Core tip: one of the complications of hypertension - the terrible place of aortic dissection.
Mr. Wu has been suffering from high blood pressure for five years. When he got up a few days ago, he suddenly felt flustered, dyspnea, chest pain, and backache. His family quickly called 120 and sent him to the local hospital for treatment. The doctor suspected that it was "aortic dissection". After examination, it was confirmed that it was aortic dissection. Due to the limitation of medical conditions in the local hospital, the doctor suggested that the patient should be transferred to another hospital for treatment His illness worsened and he died several hours after he was admitted to the hospital. The saddest thing is that Mr. Wu was only 37 years old.
What is aortic dissection?
When we see the word "aorta", we should be able to realize the severity of the disease. Aorta is the largest blood vessel in the human body, and it is also the main artery that transports blood from the heart to other parts of the body. If there is a problem with the aorta, it can not be a small itch or pain. Aortic dissection is one of the critical diseases in the cardiology department, which is extremely dangerous. The normal human artery consists of three layers, intima, media, and adventitia. The three layers are closely connected and bear the flow of blood together. Aortic dissection refers to the partial tear of the intima, under the strong impact of blood, the intima gradually peels off and expands, leading to the formation of true and false two cavities in the artery.
Aortic dissection can cause tear like pain, and the tear will continue to deteriorate. If blood breaks through the aortic wall, it can be life-threatening.
This kind of problem not only occurs in the aorta but also in all arteries, such as superior mesenteric artery dissection, carotid artery dissection, and so on. Due to different blood supply parts, the manifestations are not the same. Of course, the most common and dangerous is aortic dissection.
Patients with hypertension are prone to aortic dissection.
One of the causes of aortic dissection is hypertension or poor control of hypertension, which is also the main cause of Mr. Wu's disease. I learned from Mr. Wu's wife that because of the nature of his work, Mr. Wu often drinks and socializes, and staying up late is also common. At the age of 32, he was diagnosed with high blood pressure, which belongs to a relatively young patient with high blood pressure. The doctor suggested that Mr. Wu take medication for treatment. But Mr. Wu felt that taking medicine every day was too harmful to his body, so he would remember to take medicine every day at the beginning of a period of time. Later, he took medicine irregularly. He only took medicine when his blood pressure was high, but he didn't take medicine when his blood pressure was low. He even couldn't remember to take medicine for a long time. Several times, he took medicine quickly because of the serious dizziness caused by high blood pressure. In the past five years, he also had several physical examinations. Every time, the doctor advised Mr. Wu to standardize treatment. Mr. Wu always felt that he was young, and he didn't feel very uncomfortable when he didn't take medicine. When he was uncomfortable, he just took medicine. That's why this tragedy happened.
We said that hypertension should be treated, long-term hypertension will cause damage to the organs of the whole body, and these injuries are irreversible. Most patients with hypertension need lifelong medication to control their blood pressure. During medication, they are most afraid to stop eating, because it will cause blood pressure fluctuations. Excessive fluctuations in blood pressure will accelerate the occurrence of complications. Aortic dissection is one of the complications.
According to statistics, eight of the patients with aortic dissection have a history of hypertension, and some patients can control their blood pressure well at ordinary times. However, in the case of overwork, emotional excitement, breath-holding force, etc., a transient increase in blood pressure may induce aortic dissection. If the blood pressure is not controlled stably all the year-round, it is more likely to induce aortic dissection.
Patients with hypertension must control their blood pressure well, and the medication should be standardized. There are natural side effects of drugs, but we should know that the harm of hypertension is greater, so we should not stop eating because of choking. Rational drug use under the guidance of doctors can reduce the incidence of adverse reactions. Besides, we should avoid the factors that can cause a sudden rise in blood pressure, such as great joy and great sorrow, staying up late, overwork, etc.