On December 27, Ms. Zhou Feng, the sister of the well-known actor Zhou Haimei, issued a statement. The statement mentioned the cause of Zhou Haimei's death: "Based on the surveillance video and the forensic department's appraisal, it was comprehensively determined that Zhou Haimei died suddenly of a heart attack. She was very calm, peaceful and without pain. I hope everyone will stop discussing and guessing the cause of death. Please give more information." Respect " .
In recent years, news of the tragic death of celebrities due to sudden myocardial infarction has frequently appeared on hot searches, triggering heated public discussions.
Is self-cardiopulmonary resuscitation reliable?
We all know that timely and correct CPR can save the lives of patients with myocardial infarction. But it also seems to have fallen into a "misunderstanding": Is it possible to escape death only if medical staff or family members are by your side? What should you do if you have a myocardial infarction when you live alone or there is no one around you who knows CPR?
Some self-media claimed that mastering "self-cardiopulmonary resuscitation" at critical moments can save one's life.
In this regard, Hu Pengfei, director of the cardiology department of the Second Hospital of Zhejiang University of Traditional Chinese Medicine (Zhejiang Xinhua Hospital), and Zhou Bingzhi, director of the emergency medicine department, made it clear: It is not reliable.
"The claimed principle of the so-called 'self-cardiopulmonary resuscitation' is that the patient takes a deep breath to inhale oxygen into the lungs; through coughing, this action compresses the heart, thereby promoting blood circulation and helping to restore normal pulse." Director Hu Pengfei Said there was no basis for this.
Director Hu Pengfei emphasized: " Mastering the correct methods of prevention and calling for help is the key to saving life! "
Pay attention to the heart "strike" signal
"Acute myocardial infarction refers to a sudden reduction in coronary blood supply or Interruption causes severe and lasting ischemia of the corresponding myocardium, leading to myocardial necrosis." Director Hu Pengfei said that many people think that myocardial infarction occurs suddenly, but in fact there are signs, but many people do not pay attention to the physical reminders before myocardial infarction. , leading to eventual acute myocardial infarction and even sudden death.
"Generally speaking, 'pain' in patients is the first and most prominent symptom in acute myocardial infarction." Director Hu Pengfei explained that the typical location is from behind the sternum to the pharynx or in the precordial area, radiating to the left shoulder and left arm. , the duration is often greater than 30 minutes, or even as long as more than 10 hours. Rest and taking nitroglycerin generally cannot relieve it. This situation requires immediate treatment at the hospital.
However, for many elderly people, especially those with diabetes, some people may experience "painless myocardial infarction" due to slow peripheral nerve sensation.
"Our department recently admitted an 88-year-old lady who lives alone. She has felt chest tightness and shortness of breath for the past few days, but she has no chest pain. Fortunately, the old lady is highly vigilant and rushed to the hospital for examination." Director Hu Pengfei He said that after coming to the hospital for examination, he was found to have acute myocardial infarction. This is a "typical" myocardial infarction in the elderly with "atypical symptoms".
This kind of "atypical symptoms" myocardial infarction is more common in young men or strong-willed people. Such people do not take minor illnesses and pains to heart, and it is easy to turn a blind eye to some precursors of painless myocardial infarction.
“Don’t be brave when it comes to your health!” Director Hu Pengfei reminded that if you have symptoms such as unexplained hypotension, chest tightness, suffocation, shortness of breath, dizziness, etc., you should still go to the hospital for treatment.
Correct self-rescue is the key to saving life
Every year, November 20th is "China Myocardial Infarction Treatment Day". This day is actually a reminder. Two important pieces of information for the public. There are two "120"s to keep in mind: one is "if you have chest pain, call 120 as soon as possible"; the other is "for treatment of myocardial infarction, strive for the golden 120 minutes".
"If you suspect that you have a 'myocardial infarction', correct self-rescue measures can improve your survival rate." Director Hu Pengfei emphasized that the most important thing is to call for help in time and dial 120.
At the same time, while waiting for the 120 ambulance, the patient must control his emotions and reduce his activities.
"Patients should stay in bed or lie down on the spot immediately to avoid increased cardiac oxygen consumption caused by activities, emotional stress, etc." Director Hu Pengfei said that slow and deep breathing can help reduce the heart rate, but the deep breathing speed should not be too fast, otherwise it will cause Hyperventilation, usually every 5 seconds is appropriate.
If conditions permit, oxygen inhalation is also a better choice.
"Be careful when using nitroglycerin tablets and other drugs in an emergency. It is best to measure your blood pressure. After making sure that the blood pressure is not low, take nitroglycerin to prevent improper medication from aggravating the condition. This is especially true when the patient has a weak self-tested pulse, dizziness, and profuse sweating. If there is no condition to measure blood pressure when dripping occurs, do not take nitroglycerin blindly." Director Hu Pengfei emphasized that aspirin should be taken when the blood pressure is not high. If the patient's blood pressure is too high, taking large doses of aspirin will increase the risk of cerebral hemorrhage.
For people living alone, Director Hu Pengfei also reminded that they should keep medical records, medical insurance cards (books) and other information in convenient places. It is best to have allergies, daily medication, blood pressure, blood sugar and other records in the medical records, if conditions permit. You should also prepare blood pressure monitors, oxygen concentrators, nitroglycerin and other first aid drugs in case of emergency.
Chengshi Interactive·City Express Reporter Jin Jing Correspondent Xin Xuan
