Heart attack at age 33
Mr. L. (33 years old), grade 2 obese, often had sharp pain in his left chest but subjectively did not go to the doctor. When the pain spread to his left arm, under his chin and was accompanied by night sweats, he was admitted to the emergency room. The results of the examination at the hospital determined that he had an acute myocardial infarction without ST elevation (Nstemi).
Previously, Mr. L. had felt chest pain many times but thought it was not serious. Recently, the symptoms became more obvious, but he still tried to endure it. When he arrived at the hospital, the electrocardiogram showed signs of heart damage, caused by a 99% narrowing of the anterior interventricular artery, a condition that can lead to sudden death if not treated promptly.
Dr. Nguyen Xuan Vinh, Interventional Cardiology Center, said that Nstemi is a form of myocardial infarction that is just as dangerous as Stemi but has less typical symptoms and is easily overlooked. This condition occurs when the coronary artery is partially blocked, reducing blood flow to the heart, causing damage to the heart muscle.
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Mr. L. has many risk factors: obesity (BMI 35.4), lack of exercise, family history of heart disease (father and brother both had myocardial infarction). These are factors that contribute to accelerating the process of atherosclerosis, leading to narrowing and myocardial infarction.
The patient underwent emergency intervention with coronary artery stenting. Dr. Nguyen Van Duong and his team performed angioplasty, using intravascular optical coherence tomography (OCT) to support stent placement measuring 3.0×28 mm. After 30 minutes, blood flow was restored, the patient felt light chest, easy breathing, stable heart rate and was discharged after 5 days.
Dr. Duong warned that myocardial infarction is becoming younger. Statistics show that the incidence rate in the 30–34 age group is 12.9/1,000 in men and 2.2/1,000 in women. Some cases also occur in people under 30 years old.
Symptoms in young people are often atypical and can be easily confused with digestive disorders or common fatigue. Feeling chest pain, pain spreading to the neck, arms, back, accompanied by fatigue, shortness of breath, sweating, etc. are all warning signs that require immediate medical attention.
If not treated promptly, myocardial infarction can cause serious complications such as arrhythmia, heart failure, acute pericarditis or sudden death. To prevent the disease, doctors recommend regular cardiovascular examinations, especially for people with risk factors such as being overweight, smoking, high blood pressure, dyslipidemia, diabetes, or a family history of heart disease.
Besides, maintaining a healthy lifestyle, eating in moderation, not smoking, exercising regularly, and controlling stress are the best ways to protect the heart, especially in young people.
Thought it was food poisoning, unexpectedly discovered rectal cancer
Ms. P. (60 years old) was hospitalized due to abdominal pain, vomiting, and diarrhea, thought to be due to food poisoning. However, after examination and endoscopy at the hospital, she was unexpectedly diagnosed with rectal cancer.
Endoscopy results showed a ring-shaped tumor, hard infiltration causing semi-obstruction of the rectum. 3 Tesla MRI image recorded unevenly thickened bowel at the junction between the rectum and sigmoid colon (12 mm thick), the lesion spread over 30 mm, occupied the entire circumference of the digestive tract and caused narrowing of the colon.
Dr. Ngo Hoang Kien Tam, Center for Endoscopy and Endoscopic Surgery of the Digestive System, said that the patient had a history of prolonged constipation but did not seek treatment, and only went to the doctor when acute digestive symptoms appeared. She was indicated for surgery to remove the colon segment containing the tumor, and at the same time, lymph nodes were removed to prevent the risk of the tumor spreading, causing intestinal obstruction, bleeding or metastasis.
During the surgery, the doctor noted that the rectal tumor was about 5 cm in size, and no metastases were detected. The surgery involved cutting the rectum 4 cm below the tumor, removing the colon and tumor through a small incision below the navel, and continuing to cut another 15 cm from the upper edge of the tumor. The entire rectal section removed was 25 cm long.
After checking the blood supply with ICG fluorescent dye, the doctor reconnected the colon to the rectum with a connecting machine. After the surgery, Ms. Phuong's health recovered well, she was able to eat liquid food after 2 days and was discharged after 5 days.
Pathology results showed that she had moderately differentiated invasive adenocarcinoma, stage 3A. The 15 lymph nodes removed did not contain cancer cells. The patient is currently being monitored and treated at the Oncology Department.
According to Dr. Tam, invasive adenocarcinoma is a dangerous form because the cancer cells have penetrated the rectal mucosa and invaded deeper. If not detected early, the tumor can metastasize to other organs.
According to Globocan (International Agency for Research on Cancer), in 2022, Vietnam recorded 16,800 new cases of colorectal cancer, ranking 4th among common cancers. Deaths from this disease ranked 5th with 8,400 cases.
Early-stage colorectal cancer often has no obvious symptoms. In advanced stages, the disease can cause persistent constipation, abdominal pain, blood in the stool, unexplained weight loss, changes in bowel habits, or a feeling of incomplete bowel movement.
If detected early, the disease can be completely treated by surgery to remove the tumor. In cases where the cancer is still localized in the mucosa or submucosa, doctors can intervene with minimally invasive techniques such as endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD), which helps preserve digestive function.
Doctors recommend that people should have regular health check-ups and screening for gastrointestinal cancer, especially after the age of 45, or earlier if there are risk factors. Modern endoscopy systems such as Olympus Evis X1 CV1500 and Fujifilm 7000 provide sharp 4K images, high magnification, and integrate modern staining technology, helping to detect lesions earlier and more accurately.
9 people in the family have hereditary kidney disease
Ms. PTTr. (60 years old) and her four siblings had to undergo dialysis due to polycystic kidney disease - a dangerous genetic kidney disease. Two of them have passed away, two are undergoing medical treatment. Recently, her two children were also diagnosed with the same disease.
Ms. Tr. came to the Department of Nephrology - Dialysis, Center for Urology - Nephrology - Andrology, Tam Anh General Hospital, Ho Chi Minh City for regular dialysis. The doctors here all knew her special situation: her family had 9 people with polycystic kidney disease, 4 of whom had progressed to end-stage chronic kidney failure and had to undergo dialysis to stay alive.
The disease started with Ms. Tr.'s mother, who passed away in 1990 from polycystic kidney disease. Six of her nine siblings were later diagnosed with the same disease.
As time passed, four of them progressed to end-stage renal failure, two of whom died last year. Ms. Tr. is currently being treated at Tam Anh Hospital, while one of her siblings is undergoing dialysis at another facility. The other two are being treated medically to maintain kidney function and do not yet need dialysis.
Recently, her two children were also diagnosed with the disease, although they currently only need regular monitoring and good control of kidney function. According to Dr. Mach Thi Chuc Linh, Department of Nephrology - Dialysis, Tam Anh General Hospital, Ho Chi Minh City, Polycystic Kidney Disease (PKD) is a common genetic disease caused by gene mutations, causing hundreds or thousands of fluid-filled cysts to form in the kidneys. Although benign, these cysts grow larger over time, causing kidney deformation, impaired kidney function, and even leading to end-stage kidney failure.
Patients may have other problems such as high blood pressure, liver cysts, brain aneurysms, or back pain, abdominal pain if the cyst is large. The case of Mrs. Tr.'s family is typical when the disease was detected at the age of 25-30 and by the age of 55-60, almost all kidney function had been lost.
According to the National Institute of Diabetes and Digestive and Kidney Diseases (USA), polycystic kidney disease affects about 500,000 people in the United States, and can occur in all ages, genders and races.
There is currently no cure for polycystic kidney disease. However, according to Dr. Linh, if detected early, patients can completely control and slow the progression to kidney failure with medication, lifestyle changes, and active blood pressure treatment.
The treatment goal is to maintain blood pressure below 120/80 mmHg, reduce salt intake, limit protein, drink enough water, do not smoke, maintain weight, exercise gently and get enough sleep. In addition, patients need to regularly monitor kidney function, periodically check blood pressure and screen for related complications.
Doctors also recommend that if there is someone in the family with polycystic kidney disease, especially biological parents, the remaining members should be screened for the disease early for timely detection and treatment.
Source: https://baodautu.vn/tin-moi-y-te-ngay-155-dau-hieu-canh-bao-nhoi-mau-co-tim-de-bi-bo-qua-d283924.html
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