本文转自【宁波晚报】； "我以为是肠胃炎，哪知道是要命的毛病！要不是医生及时劝我、坚持救我，我都没命回老家过年了！"近日，邢师傅（化姓）出院前紧紧拉着宁波市中西 医结合医院（鄞州二院医共体总院）心内科医护人员的手，连声道谢。 邢师傅怎么也没想到，一场看似平常的腹痛，背后竟藏着随时可能猝死的急性心肌梗死。 在总、分院高效联动下，120救护车一路疾驰，将邢师傅紧急送往宁波市中西医结合医院（鄞州二院医共体总院）胸痛中心。检查结果让所有人揪心：邢 师傅属于最凶险的三支病变，回旋支次全闭塞，心脏关键的"生命通道"几乎被完全阻断，随时可能发生心跳骤停。 危急时刻，总院心内科团队成功为患者开通闭塞血管。随着血流重新灌注，一条生命被成功夺回。 今年54岁的邢师傅是河南人，多年来一直在鄞州区咸祥镇打工。2月10日，一场突如其来的腹痛，打乱了他回乡的节奏。一开始，他以为是普通肠胃炎， 到鄞州五院（鄞州二院医共体咸祥分院）开点药就能回家。没想到接诊的杨燕医生凭借多年临床经验，心里瞬间警觉：这种不典型腹痛，很可能是急性心 梗的伪装！她当即给邢师傅做了心电图，结果显示基本正常。可杨燕越想越不放心，建议邢师傅再做心肌酶学检测。 结果和杨 ...

（来源：中国宁波网） 转自：中国宁波网 同一天，两个38岁宝爸因急性心梗被送进医院，且都发生在剧烈运动后。都说运动使人健康，这到底是 怎么回事？ "多亏了你们，我才能及时脱险。但我平时身体还不错，只有点高血糖，怎么会突然心梗呢？"同一天， 38岁的钱先生（化名）也有类似遭遇。 他的血糖一直偏高，服药后控制不佳，但年轻的钱先生并没有太上心。周末，他和孩子爬了一座山，隔 天，钱先生就因突发胸骨中段压榨性疼痛被送到了急诊，最后被证实也是心梗——心脏三支主要血管之 一回旋支远段次全闭塞。 心血管内科医生翁莹政表示，钱先生来院时血糖12.79mmol/L（正常空腹值应该在3.9～6.1mmol/L）， 甘油三酯也超标。"三高"是导致动脉粥样硬化的主要危险因素，在冠状动脉粥样硬化早期，血管狭窄可 能并不严重，仅当血管狭窄到一定程度时，在运动、情绪激动等情况下，心肌耗氧量增加，就可能造成 心梗等急性心肌缺血事件。所幸经过汤益民团队的及时介入治疗，钱先生也转危为安。 高危人群不要随意给锻炼"上强度" 打了10分钟羽毛球 男子心梗紧急送医 "我都瘦了10斤了，怎么还是没逃过心梗？"身高173cm，体重约90KG，外形壮实的孙先 ...

Core Insights - Two 38-year-old fathers experienced acute myocardial infarction after engaging in vigorous physical activities, raising concerns about the risks associated with sudden intense exercise [1][5][12] Group 1: Case Studies - Mr. Sun, a badminton coach, suffered a heart attack after playing for about 10 minutes, despite having lost weight and previously being diagnosed with significant coronary artery issues [3][5] - Mr. Qian experienced chest pain the day after hiking with his child, leading to a diagnosis of myocardial infarction, exacerbated by his poorly controlled high blood sugar levels [5][7] Group 2: Medical Analysis - Doctors indicated that vigorous exercise can trigger heart attacks through mechanisms such as plaque rupture, oxygen supply-demand imbalance, and vascular spasm [9][10] - The presence of unstable atherosclerotic plaques in coronary arteries can lead to severe complications during intense physical exertion [9][12] Group 3: Recommendations for Prevention - Individuals with potential heart issues should undergo cardiovascular risk screening and assess their heart's tolerance to exercise before engaging in high-intensity workouts [12][13] - A gradual approach to increasing exercise intensity, proper warm-up and cool-down routines, and avoiding extreme conditions are essential for safe physical activity [13][14]

Core Viewpoint - The article discusses the risks associated with sudden intense physical activity, particularly for individuals with underlying heart conditions, as illustrated by two cases of acute myocardial infarction in 38-year-old fathers after engaging in sports activities. Group 1: Incidents and Medical Analysis - Two 38-year-old fathers experienced acute myocardial infarction after engaging in intense physical activity, specifically playing badminton for about 10 minutes, leading to severe chest pain and hospitalization [1] - Medical experts indicate that intense exercise can lead to the rupture of unstable plaques in the heart, resulting in significant coronary artery blockage [1] Group 2: Risk Factors and Recommendations - Individuals with pre-existing heart conditions or risk factors should avoid sudden and intense exercise, as it can trigger acute myocardial infarction [6] - Recommendations for preventing exercise-induced heart issues include: 1. Conducting cardiovascular risk screenings annually, especially for those with a family history of heart disease or other risk factors [8] 2. Planning a gradual exercise regimen, starting with low-intensity activities and progressively increasing intensity [9] 3. Preparing adequately before and after exercise to avoid sudden stress on the heart [9]

Core Viewpoint - The incidence and mortality rates of acute myocardial infarction (AMI) are increasing annually in China, particularly during the autumn and winter seasons when cardiovascular diseases are more prevalent due to lower temperatures, which heighten the risk of heart attacks [1]. Group 1: Symptoms of Acute Myocardial Infarction - Typical symptoms include severe chest pain lasting more than 15 minutes, which does not improve with rest or nitroglycerin [6]. - Chest pressure sensation, described as feeling like a heavy weight on the chest, may persist for several minutes or recur [7]. - Atypical symptoms may include radiating pain to the left shoulder, arm, jaw, or teeth, with women more likely to experience these non-typical symptoms [8]. - Other symptoms can include dizziness, weakness, cold sweats, pale complexion, difficulty breathing, nausea, and vomiting [10][11]. Group 2: Emergency Response Measures - Immediate actions include stopping all activities, lying down, and loosening tight clothing to calm down and improve oxygen supply to the heart [14]. - It is crucial to call emergency services promptly and provide accurate information about the patient's condition and medical history [15]. - If chest pain persists and blood pressure is stable, sublingual nitroglycerin may be administered; otherwise, alternative medications should be considered [16]. Group 3: Risk Factors and Causes - Risk factors for AMI include age, smoking, diabetes, hypertension, and a family history of heart disease [25]. - Common triggers for heart attacks include physical exertion, emotional stress, and unhealthy dietary habits [25]. - Atherosclerotic plaque rupture and coronary artery spasm due to various stimuli can lead to acute myocardial infarction [19][20]. Group 4: Prevention and Lifestyle Adjustments - Dietary recommendations emphasize low saturated fat and cholesterol intake, with a focus on fresh vegetables and whole grains [27]. - Maintaining a positive mindset and engaging in regular physical activity can benefit heart health [28]. - Avoiding excessive strain, monitoring high-risk factors, and adhering to prescribed medication regimens are essential for prevention [30][31][33].

Group 1 - Zhao Han, co-founder of the well-known restaurant chain Yunhaiyao, passed away due to a sudden heart attack at the age of 40 on September 18 [1][5] - The farewell ceremony for Zhao Han is scheduled for September 20 at 11 AM at the Kunming City Funeral Home [3] - Zhao Han was born in 1985 in Kunming, Yunnan, and co-founded the first Yunhaiyao restaurant in Beijing in 2009 with three partners, quickly establishing the brand as a leader in Yunnan cuisine [5] Group 2 - In February 2025, Zhao Han will no longer serve as chairman or hold other positions in the board of Yunhaiyao, with Zhu Haiqin taking over as chairman and CEO [5] - The company has expanded to include another brand, "Dao Xiaoman," and has rapidly developed into a leading chain for Yunnan cuisine [5]

Core Viewpoint - The incidence of acute myocardial infarction (AMI) is increasing among individuals under 45 years old, with various risk factors contributing to this trend, emphasizing the importance of early detection and treatment [1][3]. Group 1: Symptoms and Case Study - Typical symptoms of AMI include severe squeezing pain in the chest, which may radiate to the left arm, jaw, neck, back, or shoulder, often accompanied by nausea, vomiting, sweating, or difficulty breathing [1]. - A case study of a patient, Mr. Zhang, illustrates the dangers of ignoring symptoms; despite experiencing chest pain and arm numbness, he delayed seeking treatment until he suffered a heart attack [2]. Group 2: Importance of Early Treatment - Early treatment is crucial for AMI patients, with a critical time frame of 120 minutes from the onset of symptoms to restore blood flow and reduce mortality and disability rates [2]. - The medical team performed emergency procedures including thrombectomy, balloon dilation, and stent placement to restore blood flow in Mr. Zhang's case [2]. Group 3: Risk Factors and Prevention - Key risk factors for AMI include age, hypertension, hyperlipidemia, diabetes, and obesity, while lifestyle factors such as irregular schedules, excessive fatigue, sedentary behavior, smoking, and alcohol consumption contribute to the rising incidence among younger populations [3]. - Self-rescue measures for suspected AMI include calling emergency services, resting in a position that allows for easy access for responders, and taking sublingual nitroglycerin to alleviate symptoms [3].