On September 23, Hoan My Cuu Long Hospital said that Ms. H (44 years old, Vi Tan ward, Can Tho city) was admitted to the hospital with pain in the area of the to the toad ( pain in the abdomen above the navel, below the sternum) accompanied by continuous nausea and vomiting. Because the symptoms are very similar to digestive diseases, she and her family all thought it was just stomach pain, and monitored it at home. However, the pain did not improve but became more and more severe, accompanied by fatigue and difficulty breathing, so the family took her to the hospital for a check-up.
At the Emergency Department - Hoan My Cuu Long Hospital, after a quick examination, doctors recorded many dangerous signs: low blood pressure to 86/49 mmHg, rapid pulse, cold sweat. Urgent cardiovascular tests showed that Troponin heart enzymes increased 251 times the normal value, which is one of the signs that the heart muscle is in acute damage.
The diagnosis was determined immediately at the emergency room: Acute myocardial infarction, heart shock complications - an emergency situation that can be life-threatening if not intervened and treated promptly.
Understanding that time is the heart - the heart is life, the team immediately activated the CODE STEMI procedure to reduce the hospital-wide red alert. During the arrest, emergency doctors, cardiologist intervene, resuscitate and anesthesia are present at the same time, coordinate emergency care for the patient: stabilize the session with vasopressor drugs, place a bloodline, continuously monitor electrocardiogram and oxygen storm.
At the same time, the patient was transferred directly to the DSA room (digitalization of the basement) level 2 for emergency intervention. The results of the mach chupation showed: The right coronary artery (RCA) was completely blocked - the "favorite" branch causing an attack; The araioscolitis (LAD) was narrow at 7080%.
In the critical condition, the team immediately placed an emergency stent, reopened the perpetrator's correctional line, and recovered every "golden hour" for the patient. 24 hours after the intervention, Ms. H was alert, had a snack, and could chat with her family. On the 5th day, Ms. H was eligible for discharge.
Ms. H emotionally shared: "I thought it was a stomachache, I thought it was a heart attack. Thanks to the timely treatment of doctors, I have the opportunity to return to my family."
Dr. CKII. Nguyen Huu Thai - Head of the Department of Cardiovascular Internal Medicine - Endovascular Intervention, Hoan My Cuu Long Hospital said that myocardial infarction not only occurs in the elderly but also tends to get younger. In particular, symptoms of the disease are not always typical such as severe left chest pain, but can be manifested as thuongding pain, vomiting, bloating... very similar to digestive diseases. Therefore, many patients easily ignore, hospitalize late, miss the "golden hour" in emergency myocardial infarction, leading to the risk of serious complications or death.
According to Dr. CKII. Nguyen Huu Thai, with the motto of time is heart muscle, heart muscle is life, people need to be vigilant against any unusual manifestations in the chest and upper body. Regardless of whether the symptoms are temporary or a digestive disease, it is necessary to immediately go to a hospital with a cardiologist for timely examination and treatment.
People with acute myocardial infarction need to be treated as soon as possible after detection, preferably within the first 6 hours. If there is late intervention for coronary resuscitation, the heart muscle begins to cause widespread necrosis, with the risk of puncturing the heart, overflowing the heart's mermaid, and compressing, causing the heart to stop contracting, with a high risk of death.
