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Activate the Alarm: Treatment for Acute Myocardial Ischemia Required within 2 Hours. Reiterate and Rush to Hospital to Minimize Mortality Ratio.

Doctor reveals warning signs “Acute myocardial ischemia” reiterates that it must be rushed to the hospital for examination immediately, with treatment time within 2 hours to reduce the mortality rate of heart failure.

On April 1, Dr. Thongchai Keeratihatthayakon Director-General of the Department of Medicine said that acute myocardial ischemia is caused by blood vessels that feed the heart. there is acute obstruction causes the heart muscle to lack blood supply This results in a very dangerous type of arrhythmia. The heart is unable to pump blood to the various organs, causing the patient to lose consciousness suddenly and die if not treated promptly. In addition, if there is a large area of ​​myocardial ischemia, resulting in heart failure.


“Acute myocardial ischemia can occur while working, playing sports, or resting. The cause is due to atherosclerosis or an area with fatty deposits. The rupture of the artery wall causes a blood clot to adhere to the artery wall and form a blood clot, causing a myocardial ischemia,” Dr. Thongchai said.

Dr. Thongchai said Common symptoms and warning signs The patient will have severe chest tightness. Dizziness, nausea, vomiting, pain radiating to the jaw, neck, shoulder blades, left arm, shortness of breath. Some people may have a cork under the epigastric area. It’s like gastritis or acid reflux. When these conditions occur, patients need treatment as soon as possible. Shouldn’t wait to see the symptoms at home. According to Thai data, it was found that most patients received treatment late. This leads to a high mortality rate or complications such as heart failure.

Dr. Anek Kanoksilp, director of the Central Chest Institute, said that acute myocardial ischemia It is most common in middle-aged adults over the age of 40, with twice as many cases in men than women. It is a medical emergency. Diagnosis of acute myocardial ischemia The doctor will ask about the history, symptoms and perform an electrocardiogram and blood test. If symptoms are compatible with myocardial ischemia or an abnormal ST elevation electrocardiogram (STEMI), the doctor will promptly treat to open the coronary artery by give blood clot-dissolving drugs or dilating coronary arteries through a catheter which must be treated as soon as possible There is a golden period of 120 minutes or 2 hours from the onset of symptoms. To reduce the amount of death of the heart muscle and reduce the mortality rate.

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