#Qingfeng Plan#
Mr. Zhou, 53 years old, divorced 3 years ago, lived alone; Mr. Zhou was always panicked after the divorce, and he always thought it was caused by a bad mood, so he never saw a doctor...
Mr. Zhou felt chest tightness and breathlessness. He often woke up when he fell asleep at night, but he still dragged it down and didn't want to see a doctor. It was not until this week that he saw a doctor at the strong request of his sister!
admitted to the hospital examination
ECG: Atrial fibrillation ;
Heart ultrasound: Heart enlargement , cardiac function 37%, normal people should 55%, pericardial effusion, aortic valve, pulmonary artery and tricuspid valves all have lesions, is the main atrium, atrial 6.16✖6.09cm large thrombus can be seen.
means there is a large blood clot the size of an egg in the heart!
What is atrial fibrillation? How can
cause heart enlargement? How can
form a large blood clot?
What are the dangers of this thrombus?
Mr. Zhou’s sister started to listen to Dr. Wang’s explanation with some questions and worries:
1. What is atrial fibrillation?
Atrial fibrillation is one of the most common heart disease and is a kind of arrhythmia. Our heart has two atria and two ventricles, and normal heartbeats have a certain order.
When atrial fibrillation occurs, the atrium trembles irregularly and cannot contract and relax normally, causing us to feel that our heartbeat is not straight and irregular. A simple understanding of normal heartbeat is a very regular beating; atrial fibrillation is a random beating without any regularity. The initial manifestation of atrial fibrillation is panic.
When Mr. Zhou was panicked 3 years ago, atrial fibrillation might have occurred.
2. The harm of atrial fibrillation is much greater than we imagined.
The palpitation caused by atrial fibrillation will gradually adapt to it, but this does not mean that the harm of atrial fibrillation is over; when atrial fibrillation occurs, the blood in the heart cannot flow completely, and a part of the blood remains in the heart, and the remaining blood will easily coagulate, and the blood after coagulation will form a blood clot, and this blood clot is called a thrombus.
If this thrombus falls from the heart, it will flow along with the blood vessels to the cerebrovascular vessels, blocking the cerebrovascular vessels, causing stroke, hemiplegia, hemiplegia, and death. Long-term atrial fibrillation, not regular beating, will also cause the heart to enlarge, causing heart failure .
According to statistics: 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 certain burdens to society and families.
About 20% of stroke patients are caused by atrial fibrillation.
We have also seen patients with heart thrombosis in clinical practice, but this is the first time we have seen thrombosis the size of an egg; Mr. Zhou’s heart has formed a large thrombosis, the heart enlarged, and heart failure has formed. It’s really a disaster.
3. Why does atrial fibrillation occur
Feng heart disease, coronary heart disease, older age, chronic lung disease, all diseases that cause changes in heart results, as well as hyperthyroidism, diabetes, cardiomyopathy, and other diseases. Long-term drinking, overwork, smoking, etc. are also common reasons.
Most people with atrial fibrillation will feel palpitations, palpitations, , chest tightness, shortness of breath, dizziness and other feelings. As the duration of atrial fibrillation increases, I gradually adapt to this feeling and feel no discomfort. Some patients with atrial fibrillation are even occult, but they don’t know that they have atrial fibrillation, and they will only discover it when they have an electrocardiogram.
If you have palpitations, palpitations, etc., check the electrocardiogram in time.
4. What should I do if Atrial fibrillation is found?
A, reversion of atrial fibrillation
When atrial fibrillation is found, we try our best to convert this abnormal heartbeat into normal sinus rhythm through medication.
If it is a new atrial fibrillation, you can directly use medicine to revert Atrial fibrillation;
If atrial fibrillation is found, it has been more than 48 hours, and we cannot directly revert, so we need to first anticoagulant treatment;
Atrial fibrillation has a characteristic, which is especially like dog skin plaster. Once it occurs once, it will almost certainly happen again. At this time, the key issue is to prevent thrombosis and cerebral infarction, so anticoagulant treatment should run through the entire treatment of atrial fibrillation.
B, reduce thrombosis
prevent atrial fibrillation stroke and other thromboembolic complications Anticoagulant treatment can reduce the risk of stroke by 60% to 70%. Commonly used anticoagulants: warfarin, dabigatran ester, rivaroxaban, apixaban, and edoxaban.
C, 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.
D, left atrial atrial appendage blocking
More than 90% of the thrombosis of non-valvular atrial fibrillation come from the left atrial appendage. 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.
In short, you have to find the cause of panic. Atrial fibrillation is not without feelings, there is no danger. The potential danger of atrial fibrillation is the formation of thrombosis, causing cerebral stroke, and causing heart failure. We must pay attention to it!
Many patients with atrial fibrillation will gradually adapt to this messy and fast beating, and gradually there will be no discomfort, but not feeling uncomfortable does not mean there is no danger.
Just like Mr. Zhou, his palpitations did not attract enough attention, and now a big egg grows in his heart!
[Doctor Wang of Cardiovascular officially authorized original protection, and if any stolen persons will be held legally responsible. 】
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