Sunday, June 29, 2008
How to identify the abnormal performance of atypical myocardial infarction
Not typical of myocardial infarction, the performance of diverse and often cause misdiagnosis and missed diagnosis, should be cause for vigilance. Main atypical myocardial infarction as follows: Painless myocardial infarction more common in elderly patients, often without clear after onset of chest pain performance, but only for the performance of looking pale and indifferent to consciousness, anorexia or nausea and vomiting, blood pressure dropped, and so on. This is because older pain unresponsive, or because of illness swift, powerful, sudden large myocardial necrosis, can not be caused by the pain. To this end, for elderly patients, once this unprecedented performance (not necessarily a heart condition Private Prosecution), ECG should be done. Stomach pain to the performance of myocardial infarction also more common in the elderly, Private Prosecution, abdominal discomfort, and can tell vague nausea, vomiting, back to the acid, burning and so on, then asked in detail about the patient Pingsu lack of a "stomach illness" history of stomach trouble and no clear relationship between the consumption of , But with exertion or emotional change-related, such patients have to pay attention to the possibility of myocardial infarction. A flustered, shortness of breath, expectoration performance of myocardial infarction after myocardial infarction can cause varying degrees of myocardial necrosis and the impact of the heart contraction, and even cause heart failure. Therefore, faced coronary heart disease, high blood pressure in patients with sudden chest tightness, coughing, phlegm spit white, can not lie flat, should consider the possibility of acute myocardial infarction. Suddenly collapsed to the performance of myocardial infarction or convulsions This is a more serious type of myocardial infarction. As myocardial damage, heart activity disorder, easily cause arrhythmia, such as outdoor tachycardia, atrial fibrillation, the patient will occur syncope or convulsions, encountered such a situation should immediately be crowded in vitro heart Pressure, be patient regained consciousness immediately after the delivery hospitals for treatment. Other special performance of myocardial infarction in clinical practice, there are still some patients with acute myocardial infarction extremely subtle signs and symptoms, such as the performance of throat pain. Toothache, Jingbei pain, diarrhea, and heart disease seems to be irrelevant, but more middle-aged patients, if these recurring symptoms or a sudden increase, they should think of the possibility of acute myocardial infarction.
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