
Mr. NNN, residing in Ho Chi Minh City, suddenly experienced severe chest pain behind the sternum, radiating to his left shoulder, accompanied by shortness of breath and profuse sweating.
After being diagnosed with acute myocardial infarction at a local medical facility, the patient was urgently transferred to Thu Duc General Hospital.
Upon admission, the patient was still experiencing severe chest pain, pale skin, and severe hypoxemia despite oxygen support. Electrocardiogram and echocardiogram results revealed extensive acute myocardial infarction with severely impaired cardiac contractility.
Recognizing this as an exceptionally critical case, the cardiology team immediately took the patient to the catheterization lab. Coronary angiography revealed that two of the three main coronary arteries were completely blocked, while the remaining branch was small in size.
In less than an hour, the doctors successfully performed thrombectomy and stent placement to reopen both blocked blood vessels. Following the intervention, chest pain significantly decreased, and hemodynamics gradually stabilized.
After a day of intensive care, the patient was weaned off vasopressors, continued treatment for remaining injuries, and was discharged after 8 days in stable condition.
According to Dr. Dang Minh Hung of Thu Duc General Hospital, acute myocardial infarction remains one of the leading causes of death today. Cases of simultaneous blockage in two or more coronary arteries are rare but carry a very high risk of cardiogenic shock and death; if the patient arrives late, the chances of survival are significantly reduced.

It is noteworthy that the patient, who is not elderly at only 45 years old, has had multiple long-standing cardiovascular risk factors such as regular smoking, untreated hypertension, along with dyslipidemia and prediabetes.
Dr. Dao Quang Hoang, MD, Specialist II, Deputy Head of the Department of Cardiology and Geriatrics, and Head of the intervention team, stated: “Smoking, hypertension, and dyslipidemia are the leading risk factors for atherosclerosis. What is worrying is that the disease often progresses silently, and many people only discover it when dangerous complications have already appeared.”
Many people believe that cardiovascular disease only occurs in older adults, but in reality, the number of young patients hospitalized due to myocardial infarction is on the rise. Doctors advise that people should proactively have regular health checkups, control their blood pressure, blood sugar, and blood lipids, and quit smoking.
When risk factors are overlooked, cardiovascular events can occur at any time and snatch away the chance of survival in just a few short hours.
Source: https://nhandan.vn/suyt-mat-mang-vi-bo-quen-nhung-canh-bao-tim-mach-post966471.html








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