Ms. Zhao, 59 years old, had a quarrel with her daughter-in-law over household chores and suffered a "myocardial infarction"! You may not have heard of such cases, but we encounter them every year. Quarrels can lead to true myocardial infarction as well as false myocardial infarction. At 8 o'clock in the morning, Ms. Zhao and her daughter-in-law quarreled over some trivial household matters. Her son was always caught in the middle and didn't know what to do, so when the mother-in-law and daughter-in-law quarreled, her son would slip away early. Normally, Ms. Zhao would get better in half a day at most, at least it would not affect her eating, drinking, defecating or urinating. But this time, Ms. Zhao was lying in bed all the time, so her family felt something was wrong and advised her to go to the hospital. The cardiologist diagnosed acute myocardial infarction, which could be confirmed with an electrocardiogram and myocardial enzymes. So I rushed to the catheterization room to prepare for angiography and possibly stenting. The essence of myocardial infarction is the rupture of plaques in the heart and blood vessels, which causes thrombosis. The thrombosis blocks the heart and blood vessels, causing myocardial infarction. Anger is indeed a factor that induces plaque rupture. There is also a possibility that anger may cause vascular spasm, leading to spasmodic myocardial infarction. Studies have found that when we are angry, the risk of sudden cardiac death will increase by 7 times, so we have been educating everyone not to get angry and to maintain a good attitude. So what is the name of Ms. Zhao's heart disease? Is it dangerous? This type of heart disease is often related to emotions, so it is called stress cardiomyopathy. It is a sudden thinning of the left ventricular myocardium. When filled with blood, it is like a balloon or an octopus's head, so it is also called myocardial ballooning or octopus crown heart disease. The symptoms of this heart disease are almost identical to those of myocardial infarction, such as severe chest pain, a feeling of pressure behind the sternum, difficulty breathing and syncope. The electrocardiogram will also be the same as that of myocardial infarction, and even myocardial enzymes will be elevated, so we often diagnose it as acute myocardial infarction. A good attitude is the basis for preventing heart disease: Because the cardiomyopathy caused by anger is relatively mild, if it triggers myocardial infarction, the danger is greater. An article published in the journal Circulation shows that strong emotions or actions can cause sympathetic nerve excitement and increase the body's catecholamine levels, leading to increased blood pressure and heart rate, vasoconstriction, and even plaque rupture and thrombosis, causing myocardial infarction. Therefore, please stay positive, sunny, optimistic and grateful. I advise everyone not to get angry, as anger may cause stress-induced cardiomyopathy or acute myocardial infarction. The person who makes you angry will be fine, but you will be the one who harms your body! |
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