Aug 5, 2008

Do not detonate cardiac sudden death "time bomb"

So far, the definition of sudden death at home and abroad there is no uniform standard set by different scholars from the moment of death until 24 hours immediately have.

The world did not cause the sudden death, sudden death is usually on the basis of the original heart by some incentives from priming, so --

Professor Hua Luogeng 1985 in Japan to give lectures at the sudden death of a heart attack at the podium; internationally renowned Canadian health education specialist physician Professor Xie Huazhen sudden death due to acute myocardial infarction in the road; April 8, 2004, Ericsson (China) president YANG Maizhi treadmill in the gym on the treadmill at the sudden death, only 54 years old on April 19, 2004, the United States McDonald's chairman and chief executive officer Jimu Kan Ta Lubo in the morning to participate in the meeting, due to the death of a heart attack, only 60; abroad a famous politician, in listening to the reports, because of emotional, 15 minutes after the sudden acute myocardial infarction, a few hours after death.

Sudden death is like Qingtianpili

So far, the definition of sudden death at home and abroad there is no uniform standard set by different scholars from the moment of death until 24 hours immediately have. A large international study of cardiovascular disease, "Monica" programme for international unity is defined as death within one hour, six hours and died within 24 hours killed three kinds, rather than collectively referred to as sudden death, so as to avoid confusion standards. Many diseases such as heart, brain and blood vessels, pancreatitis, strenuous exercise and so can cause sudden death. The main talk about non-traumatic, the accident cardiac death, the focus for one hour and six hours of death.

Shenglaobingsi such as flowers Whispering this is a natural phenomenon, but it is disease-free painless, die a natural death of apoptosis. The middle-aged disease, physical and mental torment, were two empty-pathological death often deplorable. If the sudden death of middle-aged, like Qingtianpili, regardless of their loved ones or to the community are great blow. Survey shows that: 43 in life, "life events", the top of the middle-aged widows, for 100 points (for the most serious), far more than jail (63 points), and if sudden death, but also to increase scoring, really Ganchangcunduan is indeed non-ordinary people can bear.

This can understand why the study by the sudden death of the ancient and modern scholars of common concern, until today, it is all important public health problem. As early as 2400, "Huang Di Nei Jing" has been "really…… in the heart of the Xi-death" of the records. Archaeologists found that Mawangdui in Changsha in 2100 before the Western Han Dynasty woman as anatomy, the left anterior descending coronary artery 95 percent stenosis, a stomach 138 melon-half, it was inferred that may be the first meal after the Lady Cardiac sudden death. And modern medicine, the first case of a clear medical history of the autopsy records of cardiac death is a British surgeon Hunt, his hot temperament, in a hospital in the academic discussion as a result of fierce quarrel was lying on the ground and died.

Sudden death of a clear "detonated" factors

Although cardiac death is Feilaihenghuo, but it is not for no reason at all, although the sudden, but not without a reason. Cardiac death in a certain internal and external factors pathology on the "outbreak" process, so it does not happen in a healthy heart, healthy people do not care. It should be said that this is a different everyone is extremely complicated and extremely detailed, some are yet to clear the process. But , cardiac sudden death understandable because "time bomb" (that is, the basic parameters) to "detonated operations" (that is induced by factors) of the common cause. They must be both, one can not do.

"Time bomb" what is it » It is within the coronary atherosclerosis and cardiac caused by different levels of ischemic state. As plaques of different sizes, different positions, different patterns, the number of different, but the most important thing is stability different, the results also lead to very different. Unstable plaque surface coated extremely thin, another lipid plaque within the blood flow shocks or vasospasm, easily broken; Some plaque is very thick, relatively stable and not easily broken. Plaque to narrow the blood vessels more than 70 percent or more can cause myocardial ischemia, but it needs to be years or decades of slow process, and once again a small plaque rupture, just a few minutes or hours, to the Coronary thrombosis caused serious or all of the plug, the formation of acute coronary syndrome, acute myocardial infarction or sudden death. This could explain why some several decades old patients with coronary heart disease is also a healthy lifestyle, there are no acute myocardial infarction, but instead some young patients with acute myocardial infarction or soon died, and some even had no symptoms, once the disease is sudden death . Plaque rupture is the main reason for acute myocardial infarction, but on the common clinical within 30 seconds immediate death was due to cardiac disorder caused by ventricular fibrillation (90%) or cardiac arrest (10%) caused by, The reason is that suddenly the mental, psychological or physical movement burden is too heavy, causing severe myocardial ischemia induced cardiac disorder, arrhythmia.

Special note here is that the coronary atherosclerosis, coronary heart disease and coronary heart disease with sudden death although a source, but it is very different level of the three stages. The bulk autopsy report, almost from the children can be seen from the aortic intima fat deposition, men over the age of 30 increased markedly accelerated the development of plaque, 40-year-old has close to 60 percent, over the age of 60 are about 80 percent of varying degrees Atherosclerosis. But the body has a strong stable compensatory function, even with these atherosclerotic plaques, but also does not mean that coronary heart disease. Clinically, coronary heart disease according to a number of parameters comprehensive diagnostic coronary angiography or at least a narrow trunk may be more than 50 percent of the diagnosis. Therefore, in relation to the existence of atherosclerosis, coronary heart disease patients much less. The real acute myocardial infarction, unstable angina and other cardiovascular events, every 500 to 2,000 people each year in the only one to the sudden death of which only 13 percent to 30 percent, even less.

Sudden death in patients with a clear majority "detonated" factors, of which Guoduopilao, emotional, mental stress, alcoholism, meal, strenuous exercise, cold, cold drinks mainly Haoyin. The large number of epidemiological investigation and research has demonstrated the basic pathological changes that "time bomb" is important, and induced factors "detonation" is played a key role. Fortunately, both of which are preventable.

Starting with small, less a "time bomb"

If there is no bomb, of course, security arsenal a lot of bombs, as long as the strict management, and will not explode, the same security; However, even if only one bomb, but not to fire, immediately trigger the explosion. This explains why coronary heart disease in low-risk population of young people in the sudden death or less, because of their atherosclerotic plaques less, or less bomb. In the elderly aged 70 or above, although many of them atherosclerosis plaque, or bombs, but also less sudden death. Because they will maintain their own, that is, strict management of arms, explosives less. The middle-aged, have a certain number of arterial plaque, because of tension, pressure, excessive alcohol and tobacco, non-maintenance, a result of the explosion, a high-risk population of cardiac sudden death.

Therefore, it is necessary to prevent sudden death from the start, reducing atherosclerosis occurred less-made bomb and the other is to be good at health, prevent the bomb detonated, the best is two-pronged approach.

From prevention to have much effect? » Nordic "1000 Lake of the country," Finland's North Galileo, as residents of the traditional meal in a large number of animal fat and cholesterol, coronary heart disease mortality in the world Duzhanaotou primary and secondary school students in the total of 1 / 3 thus lost their parents, After the Government to take the lead and vigorously to prevent. 20 years later, coronary heart disease mortality decline of more than half, the World Health Organization as "the dawn of the North Galileo." In developing countries, including China, due to prevention is not in place, the rising incidence of coronary heart disease, the younger age of onset, a sharp contrast. Therefore control "the first killer of" rampant, we must from the government, medical institutions and residents to grasp.

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