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| Heart attack does not hurt, beware of this hidden myocardial infarction |
The pain of myocardial infarction is a kind of transmural pain, like the heart is licked, the pain is not breathable, and the patient even has a strong sense of sudden death. But I often tell patients that it is a lucky thing to feel pain. This is actually a signal that we can know through pain that we need to take measures and go to the hospital.
But there is such a group of people in the world who have a heart attack but no pain. And such cases are often seen clinically.
There is a 60 year old grandfather who goes to a friend's wedding. Because he is happy, he eats more and drinks. When he returns home, he starts to feel uncomfortable. He has trouble, stomach, nausea, vomiting, sweating, and panic. The family thought it was not clean. Something got gastroenteritis, and I found a stomach medicine for my grandfather to take.
However, if I took the medicine or didn't use it, the symptoms became more and more serious. Finally, I was sent to the emergency department by my family. When I went to the hospital, my grandfather was pale and even a little blue. I quickly made an electrocardiogram and diagnosed acute myocardial infarction. Fortunately, I have already sent it. When I arrived at the hospital, I saved my life after being rescued.
This is a painless myocardial infarction, then what kind of person will have such a painless myocardial infarction?
First, let's take a look at why the human body produces pain. Pain is a signal from the body that reminds us of problems in some parts of the body, and the way to express it is our nervous system.
In addition to the keratinized parts of the hair and nails, the human body has sensory nerves in other places. These sensory nerves can transmit the feelings of touch, temperature, and pain to the brain, so that people can perceive the outside world.
The visceral sensory nerve belongs to the autonomic nerve, which has its own rhythm of movement and is not subject to consciousness. Then, once the autonomic nervous system has problems, it will manifest as high blood pressure, high and low heart rate, and gastrointestinal reactions.
The nerve of the heart is the autonomic nerve. Under normal circumstances, when the heart has a problem, the heart's autonomic nerve transmits the pain signal to the brain. After the brain receives the signal, it expresses it with pain awareness and reminds us that the heart is in trouble. It is.
Some people suffer from autonomic nerve damage for some reasons. Once a myocardial infarction occurs, it may appear as a painless myocardial infarction.
According to statistics, 11.6% of the world's people, the body can not express pain in a timely and effective manner, this group of people with a heart attack, 40% showed painless.
This reminds us to remember the symptoms of painless MI. In addition to abdominal pain, diarrhea, nausea and other symptoms of the gastrointestinal tract, there are some common hidden symptoms and accompanying symptoms: scorpion pain, shoulder pain, toothache, jaw pain, etc., even without pain, just a little bit of panic.
However, it is not that these symptoms are all myocardial infarctions, usually accompanied by trembling, sweating, pale and so on.
I often tell patients that this kind of myocardial infarction is more terrible, there is no pain signal at the time of attack, it is easy to delay the rescue opportunity. I hope that everyone can remember the symptoms of these painless myocardial infarctions, and share them with people around them, especially relatives and friends who have heart problems, but also give enough care.
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