Ninh Binh General Hospital has just received a 60 -year -old male patient in a sudden state of severe left chest pain.Accordingly, patients B.V.D (1964, Minh Quang - Kien Xuong) have a history of hypertension for uneven drug treatment, shoulder injury after a labor accident.

According to family members recounting, after finishing bathing the patient called for shortness of breath, the patient was immediately taken to the emergency department, Thai Binh General Hospital.Patients were hospitalized in a state of drowsiness, pupils on both sides of 2mm, pxas (+), exertion, breathing frequency 30l/p, 90%Spo2, purple lips, head limbs, no edema, no society, glandThe armor is not large, the peripheral lymph nodes are not touched, the heartbeat is even, the lungs are moist, Rale hiss, soft belly, not weak limbs.

At the Department of Emergency, patients were treated with internal tracheoccosis, sedation, mechanical ventilation, use of vascular drugs, platelet resistance, and anticoagulants.After an emergency consultation with cardiologist specialist, doctors agreed on coronary artery intervention through emergency skin.

The result of coronary angiography by digitizing the DSA platforms shows that the complete clogged must from the segment 1 of the calcification circuit with thrombosis, narrowed 80% of the diag I branch, 90% stenosis of LCX II.The intervention team continues to carry out the patient on the table to intervene by sedation, mechanical ventilation, use of vessels, cardiac aids to enhance intervention.At the same time, the intervention to set the stent re -clear the culprit and the right coronary artery.After 3 hours of intervention, the patient escaped from critical condition, was treated positively, no longer difficult to breathe, hemodynamic stable.

“Myocardial infarction leads to a high risk of death, especially for elderly patients with background disease.Especially, the intervention to set a coronary artery treatment due to cracking of atherosclerosis is a high difficulty intervention, requiring the doctor to intervene with experience, careful and skillful in the process.Perform tips for thrombosis, glossy, stent to limit the risk of stent later ” - BSCKI.Bui Cong Hai - Faculty of Cardiology, General Hospital of Thai Binh Province said.

Coronary artery blockage - dangerous disease

According to doctors, the acute coronary embolism accounts for 0.37% to 2.96% of acute myocardial infarction cases.Coronary artery blockage is a dangerous condition, if not treated promptly, it can cause events such as myocardial infarction due to sudden obstruction of the blood vessels, stroke, disability, death, deathVong.The main cause of coronary artery stenosis is the formation and development of atherosclerosis.Atherosclerosis is the result of the accumulation of cholesterol, calcium and other sedimentation substances in the blood.Over time, the plaques growing up causing narrowing of the artery in one or more coronary artery branches, reducing blood flow to the heart muscle.

In addition to being narrowed by invasive and hardening of atherosclerotic plaques, coronary artery can be blocked by the formation of blood clots (thrombosis) from the heart chamber moving to the atrial fibrillation patient.If blocked blood vessels or clogged vasodilation on a wide range, in many positions, it may affect the ability of the heart to pump the heart, even cardiac arrest.Racing with time in emergency patients with heart attack caused by coronary embolism is a survival factor that determines the lives of patients.

Coronary intervention is a high technique, using specialized tools to thread into the pulse to the clogged, narrow blood vessel position, restoring the flow in the blood vessels.As a result, coronary intervention techniques have replaced many complex open surgery surgery before.Coronary intervention is less invasive, so the postoperative stage of the patient is relatively gentle.Fast health recovery speed, short -term hospital stay, cost savings, improving the quality of life.

Master and application of coronary capture and intervention techniques under the support of DSA digital digitalization system since 2017, doctors interfere with cardiovascular intervention at Thai Binh General Hospital has taken advantage of "gold time"Emergency position successfully many cases of myocardial infarction.Thereby bringing life to the patient in the locality, helping patients shorten the recovery time and save the cost of treatment.

Following the advice of the cardiologist, Thai Binh General Hospital, in order to reduce the risk of coronary artery obstruction, myocardial infarction, people need a reasonable diet, avoid eating fat and animal organs, eating enough vegetablesFruit, abandon the habit of smoking, do not abuse alcohol, exercise regularly, keep weight properly, avoid psychological stress, good treatment of diseases if available such as hypertension, diabetes, dyslipidemia ...

In addition, people need to focus on regular health check -ups as well as cardiovascular examination when there are abnormal symptoms to detect and treat coronary artery disease early, help prevent myocardial infarction and myocardial infarction andits complications./.