Health

Grandmother only 1% chance to live


Quang NinhThe 93-year-old woman suddenly had severe chest pain, shortness of breath, slow heart rate, low blood pressure, and a 99% risk of death.

Relatives immediately took her to Bai Chay hospital for emergency, on April 6. Patients with a history of type 2 diabetes. Doctors diagnosed the patient with heart shock due to acute myocardial infarction, prognosis of death.

The doctor’s team managed to prevent shock, activate the internal red alarm. Coronary artery imaging showed that the third segment of the right coronary artery was completely blocked. Dr. Tran Van Quy, Deputy Head of Cardiology Department, chief intervention team, performed coronary artery re-catheterization, placed drug-coated stent into the blocked artery.

Immediately after the intervention, the patient was awake, less breathing difficulty and chest pain. However, after 3 hours of follow-up, the patient continued to fall into heart shock, mental stimulation, blood pressure dropped to only 80/50 mmHg. Doctors evaluate for recurrent heart shock. The patient was ventilated, transferred to the cardiovascular intervention room to check coronary artery scan, to detect complete obstruction in the stent. Doctors conducted balloon amalgamation, recirculation of the flow.

After treatment, the patient is awake, with stable hemodynamic indicators, is withdrawn endotracheal tube, can walk.

Dr. Tran Van Quy assessed: “This is one of the few critical elderly illnesses that have been spectacularly saved”.

The doctor examines the patient. Image: Hospital provided

Heart shock Suddenly, the heart is unable to pump blood to meet the body’s needs. Heart shock usually occurs after a severe heart attack. Acute myocardial infarction is the leading cause of heart shock, among other conditions such as myocarditis or infection of the heart valves (endocarditis).

Other causes include drug overdose or poisoning with substances that can affect the heart’s ability to pump. The disease is common in the elderly and people with diabetes, people with a history of myocardial infarction …

This patient suffered a heart attack due to myocardial infarction. A heart attack occurs when one or more of the arteries supplying oxygen-rich blood are blocked, the doctor said. Over time, a coronary artery can become narrowed from a buildup of cholesterol. This accumulation point is called plaque, in the arteries throughout the body called atherosclerosis.

During a heart attack, one of the plaques can rupture and a blood clot forms. If the clot is large enough, it can block blood flow through the artery. Without oxygen-rich blood circulating to the rest of the body, the heart muscle can weaken and progress into cardiogenic shock.

According to the doctor, the survival rate of successfully rescued patients with a heart attack is only about 10%. The treatment process for this patient is very difficult due to old age, diabetic background disease, myocardial infarction, cardiogenic shock, stent obstruction and relapse of myocardial infarction, leading to the risk of death almost 99%. .

Regular health checkups are not sure to detect the risk of myocardial infarction. When there are heart contractions, the patient should be examined. Your doctor can perform stress electrocardiograms, which can help detect heart problems.

Possible lifestyle changes can help prevent a heart attack, like controlling hypertension, lowering cholesterol and saturated fat in your diet, not smoking, and maintaining a healthy lifestyle. , exercise regularly…

Thuy Quynh