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  • China - Small cold can cause sudden cardiac arrest

    Translation Google

    Little cold actually caused cardiac arrest

    December 18, 2017 09:34 Source: Guangzhou Daily

    Lift a cold, many people think that no big deal. Indeed, in most cases, the common cold itself is a self-limited disease, take a good rest, drink plenty of water, boil a few days to go, and many people do not even have to eat the medicine. But not all the flu is so "friendly." Recently, a woman in Changsha due to a cold admitted to hospital, less than 24 hours a cardiac arrest, but fortunately rescued over, was diagnosed with fulminant myocarditis. Third Hospital of Cardiology, Department of Cardiologists said that although the rare disease, but it is not unique. Last month, the hospital also encountered the same cases.

    Why a small cold will have such a big heart "lethal"? Later encountered a cold, what kind of symptoms should be highly vigilant, early detection may threaten the presence of myocardium? Do not panic! Experts for you one by one interpretation, Weaponry.

    risk!

    A long time a woman with a cold outbreak of myocarditis cardiac arrest

    Recently, a "woman admitted to hospital less than 24 hours cardiac arrest," the news on the network hot search list, aroused widespread concern. The incident happened in Changsha. Ms Su, 30, was hospitalized for a long time because of a cold attack. She did not expect to have a cardiac arrest within 24 hours and was later diagnosed with fulminant myocarditis. Fortunately, timely rescue, saved the day.

    A cold almost life-threatening? This is really not sensational. The reporter learned from the Third Hospital of Guangzhou Medical University, just last month, the hospital also received a similar case of cardiovascular medicine - At that time, a 24-year-old young man just returned from a foreign travel to Guangzhou for a week, due to flu Fever, nasal congestion, runny nose, sore throat and other symptoms, eat their own cold medicine, although some relief, but not good thoroughly, and even developed to seek medical advice before three days began to feel breathing difficulties, chest tightness, chest pain, and body aches, Fatigue. The doctor did a comprehensive examination for him and found that the myocardial enzyme was significantly increased cardiac function was significantly impaired, but also a virus infection, diagnosed as "viral viral myocarditis."

    "If you come later, without timely treatment, may be life-threatening," the doctoral Tan Wenpeng said. The mortality rate of fulminant myocarditis can reach 70%. Fortunately, the young man timely medical treatment, finally there is no danger.

    Experts: Severe viral attack can be sudden cardiac death

    What is myocarditis? Why a small cold will have such a big heart "lethal"?

    According to the Third Hospital of Cardiovascular Medicine Chief Physician Chen Ming introduction, the so-called myocarditis, is due to viral infection or autoimmune diseases and other causes of myocardial inflammatory injury. From the etiology, myocarditis can be divided into viral, bacterial, chemical, immune myocarditis. There are many kinds of viruses that can cause myocardial infection such as coxsackie, echovirus, influenza virus, adenovirus, hepatitis virus, bacteria such as diphtheria bacillus and streptococcus, or fungi. In addition, some autoimmune diseases, such as systemic lupus erythematosus, giant cell myocarditis can also damage the myocardium, even at the combination of multiple drugs, there is also a risk of drug damage to the myocardium.

    "Among various factors, the virus is the main cause of myocarditis." Tan Wenpeng explained that when the virus invades the body, more than 90% of the cases do not have any symptoms and the body can clear the virus, and 10% of the cases Will show the symptoms of a cold, which is known as a viral cold. Only in a few cases, such as when the immunity of the body is low, unscrupulous viruses may infringe the heart and hurt the heart muscle. From the severity of the disease point of view, can be divided into fulminant myocarditis, mild myocarditis. Mild patients may not have any symptoms, or just a slight, occasional arrhythmia, usually self-remission. In other words, most of the mild myocarditis are self-limiting, will not cause too much damage to the body, leaving no sequelae. However, if it is explosive myocarditis, it is much more dangerous, it is a rapidly developing, critically ill type of myocarditis, if not treated, can lead to severe heart failure, cardiogenic shock and even sudden death.

    Prevention and treatment

    Most patients can be cured promptly

    "Patients who have a definite diagnosis of myocarditis do not have to worry too much," said Tan Wen-peng. Most patients with myocarditis receive medical treatment if they are treated promptly. If not treated in time, until the virus damage the myocardium and then medication, although it can help clear the virus, but the damage caused to the heart has occurred, leaving the aftermath, dilated cardiomyopathy (dilated heart disease), causing chronic heart failure, The prognosis is worse. Because patients with chronic heart failure can appear repeated heart failure, after a slight fatigue or activity can also be shortness of breath, difficulty breathing, seriously affecting the quality of life, and even life-threatening.

    "Therefore, early prevention, early diagnosis and timely treatment, the prevention of myocarditis damage is particularly critical." Tan Wenpeng added that if the diagnosis of myocarditis, patients need a good rest, we must avoid exercise, stay up all night, fatigue, etc., so as not to aggravate the heart burden.

    "Some people think that Khan origin after exercise is good for healing a cold. In fact, this understanding is wrong." Tan Wen-peng does not recommend post-cold-blooded exercise, that exercise will cause burdens on the body and heart, and even induce myocarditis, aggravating the condition.

    remind:

    Cold with these symptoms need a high degree of vigilance

    "The course of the disease caused by the cold is different." Tan Wen-peng said that due to the virus caused by myocarditis, the patient usually has a cold history of 1 to 2 weeks before onset. Patients infected with respiratory viruses often show symptoms of nasal obstruction, runny nose, sore throat, fever and the like due to enterovirus infection, with symptoms of diarrhea and bloating. Clinically, some people progress very rapidly, one to two days onset typical symptoms.

    Tan Wenpeng reminded that if there is an unwell after a cold do not do anything good advocate indiscriminate medication "self", should seek medical treatment in time, and full rest, to avoid fatigue, strenuous exercise, stay up all night. If the cold after fatigue, poor spirit, difficulty breathing, chest tightness, shortness of breath and other symptoms, but also to be alert, it may be an important clue "myocarditis", do not be inappropriate, should promptly to the hospital for investigation. If you find that myocarditis, early treatment can prevent the virus further damage to the myocardium. (Reporter Weng Shuxian correspondent Guo Guofeng, Bai Tian health studio about produced)

    (Editor: Xu Kexin (intern), Li Shi Yan)

    http://gd.people.com.cn/n2/2017/1218...-31043045.html
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

  • #2
    Translation Google

    Seventy elderly people have a fever did not pay attention did not expect to actually cause myocarditis

    2017 年 12 月 21 日 06:59 | Source: Yangzhou Daily - Yangzhou Daily | Yangzhou official microblogging

    The original title: seventy elderly caused by a small cold myocarditis

    Yangzhou Reuters (SU Xuan Ding Yun) Yizheng 70-year-old Du cold after a fever, did not pay attention, did not expect to actually appear critical condition, due to myocarditis admitted to the ICU, the disease recurrent, almost lifeless.

    Some time ago, the elderly showed a cold symptoms, a few days later, began to palpitation, chest tightness, they went to a nearby hospital. A few days after taking the medication, the symptoms of the elderly did not ease, but increased. Subsequently, went to Yizheng Hospital doctor, the doctor found the elderly blood pressure, recurrent malignant arrhythmia, the condition is extremely critical, it is recommended to transfer treatment. Subsequently, the elderly transferred to the North Jiangsu Hospital, was diagnosed with severe myocarditis, was immediately sent to the North Jiangsu Hospital ICU (intensive care unit) for treatment.

    "The incidence of severe myocarditis is very rapid and serious illness, if the treatment is not timely, it can die within a few hours to several days." North Jiangsu Hospital, Department of Critical Care Zheng Ruiqiang introduction, for such patients, time is life.

    Zheng Ruiqiang immediately organized medical and health care to patients with ECMO and ventilator-assisted ventilation and a series of symptomatic and supportive treatment. The patient's cardiac function was gradually restored. Ten days later, the ECMO was successfully removed and taken off-line and transferred to the general ward for further treatment.

    But did not expect, 9 days later, Lao Du because of fever, asthma again transferred to the ICU, this time was diagnosed with lung infection complicated by respiratory failure. After active anti-infection, mechanical ventilation, bronchoscopy sputum drainage after inflammation is controlled, the old Du was off-line at once. However, good long-term, two days off-line, Lao Du sputum due to weakness, respiratory distress and the second intubation. Zheng Ruiqiang observed his limb muscle strength compared with the initial course of disease, there has been a significant decline, considering the aggravating condition, is likely to be related to lack of exercise after prolonged bed rest.

    "Long-term exercise reduced, can lead to muscle atrophy, decreased muscle strength, weakness and a series of symptoms such as expectoration." Zheng suggested strengthening nutrition at the same time, exercise therapy for him and enhance muscle strength. In cooperation with the nursing staff, the elderly often wearing a ventilator, while riding a bicycle in bed exercise. After several days of treatment, his hands can be significantly elevated, muscle strength improved, strong sputum, the ultimate success offline, and can get out of bed.

    Experts remind once the myocardium virus infection, the patient may be cold within two weeks of onset, most patients before the onset of fever, body aches, sore throat, diarrhea and other cold symptoms, but then there chest tightness, palpitations, fatigue, nausea, Dizziness, etc., most likely is the signal sent by myocardial inflammation, we must pay attention to the need for timely treatment.


    Editor: SLP

    http://news.yznews.com.cn/2017-12/21...nt_6080218.htm
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

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