A 55-year-old man smoked for nearly 40 years. At the end of last month, he suddenly felt chest tightness and chest pain. He thought that taking pills could relieve the pain, but it didn’t work. It was not until he went to the emergency room to find out that the cause was found to be aortic dissection, and he delayed the surgery for two days. Fortunately, the crisis has been resolved after the operation.
The male patient said that he was engaged in labor work and suddenly f suffered of chest tightness and sudden pain a few days ago. He thought it was caused by working under the scorching sun, so he didn’t care about it. He only took analgesics tried to relieve the pain but the chest pain occurred continuously, which made him feel frightened and went to see the doctor immediately. He originally wanted to postpone his treatment until the celebration of Father’s Day. Fortunately, under the insistence of my father, the operation was performed and the postoperative recovery was good without complications.
Liu Yinzuo, director of the Department of Cardiovascular Surgery at Asia University Hospital, said that when the patient suffered with chest pain, he went to the emergency department of another hospital for medical treatment in the first time, and was diagnosed with aortic dissection by computer tomography. This disease is a fatal heart killer; and according to statistics, the mortality of patients increases by 1% every hour after the onset of the disease and at least half of the patients will die within 48 hours after the onset of the disease. Therefore, when the patient was transferred to the Asia University Hospital, he arranged emergency surgery. However, due to the patient’s personal considerations, the operation was postponed for two days. Fortunately, the operation recovered smoothly without complications.
He said that aortic dissection refers to the rupture of the intima of the aorta, and blood flows from the true cavity (where blood originally flows) into the false cavity (dissection of the crack caused by structural injury), which causes the aorta to send blood to various organs. The flow is affected, it will produce ischemic symptoms, often leading to intestinal ischemic necrosis, cerebral stroke, acute renal failure, acute heart failure, and even death.
Liu Yinzuo emphasized that the risk factors for aortic dissection include failure to control high blood pressure, smoking leading to atherosclerosis, genetic diseases, aortic valve defects, high-intensity weight training or taking cocaine, etc. Once people suddenly feel the tearing chest pain and upper back pain, the pain extends to the neck or lower back, there is a possibility of aortic dissection. In addition, the aortic dissection occurs in different places and the affected organs are different. If you have symptoms such as out of breath, abdominal pain, low back pain, and unconsciousness, you should also suspect that the aortic dissection is caused.
He reminded that people with hypertension should control their blood pressure in normal time. If they have a habit of smoking, they must quit and maintain a proper body weight to prevent the tragedy of aortic dissection.
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