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43-year-old man suffers cardiac arrest due to myocardial infarction

Male patient DVT (43 years old, residing in District 6, Ho Chi Minh City) was admitted to the hospital with severe left chest pain radiating to the shoulder and neck, difficulty breathing, and sweating. The patient then quickly fell into ventricular fibrillation and cardiac arrest, and doctors discovered a life-threatening myocardial infarction.

Báo Thanh niênBáo Thanh niên16/05/2025



Immediately, the team of doctors from the Emergency Department and the Cardiology Department, City International Hospital, performed cardiopulmonary resuscitation with electric shock, and simultaneously activated the internal "red alert" procedure - an emergency coordination procedure between departments to minimize the handling time in life-threatening emergencies.

On May 16, specialist doctor Le Van Tuyen (Interventional Cardiology Department, City International Hospital) said that the patient's electrocardiogram results showed a severe acute myocardial infarction with a large anterior wall. The condition rapidly progressed to cardiogenic shock, a critical complication with a mortality rate of up to 80% if not treated promptly.

In a critical condition, along with continuous defibrillation and chest compressions, the patient was transferred to the interventional cardiac catheterization laboratory so that coronary artery angiography and recanalization could be performed quickly. During the angiography and intervention, the patient fell into ventricular fibrillation several times, but thanks to urgent coordination, a stent was successfully placed to recanalize the left main coronary artery of the heart, helping patient T. overcome the boundary between life and death.

43-year-old man suffered cardiac arrest due to myocardial infarction - Photo 1.

Doctors in the process of intervening to save the patient

PHOTO. NH

After the successful intervention, patient T.'s heart was able to contract regularly again, no longer had chest pain or difficulty breathing, his health was stable and he was transferred to the Cardiology Department for continued care and treatment. After 1 day, the patient was able to walk around the room by himself.

According to Dr. Tuyen, the coronary angiography results showed that patient T. had a complete blockage at the root of the left main coronary artery due to multiple blood clots, which was the cause of acute myocardial infarction, ventricular fibrillation and cardiac arrest.

Myocardial infarction is increasingly younger

Specialist Doctor 2 Dang Quang Thuyet, Deputy Medical Director and Head of the Emergency Department of the hospital, said that acute myocardial infarction is an extremely dangerous disease, progressing very quickly and easily leaving many serious complications such as arrhythmia, heart failure, cardiogenic shock, and even death if not intervened promptly. In particular, the "golden hour" from the first 1 to 2 hours from the onset of chest pain is the decisive factor for survival.

Myocardial infarction is no longer a disease of the elderly, the disease tends to be younger and younger. Middle-aged men with risk factors such as smoking, high blood pressure, lipid disorders, lack of exercise, prolonged stress... can completely face the risk of sudden myocardial infarction. In the case of acute myocardial infarction, if not properly treated and promptly intervened, the patient may face serious complications.

"Early recognition of warning signs such as left chest pain, difficulty breathing, shortness of breath, cold sweats, nausea, dizziness, lightheadedness, vertigo, unusual fatigue, anxiety, feeling of nervousness... is very important. When there are abnormal signs above, the patient should be taken quickly to a medical facility with the ability to intervene in depth for timely diagnosis and treatment," the doctor recommended.


Source: https://thanhnien.vn/nguoi-dan-ong-43-tuoi-bi-ngung-tim-do-nhoi-mau-co-tim-185250516120351833.htm


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