In the first case, male patient B. (62 years old, residing in Hoa Thanh, Tay Ninh) had a history of myocardial infarction and underwent stent placement at a medical facility. On the afternoon of the same day of admission, the patient developed a dull pain in the epigastric region, then severe left chest pain, and was quickly taken to the emergency room by his family.
Here, through clinical and paraclinical examination, the doctor diagnosed the patient with acute myocardial infarction at the 4th hour, with a critical prognosis, so he quickly ordered the patient to be transferred to the Interventional Vascular Room for intervention. The results of coronary angiography using the DSA digital subtraction angiography system showed that the right coronary artery had a thrombus causing stent re-occlusion.
The team during coronary intervention to save the patient
The interventional team performed emergency surgery to place a stent to re-open the right coronary artery. Immediately after the intervention, the patient's chest pain and shortness of breath were relieved, he was out of critical condition, and was discharged after 7 days of treatment.
Four days later, male patient T. (61 years old, residing in Hoa Thanh, Tay Ninh) also developed severe left chest pain with difficulty breathing. He went to a medical facility near his home and was diagnosed with a heart attack.
Immediately afterwards, the patient was transferred to the emergency room at Xuyen A Tay Ninh General Hospital. Having received the previous inter-hospital red alert, all relevant departments were present, urgently consulted and agreed to diagnose the patient with acute myocardial infarction in the 5th hour with complications of sinus bradycardia. The patient was transferred to the Intensive Care Unit for resuscitation, then intervention was performed.
At the DSA room, the coronary angiography results showed complete blockage of the second segment of the right coronary artery with multiple blood clots. The team performed an intervention to place a stent to re-open the right coronary artery. After the intervention, the patient's chest pain and shortness of breath were reduced and he was followed up and treated at the Department of Internal Medicine and Cardiovascular Intervention. After 5 days of treatment, the patient recovered well and was discharged from the hospital.
"Acute myocardial infarction is one of the leading causes of death at all ages. Therefore, when acute myocardial infarction is detected with signs such as chest pain, palpitations, shortness of breath, sweating... the patient needs to be quickly taken to specialized medical facilities for timely emergency treatment," Dr. Bao advised.
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