This case is MSc.BS.Nguyen Van Hai, Head of Cardiology - Cardiovascular Interventional, Hong Ngoc General Hospital shared.Accordingly, the patient is a young man about 30 years old working as a driver, with hypertension but he never went to the doctor.On the day of the incident, the young man went to drink alcohol, only drinking 1 bottle of wine about 500ml, although he was still not drunk, but after about 30 minutes, he appeared severe chest pain.

The patient was hospitalized at the second hour of myocardial infarction, the doctors had just finished the electrocardiogram, preparing to explain the disease with the family, the patient appeared cardiac arrest, vibration.Fortunately, the patient was shocked in time and was immediately taken to the intervention room.When angiography is detected, the patient is clogged at the beginning of the anterior ventricular artery - the most important circuit of the heart.After re -ventilation, the patient is completely awake, stable health and discharged after 2 days.

It is a very typical case in the lifestyle of young people, having habits such as staying up late, smoking, drinking a lot of alcohol ... are the risks of promoting myocardial infarction in particular and cardiovascular disease in general..

"Until now, cardiovascular disease is considered to be the disease of the elderly because this group has more risk factors such as hypertension, diabetes, lipid metabolism disorders, smoking for many years.... Men over 60 years old and women over 55 began to have cardiovascular events.Research that in addition to the above traditional risk factors, young people now have the leading modern risk factors for cardiovascular disease, such as stressful life, staying up late, obesity, less fortuneDynamic and smoking ... ", BS.Hai said.

It is known that cardiovascular disease and coronary artery are one of the most complex diseases, with a high mortality rate, the risk of serious sequelae.According to TS.Pham Manh Hung, Vice Chairman of the Heart Association, Director of the Vietnam Heart Institute, in the world, the salary of deaths from cardiovascular disease over the years not only did not decrease but even increased.The number of deaths due to it caused 3 times the number of deaths due to deaths such as tuberculosis, malaria, breast cancer combined.Research shows that every 4 deaths, 4 deaths from cardiovascular disease.

According to the Ministry of Health, each year our country has about 200,000 deaths from cardiovascular disease, accounting for 33% of the deaths, far beyond cancer disease, diabetes ... recorded at Hong Ngoc General Hospital with many patients below.40 years old with acute myocardial infarction, shows that the disease is not only a problem for old age but also for all ages.

What to do now to prevent cardiovascular disease

To prevent cardiovascular disease, doctors recommend that people should minimize risk factors, and at the same time have regular health check -ups, screening when there are warning signs.In addition, choosing scientific advances in the field of cardiovascular medicine is also one of the most effective ways to prevent cardiovascular disease as well as protect our health.Evidence for this, TS.Hung added: International studies show that the average life expectancy of people in countries around the world has increased mainly thanks to improvement and progress in the ability to treat cardiovascular diseases.

With the development of modern medicine, there are currently many invasive treatments for cardiovascular disease such as puff and coronary artery stent, pacemaker, replacement of aortic valve and mitral valve repairThrough Mr. Thong street ... However, with a group of patients at high risk of bleeding, the risk of narrowing in the stent, the thrombosis in the stent is high, especially the elderly people have many background diseases (hypertension, obesity, diabetes, liver and kidney disease ...), the glossy glossy is a highly appreciated solution.

At the international conference "Advances in cardiovascular intervention", Assoc.PhD.Dr. Lee Joo Myung, Cardiology Institute, Samsung Medical Center, Sungkyunkwan University Medical School (Seoul, South Korea) said: Normally after intervention, patients must use two groups of resistant drugs simultaneously.Platelets for a minimum of 1 year, so it is easy to cause severe bleeding, especially serious for patients at high risk of bleeding.The glossy glossy (DEB) is a new trend in the treatment of narrow vessels.The ball is covered with a narrow anti -pale drug, when used, the drug layer will be optimally released according to the coronary circumference.The glossy cover does not need a metal bracket, leaving no device in the circuit.Therefore, the endothelial process takes place faster and contributes to reducing the risk of acute thrombosis in the stent's heart and only one dose of short -term anticoagulants after procedures, reducing the risk of bleeding.

Visual evidence, MSc.Dr. Nguyen Van Hai, Head of Cardiovascular Inventional Department, Hong Ngoc General Hospital (studied at the Cardiology Institute of Cardiology, Samsung Korea Medical Center) directly performed an intervention (broadcast live at the AssociationDeadly) Applying the technique of glossy drug cover for 65 -year -old patients, 90% stenosis is at high risk of bleeding.In the intervention, BS.Hai also combines the application of VFFR software - measuring the reserve of non -invasive rims, first deployed in the North.The VFFR software is used to replace the traditional FFR rim fraction measurement method, helping the doctor to check the exact lesion of the lesion without putting the device into the body, non -invasive, saving time for patients.

BS.Hai shared: “With the provision of coronary angiography and blood pressure, VFFR software will recreate the 3D model of the arteries, then automatically analyze blood flow through the narrow pieces of the artery.The rim is in the form of reporting detailed indicators to display on the screen.Since then, it helps the doctor to have a complete and comprehensive evaluation data to offer the best treatment plan, which also helps patients save costs and shorten treatment time.The combination of drug coverage techniques and VFFR are considered new steps in cardiovascular intervention in Vietnam, effectively with high risk of bleeding, keeping up with the trend of less invasive treatment.now".

Also in the conference, GS.PhD.Dr. Ying-Hwa Chen, Professor of Medicine, National University of Yang-Ming Chiao-Tung, Director of structural heart disease, cardiovascular center, Veterans General Hospital (China) sharedThe strategy of using CUSP Overlab technique to minimize post -replacement transmission disorders through the catheter (TAVR) with self -expanding valve helps limit many risks of complications, especially complications of transmission disordersCommon.This is the first new technique presented in Vietnam.