"Doctor, all the stools I've solved these days are black stools." Mr. Wang, who is in his 50s, complained to the doctor. "Have you taken any medicine recently?" the doctor asked. "A while ago, because of acute myocardial infarction, a heart stent was placed, so I took aspirin and antiplatelet drugs every day." "When a patient resolves melena, it means he has upper gastrointestinal bleeding," said Dr. Song Sixian, Department of Cardiology, Taipei Veterans General Hospital. "Long-term use of aspirin may cause gastrointestinal discomfort, peptic ulcers, and even gastric or duodenal bleeding. Situation , we must be vigilant and deal with it as soon as possible.” Because of serious gastrointestinal bleeding, Mr. Wang had to temporarily stop the treatment.
Although the bleeding gradually stopped after Photo Restoration Service stopping the drug, acute thrombosis caused myocardial infarction and sudden death arrhythmia. Fortunately, the patient was still in the hospital, and after emergency treatment, the condition was stabilized. Dr. Song Sixian reminded that patients with cardiovascular disease who experience bleeding when taking aspirin and antiplatelet drugs should immediately inform their doctors so that they can deal with and adjust the drugs as soon as possible and avoid difficult complications. Pay attention to the temperature difference between day and night to avoid accidentally stepping on mines for myocardial infarction The main risk factors for atherosclerosis are the three highs (hypertension, hyperglycemia, hyperlipidemia) and smoking. Dr. Song Sixian said that once the coronary arteries of the heart develop atherosclerosis, vascular plaques will gradually narrow the arteries, and the risk of myocardial infarction will increase .
1 Photo Credit: Care Online When the weather is cold, the sympathetic nerves will be excited and stimulate blood vessels to contract. Dr. Song Sixian said that if the originally narrowed coronary arteries are contracted due to the cold weather, symptoms of angina pectoris and cardiac hypoxia are likely to occur . If the vascular plaque is unstable, it is likely to rupture and form a blood clot locally, completely blocking the blood vessel, causing myocardial infarction. Dr. Song Sixian pointed out from clinical observations that in addition to winter, early morning is also a time when myocardial infarction and stroke are prone to occur. Myocardial infarction must be treated with cardiac catheterization, or should a cardiac stent be installed?