Friday, December 28, 2007

So what are atypical AMI performance?

Acute myocardial infarction is of a very dangerous disease. A typical case is not difficult to diagnosis, most patients with acute myocardial infarction due to the Department of shoulder pain accompanied by chest pain, nausea, vomiting and medical treatment. Some of these patients may have severe heart before or after the sternum in a typical angina, chest tightness, difficulty in breathing or oppression austerity flu, and quickly developed into shock and pulmonary edema, or even sudden death. The most common atypical angina. Patients with angina pectoris short time, or only showed mild chest insertion flu, or manual after breathing difficulties without angina, or pain for the main performance. Patients with congestive heart failure, or the beginning of the original heart failure increased myocardial infarction is not typical of a common clinical manifestations. Elderly exertion or resting when serious breathing difficulties, or in a paroxysmal nocturnal dyspnea accompanied by peripheral edema, also suggested that a possible myocardial infarction. Acute myocardial infarction, also a cardiac arrhythmia, stroke, syncope, performance, and even fainted from shock to the patients may feel any pain, then he must immediately ECG examination, serum myocardial enzymes, and other causes of loss of consciousness or coma phase identification. It is noteworthy that some patients with myocardial infarction in the upper abdominal pain, nausea and vomiting and diarrhea, and clinical manifestations of acute cholecystitis vulnerable, confused with peptic ulcer or gastritis. Atypical also easily as myocardial infarction cardiac neurosis, asked in detail about the history and do inspections, it is easy to misdiagnosis and missed diagnosis. In addition, a peripheral vascular thrombosis may also be a signal of myocardial infarction, patients are often physically Humidicool suddenly appeared, no pulse. Elderly patients with acute myocardial infarction is a serious threat to the life of the elderly in one of the critical urgency, the occurrence of the above suspicious symptoms should be highly vigilant, diagnosed promptly to the hospital, where time to avoid delays. Chest pain to have to go to the hospital? Save time on patients with acute myocardial infarction Why so important? "Chest pain at the hospital", "time is myocardium." Coronary heart disease is the most common manifestations of chest pain, more than half of acute myocardial infarction without aura, and to sudden cardiac chest pain for the performance. Vascular thrombosis from the supply of myocardial necrosis, in the latest person is 6 ~ 12 hours, this medicine is often said that the time window - the rescue of prime time. Time did not seize the window, the patient will have to pay disability, death price. We call in the shortest possible time as soon as possible to open infarction "criminals" vessels, called thrombolytic therapy at the hospital within half an hour, PT-CA (percutaneous transluminal coronary angioplasty) requires reaching the hospital after 60 to 90 minutes of the conduct. The sooner the treatment, the cardiac save more, save more lives. So time is cardiomyopathy, time is life, loss of time is the loss of lives. Currently Even in developed countries, such as Sweden is universal health care, first-aid facilities and measures are complete, really early intervention PTCA timely implementation of the hospital is still small. We are also very much worse, the patient to the hospital, will encounter different levels of doctors, patients often come sooner, not the more typical clinical manifestations, from the Office of Emergency procedures --- --- --- a spokesman confirmed --- --- catheter ICU room, many of them fatal consumed valuable time weak link. Rescue should be established cardiovascular disease green channel by heart specialist doctors 24 hours a day attending to the families of patients with acute myocardial infarction once fatal and suggest, once, are not received in advance expenses, save lives, after paying, because life of patients with acute myocardial infarction 1 hour, among many aspects of life will not be.

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