Save the man who fainted many times due to serious heart disease complications

On the afternoon of April 28, BS.CK2. Pham Thanh Phong, Deputy Director Can Tho Central General Hospital, said the hospital’s doctors just heart surgery saved the life of a patient with aortic stenosis with multiple syncope complications with a very high risk of sudden death.

After the heart surgery, the patient was awake and his vital signs were stable Dinh Tuyen

Before that, patient TVS (64 years old, living in Ca Mau) was hospitalized in a state of repeated fainting, with left chest pain precardial region. Taking the medical history recorded 2 years ago, the patient went to the local hospital to detect valvular disease, but treatment was not frequent. 2 months before admission, the patient fainted 4-5 times during strenuous exercise. The fainting episodes are more frequent and prolonged, so it is necessary to go to the hospital for treatment to discover a critical condition. Echocardiogram results showed a 2-piece aortic valve, severe calcification of the leaflets, aortic stenosis, and interventricular septum hypertrophy affecting the left ventricular outflow tract.

Consider this to be a case of serious, dangerous disease sudden death was very high, the doctors prescribed emergency surgery to replace the aortic valve for the patient. In order to save time and save lives, doctors have simultaneously activated the red alert process to deploy coronary angiography and emergency surgery for the patient.

The cardiac surgery team performed emergency surgery to replace the patient’s mechanical aortic valve. After more than 4 hours of surgery, the emergency was successful. Currently, the patient is awake, has good contact, has stable vital signs, has no recurrent syncope, and is being monitored and treated at the Department of Cardiac Surgery.

The team of BS.CK2 Lam Viet Trieu performed emergency surgery for the patient Dinh Tuyen

According to BS.CK2 Lam Viet Trieu, Head of Cardiac Surgery Department, Can Tho Central General Hospital, there are many possible causes of fainting. For example, many people have underlying health problems that affect the nervous or cardiovascular systems, or blood pressure. As a result, the blood supply to the brain is suddenly reduced, the brain cells do not receive enough oxygen, leading to fainting. Some neurological problems such as seizures, epilepsy, stroke or transient ischemic attack can also cause fainting.

In particular, fainting can be caused by problems in the heart or blood vessels that affect blood flow to the brain, including arrhythmias, structural problems in the heart that cause blood flow to be blocked. blockage, ischemic heart disease, valvular heart disease, aortic stenosis, blood clot, or heart failure. In particular, aortic stenosis is the obstruction of the ejection of the left ventricle due to a decrease in the orifice of the valve. Aortic stenosis is the most common cause of left ventricular ejection fraction obstruction. The disease is common in people over 60 years old and has no obvious symptoms in the early stages. Typical symptoms are: chest pain, shortness of breath, fatigue with exertion, shortness of breath while sleeping, fainting…

These symptoms usually only appear when the aortic valve stenosis is severe, life-threatening. Aortic valve stenosis has many dangerous complications when it progresses to the most dangerous stage, which is sudden death.

According to Dr. Trieu, most heart valve diseases progress slowly, in the early stages there are often no symptoms, until clinical manifestations are usually late, there is already heart failure or other complications.

Fainting may not be life-threatening, but it is an early warning sign of many other conditions. Therefore, when fainting, the patient should go directly to the hospital to be examined by a doctor and promptly intervene when detecting dangerous diseases.