The driver surnamed Zhuhuang on Kaohsiung Road suddenly had severe chest pain. He was sent to the emergency department and found to be acute anterior wall myocardial infarction. Preoperative angiography showed obvious obstruction (red circle).

(Photographed by reporter Chen Jianzhi)

[Reporter Chen Jianzhi/Taichung Report] Mr. Huang, 46, Luzhu, Kaohsiung, usually works as a freight driver and has a habit of smoking. Recently, he and his wife drove a pallet truck to Dali, Taichung. Anterior wall myocardial infarction, fortunately, emergency cardiac catheterization was performed to aspirate the thrombus and use optical coherence computed tomography equipment to optimize the placement of vascular stents. Fortunately, he saved his life and avoided myocardial hypoxia and cardiac dysfunction caused by coronary artery obstruction.

This patient usually travels north and south driving a pallet truck to deliver goods. He didn't know that he had high blood pressure and hyperlipidemia, and he did not take medicine regularly. It was not until the delivery to Dali, Taichung a few days ago that he rushed to the doctor with chest pains and found out that it was acute. Anterior myocardial infarction.

Please read on...

Fang Xiuyu, Director of the Cardiology Department of Dali Renai Hospital, said that acute myocardial infarction is an acute and very serious heart disease, which is more likely to occur in smoking, high blood pressure, family history, diabetes, and obesity. Nutrients cannot be delivered to the cardiomyocytes it supplies, resulting in permanent damage to the heart tissue and death, severe and even shock or death. The main treatment is drug therapy plus emergency coronary artery balloon dilation and vascular stent placement surgery.

Fang Xiuyu said that acute myocardial infarction is a complete blockage of the coronary artery, so the diameter of the coronary artery cannot be seen clearly for the time being. Cardiologists often use years of experience to judge the size and length of the blood vessel to place a coronary stent .

Fang Xiuyu said that through the new generation of intravascular imaging such as intravascular ultrasound and intravascular optical coherence computed tomography, it is possible to see clearly the diameter and length of the blood vessel in the coronary artery, and even more clearly see the composition of the thrombus in the blood vessel To optimize the placement of vascular stents and improve the prognosis of patients, it is the mainstream of foreign interventional cardiologists to perform stent placement.

Fang Xiuyu reminded that if you usually have three highs, you must take your medicines on time, and if you have a smoking habit, you should quit smoking as soon as possible. If you have persistent chest pain, wheezing, or cold sweats, you must seek medical attention immediately to avoid delays in your illness.

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The driver surnamed Zhuhuang on Kaohsiung Road suddenly had severe chest pain. He was sent to the emergency department and found to be acute anterior myocardial infarction. After placing a stent, the blood vessels became smoother (red circle).

(Photographed by reporter Chen Jianzhi)

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keywords

• diabetes

• myocardial infarction

• hyperlipidemia

• coronary artery

• myocardial hypoxia

• Health Net-Hypertension

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