At the beginning of the new year, the news that the actor of Maggie in “Ba la la la Xiao Mo Xian” died of myocardial infarction and was only 26 years old appeared on the microblog, making more young people begin to care about their heart health. Even a slight movement of the body can trigger sensitive nerves – “am I not far away?” Look up the information. Chest pain is myocardial infarction? In fact, there are many reasons for chest pain. Many people feel that their heart is suddenly pricked by a needle, or the fork in the air hurts for a while. Are they suffering from angina pectoris or myocardial infarction? What common chest pain is not necessarily angina pectoris? Today, we selected several common chest pain and myocardial ischemia chest pain to make a simple distinction.
From the outside to the inside, the first one is herpes zoster. Herpes zoster is more common, and the pain is more severe, local touch or friction will aggravate, herpes zoster early rash does not necessarily come out, the surface can not be seen, not necessarily not, need to identify.
The second is fracture, especially osteoporosis in the elderly. The common way is to carry the elderly downstairs and make a little effort to knock. If the ribs are fractured, it will cause pain. If the pain is not touched, it may not hurt. If you take a deep breath and cough, it may hurt. It also needs to be identified.
Angina pectoris has nothing to do with breathing, and will not aggravate pain with deep breathing.
The third is intercostal neuralgia, intercostal neuralgia is also characterized by tingling, lasting for a few seconds. The stabbing pain flashed by, and the patient simply described the pain as “one second” or “one second”.
The fourth is costochondritis. There is cartilage between the ribs and sternum. Costochondritis is a kind of aseptic inflammatory reaction. This kind of pain also appears with the breath or the extrusion of the chest, which is also a common kind of chest pain. Angina pectoris can not be pressed, and there will be no “pressing” pain. Our heart is protected by the chest. It’s a bony structure, and you can’t touch it with your bare hands.
The fifth type of chest pain is pleural pain. When pneumonia, pleurisy will also cause pain, characterized by breathing, pleural friction caused by pain.
The sixth is lung disease, including pulmonary embolism, which we attach great importance to, because it is fatal. Typical manifestations of pulmonary embolism are chest pain, dyspnea and hemoptysis. The difference between pulmonary embolism and angina pain is that angina pain is paroxysmal and pulmonary embolism pain is persistent. Of course, the performance of pulmonary embolism is not all pain, there are no pain symptoms, some and angina are very similar, need to identify.
Others are aortic dissection and pneumothorax. If the air, chest and lung tissues are compressed, they will hold their breath. Chest pain is particularly obvious, especially tension pneumothorax, which needs emergency treatment.
By Wang Yanfu (Beijing Chest Hospital)
When these symptoms appear, be alert for myocardial infarction
Myocardial infarction, also known as acute myocardial infarction, is characterized by acute onset and high mortality. The main risk factors include middle age, smoking, hypertension, hyperlipidemia, diabetes, etc. The younger myocardial infarction is a significant trend in recent years. Beijing Emergency Center doctors, once young people have myocardial infarction, the condition is often more serious, prone to arrhythmia and sudden death. There are 600000 new cases of myocardial infarction in China every year, and the mortality rate is more than 30%. Autumn and winter are the high incidence seasons of myocardial infarction, so we need to strengthen the awareness of prevention.
According to reports, patients in the occurrence of acute myocardial infarction before there are some precursors, such as a few days before the onset of conscious fatigue, increased fatigue, chest discomfort, suffocation, shortness of breath, palpitations, irritability and other activities after symptoms worse, and even intermittent chest pain, that is, angina pectoris.
Generally, the attack is frequent 24 hours before myocardial infarction, the duration of each chest pain is not long, there can be repeated attacks, often accompanied by systemic sweating and nausea and vomiting, there may be chest tightness, suffocation, dyspnea and other symptoms. Once the symptoms of myocardial infarction are found, the following intervention measures should be taken
Stop activity, stabilize mood, take oxygen and chew 2-3 aspirin (200-300 mg). If there is no hypotension, take 1 nitroglycerin sublingually. If the condition is not improved, you can take another nitroglycerin every 3-5 minutes, up to 3 tablets. Therefore, patients with relevant medical history should take first aid drugs with them.
When patients with cardiovascular disease, sudden severe pain in the heart and mouth, accompanied by cold sweat around the body, the first thing to think about is the possibility of acute myocardial infarction. At this time, we must not be busy moving, but should let the patient lie down on the spot, do not turn over, do not let it move, do not let the patient speak, and do not let the people around speak loudly, so as to keep the patient’s mood stable. Maintain air circulation to facilitate the patient’s breathing; oxygen can be inhaled immediately if conditions permit; if the patient has emergency medicine nearby, it should be taken in time, and call the emergency telephone to ask the professional medical staff to deal with it. When the patient’s condition is under control, he can be sent to the hospital for treatment smoothly.
Reporter Li Jie