu will write better science popularization according to everyone's needs!

References:

[1] In the past 30 years, the increase in the number of deaths from coronary heart disease in China ranks first in the world! New Analysis of the Global Burden of Disease Report, Chinese Journal of Circulation, 2020-10-17

[2] What should I do if a family member has a sudden myocardial infarction? It is very important to do these 3 points well, Cardiovascular Channel in the medical profession, 2021-11-20

[3] Cardiopulmonary resuscitation: Master the three methods, use the three instruments, and remember the three steps, Huayi.com, 2022-04-16

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