The so-called "overwork death" is indeed a heart attack

Chinese Men's Basketball Team the last century, "Yao Ming"穆铁柱died a few days ago, called fatigue dead.七八十年generation in the last century, he was no one can block the "center in Asia," the daily treadmill training alone, close to 10,000 meters.

Not long ago, as young as 39-year-old Beijing Tongrentang Co., Ltd. Sheng-yu, died suddenly at home. Sheng-yu, a lot of awareness of them said: "He who is also a number of key posts, it was too tired, but also a 'fatigue dead' example."

For a time, "fatigue" was so numerous fears about the social elite. However, this argument has recently been challenged scientists who - because, these elites of death appears to be tired, but it is actually a heart attack, but has long been dormant in their bodies for many years, but it has not caused them to pay attention to heart disease.

It turned out that heart disease is the greatest threat to our lives!

Survey showed that heart disease and stroke is still the primary cause of death worldwide, every year about 17.5 million people died of various kinds of cardiovascular disease. In the 25 ~ 44-year-old women, heart disease every year "defeat" of breast cancer, crowned as "female killer" first.

Tomorrow, is the eighth World Heart Day, this year's theme is "Know your level of risk (Know Your Risk)". On this day, let us hand on his chest, and feel the heart beating - it's at all times to operate, and to work diligently in order to sustain our lives. However, we have busy lives, but also how long it did not have the "heart" It's the case?

Medical guidance: Chinese Academy of Medical Sciences hospital Fuwai cardiovascular disease diagnosis and treatment of heart disorders Stephen Cheung, director of the Center, Guangdong Provincial People's Hospital of heart failure patient, deputy director of Physicians Chen Si Lin, Guangzhou Military General Hospital Cardiovascular Medicine Professor Xiang Dingcheng

Key words: heart failure

This year 66-year-old Zhang is a "Old chronic bronchitis," Asthma is a common practice for him. Can in recent months, Zhang asthma seems more and more serious, and "In the past, after walking up stairs or breathe, can not even sat recently, and even lying down at night are breathing." With full of doubt, Zhang has been found for their own treatment "COPD" doctor. Zhang doctors to do a series of inspection concluded: "Your function no obvious signs of deterioration, other indicators can also be, I suspect that you may not be aggravated asthma because of pulmonary lesions, the problem may be in the heart, it is may be caused by heart failure, you take a look at the specialist as soon as possible to the heart. "

If doctors allow Zhang surprise: "I obviously asthma, how wrong it would be in the heart?"

Heart will go on strike sitting asthma

Breathless was the heart of the problem

According to the Guangdong Provincial People's Hospital, MD, deputy director of the heart failure patient physician Chen Lin Si introduced, many people heard the words "heart failure" would think that the heart stopped beating. "In fact not the case." Chen Si-Lin played a vivid metaphor: "We can put the heart as a pump, while the blood is pumped water. Pumps used as time goes by, the problem will naturally, people The same heart, in addition to normal aging, the high blood pressure, rheumatic heart disease, myocardial infarction, diabetes and so could weaken the function of the heart, one of which is the heart contraction of weak performance. "As a result, the heart of" pump "of blood the amount will not be able to meet the body's energy needs, and thus there is a clinical syndrome or a group of symptoms. "Patients with mild physical decline may occur, after a little asthma, can be severe patients may be the same as Zhang, sitting, lying down all of the asthma."

Well, it's clear that the heart go wrong, why it is through the respiratory symptoms of performance out?

Si-Chen Lin explained that this was due to heart failure caused by fluid in the lungs, legs and body together with other organizations, affecting the lungs of blood and oxygen exchange between, it will appear in patients with heart failure edema, weight gain, shortness of breath or night symptoms of breathing difficulties.

China, an annual increase of 500,000 cases of heart failure

Si-Chen Lin reminded, chronic heart failure is generally not a sudden occurrence, but a less rapid progression of the disease, coupled with heart failure patient's symptoms did not specific, and even some patients have no symptoms. Therefore, patients with heart failure can be easily overlooked, or as to the treatment of other diseases. However, do not think that the treatment of heart failure can be delayed. Because According to statistics, if not treatment, 70% ~ 80% of patients with severe heart failure deaths in 8 years!

In addition, the number of patients with heart failure is the year. Based on current information, the world's more than 20 million patients with heart failure, the United States has about 500 million, China is estimated that 5.85 million per 100,000 elderly people over the age of 65 in 1000 patients there. The world each year two million new cases of patients with the United States and China each year about 500,000 new patients.

B-can be found in the heart of heart failure

How can this early detection of heart failure? Si-Chen Lin pointed out that although heart failure is a complex disease, but currently, China's standard of health care through a number of relatively simple to check out can be diagnosed. B-one heart, electrocardiogram (ECG), X-ray chest, exercise tests are commonly used and effective inspection.

Regarding the treatment, despite the failure is a chronic disease that currently can not be completely cured, but if patients strictly enforce the doctor's treatment plan is to delay the deterioration of heart failure, improve symptoms, improve the quality of life.

At present, the most commonly used heart failure or drug therapy, doctors will use drugs to control patients, the drugs commonly used diuretics, angiotensin converting enzyme inhibitors (ACEI), β-blockers, etc. . Patients usually have to take several drugs to control the disease.

Si-Chen Lin pointed out that if the situation in the development of heart failure patients that even the bad drug control phase, we need some heart surgery (for example: cardiac valve replacement and heart transplantation) or equipment to treat. Therapy equipment which is the application of a broader approach, which includes cardiac resynchronization therapy (CRT) and implantable cardioverter defibrillator therapy (ICD).

Key words: fatigue dead

Chinese Men's Basketball was the leader of the last century穆铁柱, recently passed away. Filed穆铁柱, slightly older Chinese people are familiar with, because in the last century七八十年generation, he was no one can block the "center in Asia." His death, it was attributed to his early Superacid training. Some statistics,穆铁柱play in the national team for 14 years, the only training run of 51.1 million meters, which is equivalent to 1.2775 circle around the Earth's equator.

Coincidentally, not long ago, as young as 39-year-old Beijing Tongrentang Co., Ltd. Sheng-yu, sudden death at home. Sheng-yu, according to colleagues around disclosed that he had Tongrentang shares in addition to serving as chairman of the company's outside, or more than a branch enterprise "When the family", "his sudden death, who may be associated with a number of positions, the heavy workload too much pressure related. "

However, the departure of these two celebrities, and finally none proved more than just "fatigue"'s fault, but with heart disease.

Do not be fooled by fatigue dead: it is actually behind heart disease

Cardiovascular disease is the real cause of sudden death

In recent years, with a lot of media coverage in the prime of life, social "elite" one by one fell to the rostrum, the posts, "overwork death" as a threat to occupational health and even their lives crowd term. However, medical experts are not as simple as that.

"Not every fatigue load to bear the same people will 'die', the same circumstances, why colleagues around him are safe? Such as through the autopsy found that the majority of 'fatigue dead' in the prime of life itself has the potential cardiovascular disease, However, it is possible he did not know. "Guangzhou Military Region General Hospital Cardiovascular Medicine Professor Xiang Dingcheng told reporters that the basis of their own is the main cause of disease, and fatigue is to make the incentive of sudden illness. "People with vascular disease, coronary heart disease, aortic aneurysm, heart disease and other groups of people, blood pressure is very vulnerable to emotional and physical effects of fluctuations, too much pressure, fatigue is bound to cause a sharp rise in blood pressure in a short period of time, resulting in cardiac insufficiency, caused sudden death. If he himself and the family members are not aware of their heart problems, is likely to simply judged as' fatigue dead '. "said Professor Xiang Dingcheng.

Four people须防"overwork death"

"In fact, the vast majority of sudden death there before the crowd in the incidence of precursor, such as chest tightness, angina and so on, and as long as the rest will be able to alleviate such signs, but many people have overlooked this danger 'signal', once recovery nothing on it to continue to engage in heavy work, did not consider whether there is the possibility of cardiovascular disease. "Professor Xiang Dingcheng told reporters, clinical discovery, more and more 30 to 40-year-old male began to coronary heart disease," Generally speaking, the male incidence than women about a decade earlier, women affected by the level of estrogen protection, more than the occurrence of coronary heart disease in postmenopausal women and men in the prime of life may have heart disease have been hidden inside the body, but a lot of people are not aware of. "

He pointed out that the following four major risk factors are to occupy more than one belonging to high-risk groups: patients with hypertension, hyperlipidemia patients, diabetics and smokers. "There are a family history of men as early as the occurrence of coronary heart disease before age 45, women 55 years earlier than the incidence of persons, and their age has been reached in the prime of life, it should be included in the scope of high-risk groups, these groups can not be omitted from the annual medical examination to check the heart, and peacetime should keep a close watch on their own whether there is any discomfort caused by cardiovascular disease. "

Key words: sudden death

急死also known as the sudden death of healthy people may seem sudden unexpected death, are known as sudden death, the general from symptoms to death in 1 hour. Sudden death for a variety of reasons, but most see the cardiovascular system diseases, information on domestic and foreign data indicate that approximately 80% of sudden cardiac death are directly related with the heart.

80% of sudden death and heart disease-related

1 / 4 in patients with no symptoms before sudden death

In recent days, "Chinese Medicine of Pacing and Electrophysiology Branch," the eighth annual meeting held in Hangzhou. Chinese Academy of Medical Sciences Fuwai Cardiovascular Hospital director of the Center for diagnosis and treatment of heart disorders Professor Zhang Shu at the meeting pointed out: "China's 544,000 people each year of sudden cardiac death occurs every day there are at least 1480 people were killed. In other words, the equivalent of a day to take place four times a crash. "In addition, about 1 / 4 to the sudden death of coronary heart disease as the first performance. In other words, this part before the sudden death of patients did not know they are suffering from heart disease.

Zhang Shu, said sudden cardiac death in high-risk groups include three categories: the first category, those with heart diseases, such as myocardial ischemia, myocardial disease, etc.; The second category is ECG unstable patients, including those with ventricular arrhythmia , late potentials and other diseases; the third category is the decline in cardiac function in patients, including patients with congestive heart failure. One myocardial infarction, heart failure patients, especially heart failure patients, the incidence of sudden death than the ordinary high 5-10 times, but the vast majority of sudden death occurred outside the hospital. Sudden death occurs when, first aid extended by one every minute, the survival chances of patients dropped 10%.

Only 500 people in China each year to install heart defibrillators

Cardiovascular Branch of Chinese Medical Association vice-chairman of the Huang Dejia pointed out that the sudden cardiac death in high-risk groups, the medical profession believes that the installation of an implantable cardiac defibrillator is the most effective way. "In the heart of all, regardless of myocardial infarction, or heart failure, as long as did not occur in patients with atrial fibrillation, there is still time to save, but the event of atrial fibrillation may be fatal in a matter of minutes, the patients did not wait for the opportunity to the arrival of emergency personnel. "and the installation of defibrillators, it will be the first time after their restart," emergency procedures "to prevent the occurrence of sudden death. From Beijing Fuwai Cardiovascular Hospital for 10 years has done a heart bypass surgery in patients with the tracking of view, two years later, about 10% of patients with sudden death, and bypass surgery after the installation of defibrillator patients died within one year without a case.

Experts believe that the installation of the body implantable cardiac defibrillator is a vision like a bad person, like the need to wear glasses. In the United States, each year about 15 million people in the installation of implantable cardiac defibrillator, but in China, only 500 people each year to receive surgical implants. The reason why people do not accept the implantable cardiac defibrillator, on the one hand, do not understand, can not accept the body with a "small box", on the other hand, and economic capacity. At present, the market implantable cardiac defibrillator, the price of at least several million, and Medicare can not reimburse this part, leading to patients but do not have access to good things.

It is understood that a remote control alarm implantable cardiac defibrillator is now available. This new wireless defibrillator can be critical, not only in their automatic defibrillator function, but also can be closely monitored in patients with normal heart condition, if patients with abnormal heart, it will automatically issue a warning radio waves, and their alarm signals are remote control acceptable, we will send out alarm sound, while also warning lights flashing, to remind patients and doctors should be linked.

Timely cardiopulmonary resuscitation or to save patients with sudden death

"Although the risks of sudden cardiac death, but human beings are not powerless before it." Zhang Stephen said that to prevent sudden death, we should first do a good basis for disease control, such as the prevention of blood pressure, blood glucose fluctuations and so on. Statistics show that about a quarter of the sudden death of a patient death that day angina, heart palpitations, fatigue or difficulty in breathing, if the sudden cardiac death can come to grips with early symptoms and signs, timely diagnosis and treatment, some of the patient's life is can be saved.

In addition, if seen near syncope patients with coronary heart disease sudden, unconscious, accompanied by respiratory arrest situation, on-site staff immediately if CPR, external cardiac massage in the artificial resuscitation while waiting for ambulance come, it is possible to restore a life of patients. Abroad, many public occasions, such as hotels, stations, etc, are equipped with external defibrillator, but also the time of the sudden death of an effective first-aid approach.