And I, as early as in college, let this word, redefined the meaning of life. The same session of the Chinese Department of a female student died suddenly during the SARS outbreak, and still remember her valiant figure on the basketball court; the following year, the Department of Journalism of the elementary school brother also in a night of sudden cardiogenic death, he is simple and tall appearance, the appearance of my respect, long time soon and I nagged and joked about the expression is still often fluttering in the mind. They are and I have intersections of people, they are familiar with me, their knitted brows smile, every move due to "sudden death" forever fixed in the school dormitory.
In recent years, a few cases of sudden death occurred across the country, according to the National Center for Cardiovascular Disease statistics, China's annual incidence of sudden cardiac death of 41.84/100,000, about 544,000 cases of sudden cardiac death per year, equivalent to about 1,500 people per day in our country, the world's most sudden deaths, and the age of the trend of youth.
Clinically, sudden death is generally divided into two categories, one is non-cardiac sudden death, including cerebral hemorrhage, etc.; the other is cardiac sudden death, accounting for 70-80% of sudden death.
? So, what is sudden cardiac death? How far is it from us? And how to prevent it? How to save your life when you encounter it?
Sudden cardiac death (SCD) is, as the name suggests, a death caused by a heart condition. This heart disease causes death is divided into myocardial infarction or malignant arrhythmia. Myocardial infarction is generally heart blood vessels we call coronary blood vessel blockage leads to the corresponding myocardial blood supply blockage, myocardial necrosis caused by heart damage, can not carry out the normal work of the heart and the harm caused by this, resulting in the death of the patient is called sudden cardiac death, is caused by myocardial infarction. In addition, malignant arrhythmias of the heart, such as atrial fibrillation, ventricular tachycardia, ventricular flutter, and even ventricular fibrillation, which result in severe hemodynamic bleeding disorders of the heart, and inability to meet the blood supply of the whole body leading to the death is also sudden cardiac death. In short, sudden death caused by problems in the cardiovascular system is called "sudden cardiac death".
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People often think that the high-risk group of sudden death is the elderly, but experts say that at present, middle-aged people and even young people have become a high incidence of sudden death. In addition, unlike people's perception is that the occurrence of sudden cardiac death, most patients have never been diagnosed with heart disease. Sudden death, seems to be far away from our young people, but it is actually hidden around us.
A study published by Sun Yat-sen University in 2016 showed that of the more than 1,000 cases of sudden cardiac death autopsied by the university's forensic center, the main victims were young and middle-aged men, while the proportion of the elderly was not as high.
On the evening of June 29 this year, 32-year-old Wang Hui, an ophthalmologist at Beijing Tongren Hospital, suffered a sudden cardiac arrest at home, and was sent to the hospital for three hours of resuscitation, and then in the early morning hours of June 30, unfortunately left the earth.
? According to statistics, the high incidence of sudden cardiac death is the age of 40 to 50 years old, in which the risk of sudden death in men is four to five times that of women, but the risk of women suffering from the disease also increases after menopause. In addition, both men and women, the age of onset of sudden death is trending younger, the proportion of sudden death in the 30s is increasing year by year.
Prolonged late nights, overeating, excessive stress, worrying too much, and demanding too much of oneself all have a chance of triggering sudden death. This is most common in white-collar workers, celebrities, entrepreneurs, their work pressure ambassador sympathetic nerves in a state of tension for a long time, coupled with the general socializing more, high fat, high cholesterol food intake, a large number of drinking, excessive exercise, excessive smoking, neglect medical examination, often will increase the chance of sudden death.
? First, long-term stay up late, "sudden death" pushers
Stay up late and sudden death have a relationship? Staying up all night can lead to biological clock disorders, sympathetic over-excitement, making the heart beat faster, triggering ventricular tachycardia, ventricular fibrillation.
In the short term, after a few days of late-night work and a few days of overtime, at most, you will be able to aggravate your dark circles under your eyes, make up for it, and regulate it for a few days, so that you can still be alive and well, and walk with a gust of wind. But the terrible thing is that long-term irregular work and rest, will lead to the brain and other important organs in the blood supply is not enough oxygen state. Experienced stay up all night people know that the next day do not make up sleep, often heartbeat too fast, black eyes, persistent sleep deprivation, but also to promote the development of high blood pressure, obesity and diabetes, and hypertension, obesity or metabolic syndrome and other disorders are precisely the factors that induce a heart attack.
? A meta-study conducted by the Department of Cardiology at the First Affiliated Hospital of China Medical University found that sleeping less than or equal to 6 hours or 5 hours is associated with an increased risk of hypertension, and the risk of acute myocardial infarction in people who slept less than 5 hours per night was 2.3 times higher than that of those who slept 6-8 hours.
? Second, work pressure, triggering "sudden death"
Nowadays, many young people living in big cities with a passion, in order to get more opportunities for promotion, in order to their future achievements, and even in order to have the so-called economic freedom of life, no matter what 996 coupled with the commute time, overdrawing the body to work hard. Mental stress makes the whole body endocrine changes, resulting in an increase in catecholamines, which causes vasoconstriction, heartbeat acceleration, increased cardiac load, etc., and lead to myocardial hypoxia. I don't know that myocardial hypoxia is too serious when it leads to angina, heart attack, and even sudden death.
Third, smoking and drinking, accelerate the "sudden death"
Although few people because of smoking a cigarette suddenly sudden cardiac death, but smoking for the heart of the damage is long-term and stubborn, a day a pack or even a few packs of cigarettes, the negative impact on human health can be imagined, smoking people occur in the myocardial infarction risk of the ordinary people 3 times.
These are the most important things that you can do to help your child.
Alcohol, great damage to the heart, excessive alcohol consumption, as well as coffee, will allow people to accelerate the heart rate, blood pressure, is to pull the trigger on a heart attack. And excessive intake of alcohol. It is easy to trigger myocardial necrosis, which in time leads to heart failure and cardiac arrest.
Although in China, tobacco and alcohol is the ritual culture on the table, a lot of times can not be exempted, but in any case, there should be a degree of moderation, especially the heart is not good people are less alcohol, less coffee, less smoking, in order not to cause cardiac discomfort as appropriate.
Fourth, the lack of exercise, triggering "sudden death"
More and more "house men and women" and office "sedentary", travel is not The "sit" car is "sit" subway, 500 outside the supermarket directly online takeout. Not willing to walk, a serious lack of exercise, a big belly of young people can be seen everywhere, they are enjoying "sitting" comfortable at the same time, but forget to prevent "sitting" to wait for the disease, and even "sitting" to die. "to wait for death. Sedentary trigger metabolic changes in the body, affecting fat metabolism, weakening enzyme activity, making blood pressure, lipids, blood glucose to varying degrees of elevation, and these are prone to cardiovascular and cerebrovascular disease causes.
V. Excessive exercise, resulting in "sudden death"
Professor Yan Shoufu of the School of Sports Science and Health at the Capital Sports Institute has said: Sudden death is a threat to the lives of athletes "invisible killer".
During the period of "five consecutive championships" of the Chinese women's volleyball team, the famous American women's volleyball player Hyman died on the court due to a sudden heart attack;
?In 2001, the Chinese men's volleyball team's famous player Zhu Gang died suddenly in the training ground;
?In June 2003, the Cameroonian football star Vivian Fou died in the match of the FIFA Confederation Cup. star Vivian Fou suddenly collapsed to the ground with no other players around him, and doctors later confirmed that Vivian Fou had died on the way to the hospital;
?In 2016, Huo Xuan, Zhu Ting's former teammate and captain of the Henan women's volleyball team, died at the age of 28 in Zhengzhou due to a cardiac infarction after a failed attempt at resuscitation;
?In June 2017, Central League One team Beijing Beijingshan (now Beitidai) Ivorian foreign aid Tiote in training, suddenly fell to the ground to appear fainting, that night Tiote rescue invalid unfortunate death.
These examples look at the heart of the fear, intense exercise, there will be ischemic chest pain, easy to trigger ischemia, and then triggered the occurrence of malignant arrhythmia, and even cause the cardiovascular system or brain vascular malformation and myocardial fatigue, resulting in the body's internal organs of the deformities, if not to do a special examination can not be found, a certain exercise or exercise load intensity will become the The "fuse", detonating the "time bomb".
Athletes who have been trained for a long time are like this, so for the average person, it is even more important to choose the right type of exercise according to their physical condition. Strenuous exercise will affect the heart health will increase the burden on the heart, the intensity of exercise and physical exercise methods to pay attention to the "degree", do not easily exceed the upper limit. Especially after continuous overtime, poor mental state or exercise after a major illness should pay more attention to avoid strenuous exercise triggered by panic dyspnea and other manifestations, to reduce the problem of sudden cardiac death.
Six, the dietary structure is not reasonable, increase the "sudden death"
Modern society, people's habits have become more and more unhealthy, especially the young people, breakfast is not eaten, takeout at noon, hot pot at night, work is busy with snacks to fill up the hunger, and late at night, but also come to a beer + fried chicken, the New Year's Eve, will be meals on the The first thing you need to do is to get your hands on some of the most popular products in the world,......
But I don't know that every time I eat and drink, I may be on the edge of the death of the crazy temptation!
Overeating, eating and drinking often lead to the human body either excess nutrients, or extreme lack of nutrients, or else residual heavy oil, heavy salt, heavy seasoning of the food. Long-term this bad eating habits will lead to dyslipidemia, thrombosis, increase the risk of sudden death.
China's medical records have many accounts of sudden death after meals, that is, the so-called "dietary disorders, to death".
Young people do not think they are young, do not cherish their own body, perhaps your body is not as good as a middle-aged and elderly people. So, be sure to have regular medical checkups, improve your lifestyle, and do not overeat.
With the death race, grasp the golden 4 minutes
Although the sudden cardiac death "raging", but there are still traces to follow. Zeng Qing, deputy director of the emergency department of the China-Japan Friendship Hospital of the Ministry of Health, introduced the clinical manifestations of the disease, mainly chest tightness, chest pain, breathlessness, panic, some people will feel the back of the left shoulder pain, epigastric pain, sore throat, nausea and vomiting, and even toothache.
Mr. Hou Yaowen had nausea and poor appetite before his sudden death; Coach Wang Hongli did not have any history of heart disease before he died, but two days before his death, he felt a little uncomfortable with his heart, and his family reminded him to go for a checkup, and he didn't pay attention to it, which resulted in a tragedy.
The data show that cardiac arrest for more than 4 minutes brain tissue will occur permanent damage; more than 10 minutes will be brain dead. The most important cardiac arrest is the resuscitation time the first witness can carry out effective rescue measures will determine the patient's overall prognosis and the success rate of rescue.
Therefore, in the first aid of sudden cardiac death, there is a "golden 4 minutes" "platinum 10 minutes" concept, that is, 4 minutes after cardiac arrest, the brain will be irreversibly damaged and the time is more than 10 minutes even if the patient is resuscitated, but also very likely to become a vegetable. The first thing you need to do is to get a good deal of money.
How many people see people around them suddenly fell, feel the most reliable and the most common reaction is probably to play 120, but for the dirty arrest, the ambulance is also far water can not put out the fire, 15 minutes waiting for the ambulance, to the cardiac arrest of the people can only be the death of.
"Health Express" program once broadcast a news: a young female passenger in the capital airport ferry car suddenly fainted, cardiac arrest, no breathing. The first time I saw this was when I was a student at the University of California, Berkeley, and the second time I was a student at the University of California, Berkeley, and the third time I was a student there.
Not coincidentally, an early morning, Beijing Guang'anmen Hospital near a 50-year-old man fainted, unconscious. The crowd rushed out two nurses, immediately kneeling on the ground for the patient chest compression and artificial respiration, the patient regained breathing was sent to the hospital, was diagnosed with coronary heart disease. Events like this always happen, but not all cardiac arrest, can be so lucky to get timely rescue.
An important reason why sudden cardiac death is so difficult to prevent is that up to 87.7% of sudden cardiac arrests occur outside of hospitals, where specialized medical help is often unavailable when it is most needed, and even in communities with robust EMS networks, it is difficult for EMS personnel to be sure that they arrive on the scene within 4 minutes of a report every time.
What if you can't wait for an ambulance? Passersby come to the rescue. That's the most effective way to help in most cases of cardiac arrest, and if the first witnesses around you administer CPR immediately, the survival rate can be doubled to tripled.
? If someone suddenly falls to the ground and becomes unconscious, how should they be resuscitated?
The first thing to do is to determine whether the patient is breathing on his own. Look at the chest there is no rise and fall, there is no airflow from the mouth and nose, if there is no breathing, or breathing is very weak, you should immediately take chest compressions. The position of the chest compressions is the midpoint of the two nipple lines, with the root of the palm of one hand placed on top, the other hand crossed and placed on top, the arm vertical, and the force of the whole upper body is used to press down. After thirty times of pressure, check whether the patient's airway has been opened, and then do artificial respiration.
This life-saving skill is actually not complicated, CPR does not require advanced theoretical knowledge and expensive medical equipment, ordinary people can easily operate. But in China, only 27 percent of middle school students know about CPR through TV and books, but have not received formal mandatory training. Only 10 million members of the public, less than 1% of the country's population, are qualified to undergo CPR training.
In addition to early call for help, CPR, you can also use the life-saving device AED - automated external defibrillator, specifically for the removal of ventricular fibrillation (ventricular fibrillation), 70% of patients with sudden cardiac death are ventricular fibrillation, this time to effectively defibrillate, the patient is more likely to be resuscitated.
In the United States, since 1995, legislation has been enacted to implement the "Publicly Accessible Defibrillator" program, which places AEDs in public spaces and encourages laypeople to receive training so that they can use them at any time, while in China, as of 2016, the number of AEDs equipped in public spaces was less than 1,000. 1000 units. Although there has been an increase since then, they are only available in some key public **** venues in cities such as Shanghai, Beijing, Hangzhou, Guangzhou, Zhuhai, Kunming, Harbin, and Chengdu, and the number is completely unable to meet the demand. And at present, not only the popularity of AED is heartbreaking, even in places where there is an AED, it does not necessarily mean that someone dares to use it to resuscitate people.
On August 16, 2015, a passenger collapsed due to cardiac arrest at Beijing Capital Airport, and although the life-saving AED was close at hand, it eventually died because no one dared to use it. Capital Airport as early as 2006 in Terminal 2 installed 11 AED first aid equipment, in 2019 has reached 69, but has become a setup - not not to use, but will not use, do not dare to use, we all feel that save the life of the good to say, in case the use of the trouble of saving not live.
The use of AED is not difficult, after the defibrillator is taken out, there will be voice prompts, so that you put on the patient's chest, it will automatically analyze the patient's cardiac activity is not ventricular fibrillation. If it is, it will automatically help the patient defibrillate. If it's not ventricular fibrillation, then the AED won't work. We still need to use chest compressions and artificial respiration.
Anyway, everyone in life is not independent, playing a variety of roles, serving other groups, if the misfortune comes, affected in addition to their own and associated with the group. Responsibly, people live not only for their own life, but also for others to be responsible for. Therefore, we should pay proper attention to the combination of labor and leisure, proper adjustment of living habits, proper attention to the dietary structure, proper decompression and relaxation.
Conclusion: Life is a book that can not be turned over, only cherish their own lives, in order to know at the end of life is written in the virtual or real; only cherish their own lives, only to have the opportunity to write more colorful and beautiful chapters.
(The above pictures are from the network)