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Panic, afraid to die when a loved one has a stroke and a heart attack

The patient had two critical conditions, stroke, ischemic stroke and myocardial infarction, which occurred at the same time. Doctors have to perform heart and brain interventions to save the patient’s life.

Mrs. NTL (58 years old, from Hau Giang) who came to Can Tho International General Hospital for a follow-up visit said that she had just escaped death after 16 days of stroke and double myocardial infarction.

According to the daughter of Mrs. L. “That day, my mother was sitting and playing when she said she was tired, took out a pillow for her to lie down for a while, then she was stiff, foaming at the mouth, her teeth were hard. The whole family just took the car to the emergency room and went straight to the hospital. It took an hour and a half from the time of illness to arrive. When I got to the emergency room, my mother was already weak and didn’t know anything…”

Hearing the doctor say that the mother had both a heart attack and a brain infarction, the interventional doctor assessed the risk as high. The family members themselves panicked. Normally, only a stroke is dangerous, in case their loved one also has a heart attack, it is a “death sentence”.

Mrs. L’s daughter’s feelings at that time: “Feared to die, sat down and cried. When I finished, I went to the recovery room in the afternoon, and when I saw that my mother was back to normal, I was very happy. When they got home, they cried because they were happy!”

Panic, afraid to die when a loved one has a stroke and a heart attack
Mrs. L. came for a follow-up visit after vascular intervention.

Doctor Nguyen Dao Nhat Huy – DSA Intervention Unit, Can Tho International General Hospital said that when entering the emergency room, patients with stroke symptoms should have an MRI scan to detect cerebral infarction, indicating acute intervention. assist. After that, the patient had an electrocardiogram, the results of the electrocardiogram revealed myocardial infarction (ST elevation is very clear), with additional indications for coronary revascularization.

2 independent teams: cerebral vascular intervention and coronary intervention were present at the DSA room. Coronary intervention is prioritized to perform early to avoid arrhythmias and acute heart failure, which takes place in 15 minutes. Then 45 minutes of cerebral vascular intervention.

Both cardiac and brain intervention teams started the inlet with a catheter placed in the right inguinal and femoral arteries of the patient. After the intervention, the patient only suffered a 2mm wound.

According to Dr. Nguyen Dao Nhat Huy, when a patient has both cerebral infarction and myocardial infarction at the same time, the risk of death increases significantly, possibly up to 60-70% without early intervention and treatment.

Another difficulty is that patients with acute cerebral infarction, the brain lesions are very sensitive to blood-thinning anticoagulants used in coronary intervention, so the 2 teams constantly exchange to find out the dose of the drug. safest for the patient.

Dr. Huy added: This is the 3rd patient who had to have heart and brain intervention at the same time at the hospital, after the intervention all had relatively good results.

About Mrs. L.’s condition half a month after being discharged from the hospital, Dr. Huy informed: Mrs. L.’s right leg has been paralyzed since childhood, but her left arm and leg are functioning normally and can still walk with a cane. When a stroke occurs, the patient is paralyzed on the right side of the body, and his consciousness is lethargic. Currently, the strength of the right arm muscle has recovered 70%, it is necessary to continue physical therapy for maximum recovery.

“When the patient had a heart attack and had a cerebral infarction, the symptoms of chest pain and heaviness were not clear, because at that time the patient had a disorder of consciousness. However, the current cardiovascular status of Mrs. L. through imaging and clinical studies shows that myocardial damage is almost absent or very little. The prognosis for future outcomes such as heart failure and arrhythmias after myocardial infarction is very low.

Dr. Huy also carefully advised the use of drugs at home: “Brain stents need to take antithrombotic drugs for at least 6 months, but for heart stents, this drug must be taken for at least 12 months. Therefore, within 1 year, the patient must take 1 tablet continuously every day, continuously maintaining to avoid the risk of stent occlusion due to thrombosis.

Currently, the patient still has insomnia, sleep or startle. Dr. Huy said: Sleep disorders are possible events after a stroke, which will be improved slowly, along with medication.

The problem of pronunciation is not clear is related to muscle weakness. When a stroke occurs, the patient’s limbs are weak, the muscles of the head, face and neck are also weak, leading to difficulty speaking and swallowing. If the patient does not choke or salivate, the recovery time will be faster. It may take 3-6 months to see recovery and progress.

K.Chi

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