#Qingfeng Plan#
31-year-old Ms. Zhang divorced 1 year ago. When she was having dinner a week ago, she suddenly found that she could not move her entire right body and fell to the ground. The old father quickly helped her up and asked her what was wrong? But Ms. Zhang's words were vague and basically couldn't speak.
Now Ms. Zhang is lying on the bed in the custody room, with his right limb hemiplegia and aphasia, unable to eat, insert the stomach tube, unable to vent or insert the urethra...
How can such a young girl have such a serious disease? What disease is it, and what causes it?
Hospital emergency head CT: large-area cerebral infarction on the left side!
Isn’t cerebral infarction more common in the elderly? Even young people are mostly young men. How can 31-year-old young girls suffer such a serious cerebral infarction because of the protection of estrogen?
Ms. Zhang’s story has to start three years ago. Shortly after Ms. Zhang got married three years ago, she always felt panic and afraid of heat. She had increased her bowel movements and had more stools. She had not been treated well for several months. Later, she went to a large hospital to diagnose her with hyperthyroidism and tachycardia.
After a period of treatment, Ms. Zhang's condition gradually improved, but the symptoms of palpitations did not relieve. Later, the electrocardiogram was checked and the arrhythmia was reported, atrial fibrillation . The biggest harm of atrial fibrillation is the formation of thrombosis and the occurrence of thrombosis diseases!
From then on, not only should we take drugs to treat hyperthyroidism, but we should also take anticoagulant drugs to treat atrial fibrillation, which is warfarin. What is more troublesome to take this drug is that we need to test blood frequently. Eating too much will cause bleeding, and eating less will not prevent blood clots.
During the 1 year of taking warfarin, Ms. Zhang had to go to the hospital all the time, and she couldn't work, so she could only rest at home and could not do anything.
1 years ago, Ms. Zhang divorced. Although she was still insisting on treatment, Ms. Zhang did not take medicine on time. She often did not take it and did not take it on time, and did not go to the hospital for blood tests on time.
At dinner a week ago, Ms. Zhang, who was having dinner, suddenly fell to the dining table, and later hemiplegia and aphasia on the right limb. She was rushed to the hospital and found a large-scale cerebral infarction; heart color ultrasound prompts: There is no 45✖26mm thrombus in the left atrium.
It is because atrial fibrillation is not treated properly, and the thrombus falls down. As the blood flows to the cerebrovascular system, cerebrovascular blockage occurs, and large-scale cerebral infarction occurs.
After active rescue, the gastric tube is inserted and the urethral catheter is 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. Hypermeability requires the body to increase eating; gastrointestinal activity increases, and the number of bowel movements occurs; although eating increases, the oxidative reaction increases, the body's energy consumption increases, and patients show weight loss; increase heat production shows fear of heat and sweating, and some patients have low fever; increase thyroid hormone stimulates sympathetic nerve excitation , clinical manifestations of palpitations, tachycardia, insomnia, emotional irritability, and even anxiety.
hyperthyroidism
patients with hyperthyroidism have not received appropriate treatment for a long time, which can cause many complications:
1, arrhythmia
Arrhythmia is the most common in hyperthyroidism, including sinus tachycardia , atrial pre-synchymal contraction , paroxysmal tachycardia , ventricular flutter, and atrial fibrillation, among which the most common is atrial fibrillation.
2, Heart enlargement
Hyperthyroidism that has not been treated for a long time can cause prominent heart shape changes, including atrial or ventricle expansion, increased heart weight, cardiomyocyte hypertrophy, and widening of myocardial fiber space. These changes can be improved or reversed after thyroid function returns to normal. The incidence of congestive heart failure in patients with hyperthyroidism is about 6%.
3, Angina pectoris
Hyperthyroidism has less angina, and most of them are relatively insufficient blood supply to the coronary artery. It is more common for the heaviness of the chest or chest, and is rare in patients with myocardial infarction, which is related to coronary spasm, microcirculation disorders and hemoritic abnormalities.
If atrial fibrillation occurs, you should actively and formally treat it as soon as possible:
Atrial fibrillation can cause a 5-fold increase in the medium risk, a 3-fold increase in the risk of heart failure, and a nearly 2-fold increase in the risk of death, significantly reducing the quality of life of patients, and also bringing a certain burden to society and families.
1. Maintain sinus rhythm - revert atrial fibrillation
When atrial fibrillation is found, we try our best to convert this abnormal heartbeat into normal sinus rhythm through medication.
2. Anticoagulant therapy - reduce thrombosis
prevent atrial fibrillation stroke and other thromboembolic complications Anticoagulant therapy can reduce the risk of stroke by 60% to 70%. Commonly used anticoagulants: warfarin, dabigatran ester, rivaroxaban, apixaban, and edoxaban.
3. Control heart rate - reduce heart rate
Most of the first atrial fibrillation has a faster heart rate during 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 atrial fibrillation can reduce the risk of heart failure, improve the quality of life of patients, improve exercise tolerance, and prevent cardiomyopathy.
4. Left atrial atrial blockade
More than 90% of the thrombosis of non-valvular atrial fibrillation come from the left atrial atrial. Left atrial appendix closure surgery can prevent stroke by preventing left atrial appendix thrombosis, and can be used as a supplementary alternative treatment for anticoagulant drugs.
You must treat the minor illnesses early and regularly to avoid causing major disasters!
Ms. Zhang is only 31 years old. She is lying on the bed in the custody room. Everyone is surrounded by people, watching, feeling distressed...
We wish Ms. Zhang a good recovery!
[Doctor Wang of Cardiovascular officially authorized original protection, and if any stolen persons will be held legally responsible. 】
