A middle-aged man suffered four strokes in three years, and atrial fibrillation was the cause!
A 51-year-old middle-aged man with no smoking history and a history of chronic diseases went to the emergency room for medical treatment due to weakness in his left foot. An electrocardiogram showed an obviously irregular heartbeat and was diagnosed as a stroke caused by atrial fibrillation. Even with active rehabilitation and treatment, the left foot He is still unable to walk normally. What is even more sad is that in the three years since the first stroke, the man has suffered four strokes, which not only caused his mental decline, visual field loss, and even paralysis of the left half of his body, requiring him to rely on a wheelchair for the rest of his life. Doctors remind that to prevent stroke, in addition to controlling blood pressure, patients with atrial fibrillation should be more careful, because the chance of a stroke caused by atrial fibrillation is five times higher than that of the average person!
Attention people with atrial fibrillation!9 times more likely to have another stroke
According to statistics from the Ministry of Health and Welfare, cerebrovascular disease is the fourth leading cause of death in the country, and the disabling sequelae of stroke are one of the main causes of adult disability. Director Sun Muqian of the Stroke Center of Changhua Christian Hospital pointed out that smoking, lack of exercise, obesity, high blood pressure, diabetes, high cholesterol, atrial fibrillation and family history of stroke are the main risk factors for stroke. Among them, the probability of stroke in people with atrial fibrillation is not only higher than that of ordinary people. 5 times the mortality rate, and the mortality rate is 2 times higher. The chance of a second stroke is much higher than that of the average person, and the risk will increase with age.
People with atrial fibrillation have a worse prognosis and higher mortality rate after stroke!
Atrial fibrillation is a functional abnormality in the rhythmic signal generated in the heart, resulting in abnormal or irregular heartbeats and the inability to effectively discharge blood out of the heart, resulting in blood stasis and the formation of thrombus. When the thrombus enters the brain with the blood flow, it will cause ischemic brain disease. Stroke. Director Sun Muqian further explained that some strokes are caused by atherosclerosis, which leads to blood vessel obstruction and poor blood flow. However, strokes caused by atrial fibrillation are very direct, and cholesterol causes atherosclerosis to cause blood clots, location, The principles are different. Research shows that patients with atrial fibrillation are prone to more severe clinical symptoms after stroke, with poorer prognosis and higher mortality. They are also prone to recurrent strokes. If combined with risk factors such as smoking or three high-risk factors, strokes will occur every year. The risk will continue to increase.
More effective than electric cautery, anticoagulant drugs are more effective in preventing strokes!
How to prevent atrial fibrillation from causing stroke? Director Sun Muqian emphasized that inhibiting the formation of blood clots through oral anticoagulants is currently an effective treatment for preventing strokes caused by atrial fibrillation, because even if atrial fibrillation is treated with electrocautery, paroxysmal atrial fibrillation cannot be completely prevented. You still have to take anticoagulants. However, traditional oral anticoagulants have a higher risk of bleeding and require patients to return to the hospital regularly to track coagulation time to adjust the dosage. In addition, they are easy to interact with other drugs and green vegetables and other foods, making them inconvenient to use. Therefore, most patients, except those with rheumatic heart disease combined with atrial fibrillation or mechanical heart valves, have switched to new anticoagulants.
On the other hand, new oral anticoagulants act on a single coagulation factor, have high stability, more predictable effects, and are almost unaffected by food and drug interactions. They can significantly reduce the risk of bleeding, effectively prevent stroke, and are safer to use. ,convenient.
Get rid of the risk of disability, don’t wait until you have a stroke to find out!
Director Sun Muqian called on atrial fibrillation to be a common clinical arrhythmia. Patients may be fine normally, but sometimes they suddenly experience dizziness, weakness, chest tightness, shortness of breath or inexplicable palpitations. He reminded that if the above symptoms occur, they should seek medical attention as soon as possible for evaluation. Usually only an electrocardiogram can be used to confirm the diagnosis. It is important to note that about a quarter of clinically diagnosed atrial fibrillation patients have no obvious symptoms. It is recommended that people with a family history of atrial fibrillation feel their pulse and observe whether there is irregular heartbeat, fast and slow. , after all, atrial fibrillation can easily cause stroke, so don’t be careful!
2023-12-14 01:44:32
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