Acute myocardial infarction should be treated with emergency cardiac catheterization as soon as possible to open the blocked blood flow. Whether the acute survival rate is improved or not, the future heart failure and long-term mortality will be significantly improved. Emergency cardiac catheterization has been performed abroad to open blood vessels within 90 minutes, and the results have been clearly presented. China's Ministry of Health and Welfare is also evaluating acute and severe diseases. I hope that domestic hospitals can take this as the goal and save myocardium every second.
Emergency cardiac catheterization in 36-year-old male patients with myocardial infarction
Mr. Xie, 36, was rushed to the emergency room of Xiaozhongyuan District of Taipei United Hospital by ambulance because of chest tightness, cold sweat and numbness in his chin. Acute myocardial infarction was diagnosed by 12 lead electrocardiogram, and the inferior wall zone of left ventricle rose. In an instant, the patient's ECG showed atrial fibrillation and lost consciousness. The emergency room medical team immediately performed defibrillation shock and cardiopulmonary resuscitation. After blood pressure and heartbeat recovered, emergency cardiac catheterization was performed immediately, and balloon dilatation and stent implantation were performed on the completely blocked right coronary artery. The patient went home smoothly after 4 days in hospital.
Heart disease is the second leading cause of death in China.
Li, director of the Department of Cardiovascular Medicine of Taipei United Hospital, said that the common cause of acute myocardial infarction is mostly due to the sudden rupture of coronary plaque, which leads to local thrombosis. If the thrombus is large enough to completely block most of the blood flow, it will cause a large number of myocardial cells to be hypoxic and necrotic. According to the statistics of the top ten causes of death in China released by the Ministry of Health, heart disease ranks second, among which myocardial infarction is the culprit, and sudden death is the most serious, so we must not be careless.
Cardiovascular diseases are not exclusive to the elderly.
Director Li said that after the assessment of the patient's related risk factors, it was found that besides smoking, there was hypercholesterolemia. After treatment with related drugs, echocardiography showed no obvious cardiac function damage caused by myocardial infarction. With Chinese people living in a drunken dream, the pressure of life is increasing, and cardiovascular disease is no longer the patent of the elderly; Risk factors of cardiovascular disease include smoking, hyperlipidemia, diabetes, hypertension and family history of early cardiovascular disease. People should be especially careful if they have related risk factors.
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