The clouds have long since disappeared! “Guan Yu” actor Lu Shuming died of a sudden myocardial infarction. Now the disease is on the rise, how to prevent it?
Lu Shuming, who played the old version of “Guan Yu”, died on the morning of November 1, 2022 at the age of 66. He played the role of Guan Yu (Guan Gong) in the period drama “Romance of the Three Kingdoms” in 1994 and is well known to all. Additionally, he also played the role of the Demon King Taurus in “The Great Sage Marrying”. The Journey West “with Stephen Chow.
According to informed media, Lu Shuming died suddenly, the cause was a sudden myocardial infarction early in the morning. Some media have learned from Lu Shuming’s senior disciple, Guo Shaojie, that during this time Lu Shuming had had colds and was not feeling well. Early in the morning of November 1st, Lu Shuming got up and watched football at home. At around 8:10 in the morning, I don’t know if it was for the excitement of watching the game or for any other reason. I only heard Lu Shuming cough a few times and felt a sense of constriction in her chest. After that, he fell into a coma. The family rushed to the hospital for help. Just over 2 hours “.
Myocardial infarction, with its ferocious onset and high mortality rate, always comes as a surprise, especially in autumn and winter, when a period of high incidence of myocardial infarction begins. What are the signs of a heart attack? How to cope with a sudden myocardial infarction? What is the treatment goal for patients with myocardial infarction? Zhang Yuyang, assistant director of the Department of Cardiovascular Medicine and head physician of the Second Affiliated Hospital of Zhejiang Traditional Chinese Medicine University (Zhejiang Xinhua Hospital), answered one by one for all.
Chest tightness is a typical symptom of myocardial infarction
Myocardial infarction is acute myocardial infarction, which is myocardial necrosis caused by acute and persistent ischemia and hypoxia of the coronary artery.
Although the occurrence of heart attack is always unexpected, but it is not without warning. Chest tightness is a typical symptom of myocardial infarction and angina pectoris can also occur with a sensation of squeezing and burning, or accompanied by nausea, vomiting and profuse sweating.
Zhang Yuyang said that in addition to chest or precordial pain, pain can also occur in other parts. The most common are toothache, back pain, shoulder pain, abdominal pain, sore throat … These can all be manifestations of myocardial infarction It can be understood as the result of pain “stretching” up, down, left and right with the sternum as the center.
These two tests are the gold standard for diagnosis
Zhang Yuyang said that diagnosing myocardial infarction requires two tests: one is an electrocardiographic test and the other is a blood test for markers of myocardial necrosis. Under normal circumstances, the two tests must be completed at the same time, and neither of them. two is indispensable.
A while ago, Ms. Liu, a middle-aged patient, entered Zhang Yuyang’s clinic due to intolerable angina pectoris and, in combination with her other symptoms, was believed to have a high chance of suffering from a heart attack. myocardium. Ms. Liu took an EKG and the results were normal. Because she was anxious to take care of the baby, Ms. Liu had planned to go home, but Zhang Yuyang repeatedly insisted that she stay in the hospital for observation for a period of time and undergo several electrocardiograms. Two hours later, Ms. Liu’s last EKG showed a myocardial infarction, the doctor immediately treated her and saved her life in time.
“For patients suspected of myocardial infarction, it is recommended to stay in the hospital for at least 2 hours for observation and, if possible, it is best to stay for 4-6 hours.” Zhang Yuyang said an EKG and blood test should be performed every 30 minutes to 1 hour to closely observe the dynamic changes in ECG and markers of myocardial necrosis, such as the evident evolution of myocardial infarction on the electrocardiogram. , combined with the patient’s clinical symptoms, even if the laboratory results are normal, the initial diagnosis of myocardial infarction can be made. If after 4-6 hours the patient’s two examinations are still as usual, the possibility of an acute myocardial infarction can be preliminarily ruled out. After 12 hours, if there is no abnormality in the two examination results, myocardial infarction can be ruled out, but there is still the possibility of severe stenosis of the cardiovascular vessels, which should be paid attention to, and cardiovascular examinations should be performed as soon as possible.
Experts remind: the diagnosis of myocardial infarction is a long and rigorous process, which requires patients to pay attention and actively cooperate with the inspection.
The golden treatment time is within 120 minutes of the onset of the disease
For myocardial infarction patients, time is life and the price of every minute is myocardial necrosis and the passing of life. What should I do if I or someone close to me has a heart attack?
Patients should learn to save themselves: after a myocardial infarction, they should “lie down” immediately, ie rest on their back, so that the heart can rest sufficiently and reduce oxygen consumption as much as possible. Patients cannot move, get too excited, and some patients even walk to the hospital on their own, which is undesirable. The most important point is to call 120 for help as soon as possible.
When you discover that someone around you has a heart attack, first let the patient lie down and rest to avoid tension and immediately call 120. If the patient is unconscious, not breathing and has cardiac arrest, immediately perform CPR until arrival of emergency personnel.
Zhang Yuyang said that myocardial infarction can be regarded as hibernation or sudden sudden myocardium. After such ischemia and hypoxia continue for 120 minutes, the myocardium will gradually die. Therefore, the golden treatment time for myocardial infarction is within 120 minutes of the onset of the disease How to put out a fire, you can’t miss a moment.
“Moving the first line forward” has always been the treatment plan for myocardial infarction advocated by Zhang Yuyang, “I hope that when the emergency doctor arrives at the patient, an electrocardiogram is immediately taken, antithrombotic the first possible, and even pre-hospital emergency room such as thrombolysis. In this process you can also communicate with the hospital The video connection guides the treatment. ” He said that if the treatment front moves forward, the patient will have more life expectancy.
Cardiovascular diseases enter a period of high incidence in autumn and winter
Underlying diseases such as hypertension, hyperlipidemia and hyperglycemia are high risk factors for myocardial infarction. In recent years, the incidence of myocardial infarction in young people has gradually increased, which is related to factors such as less physical work, excessive smoking, overeating, overwork and excessive stress.
In autumn and winter, cardiovascular diseases enter a period of high incidence. How can I stay away from a heart attack? Zhang Yuyang said cardiovascular disease is closely related to a healthy lifestyle. Generally, the diet should be low in salt, fat and cholesterol. Usually, it is necessary to maintain a calm mental state, maintain adequate sleep, and quit smoking. smoking and drinking. Additionally, people with hyperlipidemia, hypertension, and hyperglycemia need to be intervened and treated early.
