Emergency data from hospitals showed that the incidence rate of acute myocardial infarction increased significantly during the Spring Festival. Running new year goods, overeating and emotional excitement can easily become the "fuse" of myocardial infarction. Today, Liu Jian, deputy chief physician of cardiovascular department of Peking University People's Hospital, sorted out the ten "devil moments" of acute myocardial infarction.
Case playback:
Mob hauv siab rau 18 teev, 70 xyoo tus txiv neej tsis khoom nrog myocardial infarction
Thaum sawv ntxov ntawm thawj hnub ntawm lub xyoo tshiab, tag nrho lub nroog tseem nyob rau hauv kev xyiv fab ntawm saib lub xyoo tshiab, thiab lub suab nrov nrov tsheb thauj neeg mob tsoo lub silence. Yawg Wang, uas yog tibneeg hu tauj coob ua kev zoo siab, thaum kawg poob mob ob peb hnub tom qab.
Looking back on these days, 71 year old grandma Wang began to celebrate the new year's Eve early in the morning of the 31st day of the lunar new year, and didn't take a nap every day. In the afternoon, when she was cleaning the house, she suddenly felt a sharp pain in her chest and sweating all over her head. In fact, as early as a few days ago, she began to clean up and buy new year goods. She was busy washing and washing, sometimes with chest tightness and palpitations, but she never said anything.
"You must be tired. Bear it for a while. You can't miss the New Year!" Grandma Wang spent new year's Eve in pain.
Early in the morning on the first day of the new year, Grandma Wang finally expected her child to go home for the new year, but her chest pain gradually worsened. At the insistence of the children, Grandma Wang was rushed to the emergency center of Peking University People's Hospital by ambulance.
"Chest pain for 18 hours, extensive anterior myocardial infarction!"
In case of emergency, the doctor immediately transferred Grandma Wang to the catheter room for coronary angiography in the shortest time. The results showed that the anterior descending branch, an important branch of Grandma Wang's coronary artery, was completely occluded, a large amount of thrombus was sucked out during the operation, and the arterial blood flow finally returned to normal.
Coronary artery occlusion rau 6 teev
Permanent "rigidity" of myocardium
Coronary artery is the "nutrient channel" of myocardial cells. It is the heart muscle that can continuously deliver nutrients to all parts of the heart and provide a source of blood to the coronary cells of the body.
Tsis pub dhau 20 feeb ntawm cov hlab ntsha occlusion, ischemic myocardium tuaj yeem kho yog tias nws tuaj yeem muab cov ntshav rov qab. Yog hais tias qhov occlusion kav ntev tshaj 20 feeb, cov ischemic cardiomyocytes yuav pib muaj irreversible necrosis, uas yuav kho tsis tau txawm tias cov ntshav muab ntxiv. Cov ntshav ntws rov zoo li ntawm 3 teev tom qab occlusion, thiab infarcted myocardial cheeb tsam txo los ntawm 20 feem pua piv rau qhov ntawd tom qab 3 teev. Yog tias cov ntshav khiav qeeb rau 6 teev, cov hlwb myocardial uas tau txais los ntawm cov hlab ntsha uas thaiv cov hlab ntsha yuav tuag tas mus li.
Necrotic cardiomyocytes yuav rov tsim cov ntaub so ntswg fibrous. Fibrous connective cov ntaub so ntswg yog tawv tab sis tsis tuaj yeem cog lus. Myocardial contractility txo qis, uas cuam tshuam rau lub plawv ua haujlwm, kev noj qab haus huv thiab txawm tias lub neej ntawm cov neeg mob.
Lub sij hawm yog lub neej, lub sij hawm yog lub plawv!
There are ten "devil moments" in acute myocardial infarction
Yog tias koj noj ntau dhau thiab noj ntau dhau, txhawm rau txhawm rau zom cov zaub mov, cov ntshav yuav raug xa mus rau lub plab zom mov, thiab cov ntshav mus rau lub plawv yuav txo qis, yog li ua rau myocardial ischemia; Yog tias koj noj cov rog ntau dhau, noj cov roj ntau dhau kuj tseem yuav txhawb nqa thrombosis thiab ua rau myocardial infarction. Kev haus dej ntau dhau yuav ua rau lub hlwb, ua rau lub plawv dhia thiab ntshav siab, thiab ua rau arrhythmia.
Nws raug nquahu kom txhua tus noj xya kom puv, noj zaub mov, thiab tsis txhob haus dej rau cov neeg mob uas muaj kab mob plawv thiab nruab nrab - laus thiab cov neeg laus.
Tuav koj cov pa thaum defecation quab yuam. Kev nce siab hauv plab thiab ntshav siab yuav ua rau lub nra ntawm lub plawv, ua rau angina pectoris, myocardial infarction thiab malignant arrhythmia, thiab tej zaum yuav ua rau muaj kev tuag sai sai.
Nws raug nquahu kom tsis txhob siv lub zog ntau dhau thaum defecation. Thaum defecation tsis du, koj tuaj yeem siv kesselu los pab defecate. Feem ntau noj cov txiv hmab txiv ntoo tshiab thiab zaub ntau dua thiab coarse nplej nplua nuj nyob rau hauv kev noj haus fiber ntau.
Thaum da dej kub, cov hlab ntsha ntawm tag nrho lub cev nthuav dav thiab nyob hauv qhov chaw kaw hypoxic rau lub sijhawm ntev, uas yooj yim ua rau lub hlwb thiab lub plawv ischemia.
Nws raug nquahu kom tsis txhob da dej thaum koj puv lossis tshaib plab. Lub da dej kub yuav tsum sib npaug rau koj lub cev kub, thiab lub sijhawm yuav tsum tsis txhob ntev dhau. Cov neeg laus lossis cov neeg siv kev txav mus los
Nws raug nquahu kom ua kom sov- tawm dag zog kom zoo. Nws yog qhov zoo tshaj los ua lub teeb aerobic ce xws li taug kev ceev thiab jogging. Cov neeg laus thiab cov neeg uas muaj lub siab tsis zoo yuav tsum tsis txhob koom nrog kev sib tw kis las. Yog tias lub hauv siab nruj, ua tsis taus pa thiab lwm yam tsis xis nyob tshwm sim thaum lub sij hawm qoj ib ce, zaum thiab so tam sim ntawd.
Thaum muaj kev nyuaj siab ntau dhau tsis tuaj yeem daws tau, lub paj hlwb lub paj hlwb yuav tso tawm ntau cov tshuaj hormones, uas yuav ua rau kom lub plawv dhia, ua rau cov hlab ntsha, txo cov ntshav ua haujlwm ntawm lub plawv, thiab tom qab ntawd ua rau mob hauv siab, ua tsis taus pa. , poob siab thiab lwm yam tsos mob.
Nws raug nquahu kom tswj hwm lub siab lub siab thiab tsis txhob muaj kev xav tsis zoo thiab kev ntxhov siab ntau dhau.
Kev kub siab ntau dhau, kev ua haujlwm dhau sijhawm, ntev- lub sijhawm siab dhau, lub paj hlwb kev xav yuav nyob rau hauv lub xeev ntawm kev zoo siab rau lub sijhawm ntev, ua rau lub nra hnyav rau lub plawv, uas yooj yim ua rau mob plawv.
Nws raug nquahu kom siv sijhawm so, sib xyaw ua haujlwm thiab so, tsis txhob nyob lig thiab ua haujlwm tshaj sijhawm, kawm kom tso siab thiab so.
Kev xav saib TV, ua si phaib thiab chess, feem ntau sedentary. Yog tias koj zoo siab tam sim ntawd, koj cov ntshav siab yuav nce siab tag nrho, koj lub plawv dhia yuav nce nrawm, thiab nws yooj yim rau induce myocardial ischemia.
Nws raug nquahu kom tsis txhob siv sijhawm ntau dhau los saib TV, ua si phaib thiab ua si chess. Sawv thiab tawm dag zog kom tsim nyog kom tsis txhob zaum ntev thiab ua kom zoo siab.
Wake up too fast in the morning, wake up from the "semi dormant" state, breathe faster, heartbeat faster and blood flow faster. At this time, the cardiovascular test is relatively large, and cardiac events are prone to occur.
Kuv xav kom koj sawv ntxov, txav koj cov ceg tawv hauv txaj, thiab tom qab ntawd maj mam zaum.
Snoring "snoring" may be a manifestation of sleep apnea. This kind of exercise repeatedly appears apnea during sleep, which can lead to acute myocardial ischemia at night and acute myocardial infarction in severe cases.
Nws tau pom zoo tias cov neeg uas pw tsaug zog snoring hnyav yuav tsum tau kuaj xyuas thiab kho kom tshem tawm qhov kev pheej hmoo.
Kev hloov pauv kub thiab hypothermia yog ib qho yooj yim ua rau muaj peev xwm ntawm angina pectoris, myocardial infarction thiab tuag sai sai. Feem ntau hais lus, lub ncov ntawm kev tuag tam sim no yog txij lub Kaum Ib Hlis mus txog Lub Peb Hlis ntawm xyoo tom ntej, tab sis thaum lub caij ntuj sov kub qis heev thiab qhov kub ntawm qhov sib txawv ntawm sab hauv tsev thiab sab nraum zoov yog qhov loj, nws yooj yim ua rau mob plawv.
It is recommended to keep warm when going out in winter. Don't turn the air conditioner too low in summer to minimize blood pressure fluctuations.
