7 cases of myocardial infarction were treated in one and a half days! Doctor: They all have these common characteristics!

Reviewer of this article: Chen Haixu, Deputy Director and Master Supervisor of the Second Medical Center of PLA General Hospital

On Monday, June 13, the emergency department of Shenzhen No. 3 People's Hospital received seven patients with myocardial infarction in one and a half days.

7 patients with myocardial infarction were treated in one and a half days

Shenzhen Third People's Hospital released these cases:

On June 13, 30-year-old Mr. Xu (pseudonym) arrived at the company on Monday and started to deal with various tasks non-stop. At 3 pm, he suddenly felt chest tightness and pain. He wanted to endure it, but he did not expect that the chest pain became more and more severe, and he sweated profusely.

When colleagues saw something was wrong, they immediately called 120. After sending the patient to the emergency department for examination, it was confirmed that he had acute myocardial infarction and blockage of the heart vessels. His condition was extremely critical and an interventional surgery had to be performed as soon as possible to open the blocked blood vessels.

During the operation, the team led by Wu Jiafeng, deputy chief physician of the cardiovascular department of Shenzhen Third People's Hospital, discovered that Mr. Xu, at a young age, had his heart's largest blood vessel, the anterior descending branch, completely blocked at its opening, causing extensive myocardial infarction, very poor heart function, and a critical condition.

Follow-up after the operation revealed that he had the habit of smoking and drinking. Due to insomnia, he had only slept 4 to 5 hours a day on average recently. The long-term "staying up late + smoking + drinking" lifestyle, coupled with irregular eating habits and other bad living habits, had already put a heavy burden on his body.

Shenzhen Third People's Hospital

We just opened the blood vessels for Mr. Xu, but within a day and a half, another 6 patients with acute myocardial infarction came in one after another:

A 41-year-old male with a history of ischemic cerebral infarction suddenly felt chest tightness while walking at 21:30 on June 13.

A 60-year-old male with a history of cerebral infarction, which left him with right upper limb weakness, hypertension, and diabetes mellitus suffered a sudden ventricular fibrillation during hospitalization in the ICU (Intensive Care Unit) on June 13.

A 51-year-old female developed sudden chest pain at 6:30 a.m. on June 14, accompanied by profuse sweating and pale complexion.

A 39-year-old male with a history of hypertension, hyperlipidemia, and hyperuricemia, and a history of smoking and drinking, began to experience recurrent chest pain one day ago and went to the emergency department at 9:21 on June 14.

A 60-year-old female with a history of hypertension and diabetes developed sudden chest tightness and dyspnea at 23:00 on June 13.

A 70-year-old woman suddenly developed severe chest and back pain while sleeping at 15:00 on June 14, accompanied by profuse sweating.

The doctor recalled that they all had these characteristics

In just one and a half days, the Department of Cardiology of Shenzhen Third People's Hospital rescued 7 patients with myocardial infarction and 2 patients with angina pectoris. After careful questioning, it was found that they had the following common characteristics:

Long-term smoking

Long-term drinking

Staying up late for a long time

obesity

High cholesterol

hypertension

diabetes

Pre-existing heart disease

Tian Ye, director of the Department of Cardiology at Shenzhen Third People's Hospital, said that myocardial infarction and other coronary heart diseases are diseases associated with multiple risk factors. They are actually chronic diseases, and eventually blood vessel blockages often occur over a long period of time.

For example, hyperlipidemia, hypertension or metabolic abnormalities will gradually accumulate and cause blood vessels to become blocked, eventually leading to myocardial infarction.

The patients' "own factors" combined with the time nodes of "extreme weather" + "Monday" caused multiple risk factors to overlap, triggering their myocardial infarction.

My heart is afraid of Monday

Anxiety or reasons

Tian Ye, director of the Department of Cardiology at Shenzhen Third People's Hospital, said that the incidence rate is highest on Mondays during the week because after the weekend of relaxation, people are extremely tense on Monday, which increases blood vessel pressure and causes myocardial infarction.

Indeed, for the relaxed state on weekends, Monday means that this relaxed state will suddenly "brake" and turn into a tense, normal working state, which will produce some uncomfortable reactions in people's physiological and psychological aspects.

A survey of 2,856 myocardial infarction patients from two hospitals in Hunan published in the Journal of Hunan Normal University (Medical Edition) in 2008 found that the number of cases was highest on Monday, nearly twice that of Thursday, when the number of cases was lowest. The number of cases gradually decreased from Monday to Thursday, then gradually increased, reaching a peak again on Saturday.

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Studies have pointed out that Monday is the first day of the week from a rest day to a working day. The pace of life is quickened, and people usually face new work tasks on the first day of the week. They may be under more work pressure or be tired from work, which may lead to the occurrence of myocardial infarction.

Similar situations have also occurred in foreign countries. A recent Swedish study published in the European Journal of Heart Disease found that different days affect the probability of heart attacks. The study conducted a comprehensive analysis of data from 156,000 hospitalized heart patients over a period of 7 years and found that heart attacks occurred most frequently on Mondays and least frequently on Saturdays. The study pointed out that the risk of heart attacks on Mondays was 11% higher than on any day from Tuesday to Friday.

Pay attention to these 6 points to avoid heart attack!

1. Don’t stay up late for a long time

Zhu Ying, chief physician of the Department of Cardiology at the Second Affiliated Hospital of Zhejiang University School of Medicine, said: "Working overtime, staying up late, and increasing stress can cause the arteries to become completely blocked in an emergency, which may increase from 50% to 85% in an instant, or even worse, completely blocked all of a sudden, which can lead to a heart attack."

2. Don’t eat too much salt

Chen Manhua, director of the Department of Cardiology at Wuhan Central Hospital in Hubei Province, said that eating too much salt can increase the cardiovascular burden and cause high arterial blood pressure, which can lead to acute myocardial infarction.

However, the "China Cardiovascular Health and Disease Report 2021" points out that the consumption of edible oil and cooking salt in my country is far higher than the recommended amount.

3. Control the three highs

Controlling the three highs can effectively prevent and delay the formation and development of plaques and avoid myocardial infarction. Wang Fang, chief physician of the Department of Cardiology at Beijing Hospital, said that we often talk about the three highs, among which blood pressure is the lateral pressure of blood on the blood vessel wall, and blood lipids are the general term for neutral fats and lipids in plasma. They are directly related to vascular plaques and even cerebral infarction and myocardial infarction, and we must keep both hands on.

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4. Keep your emotions in check

Liu Meiyan, chief physician of the Department of Cardiology at Beijing Anzhen Hospital, said that studies have found that people who are usually under great mental stress or have negative mental states such as anxiety and depression are more likely to suffer from heart disease, and heart disease patients with psychological problems have a worse prognosis than those without psychological problems. The mechanism may be related to the fact that increased mental stress can cause arrhythmias, increase platelet aggregation, and promote the occurrence and development of atherosclerosis.

5. Try not to drink alcohol

Wang Lixiang, former director of the emergency department of the Third Medical Center of the PLA General Hospital, said that many people have the habit of drinking a little wine while dining, but alcohol can excite the brain, increase heart rate, blood pressure, and induce arrhythmia. For people with cardiovascular and cerebrovascular diseases, it can induce coronary artery spasm or acute myocardial infarction.

6. You must quit smoking

According to a report released by the World Health Organization in September 2020, one in five deaths from heart disease is caused by tobacco. Every year, 1.9 million people die from tobacco-induced heart disease worldwide. This number has increased by more than 200,000 in just two decades.

The health benefits of quitting smoking can be seen within hours and last for decades. After 15 years of quitting smoking, the risk of coronary heart disease can be reduced to the same as that of people who have never smoked.

Source: Health Times

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