Qianjiang Evening News·Hour News Correspondent Zhu Yunxi Reporter He Lina
Today (September 29, 2022) is the 23rd World Heart Day . This year's theme is "One One Heart", which is intended to advocate the public to pay more initiative and focus on, spread and practice the concept of heart health.
Cardiovascular disease is the most common non-communicable disease in the world, causing nearly 18.6 million deaths each year, accounting for 1/3 of the global death toll. "China Cardiovascular Health and Disease Report 2021" shows that the incidence and mortality rate of cardiovascular disease in my country is still at the top, with the number of cardiovascular diseases reaching 330 million, and 2 out of every 5 deaths died of cardiovascular disease.
Image source: Visual China
"Heart disease can be divided into congenital and acquired heart disease. For all acquired heart disease, prevention is the most important. The key to preventing cardiovascular disease lies in the control of risk factors." Professor Zhang Xingwei, director of the Affiliated Hospital of Hangzhou Normal University, director of the Hangzhou Cardiovascular Disease Research Institute, and president of the Gongshu District Cardiovascular Disease Prevention and Treatment Association, said that controlling controllable risk factors include hypertension , hyperlipidemia, hyperglycemia , smoking, obesity, lack of exercise, long-term mental stress, etc., and promptly perform cardiac evaluation and screening according to the situation, and early detection of problems can be solved in a timely manner.
Myocardial infarction without any symptoms
He went to the "Gate of Hell" for a visit
Among all cardiovascular diseases, acute myocardial infarction is undoubtedly the most "violent" type. It has an acute onset and progresses quickly. If it cannot be effectively treated within the best treatment time (120 minutes of golden time), the death and disability rate is extremely high.
In most cases, heart attacks will have some symptoms: for example, during acute myocardial infarction, the patient will feel stuffy and pain in the chest, or a "sticky" pain in the upper abdomen. Some patients also show radioactive pain in the left shoulder and back , and the pain can even be along the inner side of the left arm to the little finger or ring finger; some patients also show pain in the lower teeth, jaw pain, neck pain, etc.
But sometimes, myocardial infarction occurs quietly.
Last month, 67-year-old Teacher Jin (pseudonym) came to the physical examination center of Hangzhou Normal University Affiliated Hospital for a physical examination. His physical examination results looked very optimistic, but the electrocardiogram performance was a bit abnormal. The doctor hesitated for a while and still sent the electrocardiogram test report to Professor Zhang Xingwei.
Image source: Visual China
When I saw this "poor appearance" electrocardiogram report sheet, Professor Zhang Xingwei immediately gave instructions: Call the person back for coronary CT, be admitted to the hospital, and be prepared for surgery.
Although Teacher Jin, who was called back, was confused, he also patiently underwent coronary CT scan. Sure enough, the examination results showed that the left anterior descending branch was completely blocked, and further coronary angiography was performed, which was clearly acute myocardial infarction. Subsequently, Professor Zhang Xingwei opened the obstructed blood vessels for Teacher Jin. After the operation of
, Teacher Jin, who walked around the "gate of hell", repeatedly called out: I almost couldn't see everyone!
"This is a very atypical case of acute myocardial infarction. It is very rare to be able to detect abnormalities during physical examinations and diagnose diseases and then treat them in time." Professor Zhang Xingwei introduced that Teacher Jin did not have any discomfort symptoms. Thanks to the "fire eyes" of electrocardiogram examination, clues were found. The condition must be clarified in time and treatment should be carried out quickly.
Preventing heart disease
The key is to control risk factors
"The first thing to prevent heart disease is to maintain good living habits, and the second thing to control the development of risk factors." Professor Zhang Xingwei said that the more risk factors and the more serious the risk factors, the more likely they are to get heart disease.
In addition to controllable factors, there is also an uncontrollable factor, which is family history. Therefore, the third point in preventing heart disease is to seek medical treatment in a timely manner and do a good job in cardiac evaluation and examination.
If you do not have bad living habits and have no family history, it is recommended to do a heart assessment screening after the age of 40; if your parents have coronary heart disease , especially if your parents are young, then your children have heart disease very high chances of heart disease, and a heart assessment examination should be conducted 10 years in advance.
Image source: Visual China
In fact, the evaluation of cardiac function is very simple, mainly three tests: cardiac ultrasound, exercise tablet experiment, and cardiac CT. If the test results are completely healthy and there are no other risk factors, you can check again after 5 years; if you feel discomfort, you should seek medical attention immediately.
If you feel discomfort, seek medical attention immediately
It is not recommended to take medicine without authorization
0 Many patients with cardiovascular disease will carry nitroglycerin and other first aid drugs with them. Once chest tightness chest pain and discomfort, they will hurry up and give it a pill, but Professor Zhang Xingwei does not recommend that everyone take medicine and save themselves.
"Antianginal drugs such as nitroglycerin can easily cover up the symptoms. Patients take medication when they are not comfortable, and the discomfort can be relieved, but only calms the symptoms and does not solve the real problem." He gave an example to illustrate that it was like a pile of firewood caught fire, covering it with a cotton robe, and there was no flame seen on the surface, and it was also possible that the fire was temporarily extinguished. But once the "resurrection" and the cotton robe cannot be suppressed, it will be a big fire.
In addition, nitroglycerin can lower blood pressure, and patients with myocardial infarction are prone to faint after taking it. At this time, aspirin should be taken. However, if the cause of chest pain is aortic dissection , taking aspirin will increase the risk of bleeding, which will make it worse, and it is easy to save yourself and save the wrong ones.
Image source: Visual China
"If your heart is unwell, it is recommended to seek medical treatment immediately and do not treat yourself." Zhang Xingwei emphasized that if it is a long period of depression and discomfort, it is best to call 120 immediately, do not drive to seek medical treatment by yourself, and do not waste treatment time after admission to the hospital. We must ensure that the road to life is smooth.
National Day holiday is coming
Suggest not to do these things
National Day holiday is coming, Professor Zhang Xingwei reminds that although the long holiday is pleasant, do not over-indulge.
First, maintain a healthy life: don’t stay up late, eat regularly for three meals, eat calmly, and eat none overeating.
A large amount of blood enters the digestive system after a meal, and the blood supply to the heart decreases; coupled with the increase in blood viscosity after a meal, the heartbeat will accelerate, which will lead to the occurrence of myocardial infarction. In clinical practice, I often encounter patients with myocardial infarction referred from the gastroenterology department, and myocardial infarction is caused by excessive satiety.
A few years ago, a patient thought it was "slow" after taking eight hairy crabs in a row. The gastroenterologist saw that the patient's face was ashen and suspected that it was pancreatitis . After blood test, he found that the pancreatic amylase index was really high. After entering the ward, he checked the electrocardiogram and found that it was a large-scale myocardial infarction.
Image source: Visual China
Second, calm emotions, less joy and sorrow, less angry.
"Playing cards is indispensable for family and friends gathering, but you must pay attention to controlling the time, especially when you are stuck in a room, smoking and playing cards with the air conditioner on, and you will be excited, which can easily cause heart disease." Professor Zhang Xingwei said.
Third, people with underlying diseases should do a good job in self-management of blood pressure, blood sugar, etc., pay attention to taking medicine regularly and regularly, and do not reduce medicine at will.
Fourth, once symptoms appear, especially after activity, there will be pain in the pre-cardiac area (heart area), and even the pain will spread to the left shoulder, throat, jaw, teeth, upper abdomen, etc., don’t be lucky, call 120 immediately to seize the best treatment time.
This article is an original work of Qianjiang Evening News. Reproduction, copying, excerpting, rewriting, and online dissemination are prohibited without permission. Otherwise, this newspaper will pursue legal liability for the infringer through judicial channels.
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