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A (82) diagnosed myocardial infarction 10 years ago and inserted a stent into the coronary artery. When the weather cooled in the morning and evening, I felt a fulminant pain in my chest 10 days ago, but I left without thinking. Then I felt chest pain and felt like a squeeze, so I went to the hospital late. However, he is unconscious and is being treated in the intensive care unit.
# B (45), a worker who attended elementary alumni clubs in his hometown last weekend and who enjoyed drinking with his friends. Drinking with old memories like snacks has led to overeating for a long time. The next morning, as I was getting ready to wake up, I suddenly had a whim in my head and my breath was panting. I was diagnosed with an arrhythmia with an irregular heartbeat after finding the emergency room.
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Myocardial infarction and cardiac arrest increased rapidly
Men in their forties should be careful … Patient increased by 30% over 5 years
If you have "chest pain" immediately 119, find a hospital
Fight with the times … Quit smoking surely, the prevention effect is clear
■ Cardiovascular disease is caused by arteriosclerosis
More and more patients with cardiovascular disease complain of breathing, heart palpitations and chest pain when the difference in temperature between day and night is high. Suddenly, when the temperature drops, the body contracts to maintain its temperature because the blood vessels shrink. Studies have also shown that cardiovascular mortality increases by 2% each time the diurnal difference increases by 1 degree Celsius.
Cardiovascular diseases such as arrhythmia and myocardial infarction tend to increase after eating too much over the weekend or the holiday season. Even healthy people who do not have heart disease can suddenly develop an arrhythmia if they overdose during the holidays, especially in the fall when the day difference is large.
Arteriosclerosis is the most fundamental cause of acute myocardial infarction leading to sudden death. Cholesterol accumulates in the coronary arteries, feeding the heart's muscles with blood, narrowing the diameter of the blood vessels, causing blood flow disorders and resulting in angina.
"If there is a problem in the coronary arteries that supply the blood with blood to the heart, this can lead to ischemic heart disease that does not work in the heart muscle," said Lim Soo-jin, director of cardiology at Kangil Hospital. If there are underlying diseases such as hypertension or accumulation in acute myocardial infarction should be more cautious, "he said.
■ Smoking, cholesterol is the main risk factor
Risk factors for cardiovascular disease are divided into two factors: those that are manageable and those that are not. Risk factors that can not be managed are age, gender, family history. The higher the age (45 years for men and 55 years for women), the greater the risk is for men than for women and people with heart disease in the family.
In addition, smoking and hyperlipidemia, hypertension, diabetes, and obesity are risk factors that can be managed while showing a clear correlation with cardiovascular disease. In particular, the preventive effect of smoking cessation of vascular disease is clear. The study found that patients with myocardial infarction had a 36% reduction in mortality compared to smokers. The prevention of vascular disease through smoking is fast as soon as smoking stops, and 10 to 15 years later, smoking is similar to that of non-smokers.
It is also important to manage low-density lipoprotein (HDL) cholesterol, called "bad" cholesterol, at less than 40 mg / dL. Decreased LDL cholesterol at 30 mg / dL reduced the risk of heart disease by 30%.
Patients with hyperlipidemia should make corrections to their lifestyle, the foundation of which is changing dietary habits. It is advisable to limit the consumption of high cholesterol foods, such as egg yolks, squid, meat intestines, poultry shells and many saturated fats.
■ If you have symptoms, you should find a hospital soon
The problem is that the age of onset of angina pectoris, myocardial infarction and so on. is gradually lowered. According to statistics from the World Health Organization (WHO), ischemic heart disease is the most common cause of death among people aged 30 to 49 in Asia. Ischemic heart disease moved from the second leading cause of death in the 1930s to the 1940s in 2000 and reached the peak in 2016.
In Korea too, it is increasingly necessary to take care of ischemic heart disease from the 1940s. According to the NHIC badysis, 40 out of 10 patients with acute myocardial infarction were diagnosed. In particular, the number of male patients in their forties has increased by about 29% over the five years, from 2012 to 2017.
Lim Su-Jin, director of the hospital, said, "Most of the sudden deaths in the 40's and 50's are due to cardiovascular disease." It should not treat angina and myocardial infarction as geriatric diseases and manage your blood pressure and cholesterol levels in your forties.
It is especially important to remember the symptoms of heart disease and to get to the hospital as soon as possible. Acute myocardial infarction should be strongly suspected during sweating with chest pain lasting more than 30 minutes. In this case, do not delay and call 119 to get to a hospital where angioplasty is possible. "Heart disease is a fight against time," he said.You should not spend time in private clinics or pharmacies, because you can block your heart necrosis as much as possible by finding a hospital within 20 minutes or less in an hour. "
Gimhae News / Seongseup, Senior Reporter @
L & # 39; s help = Lim Hospital Soo-jin Kangil Department of Cardiology (Specialist)
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