Core tip: when myocardial infarction occurs, time is life!
Hypertensive patients with headache 4 hours, diagnosis of myocardial infarction! The doctor sighed: thanks to an examination
This is a case shared by a doctor.
A 75 year old female presented with headache and discomfort on the left side of her head and face for 4 hours after getting up in the morning with nausea. She was admitted to the hospital and reported a history of hypertension. The patient was admitted to the Department of Neurology. After the routine outpatient physical examination, the doctor asked for the head CT and ECG examination. At first, the patient didn't understand why he still had to do ECG examination for headache. The result was that after the examination report came out, he was stupid.
The results of ECG showed that all the patients were normal! Then the patient was transferred to the chest pain center for treatment. Coronary angiography showed that the left anterior descending branch was blocked. The doctor immediately performed stent treatment on the patient, and the patient was saved! After that, the doctor lamented that it was lucky to have done ECG examination at the beginning, otherwise the consequences would be unimaginable. The patient himself was terrified.
Myocardial infarction
Why does headache still want to do electrocardiogram examination?
We often say that the heart and brain do not separate, such as myocardial infarction and cerebral infarction have similar pathogenesis, risk factors, etc. in clinical, there is also cardiogenic stroke such a disease, also closely linked the heart and brain. Acute myocardial infarction is "cunning and changeable", and the symptoms are not based on common sense. Many patients take it for granted that there will be chest pain, chest tightness and other cardiac discomfort, but sometimes the pain is not in the heart.
Patients with myocardial infarction rarely have headache symptoms, but some patients will be due to cardiac stimulation to the cervical sympathetic ganglia, to the cerebral cortex, thus showing headache symptoms. In addition, myocardial ischemia reduces the ability of the heart to deliver blood to the whole body, blood pressure decreases, and brain blood supply correspondingly decreases, which can also induce headache symptoms.
These patients are lucky, and some of them are not so lucky!
Recently, Mr. Liu, who is in his 40s, often suffers from stomachache. He thinks that he has eaten something bad and has not paid attention to it. He bought some medicine for his stomach. But the pain became more and more intense, and he could not bear it. Mr. Liu went to the hospital. Gastroscopy is no big problem, the doctor suggested to do an ECG examination, but Mr. Liu refused, just took some stomach medicine and went home. Unexpectedly, on that night, Mr. Liu felt a sharp stomachache, ran to the toilet, and finally died in the toilet.
Aunt Liao, who is more than 50 years old, suffered from toothache the other night. She said that toothache is not a disease, and it can kill people. Aunt Liao was tortured by toothache all night, and originally wanted to go to the hospital the next day. But when I got up in the morning, I felt better, so I didn't go. But in the evening, the teeth began to ache, accompanied by sweating, the family sent aunt Liao to the hospital, dental examination was no problem, and then the doctor asked to transfer to the Department of Cardiology. Although there are doubts, but aunt Liao still accepted the examination. Results diagnosed as acute myocardial infarction! Although the doctor carried out emergency rescue, but finally unable to return to the day.
When myocardial infarction occurs, time is life!
These patients seem to have no symptoms, but heartache. Some people found out early, and obediently listened to the doctor's advice, accepted the diagnosis and treatment, and were lucky to survive. However, some people found out too late and procrastinated, and even refused the doctor's request. As a result, they could not escape.
Whether the patients who survived or died, they warned us with their own personal experience: in the face of disease, we should never take it for granted that we should see a doctor at the first time and strictly follow the doctor's instructions for necessary examination. Only in this way can we find problems in time, receive treatment and avoid unnecessary tragedies. In particular, such as myocardial infarction, which has a rapid onset and rapid progress, may leave patients with only a few decades of time. Delay in medical treatment can only end in tragedy.
These symptoms of myocardial infarction can not be ignored, high-risk groups to be vigilant!
Some patients with angina pectoris, not typical symptoms, such as angina pectoris. Angina pectoris can radiate to the back, left shoulder, left arm, mandible, teeth, pharynx, abdomen and so on. It shows toothache, abdominal pain, sore throat, shoulder and back pain, which seems to have nothing to do with myocardial infarction. At this time, it is easy to be misdiagnosed.
Therefore, for high-risk groups of myocardial infarction, such as coronary heart disease, hypertension, diabetes, hyperlipidemia and other diseases, if the above symptoms appear inexplicably, they must seek medical treatment in time to exclude the possibility of myocardial infarction. For the doctor's request for ECG examination, do not refuse, this may be a life and death decision.
