撰写There are many reasons for sudden death, and cardiovascular and cerebrovascular diseases are one of the most common reasons. Incentives include: high mental stress, overeating, strenuous activity, staying up late for a long time and fatigue. Stimulated by these unfavorable factors, human blood pressure will fluctuate, and many patients may have dyslipidemia, thrombosis or heart disease, so it is easier to get sick. Generally speaking, a week or even a month before the onset of sudden death will have precursors, such as dizziness, chest tightness, shortness of breath, palpitation, nausea and pain in different degrees. These symptoms are easily associated with common diseases such as hypoglycemia, indigestion, fatigue and excessive internal heat, so it is easier to delay the timing of diagnosis and treatment.
Wang Fang, Deputy Director of Cardiology Department of Beijing Hospital
Dizziness is an abnormality of subjective feeling. When people are in a special situation and state, they will have this kind of bad feeling. For example, college military training will make you dizzy when standing in the sun, staying up all night for several days when taking the postgraduate entrance examination sprint, and Alexander will be anxious to get dizzy when he has no clue at work. Of course, there are motion sickness, seasickness, airsickness, blood sickness and needle sickness … These dizziness symptoms can often be resolved automatically after a full rest, but some "pathological dizziness" are not so simple and should be treated more seriously, for example, due to head diseases, craniocerebral injuries, etc.
These common "dizziness cases" in daily life are similar in that patients and their families take it for granted at first that dizziness is just fatigue or dizziness is a common disease, but the results are quite different.
It is common for young people to work hard for their careers, stay up late, work overtime and forget to eat and sleep. Xiao Wang is a young backbone of a well-known real estate company. Not long ago, he took a difficult case. In order to finish the task on time, Xiao Wang worked overtime for three days in a row.
Since lunch, Xiao Wang has neglected to eat because he discussed the topic with his colleagues. In the afternoon, he had a cold sweat and black eyes. He thought it was hypoglycemia. After a short break, he drank a cup of sweetened coffee and went back to work. Until eight o’clock in the evening, when Xiao Wang was meditating on a data, he suddenly felt dizzy and chest tightness again, and his eyes were black with sweat. In a short time, he leaned over. Colleagues thought it was hypoglycemia caused by not eating, so they quickly brought a box lunch. Xiao Wang has been unconscious …
Colleagues rushed to call the emergency number, but unfortunately it was delayed because of poor road conditions. By the time Xiao Wang was sent to the emergency room, pupil dilation and pulse dissociation had already occurred. In less than an hour, the doctor announced brain death. Finally, autopsy found that the proximal acute thrombosis of the most important coronary artery, the anterior descending branch, was considered as sudden cardiac death caused by acute extensive anterior myocardial infarction.
Doctor’s diagnosis:
This kind of sudden death is very dangerous, especially in young people. The first dizziness and cold sweat is actually a signal of unstable or acute progress of coronary artery disease. If you can see a doctor in time and give corresponding drugs and stents, there is still great hope of survival.
Elderly patients with cardiovascular disease have compensatory "collateral circulation" because of long-term influence of hypertension, angina pectoris and other factors, and can resist for a while to ensure blood supply in case of emergency. Young people’s hearts do not have this "advantage", so once they die suddenly, they are often unable to cope with it, and the consequences are more serious than those of the elderly who are obsessed with it.
Watching the ball forget all about eating and sleeping.
Dizziness is not "lack of sleep"
Mr. Zhang is 37 years old and used to be an executive of a large enterprise. The blood pressure is 130/90mmHg, but it can increase obviously when the tension is not good. The doctor suggested that he should control his blood pressure through lifestyle improvement first. However, Mr. Zhang is usually busy with work and entertainment, and the whole person is getting more and more blessed.
Previously, during the World Cup, Mr. Zhang was in a particularly good mood. In order not to affect the viewing, he specially bought several boxes of beer and instant noodles to stay up all night. Later, I was so nervous that I couldn’t sleep because my favorite team faced the qualifying problem, and even forgot to eat.
The game will be over in two games. Mr. Zhang stood by the TV at one o’clock in the morning on time. I was about to reach for the coffee on the table when I suddenly felt dizzy. I suspected that I didn’t eat normally for a few meals, and maybe I had hypoglycemia, so I quickly lay down on the sofa and soon devoted myself to watching the game.
Finally, he waited for the final, but at the beginning of the game, he had the same symptoms as the day before. However, this time, before I finished eating the instant noodles, I fell headlong on the bed. It was rushed to the hospital, but it was too late.
Doctor’s diagnosis:
Mr. Zhang died suddenly because of excessive fatigue, nervousness and uncontrolled drinking, which led to a sharp increase in blood pressure, which led to cerebral hemorrhage caused by cerebral vascular rupture. The first dizziness was a sign. If you feel uncomfortable and go to the hospital in time to check and eliminate unfavorable factors, most fatal crises can still be avoided.
mother-to-be
Mistake dizziness for a cold
After the relaxation of the second-child policy, many post-75 friends began to struggle to have another child. Xiao Yang’s daughter is in Grade One, and she decided to have another child with the encouragement of her in-laws.
Older women should be carefully examined before pregnancy to assess whether they can get pregnant and the best time. Xiao Yang lacked consciousness in this respect, so he didn’t check it carefully.
Unconsciously, Xiao Yang has been pregnant for 5 months. On the weekend evening, Xiao Yang and her husband went for a walk in the nearby park. After walking for almost a quarter of an hour, Xiao Yang suddenly felt stuffy and dizzy in his chest. Her husband hurriedly helped him to the stone bench to drink water, beat his back and rub his chest. As a result, Xiao Yang did not get better, and even became inarticulate. Her husband had to call 120 emergency numbers.
After being rushed to the hospital, the husband told the doctor that Xiao Yang had been dizzy and chest tightness for nearly half a month. He had a little cold a few days ago and his arms and legs were swollen to varying degrees. The dizziness symptoms were more serious than before, and the family thought it was caused by a cold or physical exhaustion.
After the joint rescue of medical staff, caesarean section was forced. Xiao Yang’s life was saved, but his body was badly damaged, and he needed long-term rest and was not suitable for pregnancy and childbirth.
Doctor’s diagnosis:
Xiao Yang’s final examination showed that she had a basic disease (rheumatic heart disease with moderate mitral stenosis), and her daily work and life could go on as usual, so she didn’t pay attention to it and treat it. These diseases are very easy to be complicated with arterial hypertension. Xiao Yang’s pregnancy just touched the "trigger" of pulmonary hypertension, which caused sudden cardiac death.
For women with severe pulmonary hypertension, pregnancy is strictly forbidden. Even if you are pregnant unexpectedly, you should go to the hospital for examination and terminate your pregnancy as soon as possible after you have dizziness symptoms.