The storm was unmistakable!Cardiology acute myocardial infarction green channel 24-hour adherence

2022-05-02 0 By

Although spring has entered the Year of the Tiger, recent days have seen temperatures drop, rain and snow across the country.In the early morning of February 13, Beijing’s blizzard also arrived as scheduled.When the weather is warm and cold, the number of cardiovascular emergencies also increases.Both the Xinlongze and Huilongguan emergency departments of Beijing Jishuitan Hospital are extremely busy, including the rescue of many cardiovascular patients.The green Channel team of the Department of Cardiology for ACUTE myocardial infarction also opened occluded blood vessels for patients with acute myocardial infarction and saved necrotic myocardium in spite of cold and snow.At 1 o ‘clock this morning, by ambulance to jishuitan hospital neosaurus ze CGMH between 60, Mr. Xie is a diabetic patients, acute myocardial infarction in the outer court because during the month of September last year before descending into a stent, is taking half jins drunk the night before the area before the heart pain, does not relieve accompanied by abdominal pain, nausea and vomiting.Emergency ecg showed acute anterior wall myocardial infarction.After the emergency department saw the patient, immediately contacted the second line of cardiology Dr. Ren LAN and started the emergency green channel, the director of cardiology Liu Wei, Chen Youzhou attending physician and the nurse technician of the catheter room rushed to the hospital within 30 minutes, immediately implemented coronary angiography examination for the patient.The examination showed that the stent of the descending anterior branch was occlusions. Dr. Liu Wei and Dr. Chen Youzhou, attending physicians, quickly opened the vessel and the patient’s condition was stable.The more serious is that the patient is still smoking after stent implantation, and the medication is irregular. The main reason for the stent thrombosis is not the stent itself, but the poor living habits of the patient.Wrapped in snow and white in Beijing this morning, A 43-year-old man surnamed Li was taken by ambulance to the Huilongguan ward of Jishuitan Hospital after suffering severe chest pains the day before.Emergency department according to electrocardiogram diagnosis of acute inferior wall myocardial infarction, contact cardiology SAN Ma 栴 deputy chief physician, and start the green channel.Liu Wei, director of the department of cardiology, Chen Youzhou, attending physician, Miao Caifen, a nurse in the catheter room, and Hu Dongyue, a technician, all drove to the hospital within 40 minutes despite the snow and snow.The patient’s coronary angiography showed right coronary artery occlusion accompanied by thrombosis, and 95% stenosis of the anterior descending branch of the left coronary artery. Director Liu Wei and Attending physician Chen Youzhou quickly opened the right coronary artery, aspirated the thrombus, performed intravascular ultrasound examination, and finally implanted a stent, and the anterior descending branch was treated at an appropriate time.Why does a 43-year-old need stents? Ask the patient carefully whether the culprit is nearly 10 years of diabetes and bad lifestyle.Intravascular ultrasound examination revealed diffuse plaques throughout the patient’s blood vessels.Director Liu Wei after the echocardiography examination for the patient so, warm and cold season, cardiovascular patients should pay attention to what things, in order to protect the heart, prevent myocardial infarction?What hidden dangers should patients with cardiovascular diseases be aware of during seasonal change?Spring has quietly arrived, everything is alive, it is a good time!However, due to the large temperature difference between morning and evening in spring, the blood pressure of patients with cardiovascular diseases also fluctuates with the temperature, which has caused some troubles to everyone.Patients with cardiovascular diseases should regularly monitor their blood pressure, avoid high or low blood pressure, and pay attention to whether they have chest pain, palpitation, chest tightness, asthma, dizziness, headache, black eyes, unstable walking, general fatigue and other cardiovascular disease symptoms.If the blood pressure fluctuates greatly, or the above uncomfortable symptoms occur, please see the relevant department of the hospital as soon as possible.What should patients with cardiovascular disease pay attention to when taking medicine in winter and spring?In the change of season, friends with cardiovascular diseases should pay attention to the increase and decrease of clothing, adhere to a less salt, low-fat diet, do more aerobic exercise at the same time, continue the original drug regimen, regular medication, especially can not increase or decrease at will antihypertensive, hypoglycemic, lipidlowering drugs, more can not stop medicine at will!If your blood pressure fluctuates greatly recently, it is recommended to monitor blood pressure regularly at home, and at the same time visit the cardiology department of the hospital to seek help from your specialist doctor, so as to understand the changes in your own condition and adjust your individual antihypertensive plan.At the same time, pay attention to the regulation and management of blood glucose and blood lipids, and do not stop or change medication by yourself. If there is any abnormality or fluctuation, seek professional advice from the doctor as soon as possible.In the face of reverse cold, how should patients with cardiovascular disease adjust their life?Patients with cardiovascular diseases should keep warm, avoid blood pressure fluctuations caused by alternating hot and cold air, add and remove clothes in time, pay attention to indoor ventilation, and wear masks outside to avoid cold and cold caused by sometimes hot and sometimes cold weather.Especially in the elderly, long Johns, sweater wool pants, the wear will wear.In addition, spring is the time of the year. It is recommended that patients with cardiovascular diseases go out and do some aerobic exercise when the weather is good, such as Taijiquan, Baduanjin, square dance, etc., to help regulate blood pressure, blood sugar and blood lipids.Exercise should be carried out at noon or afternoon when the temperature is high, and exercise should be avoided in the morning when the temperature is low. Therefore, people with cardiovascular diseases should arrange exercise time reasonably and control the amount of exercise, especially avoid intense sports, such as mountaineering, night running and winter swimming.Liu Tong, Department of Cardiology