Let's start by correcting the fact that there are more than 3 places that hurt at the onset of a heart attack, and that when a myocardial infarction occurs, the body of the heart attack victim sends out the appropriate distress signals, that is, it triggers the"Involvement of pain.".. Involuntary pain is is a type of pain that is non-damaging, just to give an example patients will feel pain in these following areas.

I. Infarction and "involved pain"

1. Toothache

There was a report that "a woman, 80 years old, died suddenly at home in the middle of the night, suspected heart attack". It is reported that the deceased said many times during his life that he had a toothache, treatment was unsuccessful, the deceased's friends said that he left very suddenly, and usually did not see any serious illnesses, just a few days yelling toothache.

A heart attack is actually the result of a blockage within a blood vessel that causes the heart muscle to die from lack of blood and oxygen and eventually necrosis under pressure. Without the power source of the heart muscle, blood flow is poor, and in severe cases the results we don't want to see can occur.

2. Headache

With headaches we tend to think of problems in the brain, when in fact the heart is the main organ that provides blood and nutrients to the brain.

When the heart is damaged, the brain doesn't get enough nutrients and blood, and symptoms such as dizziness and headaches can occur.

Especially at night, the pain is aggravated and the heart leads to dysregulation of the autonomic nervous system and spasms in the cerebral blood vessels.

3. Sore throat

When a person is emotional, happy, sad, or angry, a sudden sore throat occurs.

In this case, which is mostly caused by the heart, there is a feeling of constriction in the throat, or even difficulty in swallowing, etc.

At this point, it is important to draw attention to the need to control your emotions reasonably well to avoid danger.

4. Shoulder pain, arm pain

Heart-induced pain, mostly reflexive, such as headache, shoulder pain, back pain. And shoulder pain is often overlooked by us, the left shoulder, left arm ulnar side or left neck body surface and other parts of the pain site, may be caused by cardiovascular disease. This part of the heart due to the location of one of the heart radiation place, so heart attack attack, this part of the distress signal will appear.

5. Pain in the precordial region

If you have sudden onset of squeezing pain in the precordial area that lasts for more than 20 minutes and still cannot be relieved, and is accompanied by symptoms such as profuse sweating, pallor, vomiting, nausea, a sense of dying, stuffiness, shortness of breath, pain in the chest, and restlessness and irritability that are difficult to alleviate, then you have to consider a heart attack.

6. Upper abdominal pain

Shortness of breath without obvious reasons, sudden rapid, slow or irregular pulse, cold extremities, feeling "stomach pain", etc., should also be alert to the possibility of acute heart attack. Heart disease triggered by "stomach pain", there is pressure, burning or squeezing feeling, some can spread to the left shoulder, back and left upper arm inside. This pain is easy to be ignored, must be vigilant.

Second, heart attack is not silent, 2 places in the body will be red:

1、Red tongue

According to Chinese medicine, "the heart opens to the tongue".

The tongue can reflect the health of the heart, especially the tip of the tongue is a reflex area of the heart.

People with red tongue tip are mostly characterized by excessive heart fire, such as accompanied by panic and shortness of breath and rapid heartbeat.

Then watch out for heart lesions, control your emotions, eat healthy, and get regular checkups.

2、Purple red under the tongue

A person with a better than good heart will have purplish-red petechiae under the tongue, indicating blood stagnation.

Once the blood vessels are blocked, the heart will show signs of oxygen deprivation and lack of blood, thus inducing myocardial infarction.

If you find abnormalities on your tongue, accompanied by difficulty in breathing and insomnia, etc., you should prevent cardiovascular diseases.

Third, the usual prevention of heart attacks have the way

1、Keep your emotions calm, mood swings are properly regulated;

2、Regularity of work and restThe tension and relaxation are in moderation. Combination of work and rest, adhere to the health of the main, irregular habits are also a hotbed of heart attack growth;

3. Balanced diet, overeating or being too heavy can aggravate the body and sow the seeds of heart attack; supplement alpha-linolenic acid, eat more vegetables, and eat less trans-fatty acids.

4, adhere to the exercise, according to their own physical condition, so that they can have a good exercise habit;

5. Regular medical check-ups, especially for people of advanced age, such as those with high blood pressure, who are at high risk of heart attacks, regular medical checkups can lead to early detection of the disease and early treatment.

If you have an acute heart attack, the patient should cough and breathe and call for help. As a family member, in the face of a loved one's sudden heart attack, then you should immediately let the patient lie down, let the heart attack patient take nitroglycerin tablets or calm down yourself, calm down the patient's emotions, call 120, if necessary, artificial respiration and other first aid measures. And now many young people in order to fight for a career, regardless of physical health, arbitrarily overdraw their own health, which is very irresponsible behavior. Usually pay more attention to their own body, once there is a difference, should promptly seek medical treatment, early detection and early treatment.

Heart attack, or myocardial infarction as we often call it, belongs to one kind of coronary heart disease. The full name of coronary heart disease is called coronary atherosclerotic heart disease, referring to theHeart disease caused by atherosclerosis of the coronary arteries that supply blood to the heart, resulting in narrowing or blockage of the lumen, leading to myocardial ischemia, hypoxia, or necrosis.

Coronary heart disease, usually includes insidious or asymptomatic coronary heart disease, ischemic cardiomyopathy, angina pectoris, myocardial infarction, and sudden death. In recent years, according to the degree of rapidity of onset and different characteristics of treatment, it is divided intoChronic coronary artery disease (chronic myocardial ischemia syndrome), including stable angina, ischemic cardiomyopathy, and occult coronary artery disease. andacute coronary syndrome, including unstable angina, myocardial infarction, and sudden death.

Under normal circumstances, cardiomyocyte metabolism requires oxygen from the coronary artery blood, when there is a contradiction between the coronary artery blood supply and the cardiomyocyte blood demand, the coronary artery blood flow can not meet the metabolic needs of cardiomyocytes, the cardiomyocytes will be ischemic and hypoxic.Transient ischemia and hypoxia cause only angina pectoris; prolonged and severe ischemia and hypoxia cause myocardial necrosis, i.e., myocardial infarction.

First, before the heart attack, the body will have a precursor

More than half of the patients will feel tiredness, not recovered even with rest, chest discomfort, panic, shortness of breath, irritability and angina during activities a few days before the onset of the disease, with new onset angina or aggravation of pre-existing angina being the most prominent.One of the patients will feel that the frequency of recent episodes is getting higher and longer, taking nitroglycerin relief is not obvious, but also can not find obvious triggers, this time we should pay extra attention to, it is likely to be myocardial infarction before the body to give you the "signal".

Second, the body "3 places shouting pain" what is referred to

The reason why pain occurs in the event of a heart attack is related to the blockage of cellular metabolism due to ischemia and hypoxia in cardiomyocytes, theThe myocardium accumulates large amounts of metabolites such as lactic acid, pyruvic acid, phosphoric acid, and other acids, as well as kinin-like peptidesThese substances stimulate the autonomic nerves of the heart, which travel to the brain and cause the sensation of pain. The location of the pain, on the other hand, is mainly related to the location of the distribution of these nerves, as well as the area from which the pain radiates.

In most patients, the pain is in theBehind the sternum, anterior medial aspect of both arms and little finger, especially on the left side. It manifests as a pressing, stuffy sensation.

In some patients, the pain is localized in theepigastric, often mistaken for an acute abdominal condition such as gastric perforation, or acute pancreatitis. Nausea, vomiting, and eructation can occur.

In some patients, the location of the pain radiates toJaw, neck, left shoulder, upper back, etc., often mistaken for toothache or bone and joint pain.

Pain, the earliest symptom of heart attack, mostly occurs in the morning, the nature and location of the pain is the same as angina pectoris, but the trigger is often not obvious, and often occurs in quiet time. The disease is more serious, the duration is longer, can be up to several hours or even longer, sublingual nitroglycerin often can not be relieved. The patient is often restless, sweating, fearful, chest tightness, or a sense of near death.

What is meant by "2 places of the body turning red"?

In the event of a heart attack, the body will "turn red", which is mainly referred to asThe whole body will be feverish, and there will be tachycardia, increased white blood cells, increased erythrocyte sedimentation rate, etc. This is actually caused by the absorption of necrotic material after myocardial infarction. It is not rigorous to generalize that 2 places of the body will turn red.It usually appears 24-48 hours after the onset of pain, the degree is related to the extent of the myocardial infarction, the temperature is usually around 38°C, rarely reaching 39°C, and this lasts for about a week.

For the prevention and treatment of heart attack, friends should pay most attention to the aura before the heart attack, for example, the original angina suddenly aggravated, or no angina this time suddenly appeared without obvious causes, pain symptoms are very heavy, lasts a long time, and sublingual nitroglycerin is not relieved, we should pay close attention to the possibility of myocardial infarction, it's best to go to the hospital to deal with it, to avoid missing the best time for treatment. It is best to go to the hospital immediately to avoid missing the best treatment time.

Let me tell you about my own neighbor, I told her to go to the hospital to see a doctor, she refused to go, insisted on saying that she was a bone injury, a few days of rest will be fine, in the end, it was I forced to go to the emergency room of our hospital, to save her one vote

My neighbor is a 56 year old female, I call her Auntie Lee, who usually just works part-time inside the factory and occasionally in the fields.

Pre-existing only high blood pressure with long term medication.

I was resting at home one weekend, and was playing a game when she suddenly came over and asked me to look at it for her.

Me: What's going on?

Her: help me see, my shoulder hurts, left side

Me: Is there a problem with joint mobility and does movement aggravate it

Her: the joints move well, it's just that the other day it was pain for a few minutes after exercise, and today it suddenly got painful for about 20 minutes, and it's still painful, and it's very painful

Me: You need to rush to the hospital for this one, to the emergency department

Her: No, I just have shoulder pain because it's a bone bruise

Me: It's really going

After saying that I didn't discuss with her, I directly called his son and together we sent her to the hospital

It turned out to be a heart attack.

Had an emergency PCI, three coronary lesions, the worst being the right crown, the vessel responsible for this one, put in 2 stents

Back in the day stents were still expensive, and this procedure cost over $40,000 in total.

I think Auntie Lee is having a heart attack based on so many judgments:

1. Past history of high blood pressure and has been for 10 years
2. It just started as shoulder pain after exercise, isn't this a lot like angina, except the location is just the same
3. There is no limitation of movement, which is usually associated with bone or joint problems, and can be particularly painful in certain positions
4. This time there was a sudden and persistent shoulder pain that was very sharp

These points made me highly suspicious that Auntie Lee was having a heart attack this time, so I advised her to go to the hospital, which she did.

What is a heart attack?

The book defines acute myocardial infarction as myocardial necrosis caused by acute, persistent ischemia and hypoxia of the coronary arteries.

There are a few things we should pay special attention to with this definition:

1. The coronary arteries are the blood vessels that supply blood to the heart, so heart attacks are caused by problems in the coronary arteries. After the coronary arteries are blocked for various reasons, the heart muscle cells are not supplied with blood and die of ischemia and hypoxia.
2. Acute: Acute myocardial infarction is a disease that comes on very quickly and suddenly.
3. Persistence: In the case of Auntie Lee, who had several episodes of transient pain after activity prior to this episode, this is transient ischemia-hypoxia, which is angina pectoris. Only the persistent ones are myocardial infarction.

It is a myocardial infarction only if these points are met.

What does the body do when a heart attack occurs?

The most common and most common manifestations of a heart attack areSudden onset of severe and persistent crushing pain in the retrosternal or precordial area, and many will be accompanied by profuse sweating and a sense of near death.

However, not everyone's presentation is typical, and there are many who are not:

1. No symptoms: a very small number of patients with myocardial infarction is no symptoms, common in diabetic patients, especially the disease duration of long, poor glycemic control of diabetic patients must be highly vigilant.
2. Pain: This pain is not only the pain in the anterior region of the heart, up to the teeth, down to the stomach, as long as the persistent persistent pain should be considered the possibility of heart attack. Among them, toothache, shoulder pain, low back pain, abdominal pain, these atypical heart attack manifestation is to make many doctors have suffered.
3. Feeling very spicy: this case is someone else told me, a 70-year-old male old stomach disease patient complained of stomach like a lot of chili peppers in the inside of the spicy, spicy soon can not stand the same feeling, there is no tightness in the chest and sweating, there is no sense of death, routine check the electrocardiogram, the result is the lower wall of the heart infarction, fortunately check the routine check the electrocardiogram, or else the average person can not think of it.
4. Headache: I once had a hospitalized patient with self-reported symptoms of paroxysmal headache with nausea and vomiting, and I was hospitalized to routinely check the EKG, which resulted in an anterior wall myocardial infarction.
5. Fishbone stuck feeling: this is read on the Internet there is a doctor once encountered a patient, complained of eating fish puncture, pointing to the upper fossa of the sternum where the pain, checking the throat did not find fishbone, did the esophageal CT also did not find a foreign body, the patient is very sure that he is stuck fishbone, fortunately, routine electrocardiograms, the result is a heart attack.
6. Gastrointestinal symptoms: nausea and vomiting are common.

Many patients with heart attacks have very atypical clinical presentations that require a high degree of vigilance on the part of the physician, and there have been many lessons learned in blood.

Some people summarize: from head to toe, pain, numbness all consider heart attack.

Here's another uncommon presentation of a heart attack

Uh-oh, yes it's uh-oh, which is what we often call hiccups.

This case is from our old hospital director.

There was a time when he had to go on emergency duty a few days a month in those days.

One day on emergency duty, I came across a 72 year old grandfather who came in because of an eruption, an eruption that occurred once every 10 seconds or so and couldn't be stopped, no headache, dizziness, nausea, vomiting, dyspnea, coughing, chest pain, palpitations or any of those things.

Upon hearing this he first considered it to be a stomach disorder.

There were no chest pain centers back then, and they wouldn't do EKGs on all patients, so they gave him a few days of stomach medicine and sent him home.

2 days later that patient came back because the eructations were more frequent, and this time he felt something was wrong and received an inpatient

He was hospitalized for an electrocardiogram (ECG), which revealed Q-wave and T-wave inversions, as well as a markedly elevated troponin, which was the first consideration for an infarction.

At that time, our hospital could not do PCI, so it was transferred to a higher hospital to put in a stent.

Yes uh-oh can also be a heart attack, and there are just so many manifestations of a heart attack.

How do you prevent heart attacks?

I won't say anything else about heart attack prevention because so much has already been said, so much has been said about healthy lifestyle stuff.

But it's useless to talk about it because not many people do it.

My recommendation for people with high blood pressure, diabetes, hyperlipidemia, and a family history of heart disease is to have regular cardiology clinic visits to check their heart regularly.

Take your medication when you should, and never refuse aspirin or statin when you should.

Always listen to your doctor.

China's cardiovascular disease was "blowout" trend, in which acute myocardial infarction is the number one killer of cardiovascular disease deaths. China's middle-aged patients (40 to 50 years old) the incidence rate increases year by year, may be closely related to China's middle-aged mental stress, full meals, alcoholism, excessive fatigue, smoking, lack of exercise, obesity, dyslipidemia and other risk factors.

If you are aware of the approaching danger at the onset of a myocardial infarction and receive timely and appropriate treatment, you can significantly reduce the mortality rate and save the patient's life. Myocardial infarction can be characterized by the following symptoms, or none at all.

1. Persistent retrosternal pressure pain

In acute myocardial infarction, due to the rupture of the plaque that was already present in the coronary artery wall and the formation of a thrombus, there is a sudden interruption of blood flow in the coronary arteries, which can no longer supply blood and oxygen to the cardiomyocytes, thus causing myocardial hypoxia leading to the occurrence of chest pain symptoms.

2. Chest tightness

If this feeling continues to be unrelieved, especially if it lasts for more than 20 minutes and is not good, or even worse, or is accompanied by symptoms such as cold sweats and fainting, then it may be a myocardial infarction.

3. Toothache

Myocardial infarction causes special symptoms of toothache: toothache is severe, but there is no obvious dental disease itself; the site of the toothache is not exact, often several teeth feel pain; often accompanied by profuse sweating, pallor, extreme weakness, inability to act, and a feeling of near death.

This type of toothache is not relieved by taking the usual painkillers, but it disappears when treated as angina or myocardial infarction.

4. Sudden sore throat

Especially for the elderly with hypertension, diabetes or previously diagnosed coronary heart disease, sudden sore throat must be considered the possibility of myocardial infarction, and a timely electrocardiogram can be a clear diagnosis.

5. Upper abdominal pain

The afferent receptors of the vagus nerve are almost always located on the surface of the posterior inferior wall of the heart, and when myocardial ischemia and hypoxia stimulate the vagus nerve, resulting in symptoms of abdominal pain.

6. Nausea, vomiting

Nausea and vomiting in myocardial infarction are caused by ischemia, injury, and necrosis of cardiac myocytes releasing certain substances that stimulate the receptors of the nerve endings in the area, which are regulated by vagal and sympathetic reflexes.

7. Hypotension, cold sweats

In myocardial infarction, absolute blood volume deficiency caused by nausea, vomiting, and inadequate intake leads to a decrease in central venous pressure, per-pulse output, and arterial blood pressure, whereas in right ventricular myocardial infarction, a decrease in ambulatory blood pressure can be due to a lack of effective regurgitant blood volume, which can cause cold sweats and other manifestations of hypovolemic shock.

8. Dizziness, blackouts

Since lower wall myocardial infarction is often combined with bradyarrhythmia, although the amount of blood pumped out per beat is not reduced, the blood ejected from the heart per minute is significantly less than usual, and the blood supplied to the brain is also significantly reduced, which is why dizziness and blackout symptoms occur.

On the other hand, when the effective return blood volume is reduced in right ventricular myocardial infarction, the heart ejects less blood per beat, which adds up to less blood per minute of beat, and likewise less blood is supplied to the brain, and the symptoms of dizziness and blackouts follow.

9. Weakness, paralysis or slowness of consciousness of limbs

Weakness of the limbs, mild paralysis and even slowness of consciousness are seen in elderly patients with cerebral arteriosclerosis. When acute myocardial infarction occurs, due to the decrease in the volume of blood discharged from the heart, affecting the blood supply to the brain tissue, some patients develop cerebral thrombosis, which can lead to limb weakness, mild paralysis, or slowness of consciousness.

10. Shortness of breath

After myocardial infarction, especially large myocardial infarction, can not work normally, the original contractile function of the heart is damaged, the blood can not be normal reflux and pumping, the pulmonary venous pressure in the left atrium will increase, the pulmonary capillary blood flow increases, affecting the alveoli, resulting in pulmonary silt edema, inhaled oxygen can not be through the lungs to carry out the normal exchange, can only speed up the respiratory rate for oxygen exchange, manifested as respiratory Shortness of breath.

11. Shortness of breath after activity

After myocardial infarction, part of the cardiac myocytes are necrotic, the heart loses part of its contractile function, the ejection capacity is weakened, and part of the blood can not be pumped out, the pulmonary venous pressure in the left atrium will increase, and the blood flow in the pulmonary capillaries will increase, which affects the alveoli and leads to pulmonary stagnation, thus causing symptoms of shortness of breath.

12. Pink frothy sputum, hemoptysis

Patients with myocardial infarction who cough up pink foamy sputum are generally in a more serious condition and need prompt medication or even ventilator-assisted ventilation, and must not delay their condition at home, but must go to the hospital immediately, because once the condition further aggravates it will become unmanageable, and may directly lead to death.

13. Bradycardia

Bradyarrhythmias include sinus bradycardia, sinus standstill; and various degrees of sinoatrial block and atrioventricular block, and in severe cases complete atrioventricular block, when the heartbeat is slow.

14. Lower limb edema

The heart loses part of its contractile function, the ejection capacity is weakened, part of the blood in the left ventricle cannot be pumped out, and the pressure in the left atrium increases, causing pulmonary stagnation, leading to symptoms such as coughing, inability to lie down, and shortness of breath after activity. Over time, it will further affect the right ventricle and right atrium, resulting in the blood in the lower limbs and the venous system of the liver not being able to return to the right cardiac system normally, i.e., the symptoms of right cardiac insufficiency, which will lead to the symptoms of lower limb edema.

15. Myocardial infarction may also be asymptomatic.

There may be these reasons why patients do not feel symptoms:

(1) Myocardial infarction is small in extent, short in duration, and mild in ischemia.

(2) Myocardial infarction occurs at different sites and is not equally sensitive to pain.

(3) Individual differences are not equally sensitive to pain.

(4) Elevated pain threshold.

(5) Deficiency of the angina alarm system.

I am Dr. Qiao Fang from the Department of Rheumatology and Immunology, formerly a general practitioner at Sichuan Provincial People's Hospital. It is not easy to organize and publish! If you think it is helpful to read, please help point a concern or point a praise; if you have a different point of view, you are also welcome to leave a message below, we can discuss together; you can also be transferred to your side of the need for friends; thank you!

In the recently released 2019 Global Health Assessment Report by WHO, among the top ten causes of death, non-communicable diseases occupy seven of the seats, while ischemic cardiovascular disease tops the list. As an important type of ischemic heart disease, the attack of acute heart attack, it is more worthy of our attention, for heart attack, although there are various types, but most heart attack patients if timely detection, timely treatment, or from a lot of degrees, to avoid the risk of death, then heart attack, the body will appear what performance? Today we will talk briefly about this topic.

Does chest pain always occur during a heart attack?

About the relationship between heart attack and chest pain, many friends think that there is an inevitable link between the two, cardiovascular infarction, will certainly occur chest pain ah, but in fact, for the heart attack brought about by the problem of chest pain, is not necessarily occur, and its site is not fixed.

There are very few heart attack patients, in the heart attack, will not appear obvious pain, this hidden type of heart attack without pain is actually more noteworthy, if there is no pain, but with severe chest tightness, pressure, dying feeling, and a short period of time can not be recovered, the same should also pay attention to the possibility of heart attack.

Most heart attacks are often accompanied by significant pain, but the location of the pain is not fixed. Typical heart attack pain is very similar to angina pectoris, mainly manifested as a crushing pain at the back of the sternum, which may be accompanied by sweating, dyspnea and other symptoms. The difference between this kind of angina pectoris caused by heart attack and ordinary angina pectoris lies in the fact that ordinary angina pectoris can be quickly relieved by moderate rest or nitroglycerin, while this kind of pain caused by heart attack can not be relieved by rest or medication.

In addition to the typical pain behind the sternum, the pain caused by heart attack may also radiate to other parts of the body, and there are many possible parts of the body where the pain may occur, such as the shoulders, jaw, toothache, back, upper limbs, upper abdomen, etc., all of which may cause radiating pain because of heart attack, so do not think that the pain caused by heart attack necessarily occurs in the chest, and for cardiovascular disease patients who experience pain in the above mentioned Pain in these areas accompanied by severe chest tightness also deserve extra attention.

Chest pain caused by heart attack there is a point to note, is to be distinguished from chest pain caused by aortic coarctation, chest pain caused by heart attack is often a dull ache, accompanied by stuffiness and pressure, while the chest pain caused by aortic coarctation is often more intense, manifested as a tear-like or knife-like pain, the patient tends to be more difficult to tolerate, of course, these two diseases regardless of which one, it is a very sinister disease problem, are But accurately expressing one's pain situation is also an important aspect that helps doctors to judge the condition as soon as possible and implement reasonable treatment measures.

What else does the body do when a heart attack occurs?

In addition to pain, during an acute attack of heart attack, the coronary arteries supplying blood to the heart will be blocked, the blood supply to the heart will be significantly affected, and the blood supply and oxygenation of the heart muscle will be seriously insufficient, which will also cause symptoms such as chest tightness, dyspnea, sweating, cold and clammy skin, reduced urination, palpitations, and emotional irritability, etc. Some patients may even suffer from nausea and vomiting, so there is really a wide range of symptoms when heart attack occurs. Therefore, for the symptoms of heart attack, there are really many different kinds of symptoms, and the standard of evaluation and judgment can't be accurately judged whether the heart attack occurs only through the external symptoms, usually if you seek medical treatment, through the electrocardiogram inspection and cardiac troponin examination, to be able to better initially confirm whether the problem of heart attack really occurs.

Therefore, we for the judgment of heart attack, in combination with the symptoms of the basis, should be combined with their own risk of cardiovascular disease to judge, at the same time in daily life should pay more attention to do a good job related to the control of chronic diseases and the prevention of heart attack, than to say that the symptoms, today would like to introduce you to these two aspects of the relevant knowledge.

How is cardiovascular risk assessed and what are the precursors to a heart attack?

If we want to determine whether a person experiencing chest tightness is having an acute attack of heart attack, first of all we should know how high the risk of cardiovascular and cerebral vascular diseases of this person is. Therefore, it is recommended that middle-aged and old-aged friends over 45 years old should regularly check their blood pressure, blood lipid and glucose levels, and combined with family genetic factors, physical obesity, smoking and other factors to comprehensively assess their own risk of cardiovascular disease, if they belong to the high-risk risk, or have been diagnosed with coronary stenosis of more than 50% belonging to the problem of coronary heart disease, friends, they should pay more attention to the If you are at high risk, or have been diagnosed with coronary artery stenosis of more than 50%, you should pay more attention to the risk of acute infarction; and if you are at low or medium risk, you will be much less likely to have an infarction, although you cannot say that you will not have an infarction.

Although heart attack often without warning sudden attack, but for patients with cardiovascular disease or high-risk risk of friends, heart attack before the occurrence of, often there will be certain precursors, such as the original only in the labor of angina pectoris friends, in the rest of the angina pectoris often occurs, although can be relieved, but angina pectoris occurs more and more frequently, and then for example, often appear in the near future, chest tightness, heartburn, irritability, heart Frequent discomfort, etc., should pay attention to the possibility of increased risk of heart attack, and if a little bit of symptoms related to heart attack, and in 30 minutes can not be effectively relieved, it is recommended to hurry to call the 120 emergency telephone, timely treatment is the most important.

How to effectively prevent heart attack

Some people say: heart attack happens suddenly, how can it be prevented? Although the heart attack so that people can not prevent, we can not absolutely eliminate the risk of heart attack, but if we can do a good job related to the control of chronic diseases and life conditioning, relatively reduce the risk of heart attack, or can do, want to do a good job of this, first of all, we first have to have a correct attitude, pay attention to their own health, from the willingness to really want to protect their own cardiovascular health, only the importance of the ideological The first thing we need to do is to have a proper attitude, pay attention to our own health, and really want to protect our own cardiovascular health from the will, only if we pay attention to our thoughts, then we can keep up with our actions.

Want to effectively prevent heart attack, we should first do is to control the further development of atherosclerosis, want to do a good job of this, for hypertension, high blood pressure, high blood fat, diabetes and other chronic diseases should pay special attention to strict control, control blood pressure, blood fat and glucose levels, to be able to slow down the process of atherosclerosis, stabilization of plaques, reduce the risk of cardiovascular disease.

In addition to strict control of blood pressure and blood glucose indicators to meet the standard, lipid levels of LDL cholesterol should be extraordinarily controlled, for friends with existing coronary heart disease, usually required to reduce the level of LDL cholesterol to less than 1.8mmol / L, and on the basis of the original reduction of at least 50%, to be able to better stabilize plaques and slow down the process of atherosclerosis; in addition to strict control of blood lipid levels. For friends with high risk of heart attack, antiplatelet drugs can also be taken to reduce the risk of thrombus formation by platelet aggregation when plaque rupture occurs, therefore, aspirin, clopidogrel and other drugs are also preventive drugs that can be chosen for application.

For the prevention of heart attack, the use of drugs is only one aspect, life regulation control is more essential foundation and focus. Maintaining good habits in life not only helps to stabilize the control of the three highs and reduce the risk of cardiovascular disease, but also helps to improve physical fitness and reduce the risk of heart attack induced by external environmental factors, sudden cold stimulation, constipation, violent fluctuations in mood, etc., are important factors that may induce heart attack, therefore, while maintaining a good lifestyle, we should also pay attention to the relevant causes of stimulation. Therefore, while maintaining a good lifestyle, it is also necessary to pay attention to the relevant triggers of stimulation, only by doing a good job of these, can be more effective to do a good job in the prevention of heart attack, reduce the risk of heart attack.

The subject of this question is particularly good, because the acute onset of heart attack can be a serious threat to human life, it is the onset of away from the fast change, very dangerous, take these days happened, Hunan Zhuzhou, a real estate company chairman of the board of directors of the Tour refused to be hospitalized for treatment five days ago, and ultimately died due to sudden death, and five days ago, the examination suggests that the "T-wave abnormality (may be the anterior lateral wall)". myocardial ischemia)".

This itself suggests myocardial ischemia, and myocardial ischemia triggered by infarction is the consequence of sudden death, so myocardial ischemia and infarction, sudden death is a road on the three different stages, myocardial ischemia is the supply of cardiac muscle blood vessels narrowed after the reduction in blood flow, it is precisely because of the reduction in blood flow, so there will be insufficient supply of blood to the myocardium of the symptoms occurring, like the symptoms of the tour of a five days ago to see the doctor, the electrocardiogram has already been suggested! Myocardial ischemia, in the narrowing of blood vessels on the basis of the further development of vascular occlusion, which is the pathological basis of myocardial infarction, this time it is very dangerous, if you get timely rescue may be rescued, if delayed, is sudden death.

That's why heart attacks are so dangerous. They're characterized by high morbidity and mortality.The mortality rate of acute myocardial infarction in China is around 30%! And the first myocardial infarction after discharge 10% of the patients in 1 year died of heart disease or another heart attack, the first heart attack survived patients in the next 10 years each year 2% of people who have heart failure, once the signs and symptoms of heart failure, the prognosis is very poor, 5-year survival rate of less than 50%. So that for sudden death caused by heart attack, myocardial infarction must be taken seriously, really to the time of heart attack, so many are caught off guard! In the clinical common, in dialing 120 emergency telephone, 120 out of the car to the patient's home, the patient has died, just so fast, too late.

120 operator received a phone call, ask about the condition in order to make the corresponding emergency drugs and items, 120 car wind speed to the patient's home in 5-10 minutes, the total time has passed 8-15 minutes or so, and once sudden death occurs, to immediately carry out cardiopulmonary resuscitation (CPR), CPR should be carried out in the moment of sudden death, the sooner the better! The golden time is only 4 minutes, within 1 minute, the success rate of CPR for sudden death is 90%, within 4 minutes the success rate is 60%, within 6 minutes the success rate is 40%, within 8 minutes it is 20%, within 10 minutes it is 0, so that is why CPR should be mastered by everyone.

At the same time, we should be clear about the symptoms of heart attack, which will help us to recognize the heart attack and try to save lives.

Let's talk about the symptoms of an acute heart attack and the precursor symptoms of a heart attack. During an acute heart attack, patients often havePersistent pain, unrelieved for more than 20 minutes, accompanied by sweating, palpitations, nausea, vomiting, and even a sense of near death.Even containing nitroglycerin and so on can not be effectively relieved, this time a to play 120 emergency telephone, if there is oxygen hurry to oxygen, lying down, do not move.

The above are typical symptoms during a heart attack, and there are atypical ones, such as those that areneuralgiaThose who come to the dentist's office with a dental appointment, and the odd one out areToe headachesThere is.epigastric paincame to see a stomach doctor with aCoughing, wheezing, difficulty breathingThose who come to the clinic withconstriction in the throatThose who come to the clinic withLeft shoulder painThose who come to the clinic withfaint suddenlyorconvulsionCome to the clinic, so many times come to do an EKG, not that I'm nausea, stomach pain how to do an EKG, or I have a toothache how to let do an EKG, so that the EKG is a routine examination, at least to discharge whether there is a heart attack, so that the doctor's thinking is clearer, and so that the patient is more at ease.

Sometimes the precursor symptoms of infarction for a longer period of time, such as swim a certain five days ago, but they do not pay attention to, no way, he is still ECG suggests myocardial blood supply insufficiency, I have encountered a case, (that is more than 10 years ago), the morning to chest pain to check, the examination is normal, including electrocardiogram; to the evening and then to the emergency room to the clinic, and then to do the electrocardiogram, and found that myocardial blood supply insufficient performance. This patient is still very concerned about his health. What I want to say here is that a normal ECG does not mean that one's body is good, because theOnly when the coronary arteries supplying blood to the myocardium are narrowed to 70% or more, the electrocardiogram will show it, so it is important not to be careless!

Myocardial infarction is not new to most people when they see it, and the common causes of myocardial infarction are.

The coronary arteries supplying the heart are insufficiently supplied or reduced or even interrupted due to atherosclerosis, coronary artery embolism, or coronary artery spasm.

Low blood pressure, shock, heart failure, severe arrhythmia, severe anemia, and heart failure resulting in decreased or insufficient oxygen supply to the heart or increased oxygen consumption by the heart muscle due to severe hypertension and certain arrhythmias.

Predisposing factors for myocardial infarction.

Myocardial infarction usually occurs when patients have a hard bowel movement, when they are over-excited or in a hurry, when they have high mood swings, when they are over-exerted or undergoing strenuous exercise, when they have overeaten, or when there is a sudden change in the weather.

What are the signs that precede the onset of myocardial infarction?

Before the occurrence of myocardial infarction, there are some signs of coronary heart disease such as chest discomfort, chest pain, panic attacks, mother-in-law annoyance and shortness of breath.

So what are the signs that people will show when a myocardial infarction is coming?

The earliest manifestation of myocardial infarction is the familiar pain in the anterior region of the heart in the early morning (before and after sunrise) that persists without improvement, there is no obvious cause, the chest pain is severe, the chest pain is usually not relieved by resting and taking medication, and in addition to the pain in the anterior region of the heart, there is also often panic, restlessness, cold sweats, tightness in the chest, and the feeling of imminent death.

Pain in the precordial area is the earliest and most typical manifestation, but of course some people can also present with pain in these following areas, which can be easily misdiagnosed as acute abdomen, toothache, bone and joint pain:.

Epigastric pain, which can be accompanied by nausea and vomiting and bloating, can be easily mistaken or misdiagnosed as acute pancreatitis or gastric perforation.

Neck and shoulder back pain, back pain, shoulder pain, left upper extremity pain, easily mistaken for osteoarthritic pain, mainly neck and shoulder back pain due to myocardial infarction pain radiating to these areas.

Toothache, jaw pain, and throat pain are also involved and these particular pains occur.

The occurrence of myocardial infarction in addition to these parts of the above will appear pain, the patient can also appear fever, generalized weakness, low blood pressure, shock, dizziness, fainting, restlessness, pale, cold and clammy skin, decreased urination and profuse sweating, coughing sputum or cyanosis or even shortness of breath cyanosis dyspnea, confusion and other manifestations.

From the above can be seen, there are many myocardial infarction performance, if patients with coronary angina pectoris appeared above these manifestations continue to not get better or rest and take medication have not been relieved, then attach great importance to and raise the vigilance, timely medical treatment or timely call 120.

Myocardial infarction is not far away from us, some myocardial infarction may occur in the last second with you to eat together, suddenly covered the chest on the collapse. Myocardial infarction attack most people may think of is "angina", and then is the fast-acting heart pill. Wrong! Wrong! Myocardial infarction angina symptoms are more obvious, and can not be relieved by nitroglycerin. What exactly are the signs of a heart attack? Today to talk to you!

myocardial infarction

Heart attack and brain infarction are somewhat similar, are supplying blood arteries have problems, the heart's main blood supply is by the coronary arteries to complete, if the supply of a section of the heart muscle coronary artery blood flow is sharply reduced or interrupted, thus causing ischemic necrosis of the corresponding heart muscle. If only insufficient blood supply to the coronary arteries, resulting in acute, temporary ischemia and hypoxia of the myocardium generally only angina pectoris occurs, usually within 3-5 minutes to relieve, stop the original activity or contain nitroglycerin within 1-3 minutes after relief.

And myocardial infarction is because of coronary artery atherosclerosis, resulting in severe narrowing of the lumen and insufficient blood supply to the myocardium, generally speaking, there will be small side branches of the small arteries to continue to supply blood to maintain the function of the myocardium, but if small arteries fail to establish sufficiently, there is a sharp reduction or interruption of blood supply, so that the myocardium severe and persistent ischemia for more than one hour, that is, myocardial infarction occurs.

How does a myocardial infarction come about?

Myocardial infarction can develop from frequent angina, or it can be asymptomatic and go straight to myocardial infarction. Coronary atherosclerosis is the most common cause, but there are other predisposing factors to be aware of, such as thrombosis in the lumen, rupture of the atheromatous plaque, or other hemorrhages that lead to sustained vasospasm and complete occlusion of the coronary arteries. There is also because of shock, dehydration or surgical arrhythmia and other causes of cardiac blood volume suddenly reduced, and coronary artery perfusion sharply reduced, eat too much, too greasy so that the blood viscosity increased or heavy physical activity, emotional stress, defecation, etc. will induce the coronary artery blood supply of the obvious insufficiencies, which will induce myocardial infarction.

What are the manifestations of myocardial infarction?

Having said that, what kind of manifestations does a myocardial infarction have? It actually boils down to quite a bit:

Most patients have what is known as the prodromal symptoms of myocardial infarction such as weakness, chest discomfort, palpitations on activity, shortness of breath, irritability, and angina pectoris a few days before the onset of the disease. Angina occurs either for the first time or often before, but it is more severe, more intense and more prominent than before. The duration is also longer than before, the effectiveness of nitroglycerin is poor, and the angina attack is accompanied by nausea, vomiting, sweating, bradycardia, etc. All of these are called precursors to the occurrence of a myocardial infarction.

When myocardial infarction occurs, the earliest appearance is still pain, the pain site and nature is similar to angina pectoris, located in the posterior sternum or precordial area, often radiating to the left shoulder, the left arm medial to the ring finger and pinky, or to the pharynx, neck, jaw and so on. Often occurring in quiet or sleep, the pain is severe and more extensive, often in the form of intolerable pressure, suffocation or burning, accompanied by sweating, agitation, fear and a sense of near death.

Because of the absorption of necrotic tissue may cause fever, tachycardia, leukocytosis and increased erythrocyte sedimentation rate. Necrotic myocardial irritation of the vagus nerve and inadequate tissue perfusion due to decreased cardiac output may lead to nausea, vomiting, and epigastric distension early in the patient's pain.

How to prevent heart attacks

Primary prevention focuses on the prevention of atherosclerosis and coronary heart disease (CHD), while secondary prevention is the prevention of re-infarction and other cardiovascular events in those with a history of CHD and myocardial infarction. It generally involves: anti-platelet aggregation, anti-angina, prevention of arrhythmias, reduction of cardiac load, control of blood pressure, control of lipid levels, control of diet, treatment of diabetes, and encouragement of planned and appropriate exercise.

summarize

For the treatment of myocardial infarction, the main symptomatic relief of pain, thrombolytic therapy, interventional therapy, elimination of arrhythmia, treatment of heart failure. Usually should pay attention to rest, activities to not feel fatigue, diet should be low salt, low fat, low cholesterol, easy to digest, eat more vegetables, fruits, small amount of meals, should not eat too much, prohibit smoking and alcohol, to avoid strong tea, coffee, and too cold, too hot, spicy and stimulating food, to maintain bowel movement.

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When myocardial infarction occurs, usually the patient may have some symptoms in the previous days, such as having weakness, palpitations, shortness of breath, or angina pectoris is more frequent than the previous episodes, and at this time, if hospitalized in time, it is possible to avoid myocardial infarction. However, if there is no timely intervention, then the patient will progress to myocardial infarction, which is characterized by severe chest pain that can be discharged to the back, jaw, neck and other parts of the body, and lasts for a longer period of time than angina, and may be accompanied by sweating, a sense of fear, and a sense of near death. Some people may experience epigastric pain, which is thought to be stomach pain; others may experience fever, nausea, vomiting, and may be accompanied by cardiac arrhythmias, with premature ventricular contractions being the most common; others may experience ventricular fibrillation, which can lead to sudden death. The patient's blood pressure may rise in the early stages of the disease, but most people's blood pressure falls as the disease progresses. Myocardial infarction can also cause heart failure, in which patients present with symptoms such as breathlessness and stridor.

First of all, many heart attacks are asymptomatic.

Said infarction is triggered by a narrowing of the coronary artery vessels to less than 50%, sometimes without causing symptoms, so that despite the fact that there has been some narrowing, symptoms such as angina, or shortness of breath in the heart, do not occur.

However, there are atherosclerosis and plaques that are not visible and cannot be clearly felt, especially when these plaques suddenly rupture under certain circumstances, resulting in an acute thrombosis in the blood vessels, which can lead to a heart attack and, in severe cases, a life-threatening condition. Therefore, only when the hardening and narrowing of the blood vessels reaches a certain level will symptoms appear.

It can also be argued that many patients have a sudden onset of heart attack in the presence of asymptomatic coronary artery disease.

Here are the ones with symptoms:

Life-threatening heart attacks come in a hurry, so it's important to recognize them easily and in a short period of time.

First of all, the heart has an anterior wall and an inferior wall, and the two different parts of the heart attack have different symptoms. An attack in the front wall area is mainly painful and an attack in the lower wall area is sometimes painless.

anterior wall infarction

If you feel the chest and the sternum has a crushing pain, and stuffy, feel suffocated enough. This feeling sometimes also radiates to the back, arm, let a person feel that he is going to die, that is, the said: "S sense", ate fast-acting heart pills or nitroglycerin for half an hour is still not relieved, it will be obvious to tip!anterior wall infarction。

inferior wall infarction

Inferior wall infarction can be deceptive, it can be perceived as "upset stomach", with sudden dizziness, low blood pressure, and "upset stomach" feeling, also for a long period of time without relief, it may beinferior wall infarction。

Listen to the above also do not grass, because the stomach has a disease of the people is even more very much, some people eat wrong, after the meal uncomfortable feeling is very similar to it.

So many lower wall infarctions are misdiagnosed in major hospitals and treated as stomach problems. Inferior wall infarction is not as violent as anterior wall infarction, if you have any doubt, go to the nearest hospital to do an electrocardiogram, it is not difficult to diagnose, and you will know it at once.

In addition to the typical pain symptoms, note the following easily overlooked manifestations:

1. Patients without pain symptoms show hypotensive coma, or dyspnea, and can come up for air slightly in a sitting position;

2. A few patients have an obstructive sensation in the neck;

3. Pain in the upper jaw, throat, and teeth;

4. Gastrointestinal symptoms again such as nausea, vomiting, and bloating, which have already been mentioned, are most common in lower wall infarcts;

5. Alterations in consciousness: e.g., irritability;

6. Increased heart rate or bradycardia, peripheral symptoms such as cold clammy skin and decreased urine output.

For the definitive diagnosis of heart attack, it is summarized in 3 items:

1. Depending on how the pain is, both anterior and inferior wall infarctions are very typical and have been described above;

2. Doing an ECG is simple and accurate;

3. Cardiac enzymes, which can be detected when the heart muscle cells break and flow into the bloodstream.

急Is there a cure for sexual heart attack in Chinese medicine?

I regret to tell you frankly that for a long time, Chinese medicine practitioners have neither the opportunity nor the experience in the treatment of acute heart attacks. Unbeknownst to my fellow practitioners, I personally feel that there is no reliable and proven method of treating heart attacks in Chinese medicine at present.

Chinese medicine practitioners also do not have the opportunity to try, because once they are found, it is usually thrombolysis and stenting.

However, from ancient times, the "Treatise on Typhoid Fever" and "The Essentials of the Golden Chamber" have had records of first aid for heart attacks, such as lifting the arms and expanding the chest, etc. Modern people are still using them, but non-professionals should not move.

When it comes to heart attack emergencies, it is necessary to recognize that Western medicine is timely and effective.

old-fashionedIs there a cure for heart attacks in Chinese medicine?

The main advantages of TCM for the treatment of old heart attacks are 2:

1. The part of the myocardium that has been judged to be "bad S" due to ischemia may have thinned and enlarged, with some degree of heart failure. However, to be more precise, "bad S" should refer to the rupture of this part of the myocardium, but rupture is actually rare, and there are still countless myocardial blood vessels and cells that are still alive, and if they are alive, they have a blood supply, and Chinese medicine has a very good effect of maintaining and improving this part of the myocardium.

2. There are three major blood vessels in the heart: the anterior descending branch, the circumflex branch, and the right coronary artery; one of them is so-called "bad S", while the other branches may not have produced stenosis or bad S, and it is very feasible to adopt Chinese medicine treatment at this stage. For blood vessels that are not completely occluded, TCM has obvious effects in preventing and treating them, effectively avoiding the potential crisis in the part that has not yet been damaged, effectively preventing recurrence, and reducing the rate of hospital readmission.