Sunday, June 29, 2008
How early diagnosis of acute myocardial infarction Health
Acute myocardial infarction in the elderly is a common emergency, if early diagnosis and to reduce mortality is important. The elderly with acute myocardial infarction early performance: the original angina patients with coronary heart disease, angina nature of (time, the extent, frequency, etc.) have increased performance over 15 minutes time, the application of nitroglycerin is invalid; sudden onset of severe heart Colic, the disease before exertion, alcoholism and mental trauma, and other incentives; persistent or recurrent angina at night; Pingsu health, coronary heart disease or have hidden in myocardial infarction sudden recovery of severe angina, heart cutter Pain with nausea and vomiting, and arrhythmias, blood pressure dropped, or heart failure, and so on. Acute myocardial infarction, a typical clinical symptoms is not difficult to identify, most notable for the performance of the heart before the district of sternum after a pain, pain for more performance-strangulated, like tight, pressure, accompanied by nausea, vomiting, persistent A long time, generally over 15 minutes, with the rest of nitroglycerin can not be alleviated, if there hyperlipidemia diabetes, hypertension and other diseases, in particular to guard against the possibility of acute myocardial infarction. In the elderly acute myocardial infarction and more atypical symptoms, not without pain or severe pain patients should pay attention to the following circumstances: Where patients over the age of 40, there unexplained sweat Lin Li, weak pulse, looking pale, such as blood pressure drop shock Performance, should consider the possibility of acute myocardial infarction; elderly patients, sudden difficulty in breathing, cyanosis, Duanzuo breathing, 1,10 pink bubble sputum or performance of hemoptysis, such as heart failure, or serious arrhythmia no other reasons to be investigated , Should also consider the possibility of acute myocardial infarction; hypertensive patients blood pressure suddenly dropped significantly, especially with heart failure at the same time, should also think of the possibility of acute myocardial infarction. Of suspected acute myocardial infarction patients, it is necessary to make timely ECG, and pay attention to follow the observation and comparison can be made if the white blood cell count and classification, ESR, aspartate aminotransferase, lactate dehydrogenase, creatine phosphokinase, such as inspection, in the early diagnosis of acute Myocardial infarction more useful.
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