The old man was watching TV when his chest suddenly ached.
"Looking back now, I am quite scared." 65438+1month 18, in the cardiology ward of Daxing Hospital, Master Zhang was in stable condition after undergoing heart stent surgery. But he repeatedly said to the doctor on the side, "I must give up smoking and drinking this time."
Master Zhang, 67, said that on the afternoon of June 5438+1October 65438+May 5, he sat on the sofa in the living room watching TV after lunch, and suddenly his chest ached and he couldn't breathe well. Master Zhang's wife quickly brought the quick-acting rescue pills standing at home and let him eat them. Thinking that lying flat might relieve symptoms, Master Zhang didn't dial 120, but slept for a while. However, the symptoms of chest pain have not been alleviated at all. My wife saw Master Zhang sweating and quickly took him to the hospital.
At 4: 35 pm on June 5438+05, Master Zhang and his family came to an Daxing Hospital. After receiving treatment, the senior deputy chief physician of the Department of Cardiology considered Master Zhang as an acute myocardial infarction, and immediately made an electrocardiogram examination, which was diagnosed as acute inferior myocardial infarction. While assisting the patient to take dual antiplatelet drugs orally, coronary angiography was performed immediately. The results showed that about 90% of Master Zhang's right crown was narrow and his life was dying. Li Zhili, director of the Department of Cardiology, and Yan Yuping, deputy chief physician, immediately performed balloon dilatation and stent implantation for the patient.
"Master Zhang is a serious three-vessel coronary heart disease. In addition to the right coronary artery, the left anterior descending branch and the circumflex branch are severely narrowed. " Yan Yuping introduced that considering that the culprit's blood vessel is the right coronary artery, the right coronary artery should be treated first. Under the protection of temporary pacemaker, Master Zhang successfully implanted a domestic stent for the patient.
It took 52 minutes from master Zhang's admission to the passage of the guide wire and the opening of the blood vessel. The patient received timely and effective treatment and returned to the cardiology ward in the afternoon.
"The hospital implemented the national stent price reduction policy, and the domestic stent with an average of nearly 10,000 yuan has now dropped to 593 yuan." According to the director of cardiology, Master Zhang became the first beneficiary of the hospital's policy of reducing prices and benefiting the people.
On June 5438-1October 065438, 2020, the National Medical Insurance Bureau conducted the first centralized procurement of medical consumables coronary stents, which greatly reduced the use price of coronary stents and reduced the burden on patients.
Call as soon as you have chest tightness, chest pain and sweating 120.
65438+1October 18 Master Zhang is lying in a hospital bed in a good mental state. During the inspection tour, he told Master Zhang again that he must quit smoking and drinking after recovery.
Master Zhang has been smoking and drinking for more than forty years. He said that in those years when he was at work, he had a lot of entertainment and spent the whole day "soaking" in wine. Retired, used to smoking and drinking. I drink a pack of cigarettes a day and three or four times a week. Every time there are eight taels to a kilo.
Yan Yuping introduced that acute myocardial infarction is a serious type of coronary heart disease. Coronary heart disease refers to the long-term existence of smoking, hypertension, hyperlipidemia and other risk factors, the coronary artery of the heart hardens and forms plaques and vascular stenosis. If the plaque rupture or severe stenosis blocks the coronary artery, it will cause myocardial infarction.
"Smoking and heavy drinking can easily lead to acute myocardial infarction. After smoking, nicotine and other toxic substances in tobacco will damage vascular endothelium. Vascular endothelial injury can cause vasospasm and even rupture and bleeding of atherosclerotic plaque, which can cause thrombosis and block blood vessels. " Introduction to proverbs.
"The patient came to the hospital two hours after the onset of illness, during which many practices were inappropriate. Master Zhang had coronary heart disease, chest tightness, chest pain and sweating before. He should call 120 instead of sleeping or going to the hospital by himself. " Director Li Zhili said that if people have a history of hypertension, diabetes and long-term smoking, it is suggested to quit smoking as soon as possible, control blood sugar, blood pressure and blood lipid to reach the standard, and remove the risk factors of cardiovascular diseases. In addition, if you have chest pain, avoid exertion, call 120 or the chest pain center of the nearest hospital, and wait for the medical staff on your back.