Mob plawv mob

Mob mob rau lub cev yog ib lo lus rau ib pawg mob uas dheev nres lossis tso ntshav qis los ntshav rau cov leeg plawv. Thaum ntshav tsis tuaj yeem ntws mus rau lub plawv cov leeg ntshav, lub plawv mob yuav tuaj yeem kho. Lub plawv nres thiab tsis khov lub siab yog ob qho tib si kev mob ntshav siab (ACS).

Lub cev rog hu ua cov quav hniav tuaj yeem txhim tsa cov hlab ntsha uas nqa cov ntshav uas muaj cov pa oxygen rau koj lub plawv. Cov quav hniav yog tsim los ntawm cov roj cholesterol, rog, hlwb, thiab lwm yam tshuaj phem.

Cov quav hniav tuaj yeem thaiv kev ntshav ntws hauv ob txoj kev:

• Nws tuaj yeem ua rau cov leeg ntshav tau nqaim dhau lub sij hawm uas nws txhaws txaus kom ua rau cov tsos mob.
• Cov quav hniav tawm sai sai thiab ua rau cov ntshav txhaws nyob ib puag ncig nws, ua kom txoj leeg nqaim lossis thaiv cov leeg.

Ntau yam pheej hmoo ua rau mob plawv tuaj yeem ua rau ACS.

Cov tsos mob feem ntau ntawm ACS yog mob hauv siab. Lub hauv siab mob tuaj yeem ceev ceev, tuaj thiab mus, lossis mob heev ntxiv nrog so. Lwm cov tsos mob tuaj yeem suav nrog:

• Mob hauv lub xub pwg, caj npab, caj dab, puab tsaig, nraub qaum, lossis lub plab
• Kev tsis xis nyob uas hnov ​​zoo li zawm, nyem, txhaws, hlawv, txhaws txhaws lossis mob caj dab
• Kev tsis xis nyob uas tshwm sim thaum so thiab tsis yooj yim ploj mus thaum koj noj tshuaj
• Ua tsis taus pa
• Ntxhov siab vim
• Xeev siab
• Tawm hws
• Lub ntsej muag kiv taub hau lossis teeb pom kev zoo
• Lub plawv dhia ceev lossis ceev

Cov pojniam thiab cov neeg laus feem ntau muaj cov tsos mob no, txawm hais tias mob hauv siab yeej ib yam rau lawv ib yam nkaus.

Koj tus kws kho mob yuav kuaj, mloog koj lub hauv siab nrog lub taub hau tsom, thiab nug koj li keeb kwm kev kho mob.

Kev ntsuam xyuas rau ACS suav nrog:

• Electrocardiogram (ECG) - Ib qho ECG feem ntau yog thawj qhov kev sim uas koj tus kws khomob yuav khiav. Nws ntsuas koj lub plawv qhov hluav taws xob. Thaum qhov kev kuaj ntawd, koj yuav muaj cov ntaub qhwv me me txuas rau koj lub hauv siab thiab lwm thaj chaw ntawm koj lub cev.
• Kev kuaj ntshav - Qee qhov kev kuaj ntshav pab qhia qhov ua rau mob hauv siab thiab saib seb koj puas muaj feem yuav pheej hmoo ua mob plawv. Troponin kuaj ntshav tuaj yeem qhia tau yog tias cov keeb hauv koj lub plawv puas ntsoog. Kev kuaj ntshav no tuaj yeem lees paub tias koj muaj lub plawv nres.
• Echocardiogram - Qhov kev ntsuam xyuas no siv lub suab tsis tau los saib koj lub siab. Nws qhia tau yog tias koj lub siab tau puas thiab tuaj yeem nrhiav qee yam mob plawv.

Coronary angiography tuaj yeem ua tam sim ntawd lossis thaum koj nyob ruaj khov dua. Qhov ntsuas no:

• Siv cov xim zas xim tshwj xeeb thiab xoo hluav taws xob txhawm rau saib cov ntshav ntws mus li cas hauv koj lub plawv
• Tuaj yeem pab koj tus kws khomob txiav txim siab txog hom kev khomob twg koj xav tau txuas ntxiv

Lwm txoj kev kuaj xyuas koj lub plawv uas yuav ua tau thaum koj nyob hauv tsev kho mob suav nrog:

• Kev tawm tsam kev ntxhov siab
• Nuclear kev nyuab siab kuaj
• Kev nyuab siab echocardiography

Koj tus kws kho mob yuav siv cov tshuaj, phais mob, lossis lwm cov txheej txheem los kho koj cov tsos mob thiab rov qab los ua ntshav rau koj lub plawv. Koj txoj kev kho yog nyob ntawm koj tus mob thiab qhov thaiv ntawm koj cov hlab ntsha. Koj txoj kev kho yuav suav nrog:

• Tshuaj - Koj tus kws kho mob yuav muab ib los yog ntau hom tshuaj rau koj, suav nrog cov tshuaj aspirin, beta blockers, statins, ntshav cov ntshav, cov tshuaj tuag yaj, Angiotensin hloov mus rau enzyme (ACE) inhibitors, lossis nitroglycerin. Cov tshuaj no tuaj yeem pab tiv thaiv lossis ua kom ntshav txhaws, kho ntshav siab lossis angina, daws qhov mob hauv siab, thiab ua kom lub siab nyob tus.
• Angioplasty - tus txheej txheem no qhib cov caj pas txhaws siv lub raj ntev ntev, hu ua cov raj xa dej. Lub raj tso rau hauv cov leeg thiab cov kws kho mob ntxig lub pob zais pa me me. Lub zais pa pa ntawm sab hauv cov leeg yuav qhib nws. Koj tus kws kho mob yuav ntxig lub raj hlau, hu ua stent, txhawm rau kom cov leeg qhib.
• Kev phais Bypass - Qhov no yog kev phais mob rau txoj kev ntshav nyob ib ncig ntawm cov leeg ntshav uas tau sim ntawd.

Koj ua tau zoo npaum li cas tom qab ACS nyob ntawm:

• Koj yuav kho tau sai npaum li cas
• Tus naj npawb ntawm cov hlab ntsha uas txhaws thiab phem npaum li cas ntawm blockage
• Txawm hais tias koj lub siab tau puas, lossis raws li lub sijhawm thiab qhov chaw ntawm kev puas tsuaj, thiab qhov twg ua rau puas tsuaj

Feem ntau, qhov ua rau koj cov leeg sai dua tuaj, tsis muaj kev puas tsuaj koj yuav muaj rau koj lub siab. Cov neeg muaj peev xwm ua tau zoo tshaj plaws thaum lub sim ntshav tau qhib nyob hauv ob peb teev txij li lub sijhawm pib cov tsos mob.

Qee qhov xwm txheej, ACS tuaj yeem ua rau lwm cov teeb meem kev noj qab haus huv suav nrog:

• Txawv lub plawv rhythms
• Kev Tuag
• Plawv nres
• Lub plawv tsis ua haujlwm, uas tshwm sim thaum lub siab tsis tuaj yeem nqus ntshav txaus
• Kev sib tsoo ntawm ib feem ntawm lub siab ua rau lub pob zeb tamponade lossis cov dej ntws loj
• Mob stroke

ACS yog xwm txheej kub ntxhov ceev. Yog tias koj muaj cov tsos mob, hu 911 lossis koj tus lej kub ceev hauv zos sai.

TSIS TXHOB:

• Sim tsav koj tus kheej mus tom tsev kho mob.
• WAIT - Yog koj tau mob plawv, koj yog qhov muaj feem yuav tuag sai sai thaum ntxov.

Muaj ntau koj tuaj yeem ua kom tiv thaiv ACS.

• Noj cov zaub mov kom lub plawv tsis muaj mob. Muaj ntau cov txiv hmab txiv ntoo, veggies, nplej, thiab cov nqaij rog. Sim ua kom txwv cov zaub mov uas muaj roj cholesterol thiab roj ntau, vim tias ntau dhau ntawm cov khoom no tuaj yeem txhaws koj cov hlab ntsha.
• Ua kom ib ce muaj zog. Ua kom muaj kev tawm dag zog tsawg kawg 30 feeb txhua hnub feem ntau ntawm lub lim tiam.
• Poob phaus, yog tias koj rog dhau.
• Txiav Luam Yeeb. Kev haus luam yeeb tuaj yeem ua rau koj lub plawv puas. Nug koj tus kws kho mob yog tias koj xav tau kev pab txiav.
• Tau txais kev kuaj mob tiv thaiv kev mob. Koj yuav tsum ntsib koj tus kws kho mob txhawm rau ntsuas cov roj ntshav siab thiab ntsuas ntshav siab thiab kawm paub tswj koj tus lej hauv kev kuaj xyuas.
• Tswj hwm kev mob nkeeg, xws li muaj ntshav siab, ntshav siab, lossis ntshav qab zib.

Plawv nres - ACS; Myocardial infarction - ACS; MI - ACS; Mob MI - ACS; ST qhov siab myocardial infarction - ACS; Tsis ST-nce myocardial infarction - ACS; Tsis Txaus Lub Kua Muag - ACS; Kev nrawm angina - ACS; Angina - tsis khov-ACS; Zaus angina

Amsterdam EA, Wenger NK, Brindis RG, li al. Xyoo 2014 AHA / ACC cov txheej txheem rau kev tswj hwm cov neeg mob uas tsis yog-qib mob siab mob siab rau cov leeg ntshav nce siab: cov lus tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm Kev Coj Qhia. J Am Coll CardiolCov. Xyoo 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Bohula EA, MAY DA. ST-tsa myocardial infarction: kev tswj hwm. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 59.

Eckel RH, Jakicic JM, Ard JD, li al. Xyoo 2013 AHA / ACC cov txheej txheem qhia txog kev tswj hwm kev ua neej txhawm rau txhawm rau txo kev mob plawv hlab ntsha: ib daim ntawv tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm Kev Coj Qhia. Kev ncigCov. Xyoo 2014; 129 (25 Cov Khoom Siv 2): S76-S99. PMID: 24222015 pubmed.ncbi.nlm.nih.gov/24222015/.

Giugliano RP, Braunwald E. Tsis yog-qib kev mob siab rau txoj kev mob ntshav siab. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 60.

O'Gara PT, Kushner FG, Ascheim DD, li al. 2013 ACCF / AHA cov lus qhia rau kev tswj hwm ntawm ST-nce myocardial infarction: cov lus sau ua tus thawj tswj: ib daim ntawv tshaj tawm ntawm American College of Cardiology Foundation / American Heart Association Task Force ntawm Kev Coj Qhia. Kev ncigCov. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

Scirica BM, Libby P, MAY DA. ST-nce myocardial infarction: pathophysiology thiab soj ntsuam evolution. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 58.

Smith SC Jr, Benjamin EJ, Bonow RO, li al. AHA / ACCF kev tiv thaiv kab mob thib ob thiab kev txo cov kev pheej hmoo rau cov neeg mob plawv thiab lwm yam kev mob ntshav siab: atherosclerotic vascular: 2011 hloov kho tshiab: cov lus qhia los ntawm American Heart Association thiab American College ntawm Cardiology Foundation. Kev ncigCov. 2011; 124 (22): 2458-2473. PMID: 22052934 pubmed.ncbi.nlm.nih.gov/22052934/.