According to the local news media in Hangzhou, on July 9th, Lu Xiao, a deputy senior professional in the emergency department of the Second Affiliated Hospital of Zhejiang University School of Medicine, received a 22-year-old girl who stayed up late for four or five days and worked overtime until four or five o'clock in the morning. The conclusion was sudden death, and my heart stopped breathing when I was taken to the hospital by my colleague. She was rescued in the emergency ICU for six days and did not recover.
According to statistics, the girl just joined the work and worked as a website operator in an Internet technology company. Lu Xiao once told the media that when the girl was taken to the emergency room, she knew nothing. Further examination revealed that her whole body was purple, and she had no heartbeat or inspiration. The patient's condition was very urgent. The diagnosis may be "sudden death caused by heart disease".
On July 27th, Mr. Lu Xiao, Deputy Director of the Emergency Department of the Second Affiliated Hospital of Zhejiang University School of Medicine, posted a short video on the social platform. In the video, he explained to the girl's relatives in detail that the girl's condition is no longer suitable for rescue, and comforted her relatives to let the girl leave quietly ... "This kind of conversation with her family is actually very painful, her relatives are very painful, and the doctor is also very painful." Lu Xiao, deputy senior title, said.
1. Why do you find young and middle-aged people? The chief physician of the Department of Cardiology of Shanghai Tenth People's Hospital and the executive director of the Chest Pain Center stressed that middle-aged and elderly people have always been the high-risk group of sudden cardiac death, but in recent years, there have been many young and middle-aged people who died suddenly, which may be related to the following factors.
1. People with organic heart disease or potential malignant arrhythmia are still the most dangerous group of sudden death. 80% of sudden death in clinical medicine is caused by cardiogenic diseases, the most important reason of which is acute myocardial infarction, and the key is the cracking of coronary atherosclerotic plaque.
The person in charge of Peng reminded readers that atherosclerotic plaque will not only appear in middle-aged and elderly people, but also in young people's capillaries. It may be only a very thin piece, but once it breaks unexpectedly, it can also cause venous thrombosis, block capillaries and lead to sudden death. There are still some people who have potential malignant arrhythmia, which is difficult to detect at ordinary times. Excessive exercise, extreme climate and fatigue may all lead to it.
2. excessive exercise. Healthy young people usually die in sports. Peng stressed that every marathon almost leads to sudden cardiac death, which is related to excessive exercise. When exercising too much, the human body will produce a lot of growth hormone, which will easily lead to coronary artery plaque dehiscence. At the same time, when the amount of exercise is overloaded, once the compensatory ability of human cardiopulmonary function exceeds the individual's tolerance, it is easy to cause cardiovascular and cerebrovascular accidents.
3. Stay up late, life is irregular. The human body has an autonomic nervous system. Once the balance is broken, staying up late for a long time, and the work and rest are disordered, the coronary artery is prone to muscle contracture. In addition, staying up late will make the body in a hypercoagulable state, which is prone to venous thrombosis. Peng introduced in detail that 1/3 patients with myocardial infarction were sent to the emergency department in the middle of the night, which was inherently risky. If you add exercise when you stay up late, it will also add fuel to the fire.
4. When the temperature of cold stimulation is relatively low, it is also a period of high incidence of cardiovascular and cerebrovascular accidents. Ultra-low temperature can suddenly close capillaries, cause muscle contracture and obstruction, reduce blood supply, and then cause acute myocardial infarction.
Cold is a common respiratory infection, and most of them can get better in a few days. But if the virus infection "runs" to the heart, it may also cause viral myocarditis, premature beats and other diseases. When you catch a cold, your body is very tired. If you exercise excessively at this time, it will cause malignant arrhythmia.
Second, how to prevent sudden cardiac death. Sudden cardiac death often occurs inside and outside the hospital. If there is no rescue, fresh life will be avoided. In fact, at present, the rescue success rate of sudden cardiac death in China is relatively low, and most patients have died before being sent to the hospital. This objective fact, which is not optimistic, also reminds us that sudden cardiac death should be prevented fundamentally. Director Peng reminded everyone to pay attention to the following matters.
1. Strictly control the risk factors "three highs" Hypertension, hyperglycemia, hyperlipidemia and other people and their middle-aged and elderly people are high-risk targets of sudden cardiac death. If these primary diseases can be preserved, the damage of cardiovascular and cerebrovascular diseases will be less. Because these risk factors are chronic diseases, we should stick to treatment for a long time and follow up on time, and we should not neglect them.
2. Regular physical examination to understand the physical condition. In addition to regular physical examinations for middle-aged and elderly people, young people should also be aware of the necessity of regular physical examinations. Especially for people who love sports and extreme sports such as mountaineering and marathon, it is suggested that besides routine physical examination, special cardiopulmonary exercise evaluation should be carried out.
Peng introduced in detail that at present, the outpatient cardiac rehabilitation centers of some hospitals, including the Tenth Hospital, have been able to carry out relevant examinations according to professional evaluation and guide reasonable exercise. In addition, we can specify echocardiography, electrocardiogram, chest CT and other examinations according to our own situation, so as to understand our heart function more comprehensively.
3. Maintain good living habits. After staying up late, beginning of winter put forward a routine to prevent the cold current from coming, but fitness exercise can't be done. Especially for middle-aged and elderly people, the temperature in the morning is relatively low, and cardiovascular and cerebrovascular accidents are high, so exercise should be cautious. If you have a cold and can't sleep well, it's even more inappropriate to keep exercising. You should pay attention to rest. Young people should not blindly pursue the amount of exercise when exercising. When exercising, they must stop and don't insist. Finally, when the body is your own, you must cherish your body.