The coronary heart attack must not be born

The coronary heart attack must not be born
Staff reporter Li Ying

41 of health control and slow disease prevention and control series of reports

The case is understood

Mr. 71 -year-old Xu lives in one hospital because of fracture, myocardium infarction symptom take place in hospital, changed over to the heart ICU. Numerous heart stems break out in the heart ICU, it is born that he has been strong all the time, but say that a bit uncomfortable to family it is all right for a moment. Until having difficulty in breathing, consciousness is lost, whole body is livid purple. Though it offer doctor it is lasting chest press, defibrillate,recover Epinephrine, dopamine, carbonic acid hydrogen sodium,etc. medicine and trachea if you can't breathe, if you can't support,etc., treat in breathing machine at the intubates, Mr. Xu brings a great deal of regrets to leave. The result that the doctor provides is, infarction of large area in the district before the heart. And say with feeling " this elder person can really bear! "

The expert understands

The acute heart stem is because a kind of plaque of porridge breaks, causes gathering, thrombosis of blood platelet in the coronary artery, make the coronary artery stop up resulting in accepting the cardiac muscle of blood supplt of coronary artery is acute and ischemic, necrosis, it is one of the most serious acute cardiovascular acute disease on internationally acknowledged clinic, the onset is urgent, prognostic difference, mortality is high, acute issues of mortality are about 30%.

The materials reveal, nearly 17 million people die of cardiovascular vessel disease every year in the whole world, in that over half dies from the acute heart stem. Coronary heart disease, angina pectoris, arrhythmia, myocardium infarction heart disease high to it sends crowds to be from 65 year old to 70 -year-old old person mostly in the past. In recent years, obviously present the younger trend, age exceeds the acceleration rate of 40 -year-old crowd's morbidity to accelerate. The number of people that our country dies from the acute heart stem every year exceeds 1 million, the person under the age of 50 accounts for 40% in the myocardium infarction patient.

The monitoring data which monitors the information platform reveal to have illness coming on according to acute heart stem of Beijing, between 2009 and 2007, the crowd morbidity of 35 years old to 44 years old had the largest increasing degree, increased by 31.8% in 3 years. It is being healthy most dangerous that myocardium infarction is becoming and endangering the young and the middle aged " The killer " The first.

The gold treats time in 6 hours

It is very urgent though acute heart stem has illness coming on, do not " die once blocking " .

"The principle of rescuing the myocardium infarction patient is to open already blood vessel of infarction again, if it is early to find, treat and cure it in time, success rate can be more than 95%. " Capital University of Medical Sciences attaches to and fits loyal hospital Vice President Professor Zhou YuJie to emphasize when being interviewed by reporter. Generally speaking the heart begins to damage the irreversible cardiac muscle after blocking for 30 minutes, 6 hour under onset, myocardium cell know 50% necrosis, know 75% necrosis after the 12 hour, know all necrosis 24 hours later. "The key that the acute heart stem treats and cures is to resume obstructive coronary artery open as soon as possible, save and close to giving up the idea the skin to the maximum extent, narrow the infarction area, improve the left room function. " The arterial occlusion time of form is the longer to preceded, the more extensive the irreversible cardiac muscle that damages is. So, the heart stem treatment must put emphasis on diagnosing in early days, the " prime time " treating Within having illness coming on for 6 hours. Once after myocardium infarction has illness coming on for over 12 hours, treat difficulty and risk and increase greatly.

A lot of acute heart stems happen at home, so, it is extremely important in first aid to popularize the early family of acute heart stem energetically. Once the patient presents the acute heart stem, should let the patient stay in bed immediately, keeps calm, have ready conditions to suck the oxygen as soon as possible, give patient something shaped like a tongue to include the Nitroglycerin slice, dial 120 to call the ambulance at the same time, must guard against letting the patient call a taxi or go to the hospital by bus.

It is high-incidence season in autumn and winter

Cardiovascular to send season while being high in autumn and winter, cardiovascular disease stand in second in the cause of the death last year, citizen of Beijing, already. According to the data of " the cardiovascular disease in China reports 2010 ", every 5 adult philtrums have a person to suffer from the cardiovascular disease. Beijing cardiovascular vessel's morbidity is higher than the whole country notably, among them the acute heart stem is 8.1%, higher than average national level by more than one time.

"Seasonal variation, until cardiovascular patient have illness coming on and death correlated with, especially high to send in winter. " The Vice President of BJ Union Hospital expresses and raises a professor and introduces one, coronary heart disease rises in three major factors high in winter: "It is cold, people's average blood pressure will be a bit high in cold season, the blood vessel shrinks, if the blood vessel attenuated has had a kind of plaque of porridge, may cause the deficiency of blood supply of heart brain. Meanwhile, it is dry in autumn and winter, breathing will consume a large amount of moisture, lead to the fact the blood viscosity is too high, cause the blood not to circulate smoothly, will cause the blood vessel to stop up too. In addition, the indoor outdoor temperature difference is strengthened in autumn and winter, the temperature difference, like at over 15 , the blood vessel will shrink vigorously, make the spot piece adhered to the blood vessel wall loss. It is apt to stop up the blood vessel that the spot piece runs to the narrow place with the blood. Others internal inflammation activity of medium too can rise, the above cold season the intersection of coronary heart disease and high possible factor that take place all. "

The expert briefs on specially: It is relatively cold in winter early morning, the internal and external temperature difference of the room are very large, the easiest kindling coronary heart disease. So, the elderly should not practise too early in the morning in autumn and winter, should pay attention to keeping hot.

It is a first-selected treatment to resist the blood platelet

In cardiovascular vessel disease, coronary heart disease because the situation is urgent while having illness coming on, old man's patient's health and even life while threatening, need to cause the great attention of patient and relative.

" the intersection of stability and angina pectoris or acute coronary artery and syndrome (ACS) ,Guard drug therapy and get involved to treat (PCI skill) It is two kinds of most frequently used coronary heart disease therapeutic method at present. The actual conditions that the doctor will follow the patient are the appropriate healing solution of their choice. No matter drug therapy or surgery treatment, it is patient's therapeutic foundations of coronary heart disease that aspirin chlorination pyrrole Grey's pair resists the blood platelet treatment. " The cardiovascular face red soldier and professor of disease hospital point out outside the mound of the Chinese Academy of Medical Sciences.

"Present resisting the blood platelet and treating the choice that we can only be passive, and run through in the coronary heart disease treatment all the time, this contributes to the development of follow-up treatment, and benefit patient's whole body of coronary heart disease. " Professor Zhou YuJie emphasizes, because the forming of a kind of plaque of porridge of artery which cause coronary heart disease may involve a plurality of blood vessel beds in whole body, coronary heart disease patient many pieces of coronary artery or the intersection of whole body and other the intersection of position and artery will have the intersection of atherosclerosis and thrombosis pathological change often. "Such endangering a patient high, the effective treatment measure in time that even if offered after having illness coming on this time, it is still very great that the ischemic risk of the incident of the second time will take place in the future, so should adopt positive strengthening the blood platelet treatment in order to reduce and recur the risk of the incident. "

The recommendation of international and domestic authoritative guides, no matter stability and angina pectoris or ACS patient, the key indispensable links of drug therapy resist the blood platelet treatment. Have illness coming on acute issues of the intersection of service load and aspirin and Grey, pyrrole of chlorine, of dosage under the guidance of doctor, patient without taboo card, should obey for a long time after leaving hospital? Rise Does wine 's toe spit the superfluous grain Ju to live in?

Self- health care is accomplished three insist on

The coronary heart disease treatment is a protracted war, patient's health control plays a quite important role among them. The subsidiary heart centre director Professor Yang XinChun of Beijing Chaoyang hospital of Capital University of Medical Sciences says, advance the health education actively, make the patient make sure " healthy life style, long-term law take medicine and reexamine regularly " Three these insist on, doctors and patients, altogether hand in hand, coronary heart disease patient can with safe to pass the winter too, enjoy gentle and healthy life.

First of all, will adhere to the healthy life style. In the dangerous factor of coronary heart disease, hypertension, hyperlipemia, diabetes, fat, improper and relevant to lacking sports with the diet, there are too big pressures of a lot of patients, so should proceed with these origins, help to stop the recurring of coronary heart disease. The expert proposes, the coronary heart disease patient should pay attention to taking in the diet that thickness matched on the diet, it is short of the wine to give up smoking; Carry on right amount of sports every day, pay attention to following in order and advancing step by step, persevering; Meanwhile, adjust psychology, keep mood make joyful happy to recover to disease very much important.

Secondly, insist the long-term law takes medicine. The emergence of coronary heart disease is a gradual course, a great characteristic is that the recuring rate is high, and the consequence of recuring is serious. So, the compliance that patients took medicine is very important, follow the doctor's advice the long-term, capacity use medicine. It had better be quantitative to take medicine on time. 6- 12 o'clock a.m., in the first 3 hour after especially wake up, the easiest " commits offenses " of heart ,Had better wake up or take behind the breakfast in every morning, form, take medicine habit on time, can also avoid leaking the clothes. Medicines stop or reduce without authorization on the basis of one's own feeling to make sure not.

Insist on reexamining regularly at the same time. Through the regular return visit, the doctor can understand patient's condition changes and treats curative effect in time, thus carry on specialized guidance according to the patient's individual situation, kind and medicine amount that and adjust and use medicine; In case the condition becomes more serious or recurs, can find and deal with as soon as possible, so as not to delay the condition, cause the serious consequence.

The coronary heart attack must not be born