Myocardial infarction is short for myocardial infarction. In many people's eyes, myocardial infarction must have symptoms of chest pain, and those who have a heart attack have heart disease. In fact, some patients with myocardial infarction have no symptoms of pain, and there is no heart disease before. This type of myocardial infarction is clinically called painless myocardial infarction. Because there is often no obvious sign before the onset of painless myocardial infarction, it is not considered by patients, and it may also cause misdiagnosis, so it is more likely to cause sudden death. The 87-year-old neighbor, Wang Dabo, suddenly fainted on the floor when he went to the bathroom, and the family saw him pick up. After about two or three minutes, no special circumstances were found and no discomfort was felt. After an hour, Wang Dabo left the seat and wanted to move, but suddenly fell to the ground. The family hurried to the front and found that Wang Dabo was unclear, his face was white, and he was sweating, but there was no wind. This symptom lasted for four or five minutes, and after Wang Dabo was conscious, it seemed that there was nothing wrong with it. When the family did not trust, he was taken to the hospital for cardiology. The doctor asked the family members and learned that Wang Dabo was still in good health, had no high blood pressure and diabetes, and was free to move, and there was no chest pain or chest tightness. To be on the safe side, the doctor asked Wang Dabo to do an electrocardiogram and blood routine examination to rule out myocardial infarction and gastrointestinal bleeding, and then do other tests. When there is not much, the ECG report is released. After seeing the ECG report, the cardiologist said to the family: "I am going to go through the hospitalization procedure immediately, and the elderly are acute myocardial infarction." For such a diagnosis, the family seems to have some disbelief. How can the acute myocardial infarction be asymptomatic? The doctor told the family that the diagnosis was definitely no problem, and the ECG report showed a typical acute inferior myocardial infarction pattern. The doctor said that acute myocardial infarction is usually accompanied by severe chest pain, but some patients do not have chest pain, medically known as painless myocardial infarction. So why do some myocardial infarctions have no pain? This is due to the failure of the heart pain warning system, mainly due to differences in heart disease and individual differences in sensitivity to pain. Different parts of heart disease cause different sensitivity to pain. If the lesion is in the right coronary artery, it is not sensitive to pain. In the posterior wall myocardial infarction, there may be no pain. There is often no painful feeling when subendocardial damage occurs. Because of the aging of the body, the elderly feel dull, have a reduced pain, and some have dementia, so they are not sensitive to pain. Because painless myocardial infarction is not easy to detect, it must be highly valued. If there are abnormalities in the elderly, such as sudden paleness, cold sweat, unexplained flusteredness, shortness of breath, lack of supine, stomach discomfort, full of nausea, high blood pressure, unexplained blood pressure, and coma in diabetic patients. Take it lightly, you should go to the hospital for treatment in time to prevent sudden death from acute myocardial infarction. (文/邬时民) Source: Beijing Youth Daily
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