Recently, 35-year-old Xiao Li burst into chest pain, sweating, and screaming at 5 o’clock in the morning. The ambulance was sent to our hospital for emergency treatment. The electrocardiogram showed “extensive anterior wall myocardial infarction”. After rescue, blood flow recovery, Xiao Li’s conditionStabilize.About a week or so, I was discharged smoothly.Careful understanding of the medical history, Xiao Li for IT workers, long staying up late, and this myocardial infarction is not unrelated.
Guidance expert: Professor Wang Jingfeng, Secretary of the Party Committee of Sun Yat-sen Memorial Hospital and Director of Cardiovascular Medicine, Sun Yat-sen University, Sun Yat-sen Memorial Hospital, Sun Yat-sen Memorial Hospital, and Director of the Chest Pain Center, Associate Professor Luo Nian-Sang, November 20, 2019, is the sixth “heart attack treatment in China”day”.According to clinical data, there are about 1 million patients with acute myocardial infarction each year in China.A considerable number of patients, because of ignoring the early symptoms of myocardial infarction, have delayed the rescue time, so myocardial infarction is also known as the “number one health killer.”How to prevent myocardial infarction?Professor Wang Jingfeng, secretary of the Party Committee of Sun Yat-sen Memorial Hospital and director of Cardiovascular Medicine at Sun Yat-Sen University, reminded that once there is a chest pain, call 120 emergency calls immediately to get time for the rescue.In the presence of these symptoms, it is necessary to promptly “for help”. Acute myocardial infarction is myocardial necrosis caused by acute, persistent ischemia and hypoxia of the coronary arteries, which is often life-threatening.Professor Wang Jingfeng, secretary of the party committee and director of the Department of Cardiology, reminded that once the acute myocardial infarction occurs, the blood supply to some of the heart will suddenly stop. At this time, the blocked coronary artery should be cleared in time to allow the heart to regain blood supply.The ideal time to open a blood vessel is within 120 minutes after the onset of the disease, and every time it is delayed for one minute, there will be a large amount of myocardial cell necrosis.So how do you know if you have a correct diagnosis of your own or your family?Associate Professor Luo Nian-Sang introduced that most of the early patients with myocardial infarction will have the following symptoms: sudden unexplained pain in the area below the navel to below the chin, especially in the middle of the chest, or sudden pain in the left chest.Sweating, nausea, vomiting.About 90% of these phenomena are manifestations of myocardial infarction. At this time, the patient’s family must immediately dial 120 and request first aid.According to reports, the chest pain center is connected with the local 120 emergency center. The patient enters the myocardial infarction rescue network system as soon as he enters the 120 rescue vehicle. 120 will directly send the patient to the nearest chest pain center on the map.At the same time, the medical staff will report the patient’s ECG, blood pressure and other reports at any time on the rescue vehicle to the chest pain center doctor through the on-camera videophone or WeChat, and the chest pain center doctor will guide the doctor on the bus to use the medicine for the patient in real time.The green channel has won valuable time for the treatment of acute myocardial infarction.After the occurrence of myocardial infarction, you should lie still, remembering that the “infarction treatment of 123” rule, the director of the Department of Cardiology, Professor Wang Jingfeng reminded that once you suspect that you have a heart attack, the most important thing is to call for help, call 120 to the hospital.It is worth noting that you must lie flat at this time, don’t tamper with it, don’t walk to the hospital by yourself, and have oxygen inhalation at home or around you. This is the best way to deal with it.After the heart attack occurs, the doctor will take urgent and necessary treatment according to the patient’s condition.Cardiac interventional surgery.In patients who are in emergency intervention, the doctor will probe a metal wire and catheter from the patient’s wrist or thigh root artery, all the way up, into the heart’s coronary artery, to the blocked area, and open the catheter.The balloon expands the part of the coronary artery stenosis and allows the blood flow to return smoothly.Cardiac interventional surgery has a significant effect and minimal trauma.Heart bypass surgery.If the coronary artery disease is very complicated in patients with myocardial infarction, it is difficult to solve the problem by intervention alone. The doctor will recommend heart bypass surgery.That is, using an unobstructed blood vessel (usually taken from a patient or using artificial blood vessels), connecting the upstream and downstream of the blocked blood vessel, allowing the blood to bypass the narrow or blocked artery, like a viaduct, making the original lackThe blood myocardium gets ample blood supply.Cardiac bypass surgery is currently the most effective treatment for coronary heart disease.Drug thrombolysis.If the nearby hospital does not have the conditions for interventional and bypass surgery, then the doctor will also use the expedient – drug thrombolysis, choose intravenous infusion of thrombolytic drugs to dissolve the thrombus, open the blood vessels to the heart.Professor Wang Jingfeng said that after the occurrence of myocardial infarction, although the doctor promptly rescued, the patient’s heart function is often affected. Some people will have a bigger heart after myocardial infarction, and some people’s heart function will be significantly weakened, and may even be due to necrotic myocardium.The rupture causes the heart to rupture and die.Therefore, even if the patient with myocardial infarction recovers, it can’t be careless. It is most important to prevent it.Experts advise: prevention of myocardial infarction from the beginning of the regulation of emotions in addition to timely request for first aid in the onset, in daily life, can also prevent the occurrence of myocardial infarction from the regulation of mood, regular life and so on.Regarding the prevention of myocardial infarction, Associate Professor Luo Nian-Sang gave the following “tips”: 1. Be good at regulating emotions.The mood is kept cheerful, the emotions remain stable and optimistic, the bad stimulation of various life events is treated correctly and handled, and excessive emotional fluctuations are avoided; 2. The regular life rhythm is maintained.Moderate work and rest, to ensure adequate sleep and rest time.Watching TV, playing chess, playing poker, playing mahjong should not be too long;
3. The diet should be balanced and diversified.Eat more fresh vegetables and fruits, eat less animal fats, sugar, cream (especially animal offal, seafood), quit smoking, do not drink hard alcohol; 4. Exercise according to your own situation.You can exercise by swimming, climbing, playing sports, etc.If the physical quality is slightly poor, consider moderate activities, such as health exercises, walking, tai chi, qigong, etc. The key is to adapt to people and not to overload; 5. Regular medical examinations and timely medical treatment.Pay attention to regular check blood pressure, blood sugar, blood lipids and ECG.Usually, especially after a full meal or activity, sudden chest tightness, belching, chest area pain and dizziness, etc., should be checked as soon as possible.(Correspondent: Zhang Yang, Liu Wenqin, Huang Rui)