Myocardial infarction is mostly caused by them
2022-02-11
This year's Spring Festival coincides with the beginning of spring and the grand opening of the Beijing Winter Olympics, but if a family member has a heart attack and is sent to hospital, it will be "worried". Huilongguan Hospital of the Department of Cardiology of Beijing Jishuitan Hospital is located in a large residential area. This Spring Festival holiday is very busy. Patients with acute myocardial infarction get together for treatment, and interventional surgery for vascular opening of acute myocardial infarction is one after another. "Prevention is better than treatment". What kind of patients are prone to myocardial infarction during the Spring Festival and how to treat possible myocardial infarction? Listen to the cardiology experts of Jishuitan Hospital. Diabetes smokes into "myocardial infarction" During the holiday, among the 13 patients with myocardial infarction who were treated and underwent coronary angiography, 11 were men and only two were women. What most of them have in common is that they have at least one or more predisposing factors for coronary heart disease. Especially smoking, 9 of the 11 male patients have a long-term history of smoking, the longest for 50 years, at least 10 cigarettes a day, and others for 40 years, at least 20 cigarettes a day. And it is very obvious that these smokers, the longer they smoke, the worse their blood vessels are. They are often three diffuse lesions. In two of the patients who smoked, although the occluded blood vessels were opened due to severe vascular lesions, other blood vessels may need to be bridged. Diabetes mellitus is also a very significant factor in severe and diffuse coronary artery disease. A 55 year old middle-aged woman who suffered from diabetes for many years has also suffered from myocardial infarction, with two degree atrioventricular block and cardiac insufficiency. Because diabetes and smoking can induce inflammatory reaction and diffuse vascular stenosis, experts suggest that coronary heart disease must be fundamentally prevented, smoking cessation and blood sugar control. Pay attention to the diet during the Spring Festival. Drinking may cause disaster Why do acute myocardial infarction get together during the Spring Festival? In addition to the above incentives, another risk factor for myocardial infarction is excessive drinking. Among the recent patients, several male patients had myocardial infarction induced by drinking a lot of alcohol at the Spring Festival party. One patient was more depressed because of his family life and drowned his worries with alcohol, resulting in excessive drinking and triggering myocardial infarction. It is understandable for Chinese people to drink some wine appropriately to adjust the festival atmosphere during the Chinese New Year. But excessive drinking or angry drinking is harmful to health. Because excessive alcohol intake will not only hurt the liver and kidney, but also stimulate the excitation of sympathetic nerve and induce the rupture of coronary artery plaque, resulting in angina pectoris and acute myocardial infarction. In addition, the diet with too much fish, meat and fat during the festival also lays hidden dangers for heart health. Not just chest pain, stomach pain, dizziness or myocardial infarction Myocardial infarction is the most serious type of coronary heart disease. The main reason is the rupture of unstable plaque of coronary artery. It is more serious than coronary heart disease and lasts for a long time. Angina pectoris and chest pain sometimes spread to the left shoulder and arm. But myocardial infarction is not only a chest pain, but some elderly people or people with diabetes history may not be typical. For example, a more than 60 year old diabetic patient, who has been repeatedly treated for gastroenterology in the digestive department for many years, has been diagnosed with ulcerative gastritis. After taking a lot of stomach medicine, nothing has been done. Until this time, because the symptoms continued to not alleviate, I came to the hospital for ECG, indicating very serious myocardial ischemia. The coronary angiography showed that the patient had a very serious blockage. In addition, the main reason why some patients come to see a doctor is very atypical symptoms such as dizziness. Therefore, if the middle-aged and old people have bad habits such as hypertension, diabetes or smoking, they should be careful, especially those with heavier symptoms. What if you suspect that you have myocardial infarction? If your body has symptoms of suspected myocardial infarction, don't move around, let alone believe in folk prescriptions such as drinking cold water. We need to keep quiet, lie flat and call 120 at the same time. The usual medicines at home, including aspirin and nitroglycerin, can be taken, but make sure your blood pressure is not low. After the emergency, if it is diagnosed as myocardial infarction after ECG examination, it is urgent to open the blood vessels. If you hesitate and discuss too much, it may be too late. (outlook new era)
Edit：Yuanqi Tang Responsible editor：Xiao Yu
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