Angina vs Heart Attack
Angina thiab plawv nres yog ob lo lus uas peb hnov ntau zaus. Lawv ob leeg yog mob plawv. Tsuas yog vim lub ntiaj teb tab tom muaj kev hem thawj ntawm cov kab mob tsis sib kis nws tseem ceeb heev uas peb paub qhov txawv ntawm ob qho xwm txheej no.
Angina
Angina yog mob hauv siab, uas yog hom constricting, hnov qab lub sternum, pib dheev, zoo li taug kev mus rau sab nruab nrab ntawm sab caj npab, thiab kav tsawg dua 20 feeb. Nws tuaj yeem cuam tshuam nrog kev tawm hws, ua pa nyuaj, thiab tuaj yeem ua rau muaj kev mob siab thiab txo qis nrog kev so. Yog vim li cas qhov mob no txo cov ntshav mus rau lub plawv cov leeg.
Lub plawv tau txais cov ntshav los ntawm qhov zoo tshaj thiab qis dua vena cava thiab tso nws tawm ntawm cov hlab ntsha aorta thiab pulmonary hlab ntsha. Lub plawv cov leeg nws tus kheej yog muab los ntawm ob coronary hlab ntsha. Lawv yog txoj cai coronary artery thiab sab laug coronary artery. Txoj cai faib ua anterior descending thiab circumflex hlab ntsha. Cov hlab ntsha no tuaj yeem raug thaiv vim yog atherosclerotic plaque tsim lossis arteriosclerosis. Qhov no txo cov ntshav nkag mus rau lub plawv cov leeg, thiab kev ua haujlwm nws tuaj yeem ua rau poob qis. Thaum qhov kev siv dag zog ua rau cov ntshav angina pib.
Nws tseem ceeb heev kom nkag siab tias cov leeg mob plawv tsis tuag hauv angina. Cov tshuaj antiplatelet thiab cov tshuaj plaque stabilizing yuav tsum tau muab tam sim ntawd tom qab nkag. ECG yog qhov kev tshawb nrhiav tam sim thiab tseem ceeb. Kev kho mob prophylactic tswj cov hlab ntsha dav dav thiab kev hloov pauv kev noj haus, thiab txo cov tsos mob ntawm angina.
Muaj lwm hom mob angina. Vincent angina yog vim o ntawm cov pos hniav. Txawm tias cov kws kho mob tau txais ob qhov sib xyaw ua ke qee zaum. ECG yuav tsis qhia txog kev puas tsuaj ntev. Troponin T yuav tsis zoo. Kev soj ntsuam tas li yog qhov tsim nyog vim tias qhov muaj angina yog qhov muaj feem cuam tshuam rau kev loj hlob ntawm lub plawv nres.
Hlub Attack
Lub plawv nres yog qhov kev tuag ntawm cov leeg plawv vim yog cov hlab ntshav tsis zoo. Lub plawv nres zoo ib yam li angina. Qhov mob hauv siab ntev dua 20 feeb. Qhov pib, tus cwj pwm, hluav taws xob, kev ua kom hnyav thiab txo qis zoo ib yam li cov hauv angina. Muaj ob hom kev mob plawv. Lawv raug kho mob hu ua myocardial infarctions. Thawj qhov yog "tsis yog ST elevating myocardial infarction" (NSTEMI). Tsis muaj ST ntu nce hauv ECG, thiab tej zaum yuav muaj ST ntu kev nyuaj siab. Kev nyuaj siab ntawm ST ntu los ntawm ntau dua ob lub me me hauv cov ceg ntoo lossis ntau dua ib lub me me hauv lub hauv siab yog suav tias yog qhov tseem ceeb.
Kev kho thawj zaug zoo ib yam hauv ob qho tib si angina thiab hauv myocardial infarction. Rau NSTEMI, qis molecular hnyav heparin yog cov tshuaj zoo tshaj plaws. Rau ST elevating myocardial infarction, thrombolysis yog qhov zoo tshaj plaws tom qab tsis suav nrog contraindications. Cov teeb meem ntawm myocardial infarctions suav nrog arrhythmia, plawv tsis ua haujlwm, cardiogenic poob siab, hypotension, syncope, pericardial tamponade, valve lesions, thiab Dressler's syndrome.
Dab tsi yog qhov txawv ntawm Angina thiab Heart Attack?
• Angina yog mob hauv siab los ntawm cov ntshav tsis txaus.
• Tsis muaj kev puas tsuaj rau lub plawv thaum muaj kev tuag ntawm cov leeg plawv hauv myocardial infarction.
• Angina tsis tshua muaj teeb meem thaum myocardial infarction yuav nyuaj.
