Avoid fatal chest pain


What should we do if this happens to us or someone else?

First, to prevent the main, control the risk factors: strict control and treatment of hypertension, hyperlipidemia, diabetes, weight reduction, absolute smoking cessation;

Second, avoid the trigger: intense activity, cold, emotional excitement;

Third, if a definite ischemic chest pain occurs, stop all activities in place; If you find someone on the floor, do not move, take medicine (such as nitroglycerin) in place and call for help;

Fourth, call the emergency phone;

Fifth, if you come to the hospital in time, the doctor will be timely diagnosis according to your symptoms, many hospitals in China have established a 24-hour green channel for chest pain diagnosis and treatment, 365 days a year, 24 hours a day "all-weather" treatment team, you can start reperfusion treatment within 30 minutes of your arrival at the hospital.

Aortic dissection

With acute dissection of the inner aorta, the patient will experience sudden and severe chest pain similar to that of a tear or knife cut, which cannot be relieved even with analgesic injections, and the pain may spread to the shoulder, neck, back, abdomen, and even lower limbs, depending on the extent of the dissection of the aorta. Acute aortic dissection, if not diagnosed and treated in real time, the condition will deteriorate rapidly, and the mortality rate can be as high as 90%.

The most common population is hypertension patients, so strict control of blood pressure is beneficial to prevent the occurrence of dissection.

If you have an episode of chest pain described earlier, seek medical attention immediately.

Acute pulmonary embolism

Who is prone to it? People who are bedridden for a long time, have a fracture of the lower limb or pelvis, have heart failure, have a stroke, or sit in a cramped seat for too long (more than eight hours) on a flight.

Hazard: Massive pulmonary embolism has a very high mortality rate.

How does acute pulmonary embolism occur?

Acute pulmonary embolism, most of which originate from deep venous thrombosis of the lower extremities, causes chest pain or tightness, dyspnea, fainting and shock after the thrombosis travels to the right heart and then blocks the pulmonary artery.

What to do?

The key is to avoid the risk factors such as long bed, long time on the plane should be appropriate activity; For patients prone to thrombosis or patients with existing thrombosis, should adhere to the doctor's advice to take antithrombotic drugs.

Spontaneous pneumothorax

Patients often have sudden chest pain accompanied by dyspnea; It most commonly occurs in young people aged 20 to 30 who are tall and thin and in patients with chronic obstructive pulmonary disease. Spontaneous pneumothorax is less difficult to diagnose and can usually be diagnosed with a chest X-ray.

Finally, please remember: severe chest pain do not forget the chest pain center green channel, chest pain should remain calm, early medical treatment, medical staff will be a high degree of responsibility, the use of medical technology to protect your health, so that you away from fatal chest pain.

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