#Qingfengplan#
Ms. Zhang, 31, divorced a year ago. While eating a week ago, she suddenly found that she could not move the entire right side of her body and fell to the ground. Her old father quickly helped her up and asked her what happened. Already? However, Ms. Zhang's speech was slurred and she was basically speechless.
Now Ms. Zhang is lying on the bed in the intensive care unit, with hemiplegia on her right side, aphasia, unable to eat, with a gastric tube inserted, unable to defecate, and a urinary catheter inserted...
How could such a young girl do this? Such a serious disease occurs. What is it and what causes it?
Hospital emergency head CT: Large left cerebral infarction!
Isn’t cerebral infarction more common in the elderly? Even young people are mostly young men. How could a 31-year-old young girl suffer from such a serious cerebral infarction because she is protected by estrogen?
Ms. Zhang’s story begins 3 years ago. Shortly after she got married 3 years ago, Ms. Zhang always felt flustered, afraid of heat, and the frequency of bowel movements increased. She had been seeing traditional Chinese medicine for several months, but was not optimistic. Later, she went to a large hospital for a diagnosis. Hyperthyroidism, tachycardia.
After a period of treatment, Ms. Zhang's condition gradually improved, but the symptoms of palpitation did not alleviate. Later, a review of the electrocardiogram showed arrhythmia, atrial fibrillation. The biggest danger of atrial fibrillation is the formation of blood clots and the occurrence of thrombotic diseases!
From now on, I not only have to take drugs to treat hyperthyroidism, but also anticoagulant drugs to treat atrial fibrillation, which is warfarin. The troublesome thing about taking this drug is that it requires frequent blood tests. Taking too much will cause bleeding, and taking too little will cause bleeding. It does not prevent blood clots.
During the one year period when she was taking warfarin, Ms. Zhang had to go to the hospital all the time. She was unable to work and could only rest at home, unable to do anything.
1 years ago, Ms. Zhang got divorced. Although she still insisted on treatment, Ms. Zhang did not take medicine on time. She often skipped taking medicine and did not go to the hospital for blood tests on time.
At dinner a week ago, Ms. Zhang suddenly fell down at the dining table while she was eating. She later developed hemiplegia of the right limb and aphasia. She was rushed to the hospital and found to have a large area of cerebral infarction; cardiac color ultrasound showed that the left atrium was visible. 45✖26mm size thrombus.
Because atrial fibrillation was not properly treated, thrombus formed, and the thrombus fell off. As the blood flowed to the cerebral blood vessels, the cerebral blood vessels became blocked and large-scale cerebral infarction occurred.
After active rescue, a gastric tube and a urinary tube were inserted...
The root cause is atrial fibrillation, and the cause of atrial fibrillation is hyperthyroidism.
Thyroid hormone promotes metabolism and promotes the body's redox reaction. Hypermetabolism requires the body to increase food intake; gastrointestinal activity increases, and stool frequency increases; although food intake increases, the oxidation reaction increases, the body's energy consumption increases, and the patient loses weight; Increased heat production shows fear of heat and sweating, and some patients have low fever; increased thyroid hormone stimulates sympathetic nerve excitement , with clinical manifestations of palpitations, tachycardia, insomnia, irritability, and even anxiety.
Hyperthyroidism
Patients with hyperthyroidism have not received appropriate treatment for a long time, which can cause many complications:
1, arrhythmia
Arrhythmias are the most common in hyperthyroidism, including sinus tachycardia, premature atrial contractions, paroxysmal tachycardia, ventricular flutter, and atrial fibrillation, the most common of which is atrial fibrillation.
2. Heart enlargement
Long-term untreated hyperthyroidism can cause prominent heart shape changes, including atrium or ventricular enlargement, increased heart weight, cardiomyocyte hypertrophy, and widening of myocardial fiber gaps. These changes can be improved or improved after the thyroid function returns to normal. reverse. The incidence of congestive heart failure in patients with hyperthyroidism is approximately 6%.
3, angina pectoris
Hyperthyroid heart disease rarely causes angina pectoris, mostly caused by relatively insufficient blood supply to the coronary arteries. It is more common as a feeling of heaviness in the chest or chest, and is rare in patients with myocardial infarction. It is related to coronary artery spasm, microcirculatory disorder and blood rheology. Related to academic abnormalities.
If atrial fibrillation occurs, active and formal treatment should be given as soon as possible:
Atrial fibrillation can increase the risk of moderate to severe disease by 5 times, the risk of heart failure by 3 times, and the risk of death by nearly 2 times. It significantly reduces the patient's quality of life and also creates consequences for society and families. Bring a certain burden.
1. Maintaining sinus rhythm - converting atrial fibrillation
When atrial fibrillation is discovered, we try our best to convert this abnormal heartbeat into normal sinus rhythm through drugs.
2. Anticoagulation therapy - reducing blood clots
preventing atrial fibrillation stroke and other thromboembolic complications. Anticoagulation therapy can reduce the risk of stroke by 60% to 70%. Commonly used anticoagulants: warfarin, dabigatran etexilate, rivaroxaban, apixaban, and edoxaban.
3. Control the heart rate - reduce the heart rate
Most of the first-onset atrial fibrillation has a fast heart rate during the attack, which not only brings discomfort to the patient, but also increases the risk of acute heart failure. Therefore, controlling the rapid ventricular rate during an episode of atrial fibrillation can reduce the risk of heart failure, improve patients' quality of life, improve exercise tolerance, and prevent cardiomyopathy.
4. Left atrial appendage occlusion
More than 90% of thrombi in non-valvular atrial fibrillation come from the left atrial appendage. Left atrial appendage occlusion can prevent stroke by preventing left atrial appendage thrombosis, and can be used as a complementary and alternative treatment to anticoagulant drugs.
If you find a minor illness, you must receive regular treatment as soon as possible to avoid it causing a serious disaster!
Ms. Zhang is only 31 years old. She is lying on the bed in the intensive care unit, surrounded by a large family, watching and feeling distressed...
We wish Ms. Zhang a speedy recovery!
[Dr. Cardiovascular King has officially authorized the original protection, and any thief will be held legally responsible. 】
