The trip to Ha Long Bay became an unforgettable memory for Mr. Lee YeolGoo (Korean) when he suddenly had an acute myocardial infarction - a dangerous disease that can lead to death. Facing that life-and-death situation, he was consulted by Vinmec Ha Long doctors in time, intervened correctly and flew back to the country healthy after only 48 hours.
Accurate diagnosis despite vague symptoms
At the age of 64, Mr. Lee Yeolgoo had 2 coronary stent intervention to treat acute myocardial infarction and an Arterial bypass surgery to unblock the anterior interventricular artery. Unfortunately, the old disease recurred right on the trip to Ha Long. Mr. Lee Yeolgoo suddenly had a lot of pain in the epigastrium, shortness of breath, low blood pressure, very slow heart rate. Receiving the request for support, the Outpatient Emergency Team of Vinmec Ha Long Hospital quickly brought Mr. Lee to the hospital in time.
Although the patient has no typical symptoms, but through clinical examination and professional experience, based on the patient's history, Doctor Do Xuan Chien suspects that this is a development Acute myocardial infarction. Along with the indication for a specific test called Troponin T, which is super sensitive to get an accurate diagnosis, Vinmec Ha Long team also immediately planned angiography and emergency intervention for the patient. With acute myocardial infarction, time is of the essence. According to the latest research in the world, the duration from the time the patient presents with angina or collapse to the time of coronary intervention is less than 2 hours is the best and will bring the highest survival rate.
Race against time to save lives
This is a difficult case because many coronary stents of the patient are completely blocked, the coronary circulation capacity is only 1/3. Intervention can lead to the risk of serious arrhythmias and death on the table. However, with every minute of delay, the patient's chances of recovery decrease rapidly.
Under the pressure of time, the intervention team made the right decisions to optimally treat the super dangerous myocardial infarction for tourists. Within 1.5 hours of the patient's admission, doctors placed a pacemaker through the vein into the apex of the right ventricle to maintain the heart rate, and used vasopressors to ensure coronary perfusion pressure. Before the intervention, although he was in a state of heart shock but after stenting intervention, all his health parameters recovered completely amazingly. Symptoms of shortness of breath, extreme fatigue and epigastric pain no longer exist, heart rate and blood pressure return to normal.
Mr. Lee was discharged from the hospital after 2 days of hospitalization and treatment, and flew home safely. “Between my life and death, the doctors accurately judged and assessed my illness and made appropriate decisions. Thanks to those super-fast but still accurate decisions, I was able to live again to return safely to my hometown," said Mr. Lee YeolGoo emotionally as he left the hospital.
With experience in performing interventions for more than 200 cases of acute myocardial infarction with a success rate of over 95%, in which there are many complicated and severe cases, acute myocardial infarction emergency is one of the strengths of the Doctor Do Xuan Chien, Vinmec Ha Long International Hospital. Dr. Chien said: “Treatment of a heart attack is a super emergency that needs to be done urgently and properly to minimize mortality and complications for patients. Delayed emergency care can lead to death of the heart muscle or serious consequences later on.”
Acute myocardial infarction is a life-threatening disease with high mortality. Vinmec Ha Long has now focused on developing modern cardiovascular interventional techniques. The hospital has equipped the Innova IGS 530 background digitized angiogram machine (GE Healthcare, USA) - one of the latest generation angiography machines in the world. This device has many modern software to help choose the stent size to ensure full coverage of the lesion, avoid the size difference when placing stents for patients with acute myocardial infarction, helping to achieve positive results.
With the support of the machine, many coronary intervention techniques became a routine technique performed at Vinmec Ha Long. In addition, Vinmec Ha Long has routinely performed other interventional techniques such as pacemaker placement, renal artery intervention, and lower extremity vascular intervention. In the future, Vinmec Ha Long will develop new interventions including carotid intervention and more difficult techniques in coronary arteries such as chronic complete occlusion, left coronary artery bypass graft, intervention at the branching site of the coronary artery, etc. to meet the needs of cardiovascular treatment for people in Quang Ninh and the Northeast.
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