In film and television dramas, you often see the characters in the drama "sudden myocardial infarction" after being stimulated, their faces change, and they fall to the ground with their chests covered...
The real acute myocardial infarction may mostly be not like TV dramas The performance in the movie... Many patients didn't even realize their "myopia"! Today, let the experts talk about the 5 common signs of acute myocardial infarction in reality~
01
Typical symptoms of acute myocardial infarction
Myocardial infarction, that is, the blood vessel that supplies blood to the heart is blocked by a thrombus, resulting in myocardial ischemia , necrosis . Therefore, most of the typical symptoms are located in the chest where the heart is located...
chest pain chest tightness + sweating
chest pain and sweating are the most typical symptoms of patients with acute myocardial infarction. It often occurs suddenly when people are resting and quiet. The pain often starts from the back of the sternum or the anterior heart, with a range of at least one palm-sized size.
This kind of chest pain and chest tightness are often described as colic, pressing pain, and tightening sensation. It's like putting a big stone on your chest or wrapping it around with tape. It is often accompanied by inexplicable fear and anxiety.
lasts for a long time
Unless cardiac arrest occurs , most acute myocardial infarctions will not faint immediately after the disease occurs like in TV series.
In reality, chest pain symptoms of acute myocardial infarction are generally more than 15 minutes or even more than several hours and will not relieve themselves. Taking nitroglycerin or quick-acting heart-saving pills is also ineffective.
may have triggers
20% or more of the acute myocardial infarction before the onset of acute myocardial infarction, such as excessive exercise and fatigue, eating too much, smoking/drinking a lot, emotional excitement, sudden temperature changes and not paying attention to keeping warm, and defecation vigorously.
02
Acute myocardial infarction 5 avatars
Some atypical avatar symptoms may appear several hours before the onset of myocardial infarction, or even days ago. Some people even have atypical symptoms when they have an attack, and chest pain is not obvious. For example:
01
neck and throat are uncomfortable
Symptoms: It may appear a few days before the attack of myocardial infarction, and the discomfort and blockage in the throat or neck are often Accompanied with symptoms of abrupt sweating.
02
Upper limb and left shoulder pain
Symptoms: The pain caused by heart ischemia may also radiate to the left shoulder, the inner side of the left arm, the little finger and ring finger. It may occur during a myocardial infarction, or discomfort a few days before the onset.
03
Continuous back pain
Symptoms: Some patients with myocardial infarction will radiate to the back, resulting in continuous back pain. Women are more likely to see than men.
04
Continuous upper abdominal pain
Symptoms: Patients with myocardial infarction will regard chest pain as "stomach pain", and feel a sensation of compression, burning, etc. in the upper abdomen or around the navel. It can appear a few days before the onset of myocardial infarction.
05
Toothache or jaw pain
Symptoms: In rare cases, myocardial infarction can also manifest as toothache or jaw pain. But I can't tell which toothache is specific. I feel that many teeth are hurting at the top and bottom, and it is also accompanied by heavy sweating.
Doctor reminds: It is not to say that if there is a little above, you will immediately suspect a myocardial infarction. More often, for patients with coronary heart disease or patients with chronic diseases with poor control of the three highs, the above symptoms suddenly appear, and the symptomatic treatment is not relieved, or the symptoms are different from previous angina pectoris. It is recommended to go to the hospital. Look~
03
What to do if you suspect a myocardial infarction is
What should you do if the patient has a high suspicion of myocardial infarction? What else should you not do?
Correct steps:
❶You can take nitroglycerin if you have chest pain symptoms (measure your blood pressure before taking it, if has low blood pressure, do not take it). If it does not relieve it for more than 15 minutes, do not take it, and call 120 in time;
❷ Let the patient lie still while waiting for the ambulance, and do not let the patient have too much activity;
❸If the patient experiences cardiac arrest, perform cardiopulmonary resuscitation in time (using nearby public AED facilities).
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"How to use AED"
Never do these things:
❶Drink a sip of water to relieve it first: the golden first aid time for myocardial infarction is about 2 hours.When patients, especially the elderly, have symptoms of high suspected myocardial infarction, do not have a lucky mentality, and call the emergency number in time;
❷Driving to the hospital by yourself: Once the condition worsens or sudden death occurs on the way, it will not be able to deal with it in time, and accidents may also increase probability. Therefore, it is not recommended to drive by yourself;
❸Must go to a famous hospital: Don’t waste time and look far. You must obey the command of the ambulance staff and go to the nearest hospital where you can diagnose and first aid acute myocardial infarction;
❹ Hesitate to do stent : If the doctor recommends putting stents for treatment, you must trust the doctor's judgment. Even if the patient's condition may seem OK at that time, don't have the idea of observing it again, so as not to lose opportunities.
Of course, it is best for us to avoid getting sick. Prevent cardiovascular disease We should start with the trigger and actively prevent it:
01
Regularly test blood lipids
●Healthy men and women over 40 years old and postmenopausal women, blood lipids are checked once a year;
●It is recommended to check once every 3-6 months for people who already have abnormalities.
02
Regular blood pressure measurement
●Adults who do not suffer from hypertension measure blood pressure at least once a year;
●Patients with hypertension are best measured every day.
03
Scientific exercise, recommended " FAST "
recommended to exercise at moderate intensity for about 30 minutes every day. Long-term persistence can delay the progression of early arteriosclerosis to a certain extent.
04
Pay attention to a balanced diet
Eat more coarse grains, fresh fruits and vegetables, and it is best to eat 300~500 grams of vegetables every day. Low-fat, low-salt, low-cholesterol diet.
05
quit smoking and limit alcohol
quit smoking and limit alcohol and ensure sleep are very beneficial to cardiovascular health. Among them, quitting smoking is particularly important!
06
Actively treat chronic diseases
Under the guidance of a doctor, control diabetes , hypertension, hyperlipidemia and other chronic diseases, and do not stop and reduce medication without authorization.
This article is original by "Beijing Yitong". If there is any content reprint, please indicate the source
Reviewer: Gao Hai, Beijing Anzhen Hospital, Emergency Critical Care Center, Chief Physician,
Source: Beijing Yitong
