Cardiologist, Professor Hans Martin Hoffmeister knows more likely to die polite and indecisive.
MYOCARDIAL INFARCTION: SYMPTOMS, TIME AND SIGNS OF THE PRESENCE OF RISK FACTORS
In men over 45 years of continuous pain or burning sensation in the chest, in women older than 55 years are also often pain or abdominal discomfort.
He who hesitates in the presence of symptoms of myocardial infarction, will pay for it dearly. Therefore, every minute counts!
RISK FACTORS: heredity, Smoking, diabetes, high level of lipids in the blood, physical inactivity and being overweight, stress, high blood pressure.
TIME: every minute is Important. If you have symptoms not to hesitate, immediately notify the emergency physician. Don't waste time to appeal to the family doctor.
Important is emergency care in the cardiology center. There are available CPU (Chest Pain Unit / coronary care unit) saves lives. There is only "period “door-to-balloon”" - the length of time from the beginning of therapeutic measures to the expansion of blood vessels rather short.
CLINIC: Department of cardiology and General therapy at a Clinic in Solingen has 110 beds, including 14 therapeutic bed ICU and 4 bed - emergency cardiology. Involved 4 senior physician and 17 physicians assistants.
HEAD: Prof. Hans Martin Hoffmeister (55 years) received the title of "doctor" in 1980, and in 1989 he defended his doctoral thesis and is a Professor since 1996. A native of Bremen, is married, has 3 adult children and lives in Gramate.
Prof. Hans Martin Hoffmeister, for over ten years and is head of the Department of cardiology and General therapy in the Clinic Solingen and dealing with diseases of the heart, describes a typical case: "for Example, an elderly lady, the first signs of myocardial infarction appeared in 5 a.m.," he says. Women have in addition symptoms chest also frequently occur abdominal pain or discomfort, men to the fore the acute and severe pain in the chest or even a burning sensation. It is high time to appeal to the doctor in an emergency, says Hoffmeister. But an elderly woman waiting, not wanting to disturb anyone at such an early time and just how many hours goes to his family doctor. Vital time will be lost because of heart attack every minute irreversibly damage important tissues. Moreover, without intensive monitoring, there is a risk of arrhythmias that are life-threatening.
"Only after that the family doctor of our ladies urgently call the emergency physician and the will bring a patient to our clinic" - further describes the Hoffmeister. "Very late," shakes her head and recalls the old English saying of cardiology, "time is muscle" ("time is muscle"). The doctor explains, "In the sense we can translate: who later turned, he pays with his life". A heart attack, even mild, always destroys tissue. The muscle tissue of the heart is a tireless pump is in a healthy condition is reduced to 80 times per minute, will never work as well as before. Hoffmeister!: "Damaged tissue scarring, and the scar can not be reduced".
Almost every second person dies before reaching the hospital.
Every year in Germany heart attack transports about 300,000 people - almost every second person dies before reaching the hospital. Many heart attacks caseein the early morning hours. There are statistics that very accurately shows who survives. The presence of the partner at home is always handy. It is always much faster decided to seek medical care than the patient himself. Those people who are without delay turning to the coronary care unit of the clinic Solingen, very often already ill or was in a dying condition and are already beginning to care about himself at the slightest sign of illness, afraid to put their lives at risk again.
One such person is jürgen Hennig. On the eve of his 86th anniversary he remembers one young man who was caught 26 years ago in his house. "Our guest was a doctor and knew immediately that I was having a heart attack," recalls Hennig. His Savior was immediately injected him with the cure and called an ambulance. Jürgen Hennig, then a 58-year-old teacher of music and German in school. Humboldt, barely escaped death.
A second heart attack pensioner Henning moved to 80-m to year of life. "When people begin to listen to your own body," he says. Three years later, one Sunday of July, the teacher felt his body sends him a warning and he reacted.
"When people begin to listen to your own body"
The Patient Jürgen Hennig
"If he did not come to us, we'd already be dead," says Professor Hans Martin Hoffmeister. The cardiologist meets with the patient this morning in the treatment room for the introduction of a cardiac catheter. With the help of a stent, a kind of protection of vessels, arteries with heart disease are expanded by the balloon to provide the heart muscle the smooth supply [of blood]. The intervention lasts at least thirty minutes. Hennig, the patient will leave the office in about a week.
In the Clinic Solingen best equipped to save the lives of myocardial infarction. In the cardiology Department at Gotenstrasse from the first action urgent care and to life-saving expansion vessel is less than 55 minutes.
"And give me a full outpatient urgent care upon arrival?", - frequently asked anxiously patients. "Definitely," answers Hans Martin Hoffmeister. After passing the appropriate training of the personnel of the office of emergency medical aid and emergency cardiac care here ready for infarct patients. There everyone knows that every second counts.
In 1980 in Solingen had a heart attack and died from 20 to 30 percent of patients. Explanation the installation of defibrillators in city limits, continuous system of emergency care doctors, a modern intensive care unit and, equally important, two modern equipped treatment roomand for carrying out cardiac catheterization in the Clinic has significantly reduced the mortality rate below 10 per cent - happy cardiologist, Hoffmeister.
Those patients who have been dilated vessels, remain in the clinic, usually not more than a week. In severe cases, apply CPR. "They also can be managed," says Hoffmeister and draws attention to the neighbors - in fixed institution in Akrata or Rodenberger.
Author: Uli Preuss (text and photos)