on April 1 Dr. Thongchai Keeratihuttayakorn Director General of the Medical Department The Ministry of Public Health (MoPH) said that acute myocardial ischemia is a major public health problem in Thailand and around the world. It is caused by an acute blockage in the blood vessels that supply the heart, resulting in ischemia of the heart muscle, resulting in severe, dangerous arrhythmias. This makes the heart unable to pump blood to the organs. It caused 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 congestive heart failure.
“Acute myocardial ischemia can occur while working, playing sports, or while resting. The cause is due to hardening of the arteries or in the area of plaque that causes the rupture of the artery wall causing blood clots to adhere to the artery wall and form a blood clot that causes a blockage, resulting in myocardial ischemia. Blood,” Dr. Thongchai said.
Dr. Thongchai continued that the symptoms and warning signs of common diseases 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 lump under the epigastric area, similar to gastritis or acid reflux. When these conditions occur, patients need treatment as soon as possible. Shouldn’t wait to see the symptoms at home. To make a diagnosis and find the right treatment. According to the data from Thailand, most patients come to receive treatment late. resulting in a high mortality rate or complications such as congestive heart failure
while Dr. Anek Kanoksilp The director of the Chest Institute said that acute myocardial ischemia is more common in middle-aged adults aged 40 years and over, regarding twice as common in men than in women. It is a medical emergency. Diagnosis of acute myocardial ischemia The doctor will ask regarding the history, symptoms and do an electrocardiogram and blood test. If symptoms are compatible with myocardial ischemia or an abnormal ST elevation electrocardiogram (STEMI), the doctor will promptly provide treatment to open the coronary arteries. Thrombolytic drugs or catheter dilation, which must be treated as soon as possible There is a period called the golden minute (Golden period). The opening of the artery was 120 minutes or regarding 2 hours from the onset of symptoms. To reduce the amount of myocardial infarction and reduce the mortality rate, the emergency medical hotline number 1669 can be coordinated to transport the patient for initial treatment and transfer to a hospital with higher potential.
