I thought it was a stomach problem, but it turned out to be a myocardial infarction! During the rainy season, be alert to this symptom!

In recent days, at Zhejiang Provincial People's Hospital, a man developed chest pain and abdominal pain after drinking. It turned out that he had a heart attack and acute pancreatitis at the same time. He was out of danger after treatment. Another man thought he had a stomach problem and refused the doctor's advice. After the doctor's persistent persuasion, he finally agreed to accept treatment and is now out of danger.

Doctors believe that many cases of myocardial infarction are related to the current rainy season in addition to some factors of the patients themselves.

Mistakenly thought it was a stomach problem

Myocardial infarction

Mr. Zou (pseudonym), who is nearly 60 years old, suddenly felt nauseous and vomited twice after breakfast a few days ago. At the same time, he had obvious heartburn in the chest area. After taking stomach medicine, there was no improvement, so he came to Zhejiang Provincial People's Hospital for treatment.

The doctor asked about his medical history and found that Mr. Zou had a 20-year history of smoking. The emergency electrocardiogram showed inferior ST segment depression and the emergency myocardial injury marker was 2.58ug/l, which was considered to be acute non-ST-segment elevation myocardial infarction. The doctor immediately gave him aspirin, Plavix antiplatelet, heparin anticoagulation and other treatments, and recommended emergency coronary intervention.

Unexpectedly, Mr. Zou refused outright and insisted that he just had a stomachache.

As time passed, the doctor patiently persuaded and repeatedly explained the condition; gradually, the patient and his family had a deeper understanding of the risks of acute myocardial infarction and finally agreed to undergo coronary angiography.

As expected, the examination results showed that the patient had obvious stenosis in several coronary arteries, especially the complete closure of the left circumflex coronary artery, which was very dangerous. Chief Physician Zheng Hao performed PCI and balloon angioplasty... After the operation, the patient's condition was stable. After learning the truth, the patient and his family thanked the doctor repeatedly.

Coincidentally, Mr. Gong (pseudonym), who has smoked for more than 30 years, is also in danger. "Myocardial infarction and acute pancreatitis are combined at the same time. It is very rare and very dangerous!"

Mr. Gong, 50, was sent to the emergency room 5 hours after suffering from severe chest and abdominal pain after drinking. The electrocardiogram showed acute inferior wall ST-segment elevation myocardial infarction, requiring emergency surgery.

Emergency coronary angiography showed that the large right coronary artery was severely blocked, and doctors quickly opened the blood vessel and implanted a stent.

What curious the doctor was that the patient's chest pain symptoms improved after the operation, but the abdominal pain persisted.

Examination revealed that the patient's amylase level was elevated and abdominal CT indicated peripancreatic exudation. After inquiring about his medical history, it turned out that he had been drinking heavily before and had a history of pancreatitis... After fasting, acid suppression and anti-inflammatory treatment, somatostatin and other treatments, the patient's condition gradually improved.

Rainy season

More need to be vigilant about heart attack

Doctors say that we need to be alert to cardiovascular diseases such as myocardial infarction during the rainy season.

"The characteristics of the plum rain days in the south of the Yangtze River are high humidity, stuffiness, and hot weather. The capillaries in the body's epidermis are lost, blood accumulates in the epidermis, and the blood supply is relatively reduced. At the same time, a lot of sweating in summer makes the blood relatively viscous, which may cause insufficient blood supply to the heart vessels, especially for patients who already have myocardial infarction. They are more likely to suffer from symptoms of insufficient blood supply to the heart, such as chest tightness, shortness of breath, and chest pain." The plum rain weather is hot, and the temperature changes unpredictably. The body's central nervous system's nerve center is affected by environmental factors, the autonomic nervous system is disordered, the central nervous system is excited, and the cardiovascular contraction and left ventricular function are not coordinated, aggravating the symptoms of insufficient blood supply to the heart.

Doctors say that the days are short and the nights are long in summer, people feel uncomfortable during the rainy season, and their sleep quality at night is reduced. In addition, excessive fatigue due to travel and staying up late during the Dragon Boat Festival will increase the burden on the heart and induce heart problems.

Doctors remind that during the rainy season, we should keep a regular schedule, avoid staying up late and overwork, and at the same time maintain a calm mindset and avoid being too emotional and mentally stressed. Do not neglect the treatment of related diseases. Patients with hypertension, diabetes, hyperlipidemia, etc. should take medication on time and must not stop taking medication at will.

Myocardial infarction may sometimes present itself as a feint to the east and attack in the west. For example, if a patient experiences heartburn, they may mistakenly think it is gastritis, but it turns out to be a more dangerous myocardial infarction. You should be extra careful. The warning signs of most patients with acute myocardial infarction are fatigue, chest tightness, frequent angina pectoris, difficulty breathing, accompanied by nausea, vomiting, sweating, etc. For patients suspected of acute myocardial infarction, you should call 120 in time.