Hello, everyone! I'm Dr. Xiao Wang, a long-time fan of coronary heart disease prevention, diagnosis and treatment, and rehabilitation!

We're talking about self-help during a coronary attack today.

Since coronary heart disease can be called an attack, it must have symptoms. The most common coronary heart disease with symptoms are angina pectoris, myocardial infarction, heart failure, and sudden death.

1. We are todayFrom Sudden Death.There is a type of myocardial infarction where the onset is sudden and direct and there is no chance of coming to the hospital.

But if someone is around at the time, they must not be ignored. In fact, whether it is sudden cardiac death or not, we have to find a way to resuscitate it. The first time to call 120.

The following picture, although you can not guarantee that their own rescue action must be standardized, must be in place, but there is always better than nothing, do even if there is a 1% hope, but also better than waiting for free zero hope.

2. Heart failure type.

There are some coronary heart disease, the performance of the attack is not angina pectoris, but chest tightness and breath holding, telangiectasia, dyspnea, can not lie down, sweating, these typical symptoms of heart failure. For coronary heart disease with heart failure as the first, we have no way to save ourselves, because the principle of its rescue is: diuresis, coronary dilation, control of anterior and posterior load. We ourselves do not have any drugs to take orally to achieve relief of heart failure. So, the only way, let the patient rely on, try to save some energy, call 120 as soon as possible.

3. Myocardial infarction type.

First of all, we usually can't tell if we are having a myocardial infarction, because sometimes there are other critical illnesses associated with the pain in the anterior region of the heart, such as aortic coarctation. These two diseases are treated on different principles, one is a blocked blood vessel and the other is a rupture of a large vessel.

There was nothing we could do to save ourselves, and the only way we could do it was to call 120 in the first instance, and have the patient lie down flat and wait for the 120 to arrive.

One thing about taking nitroglycerin at this time is that it doesn't make a lot of sense, and the second thing is that you don't really know the patient's blood pressure level.

If this individual patient has a clear past history of angina and feels in his or her own mind that it is caused by coronary artery disease, then 300 mg of aspirin can be taken orally immediately, chewing is best.

4.angina pectoris, which is a coronary heart attack that can be self-helpful and one of the most meaningful situations.

First we have to decide if we're having angina before we can know how to help ourselves, right?

Angina is divided into exertional angina and unstable angina.

Exertional angina, which mostly occurs after activity, old age, walking up stairs, etc., that causes an increase in heart rate, can be treated with a tablet of nitroglycerin and stopping the activity.

When angina is not present, the patient is still seen.

Unstable angina is an attack of angina that occurs even when there is no activity, is often worse with activity, usually lasts a few minutes to ten minutes, and can be significantly relieved by the inclusion of nitroglycerin.

That means the self-help method for angina is sublingual nitroglycerin.

Wait for symptoms to subside and seek medical attention immediately.

So how does angina really hurt?

As shown in the figure below.

Any pain in these red areas could be angina. Not only that, but palpitations, chest tightness and breath holding, sweating, having bowel movements, etc. could also be angina.

So isn't this the same as Dr. Wang Jr. saying that whenever it's hard there's a suspicion of angina.

Not really, angina is determined not only by the location, but also by the time of minutes to ten minutes as stated above;

There is also marked aggravation with activity, which is relieved by rest;

Nitric acid is a self-help method as well as a diagnostic method;

There is also the episodic nature, angina is usually episodic, sudden onset, relieved in a few minutes to time minutes, and relieved as normal without any discomfort.

Meanwhile, Dr. Wang tells you about a few pains that can definitely be ruled out as not being angina.

1. pain of pinpoint size; 2. pain in a line for a moment or two; 3. pain when pressed with the hand; 4. pain aggravated by a deep breath.

These types of pain are not angina.

In short, coronary heart disease self-help method is two: containing nitroglycerin to relieve angina, as soon as possible to consult a doctor.

Call 120.

Coronary heart disease or rely on the usual prevention-oriented, away from tobacco, healthy diet to prevent three high, strict control of three high, suitable for their own exercise.

Seek medical attention as soon as you have a hint of coronary heart disease, don't wait until you need to help yourself and it catches you off guard.

I'm Dr. Xiao Wang, associate chief physician of the All-Army Cardiac Intervention Center, with a longstanding interest in coronary heart disease!

Thank you for your attention!

If you have any questions, please @Dr. Xiao Wang Speak Health, the message will be replied as soon as possible at noon or in the evening time!

Coronary heart disease sudden attack, mainly with the typical symptoms of chest pain. Coronary heart disease patients, whether clinical manifestations, "angina pectoris", "myocardial infarction", can cause very serious consequences, patients once the onset of the disease, emergency assistance must be carried out, if the patient's onset next to no one in time to rescue, the patient must learn a number of self-protective means, not only can relieve the pain, but also can save lives.

Coronary heart disease is the main reason for the onset of coronary artery cardiovascular blockage narrowing, resulting in insufficient blood transfusion from the blood vessels to the heart, insufficient oxygen transfusion, once the myocardial oxygen consumption increases, the myocardium will be a sudden transient ischemia and hypoxia, at this time, the patient will have a dizziness, chest pain, breathlessness, weakness, and sweating and other phenomena.

Self-help modalities for patients with coronary artery disease:

1. Attention to rest

Coronary heart disease, no matter what kind of morbidity principle, is because the heart appears ischemia and hypoxia phenomenon, which leads to the onset of the patient, at this time the patient should not have any action, immediately let the body lie down or half-recumbent, as little as possible to consume physical strength, thus reducing the heart oxygen consumption, which will reduce the pain and shorten the time of onset of the disease.

2, disclose information

Coronary heart disease patients onset, will feel breathing difficulties, so the patient is located in the environment as spacious and ventilated as possible, to be able to breathe fresh air.

3. Drugs

Once diagnosed with coronary heart disease, "aspirin", "statin drugs" must be long-term medication to control the condition, and then always have "nitroglycerin" with you, when the patient occurs angina, sublingual nitroglycerin, pain relief, once found that the effect of nitroglycerin is not obvious or even no effect, you need to be alert to myocardial infarction. Sublingual nitroglycerin to relieve pain, once found that the effect of nitroglycerin is not obvious, or even no effect on the need to be alert to myocardial infarction.

4. Call 120 emergency

If it is a myocardial infarction attack, can not be at home to self-first aid, at any time there is a risk of death, so you should be the first time to call the 120 emergency telephone waiting for help, try not to go to the hospital on their own for treatment, on the way may be dangerous, and call the emergency telephone to explain the situation, the hospital will immediately open a green channel to save time.

Coronary heart disease is a series of symptoms caused by atherosclerosis of the blood vessels (coronary arteries) that supply blood to the heart muscle, resulting in ischemia and hypoxia of the heart muscle. Here we clarify a concept: acute coronary syndrome: it is a group of clinical syndromes caused by a sharp decrease in blood supply to the heart. It is also often referred to as a coronary heart attack. Simply put, coronary heart attack according to the severity of angina pectoris and myocardial infarction, different episodes have different symptoms and manifestations, we have to take different measures in self-help.

I. Angina pectoris

1. Typical symptoms of angina attack: the main manifestation is the sudden onset of the upper part of the sternum or after the interruption of the oppressive, stuffy or suffocating pain, which can involve most of the precordial area, and can be launched to the left shoulder, the left upper limb, the pain usually lasts for 1-5 minutes, and seldom exceeds 15 minutes.

2、Self-help measures: rest on the spot; quickly take a tablet of nitroglycerin (5 mg) under the tongue, the pain disappears within 1-2 minutes (rarely more than 5 minutes) can be repeated if necessary sublingual nitroglycerin. After relief, go to the hospital in time for further treatment with a clear diagnosis.

II. Myocardial infarction

Typical symptoms of myocardial infarction: angina aggravation, recurrent attacks, prolonged attack time, deterioration of nitroglycerin effect, or sudden severe and persistent pressure pain in the retrosternal or precordial area, which is not relieved by resting or taking nitroglycerin, and is often accompanied by agitation, fear, sweating and sense of dying; or palpitation and cardiac arrhythmia.

2, self-help measures: rest in place, eliminate non-professional handling, sublingual nitroglycerin, if there is aspirin around you can take 4 tablets (400 mg) orally; quickly seek help from others or call 999 or 120 emergency telephone on their own, explaining their symptoms and the specific location of the waiting for rescue. Time is myocardium, must be initiated emergency rescue to specialized hospitals for professional treatment. If there are conditions at home, high concentration of oxygen can be given while waiting for rescue.

Acute coronary syndrome episodes are often fatal and should be given high priority. Patients with a clear diagnosis of coronary artery disease are advised to carry nitroglycerin with them in case of emergency, and the usual

Thanks for reading and feel free to interact.

Zhang Jing Yun Unit: Beijing Fengtai Hospital Member of Pharmaceutical Affairs Network

September 6, 2018

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

The first step is to recognize the signs of a recurrence or exacerbation of coronary heart disease：

1. No chest tightness or chest pain in the past, but now has chest tightness and chest pain;

2 Symptoms were tolerable in the past and are now intolerable;

3 Episodes of chest tightness and chest pain used to be less frequent, but now they are more frequent than before.

4 In the past, episodes of chest tightness and discomfort were relieved by routine administration of nitroglycerin tablets tablets, etc., but are not relieved by current administration.

Coronary heart disease if the regular use of medication is generally can be stabilized, will not be aggravated, recurrence, aggravation mostly have triggering factors.

Common predisposing factors:Too full meals, strong tea, coffee, drinking alcohol, nervousness, emotional excitement, heavy exercise, stools, blood pressure, blood lipids, blood sugar is not well controlled, and so on.

A recurrence of coronary heart disease means that the person has already suffered from coronary heart disease, and the family should have stocked up on medicines for treating coronary heart disease.

If a recurrence of coronary heart disease has been recognized

1 Immediately stop all activities and rest.

2 Elimination of the above-mentioned causes of recurrence of coronary heart disease.

3 sublingual nitroglycerin 1 tablet sublingual, if not relieved, 5-10 minutes after the addition of a tablet, if the chest pain persists for more than half an hour can not be relieved, consider the possibility of myocardial infarction, immediately take aspirin 300mg and Polaris 300mg

4 Oxygen can also be administered if it is available at home.

5, do a good job of self-first aid as soon as possible after the convenience of the situation by dialing 120 or others waiting for rescue.

Coronary heart disease prevention:

1. Low-salt and low-fat diet: It is generally believed that limiting dietary cholesterol and saturated fatty acids, increasing unsaturated fatty acids, etc., and limiting salt and carbohydrate intake can prevent atherosclerosis.

2. Moderate physical activity: People who work in a seated position for a long time and lack physical activity are at high risk of coronary heart disease. Exercise can improve blood circulation.

3. Quit smoking; smoking plays a role in the development of coronary heart disease.

4. Treatment of related diseases: early detection and active treatment of high blood lipids, hypertension, diabetes and obesity, high uric acid and other diseases related to coronary heart disease, as far as possible to eliminate and control these risk factors.

5. Maintain a good state of mind: to eliminate unnecessary anxiety and fear, cultivate optimism.

6. Combine work and rest to prevent excessive mental stress and heavy physical labor. There should be enough sleep.

I hope this helps!

Hello.

A person when a coronary heart attack occurs, the main ways to help yourself are as follows:

I. Rest

III. Standing emergency medications

Those with a history of coronary artery disease should always have emergency medications on hand.Perhaps when you read this, you will think of sublingual nitroglycerin. Nitroglycerin is indeed an emergency remedy for relief of angina pectoris. It works by dilating the coronary arteries, improving oxygen consumption in the hypoxic zone of the myocardium, and thus relieving the symptoms of angina pectoris.However, it is important to clearly know that it dilates the coronary arteries as well as other blood vessels in the body, which in turn leads to a drop in blood pressure.

So if it's not an angina attack(Clinical manifestations of angina pectoris: 1. Chest pain is often a feeling of pressure, tightness or constriction; 2. Mainly after the upper or middle part of the sternal body, sometimes spreading to the precordial area, the size of the palm of the hand; 3. The pain appears and is often progressively aggravated, and then fades away within 3-5 minutes; 4. Angina pectoris attacks are commonly characterized by an increase in the heart rate and blood pressure, and by an expression of anxiety or a cold sweat.) TheContaining nitroglycerin is not "life-saving", do not blindly think that you can take nitroglycerin if you are sick.

Self-help methods of coronary heart disease. Immediately lie down, call 120 emergency telephone; there are cardiovascular expansion of the drug quickly sublingual (such as nitroglycerin, fast-acting heart pills, nifedipine tablets, etc.); unbuttoned collars, to maintain smooth breathing, deep breathing, stay calm. If there is someone next to you, please move the patient to a ventilated place, observe the patient's changes in time, and use artificial respiration and chest compressions if necessary. Thank you!

There are several ways in which people with coronary heart disease can can help themselves:

1. Maintain smooth breathing. Effective breathing is especially important for patients with acute coronary heart attack, should immediately open the window to ventilate the room to keep the air fresh. At the same time, untie the collar, timely removal of foreign objects in the oral cavity, so as to avoid accidental inhalation caused by airway blockage.

2. Rest. Whether angina or myocardial infarction, the patient should first immediately stop all activities, sit down or bed rest, prohibit running to call for help or walk to the hospital.

3. Nitroglycerin. Patients with a history of coronary heart disease should always have some emergency drugs. Once angina attack, can immediately sublingual nitroglycerin a piece, in one to two minutes can play a role in the effect, generally able to last half an hour.

4. Cardiopulmonary resuscitation. Coronary heart disease attack the most dangerous kind of common sense, that is, the most common cause is cardiac arrest. Therefore, for patients with cardiac arrest, cardiopulmonary resuscitation should be carried out in the shortest possible time, which can have a great survival rate

5, do a good job of self-first aid after the convenience of the case by dialing 120 or others waiting for rescue.

Cauterize the nail cap of the patient's middle finger with a cigarette or burning incense (save your life, don't be afraid to burn the patient!!!) (Do not be afraid of burning the patient!!!), generally 80 to 90 percent of the patients will wake up. (The tip of the middle finger is the place where the pericardium of the syncopal yin passes through.)

If it doesn't work, cauterize each fingernail cap of the patient with a burning cigarette or lighted incense.

If you only have a needle at hand and no cigarettes or burning incense, you can use the needle to puncture the patient's ten fingers to bleed. This method is called Ten Xuan Bloodletting.

---------- I hope this helps, and I welcome any other health questions you may have.

Immediately stop all activities, rest on the ground, immediately call 120 or call family members, home always have nitroglycerin oral tablets, onset of sublingual, it is best for family members to learn cardiac tamponade, the critical time can save lives!

Coronary heart attack is due to lack of oxygen to the heart, the heart will be very painful, pale, if not self-help is likely to be due to lack of oxygen and sudden death, then you must use the nose with all its strength to inhale oxygen, exhale through the mouth, inhale through the nose, so back and forth a few times, the heart because of the oxygenation of the heart and relief, no longer painful, a while on the good. I have experienced this situation twice, a family member had a heart attack because of anger, unconscious, told her to exhale and inhale as hard as she could, and she was fine in a while. This time must be calm, do not be nervous, the more nervous the more severe oxygen deprivation, many heart attack and sudden death are because of family members overly nervous, causing the patient more nervous caused by oxygen deprivation and died!