[Health Channel/Comprehensive Report] Artist "Black" Chen Jianzhou suddenly felt unwell while watching a football match and was sent to the hospital. His agent confirmed that it was acute myocardial infarction and he has undergone surgery and is currently recovering well.
Hong Weijie, director of the Department of Preventive Medicine at E-Da Hospital, said in "Dr. Hong Weijie's Talking Space" that Chen Jianzhou, who is only 49 years old and looks good, how could he have myocardial infarction? Hong Weijie emphasized: Myocardial infarction does not necessarily cause "chest pain."
1 in 3 people arrive at the hospital without chest pain
A U.S. registry study of more than 430,000 myocardial infarction patients found that 33% had no chest pain when they arrived at the hospital. Their feelings are: breathlessness, cold sweat, nausea, upper abdominal pain (many people think it is stomach pain), soreness in the jaw or left shoulder, and sudden general weakness. This is more common in women (about 40% vs. 30% in men), as well as in older people and those with diabetes.
What's more important is the second half: people without chest pain took an average of more than two hours to get to the hospital, and the in-hospital mortality rate was more than twice that of those with chest pain.
It wasn’t that the symptoms were mild, but that it didn’t look like a heart attack, so he was let go. Of course, chest pain remains the most common symptom. The advice from the Ministry of Health and Welfare is very straightforward: If symptoms such as chest tightness, breathlessness, and cold sweat appear, you should seek medical treatment immediately; if you suspect a myocardial infarction, call 119 and be sent to the hospital by ambulance personnel. Hong Weijie put forward three "don'ts": don't drive by yourself, don't take stomach medicine first, and don't wait for dawn. Especially the kind of discomfort that doesn't get better even after rest, or becomes more and more frequent.
Why the rush? Hong Weijie cited research showing that on average, every 30 minutes of delay in opening a blood vessel increases the risk of death by about 7.5% within one year. Data from Taiwan shows that the median time from hospital arrival to opening a blood vessel has been shortened to 71 minutes. What really takes time is the period from the attack to the hospital. That's the part where you hesitate at home.
49 years old is not a golden ticket, but 92% of the time there are things that can be changed
Hong Weijie said that among the 1.46 million patients in the United States aged 18 to 59 who had their first myocardial infarction, 92% of those aged 45 to 59 had at least one modifiable risk factor, with hypertension, dyslipidemia, and smoking accounting for more than half each. Figures from the Ministry of Health and Welfare are similar: People with high blood pressure, high blood sugar, and high blood lipids have 1.8, 1.5, and 1.4 times the risk of cardiovascular disease in the future, respectively.
The heart is like a pump, and the coronary arteries that supply it are water pipes. Three highs and smoke are things that cause water pipes to slowly accumulate scale and harden. If you don't feel it normally, it doesn't mean that the water pipes are clean.
Three things you can do now:
1. Know your numbers: blood pressure, blood sugar, blood lipids, waist circumference. Open the "Health Passbook" and the report of the latest health examination will be inside.
2. Calculate risk: Search the Ministry of Health and Welfare’s “Chronic Disease Risk Assessment Platform” and enter your age, waist circumference, blood pressure, cholesterol, and triglycerides to calculate.
3. Quit smoking if you still smoke: There is no need to wait for the medical examination report.
