Myocardial infarction treatment 1120
November 20 this year is China's ninth "myocardial infarction treatment day", "1120"; this number aims to disseminate to the public two "120"; concept, that is, acute chest pain to call ";120" in time, clear diagnosis of myocardial infarction patients need to strive for effective treatment in the golden "120" minutes.
China is gradually entering the aging society, the proportion of hypertension, hyperlipidemia, diabetes, obesity, smoking is increasing year by year, resulting in the incidence of myocardial infarction increased year by year. Heart attacks are the most common and fatal disease associated with chest pain. Early detection, early diagnosis and early treatment are the key to save the lives of patients with myocardial infarction.
"120"; is our country's unified emergency phone number, its dispatching principle is the nearest, and to take into account the actual situation of the patient and the hospital's treatment ability. With the development of the national chest pain center, many 120 emergency centers have signed cooperation agreements with the chest pain center of the hospital, which can be quickly docking and further shorten the treatment time through the green channel to save lives. Dialing 120 is an important link to start the treatment of acute chest pain. If you can call 120 emergency phone for the first time after the occurrence of chest pain, 50% of acute myocardial infarction can be saved within 120 minutes, and lives are likely to be saved.
However, the results of the Chinese Myocardial Infarction Registry Study (CAMI) show that only about 10% of patients with myocardial infarction in China use emergency phone to initiate emergency medical system (EMS) to the hospital. In some European countries, the proportion of patients using emergency vehicles can reach 90%, and the proportion of countries such as the United States, Canada, and Italy exceeds 60%. The utilization rate of ambulances in China is extremely low, on the one hand, the public does not understand the benefits of the application of ambulances in acute myocardial infarction, on the other hand, there are misunderstandings that chest pain is not a life-threatening serious disease, you can see a doctor by yourself. Therefore, a large number of patients in China have delayed treatment after the onset of the disease, resulting in the loss of reperfusion opportunities. These people not only have a high mortality rate, but also survivors with residual heart dysfunction and poor quality of life, which is a heavy burden for individuals, families and society.
To this end, we would like to reiterate that for patients with persistent or sudden severe chest pain with sweating, an ambulance should be called immediately, rather than self-consultation. In the event of an accident, ambulance personnel can rescue at the scene, and quickly transferred to a hospital with the ability to treat. This can save your life or the life of your family.
When chest pain strikes, if there is no one around to accompany you, do the following five things to save yourself:
First, call the ";120" emergency number, tell the operator your exact location, indicating that you may have an acute heart attack;
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Second, keep the room door open so that emergency personnel can enter the room smoothly when they arrive;
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Third, lie down in a suitable position closest to the door to ensure that the emergency personnel can find you the first time after arrival;
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Fourth, one piece of nitroglycerin can be taken under the tongue, and if necessary, aspirin and clopidogrel (or ticagrelor) can be taken orally;
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Fifth, try to calm your emotions and wait patiently.
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Acute chest pain attack to call 120, strive for effective treatment within 120 minutes. This is November 20th - 1120!
Cardiovascularology section