Sudden death at the age of 34： How far is ＂sudden death＂ from us？
Recently, the sudden death of a 34-year-old graduate student has sparked heated discussions. Originally, I graduated in half a month, but I didn’t expect to fall in the study room in the early morning and never get up again. ……
The family members of the deceased once voiced that they had checked and confirmed that there was a heart problem in May this year, and the examination result was "arrhythmia of coronary heart disease".
While lamenting the fragility of life, we must understand the preciousness of life, pay attention to our health, and our own health problems must not be ignored. This small series and everyone popularize coronary heart disease, including how to prevent coronary heart disease and first aid in emergencies.
# Talk about health on Thursday
9: 00 a.m. on January 20th.
Health lecture hall on the first floor of 5G medical ward building in the First Hospital of Medical University
Coronary heart disease (CHD) is a heart disease caused by myocardial ischemia and hypoxia caused by the blockage of blood vessels (coronary arteries) supplying heart nutrition by atherosclerotic plaque (or thrombus).
Coronary heart disease is prone to:
1, middle-aged and elderly people, smokers, hypertensive patients, diabetic patients, obese people.
2. Bad lifestyles include smoking, unreasonable diet (high fat, high calorie, etc.), lack of physical activity, excessive drinking, and social and psychological factors.
3. Irreversible risk factors are: gender, age and family history. In addition, it is related to infection, such as cytomegalovirus, chlamydia pneumoniae and helicobacter pylori.
4. The onset of coronary heart disease is often related to seasonal changes, emotional excitement, increased physical activity, satiety, heavy smoking and drinking.
What are the common symptoms of coronary heart disease?
There is pain behind the sternum or in the precordial area, which sometimes involves the shoulder, the inside of the left arm, the fingers and the pharynx;
Pain can be manifested as burning, soreness, tightness or feeling of oppression;
Pain is induced by intense emotional fluctuation, strong physical activity, full meal and cold.
Pain can generally be relieved in 3-5 minutes;
If the attack is frequent and lasts for a long time, you should be alert to "acute myocardial infarction" and seek medical advice as soon as possible;
Some patients have no obvious discomfort.
How to prevent and treat it?
1. Patients with coronary heart disease should have a low-fat diet, exercise properly and maintain emotional stability in their daily lives.
(1) usually drink warm water;
② Eat more fresh vegetables and fruits, and pay attention to a low-salt, low-sugar and low-fat diet;
③ Don’t smoke and drink, pay attention to rest, and don’t stay up late;
④ Exercise properly every day, control your weight, relax your stress and maintain a happy mood;
⑤ Once accompanied by hypertension, hyperglycemia and hyperlipidemia, long-term medication control is needed.
2. Women are over 60 years old and men are over 55 years old. It is recommended that patients take low-dose aspirin regularly. The treatment methods of different patients are different, so it is necessary to adopt correct methods for symptomatic treatment. Please follow the doctor’s advice for drug use and treatment.
Once coronary heart disease occurs, how to give first aid?
1. First of all, stop activities and have a rest immediately.
2. Unbutton the buttons while evacuating the onlookers to ensure adequate oxygen supply.
3. Use spare emergency medicine in time, and call 120 emergency number at the same time. Never move the patient at will.
Nitroglycerin is the first choice for first aid of coronary heart disease? Or quick-acting rescue pills?
Nitroglycerin should be the first choice for acute angina pectoris.
When nitroglycerin is ineffective, quick-acting jiuxin pills can be used.
When nitroglycerin is contraindicated or intolerant, quick-acting Jiuxin Pills can be used.
# Tips
Nitroglycerin must be taken sublingually; Must be taken in a sitting position; Take it continuously for up to three times; Change the medicine in time. Nitroglycerin must be stored in a cool place, and it will be invalid for 3-6 months after opening the bottle cap. Borneol in Suxiao Jiuxin Pills is easy to volatilize.
Yang Zhiyu, five subjects in the heart
week
four
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healthy
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Current expert
Yang Zhiyu
Department of Cardiovascular Medicine, First Hospital of Hebei Medical University
Chief physician, master tutor
He studied pacing electrophysiology, heart failure and difficult and severe heart disease in Peking University People’s Hospital and Beijing Fuwai Hospital successively.
Audit/Title: Wang Jing and Han Xu.
Text: Yang Zhiyu
Finishing/Editing: Liu Danyang
Image source: Network
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