Author of this article: Wang Xing, deputy chief physician of the Cardiovascular Department of the 983rd Hospital of the Joint Logistics Support Force
Dr. Wang Xing
Recently, two patients with myocardial infarction were rescued. The 80-year-old man is now stable, and the 40-year-old young man has left. . Young people are in better health, so why do they leave when they are young? Some people have said that it must be that the area of myocardial infarction is larger in young people and smaller in the elderly. But many people have guessed wrong. The blocked blood vessels in these two patients are almost exactly the same, both at the root of the anterior descending artery , and both have acute anterior wall myocardial infarction. So why are the young people gone and the old people stable? What did the 80-year-old man do right?
Time is life. The old man went to the doctor immediately because he had chest pain. He usually had some medical knowledge and often read some popular science, so he immediately dialed 120. He was sent to the hospital by 120 thirty minutes later and the blood vessel was opened quickly. . But this young man suffered from chest tightness, shortness of breath, and discomfort. He endured it at home until he finally couldn't bear it anymore, so he took a 120-degree shot. Four hours later, he went to the hospital to open the blood vessel. We have always said that time is myocardium, and time is life. The main reason why myocardial infarction is dangerous is that after the blood vessel is blocked, the myocardium is still necrotic. During the process of myocardial necrosis, ventricular fibrillation or cardiac arrest will occur at any time; the more myocardial necrosis, the more myocardial necrosis occurs. , the larger the area of myocardial necrosis, the longer the delay, the later the blood vessel is opened, the more myocardial necrosis, and the higher the risk of death. The longer the blood vessels are blocked, the more necrotic myocardium will be; that is why it is said that acute myocardial infarction must open blood vessels as soon as possible. That’s why it is said that time is the heart muscle and time is life. You can see that the 40-year-old was opened after 4 hours, and the 80-year-old was opened after 30 minutes. It is clear at a glance who has more myocardial necrosis.
The elderly pay more attention to their health and find problems in time. Like many elderly people, this elderly person usually pays more attention to his health. If there is any "three highs", he will pay more attention to it and will have regular physical examinations. You must have said that myocardial infarction will occur if you have regular physical examinations? The main reason for myocardial infarction in the elderly is that as they age, their blood vessels age more seriously, so even if they pay attention to maintenance, some people may still suffer from myocardial infarction. But the blood vessels of young people have only been used for 40 years. In theory, they should not be blocked, but why are so many young people suffering from heart attack cerebral infarction now? The main reason is not paying attention to healthy living and not paying attention to physical examination. This young man has high blood sugar, blood fat, and high blood pressure, but he doesn't know it at all. I don't know if he has high blood pressure, because he had acute anterior myocardial infarction, which has led to low blood pressure, and he was already in hypotensive shock when he came here. . Therefore, it is impossible to determine whether there is high blood pressure. In short, he definitely has hyperlipidemia and diabetes , and may also have high blood pressure, but he has never known it and has never controlled it. Young people must also pay attention to the three highs and work hard on healthy living. If there is chest pain chest tightness that does not relieve, etc. If you suspect myocardial infarction for 15 minutes, call 120 as soon as possible and seek medical treatment as soon as possible. Don't delay. If you delay for four hours, you may delay your life.
This article comes from: 2022-07-07 People's Daily Health Issue "Doctor King of Cardiovascular Diseases" "Both the 80-year-old and the 40-year-old suffered from myocardial infarction. Why is the 80-year-old patient's condition stable and the 40-year-old patient passing away?" 》, some contents have been deleted, and the copyright belongs to the original author.
( health times )
