Mrs. Thay, 98 years old in Binh Phuoc, was playing with her children and had chest pain and difficulty breathing.
Associate Professor Nguyen Van Tan, Head of the Department of Emergency Intervention Cardiology, Thong Nhat Hospital, said that the patient entered the emergency room on March 30 with symptoms of dizziness, myocardial infarction, and a drop in blood pressure. Electrocardiogram images and symptoms showed that without coronary intervention, the patient would have a hard time keeping his life.
After “putting on the balance” between the two options whether or not to intervene in elderly patients, the doctor decides to perform the procedure. The results showed that coronary artery was very severely damaged by calcification, almost completely blocked the main blood flow.
“The path to the affected site is bent at a heavy, complex angle, causing many difficulties for the team to intervene when putting the device inside”, Dr. Tan shared. After about 30 minutes of trying to manipulate, the doctors saved the blocked coronary branch, successfully placed the stent to recirculate the blood vessel.
Immediately after the intervention, the grandmother improved her health significantly, reduced chest pain, and gradually stabilized blood pressure. On April 5, healthy patients were discharged from the hospital. “I walk easily, eat well, have no chest pain,” said the old woman.
Mrs. Thiep’s daughter said that the whole family was mentally prepared for the worst case scenario, “I don’t think the doctors can save her mother’s life like that, so the whole family is very grateful”.
According to Dr. Tan, acute myocardial infarction is a cardiovascular emergency with dangerous complications, if not handled promptly, it can be fatal. The disease occurs because the artery nourishing the heart is blocked in a certain branch, causing the heart muscle to develop necrosis, easily leading to heart failure, arrhythmia, heart shock, cardiac arrest, sudden cardiac death.
According to Dr. Tan, common manifestations are chest pain, difficulty breathing, heart arrhythmia … The disease can occur at any age. Coronary intervention in the first hour is considered the treatment of top priority.
The most common cause of a heart attack is the formation of a blood clot in the lumen of the blood vessel blocking this coronary artery. Some of the risk factors that increase the occurrence of atheroma are smoking, hypertension, overweight, obesity, dyslipidemia, diabetes mellitus, inactivity, and a family history of early cardiovascular diseases (men under 55 years old, women under 65 years old).
For young people, a heart attack in men is 3 times higher than in women. After menopause, due to the lack of protection from female sex hormones, the ratio of diseases between men and women is rebalanced.
Doctors recommend that people with many risk factors should get regular screening for coronary artery disease. In the elderly, symptoms are sometimes not obvious. In young people, over 90% of patients with myocardial infarction have manifestations of shortness of breath, chest pain lasting more than 30 minutes.