"It's not going to happen, it's really going to me off. Ms. Wang, 40, often puts this on her lips when she tutors her children with their homework. Unexpectedly, it almost became a prophecy.
On the afternoon of January 29, Ms. Wang suddenly suffered chest pain and shortness of breath. The symptoms were relieved after taking the "Quick Relief Pill" under the tongue, but it only lasted for half an hour, and then it became even more uncomfortable - sweating profusely, persistent chest tightness, and unbearable chest pain. Subsequently, he hurriedly went to the emergency department of the nearest hospital for help, and the initial diagnosis of the problem was cardiovascular, and he was quickly transferred to the Third People's Hospital of Chengdu.
Coronary tear myocardial infarction.
What's going on? The coronary artery is torn and the heart has a heart attack.
After Ms. Wang was quickly escorted to the catheterization laboratory by the medical team, three doctors from the Department of Cardiovascular Medicine, Xia Ming, Ye Tao and Chen Zhongbo worked together to complete the coronary angiography examination for her as soon as possible. The results suggested: "severe stenosis of the anterior descending artery, and the vascular non-smooth changes occurred in the middle of the blood vessels".
Blood vessels exhibit "disconnected stenosis", which is not a routine manifestation of atherosclerotic disease. After a quick judgment, the chest pain emergency team of the Department of Cardiovascular Medicine carried out a further examination of Ms. Wang with endovascular imaging IVUS (coronary intravascular ultrasound) and accurately found the ** - anterior descending artery dissection image, commonly known as spontaneous coronary artery dissection (SCAD). To put it simply, there is a tear in the inner wall of the blood vessel, and the leaking blood is still intact by the outer wall of the blood vessel, like a bicycle tire "bulging".
Xia Ming said that spontaneous coronary artery dissection is a relatively rare cardiovascular disease, which can cause myocardial infarction due to the formation of hematoma compressing blood vessels, but its mortality rate is as high as 70-75%, "Fortunately, the dissection tear stops when it reaches the middle and distal ends, and the hematoma does not completely compress the blood vessels, and the degree of myocardial infarction is mild." ”
Why? It is related to long-term emotional agitation.
I am only 40 years old, I have no history of hypertension, diabetes, coronary heart disease, etc., and I usually have no habit of smoking and drinking, why is the coronary artery torn? This made Ms. Wang a little puzzled, and she reversed the trigger with the doctor, and the result made her cry and laugh: angry.
Coronary tear myocardial infarction.
It turned out that Ms. Wang had always been strict with her children's academic requirements, and would personally check the completion of homework every night. "I've been really angry lately, and I've been talking about it repeatedly, but I just can't do it. Looking at a bunch of winter vacation homework, both mother and son have "brain pain". Although the more counseling she went, the more angry she became, and the volume became higher and higher, Ms. Wang still tried to restrain herself and did not "knock" the doll on her body. The night before the onset of the disease, Ms. Wang was furious and fell asleep with sulkness.
According to reports, the cause of spontaneous coronary artery dissection is not clear, but it is recognized that in addition to abnormal hormone regulation and fibromuscular dysplasia, there is also a fluctuating mood. Ms. Wang's admission to the hospital this time is closely related to her daily violent mood swings.
The doctor reminded parents who are trying to tutor their babies with their winter vacation homework to really stop being irritable. The cold weather in winter, frequent dinner and wine gatherings during the Spring Festival, and the fatigue of long-distance travel during the Spring Festival are also important factors that induce myocardial infarction. Recently, there has been a significant increase in the number of patients admitted to hospitals for myocardial infarction.
What should I do if someone around me suddenly has severe chest pain?
The most effective way is:
Call 120 for help quickly.
In addition, please check the following "Heart Care Guide".
A common symptom of acute myocardial infarction.
Typical symptoms: intense, squeezing pain in the retrosternal or precordial area, radiating to the left upper arm, jaw, neck, back, or shoulder;
Some patients may have nausea, vomiting, sweating or dyspnea, and even syncope;
Chest discomfort due to myocardial ischemia is usually diffuse rather than localized, and is not clearly localized.
Premonitory symptoms: Sudden chest pain at rest: Sudden pain in the left front chest when you come home to sit down or sleep at night after a long day of work.
Worsening angina symptoms: Patients who have had angina before have had a gradual increase in angina symptoms in recent times, or chest pain that is more frequent, more extensive, and lasts longer.
Chest pain without obvious cause: Chest pain symptoms occur in the absence of obvious cause, accompanied by sweating, vomiting, nausea, etc.
Sudden palpitation, suffocation: Sudden onset of unprecedented symptoms of chest tightness, fatigue, palpitation, or palpitation, shortness of breath during activities, and the symptoms tend to gradually worsen.
Pain in other areas: Epigastric pain, toothache, jaw pain, left upper limb pain, and back pain in one or more of the following.
Other serious conditions: sudden onset of acute left heart failure, cardiogenic shock, severe arrhythmia, syncope, etc.
First aid for acute myocardial infarction.
Sudden acute chest pain is a fatal signal, in addition to sudden, severe and persistent chest pain, it is often accompanied by irritability, sweating, fear or a sense of impending death, which cannot be relieved by rest or nitroglycerin or fast-acting heart pills.
There are also shortness of breath or pain in the upper abdomen, neck, jaw and pharynx, or toothache, but the degree is more severe, and there is indescribable general malaise or fever. In this case, a myocardial infarction should be considered.
The most effective way to provide first aid is to call 120 and get to the hospital as soon as possible.
Prevention of acute myocardial infarction in winter
Quit smoking and limit alcohol: Smoking is a high-risk factor for heart disease, and long-term smoking will damage the vascular endothelium and reduce the elasticity of blood vessels, so you should quit smoking as soon as possible.
Healthy diet: eat three meals regularly, eat a balanced diet, strengthen physical exercise, improve self-immunity, and maintain a reasonable weight.
Regular work and rest: Standardize work and rest time to reduce staying up late. Avoid violent mood swings and prevent overactivity of the nerves innervating vasoconstriction and excessive and persistent coronary vasoconstriction from causing myocardial ischemia.
Keeping warm: When the temperature drops suddenly, the blood vessels spasm and contractions, and the coronary blood supply decreases suddenly, clothing should be increased in time.
Active** underlying diseases: Actively and effectively control hypertension, hyperglycemia, and hyperlipidemia, which helps reduce the incidence of myocardial infarction.
*: Red Star News.