one day in the emergency department before noon (time) from work, a strong man more than 40 years old, covering her abdomen, accompanied by his wife came in, said a bit flustered, a stomachache, shoulder also uncomfortable.Emergency doctors a listen to this bed quickly let the patient lie to the emergency department, to make patients electrocardiogram (ecg), electrocardiogram (ecg) haven't finished, cold patient forehead began, blue lips, face the pain.
electrocardiogram (ecg), according to the results of the man a large area of myocardial infarction.Thanks to rescue in time, almost one lives!What happened, make such a seemingly ordinary ordinary stomach between instant it almost become a murderer?Pure stomach and myocardial infarction caused by stomach pain and how to distinguish?How do you decide?
as shown in electrocardiogram (ecg), although exhibit symptoms are stomach, but had a myocardial infarction (ami) patients.Myocardial infarction (mi), is a kind of because of imbalance between myocardial artery of provide for the needs and caused by acute myocardial necrosis.Depending on the location and area of myocardial infarction and heart have different degree of damage.Who is at risk of heart attack in middle-aged men, such as high cholesterol, diabetes, high blood pressure history or a family history of cardiovascular disease (CVD) patients.
in addition, long-term smoking drinking, stay up late, irregular diet, such as strong manual labor, the mental pressure is high risk factors.The characteristic performance of heart attack is the chest area squeezing pain or a sense of MenZhang, arrhythmia, heart palpitations, sweating more, shortness of breath, syncope, etc.
some with heart look no associated symptoms may be early signs of heart attack, such as the patient's stomach pain, shoulder pain, and some, such as irritability, restlessness, toothache, stomach distension, vomiting, etc.If not timely rescue of acute onset of myocardial infarction can lead to heart failure and threaten the patients' life.
unlike myocardial infarction, stomach often show is dull pain, tingling, generally a tardy attacks for a long time, bad diet for a long time, don't eat breakfast, partial eclipse, feed or emotional long-term depression is the leading cause.Mainly from the digestive tract diseases such as chronic gastritis, gastric ulcer, duodenal ulcer, etc.For the person with bad stomach, eating cold, hard, not easy to digest, etc, all can cause stomach pain symptoms, but not usually accompanied by chest area squeezing pain or MenZhang feeling, dying, etc.
the patients without angina pectoris, and weight, but significantly overweight, has a long history of drinking.Before 10 days, in order to catch up, he has been working in construction site to work overtime, before his stomach is no discomfort, and his accompanying symptoms flustered and shoulder discomfort, these are the risk of heart attack.Pure stomach pain and heart attack caused by stomach sometimes may not be so obvious differences, so is the safest way to handle it in time to the hospital inspection, diagnosis, lest delay an illness, regret!
(the author Wu Xin qi, master of nanjing university of Chinese medicine)