[Experts] Liu Wenxian: Director of the Cardiac Care Unit of Beijing Anzhen Hospital Gao Hai: Director of the Cardiac Emergency Coronary Ward of Beijing Anzhen Hospital Wang Xifu: Deputy Director of the Emergency and Critical Care Center of Beijing Anzhen Hospital Du Zhongtao: Dir

[Expert]

Liu Wenxian: Director of the Cardiac Care Unit of Beijing Anzhen Hospital

Gao Hai: Director of the Cardiac Emergency Coronary Ward of Beijing Anzhen Hospital

Wang Xifu: Deputy Director of the Emergency and Critical Care Center of Beijing Anzhen Hospital

Du Zhongtao: Beijing Anzhen Hospital Deputy Director of the Cardiac Surgery Critical Care Center of Zhen Hospital

[Keywords] Myocardial infarction, pre-infarction state, gold 120, self-rescue, nitroglycerin, angina pectoris, persistent severe chest pain, chest tightness, dyspnea, tight heart, toothache, scapula pain, Nausea, vomiting, and abdominal pain

The topic of myocardial infarction has been discussed many times in the health center. Continuous severe chest pain, chest tightness, difficulty breathing, tight heart, toothache, shoulder blade pain, nausea, vomiting, and abdominal pain are all familiar symptoms to the public.

However, there is a set of data that is very alarming, that is, about 50% of patients with myocardial infarction did not seek medical treatment in time, and more than 90% of patients who died of myocardial infarction under the age of 35 occurred outside the hospital. These data repeatedly remind us of our understanding of myocardial infarction. There are still huge loopholes, and three important opportunities to save sudden deaths cannot be missed.

The patient I am sharing today went from having minor symptoms that looked like a cold to his heart nearly shutting down, his blood pressure dropped to 65/30mmhg, all three coronary arteries were blocked, and he developed cardiogenic shock. He was admitted to the shock center of Beijing Anzhen Hospital. A relay to save the heart began.

Experts have repeatedly emphasized that hospitals are racing against time to rescue myocardium, but many patients are wasting precious time outside the hospital. What is going on?

Experts emphasized that the second important opportunity to save the heart is to identify the "pre-infarction state", which is an important cry for help from the heart.

Experts have clinically found that more than half of patients with myocardial infarction have symptoms one month before sudden cardiac death, and 90% of them will have symptoms again 24 hours before sudden death. Grasping the pre-infarction state can prevent 80% of myocardial infarction.

The pre-infarction state is the active period when myocardial lesions occur. There is still some distance before myocardial infarction. Pre-infarction is just a small test, and one step forward is the abyss. Therefore, it is most meaningful to pay attention to the pre-infarction state and find out the subtle symptoms that are not easy to detect.

If your blood pressure becomes high, you will get dizzy, and if your blood pressure becomes low, you will get dizzy. What are the characteristics of dizziness related to myocardial infarction? What are the abnormalities in the heart after returning from shopping and sleeping at night? What other pre-meme states can be identified?

Myocardial infarction occurs unexpectedly. Anzhen’s frontline emergency department experts specially remind us that every second counts for in-hospital treatment. We must not waste precious time outside the hospital. Correct self-rescue can help us escape at critical moments. Self-rescue before myocardial infarction and infarction. What are the differences?

[Expert consultation time]

Liu Wenxian: Every Monday and Thursday morning, intracardiac outpatient service

Gao Hai: Every Tuesday morning, intracardiac outpatient service

Wang Xifu: Every Monday to Friday, emergency call

Note: Outpatient service hours and outpatient visits due to emergencies For changes in location, outpatient clinic type (general, specialist or special needs clinic), and registration fees, please refer to the hospital's announcement on the day.