During the Spring Festival, the Chest Pain Center of Hanshou County People's Hospital received more than 30 cases of acute high-risk chest pain patients, including 18 cases of central muscle infarction, 13 cases of unstable angina, 4 cases of pulmonary embolism, and 1 case of aortic dissection.
So how much do you know about chest pain? What chest pains do we need to take seriously and seek urgent medical attention? Next, experts from the Chest Pain Center of Hanshou County People's Hospital will take you to understand!
1. What is acute chest pain?
Acute chest pain, which refers to severe pain that occurs suddenly behind the sternum or in the chest, is one of the most common emergencies. Patients often complain of dullness, tightness, burning, pins and needles, squeezing, tearing, and knife pain, as well as some symptoms that are difficult to describe.
Chest pain is a symptom, and it may be behind acute myocardial infarction, aortic dissection, pulmonary embolism and other fatal acute chest pain diseases. High-risk chest pain is acute, critical, and severe, and if rescue is not timely, it will directly threaten life.
Therefore, the key to successful treatment is to quickly and correctly screen the best patients with chest pain, screen out high-risk chest pain patients as soon as possible, and open a green channel.
2. Common high-risk chest pain.
Acute coronary syndrome (acute myocardial infarction, unstable angina), acute aortic dissection, acute pulmonary embolism, tension pneumothorax, known as "high-risk chest pain", also known as the "four killers of chest pain", must not be blindly endured, otherwise there will be life danger!
1.Acute myocardial infarction.
Refers to the occlusion of coronary arteries, which interrupts blood flow, causing local necrosis of part of the heart muscle due to severe persistent ischemia.
Within an hour of onset, the risk of cardiac arrest is 25 times higher than that of subsequent ventricular fibrillation, so time is equal to life when an acute myocardial infarction occurs.
Over time, even if no cardiac arrest occurs, the heart muscle can die extensively. Even if the blood vessels are opened in the hospital, the risk of heart failure will be greater, and once the heart failure is opened, it will affect the patient's lifespan. Remember: the rescue time of acute myocardial infarction is 120 minutes, and the sooner the blood vessels are opened, the greater the benefit.
2.Aortic dissection.
As a result of a tear in the lining of the aorta, blood enters the walls of the blood vessels, causing the aorta to dissect or rupture. Patients often complain of sudden onset of severe chest pain, which is mostly a knife-like, tear-like or pinprick-like persistent pain, which is unbearable and may be accompanied by shock manifestations such as irritability, paleness, sweating, and cold extremities.
The blood flow pressure of the human arteries is very large, and the blood flow pressure of the aorta is greater, at this time, the aorta ruptures and bleeds, and under high pressure, the opening will be torn bigger and bigger, and the mortality rate of aortic dissection within 24 hours can reach 25%.
Aortic dissection is one of the most dangerous and deadly diseases in cardiovascular emergencies and critical diseases, and 80% of aortic dissections are mostly caused by atherosclerosis and hypertension.
3.Pulmonary embolism.
Often due to the blood clot of the lower limbs or pelvis deep veins after the blockage of the blood vessels in the lungs, the common symptoms are dyspnea, shortness of breath, chest pain, cough and other symptoms, severe cases can appear irritability, panic and even a sense of impending death, some patients with pulmonary embolism may have the first symptom may be syncope or loss of consciousness.
4.Tension pneumothorax.
Refers to the rupture of large pulmonary bubbles or large and deep pulmonary lacerations or bronchial rupture, the tear communicates with the pleural cavity, and forms a one-way valve, the air enters the pleural cavity from the fissure during inhalation, and the flap is closed when exhaling, and the air in the cavity cannot be discharged, causing the pressure in the pleural cavity to continue to rise, compressing the lungs and causing them to gradually collapse, resulting in serious impairment of respiratory and circulatory function.
Patients present with chest pain, dyspnea, and orthopnea. People with severe hypoxia may experience irritability, coma, and even suffocation.
3. Emergency treatment of acute chest pain.
Chest pain is not trivial, especially persistent precordial retrosternal pain, so you should go to the hospital for examination as soon as possible, and do not feel that it is enough to endure it, so as not to delay the precious treatment time, resulting in deterioration of the condition or death.
Acute chest pain, especially high-risk chest pain, must be rescued against time, and the correct way is to call the hospital first** and then notify relatives and friends.
Founded in 2018, the Chest Pain Center of Hanshou County People's Hospital is the only chest pain center in the county and a medical institution with coronary intervention qualifications. The chest pain center team is on call 24 hours a day, which can provide a green channel for rapid diagnosis and treatment of chest pain patients.
The Chest Pain Center of Hanshou County People's Hospital relies on the joint and collaborative treatment mechanism, and the pre-hospital and in-hospital are interlocked and seamlessly connected, so that patients with chest pain can be effectively diagnosed and treated in the first time, which greatly improves the efficiency of treatment for patients with critical illness and plays a major role in saving lives.
Hunan Medical Chat Special Author: Hanshou County People's Hospital Qu Hui Follow @Hunan Medical Chat to get more health science information!
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