Stroke, Heart Attack Risk Rises in Winter 天氣轉冷.早晚溫差大 增心血管疾病風險

The risk of stroke and heart attack rises as temperatures are dropping. Doctors provide a simple three-step process for early detection.



When it's cold, people move less and drink less. With poorer circulation, blood pressure can become unstable and the risk of stroke and heart attack rises.

Chen Lung, Director, Stroke Center, Shuang Ho Hospital: “When the temperature variation is over 2 degrees, the risk of a recurrent stroke or first stroke goes up 5 percent. If you have high blood pressure, high blood sugar, high cholesterol, or cardiovascular disease, your risk of a recurrent stroke is even higher. ”

According to the Ministry of Health and Welfare, heart disease is the fourth leading cause of death in Taiwan. Stroke is also the leading cause of adult disability. Signs of stroke include paralysis or numbness on one side of the body, the mouth drooping on one side, and trouble speaking. Getting timely treatment is critical to prevent damage from becoming permanent, with oxygen deprivation killing two million brain cells per minute.

Huang Chuan-yi, Senior Paramedic, Chong Yang EMS and Fire Station: “EMTs have a detailed system to assess stroke risk and identify signs of stroke. We then immediately notify our hospital so that they can start treating the patient as soon as we arrive. The golden period for treatment is within three hours or six hours at the most.”

Doctors say a first stroke raises the risk of a second stroke by nine times. Controlling blood pressure, blood sugar, cholesterol and genetic factors can decrease the risk of a second stroke by 20 to 30 percent. If you suspect someone has had a stroke, ask them to smile, raise their arms, and say "hello." If they can't perform any of these three actions, note the time and call 119 right away.

 

 


近來氣溫降低,尤其清晨時更是冷颼颼,讓中老年人及體弱者面臨健康威脅,因為天冷時、活動少,飲水量也減少,血液濃稠度就會增加、血液循環變慢,血壓容易呈現不穩定狀態,醫生說,這樣的現象會使血管內的血液凝固機會上升,增加心肌梗塞及中風的急性發作。

雙和醫院中風中心主任陳龍表示:「溫度如果上下差了2度以上的話,再發生中風的機率,或者發生中風的機率,其實差了5%左右,如果本身又是三高或心血管患者,他發生再中風的比率,確實比一般人來得高很多。」


根據衛福部最新統計顯示,腦血管疾病為國人10大死因第四位,中風後造成失能的後遺症也是導致成人殘障的主因,因為腦中風症狀包括突發性的單側肢體無力癱瘓、臉歪、語言障礙,大部分沒有特別的前兆,而搶救腦中風是跟時間賽跑,腦部缺氧一分鐘將損失200萬的腦細胞,因此消防救護人員也扮演重要的救護角色。

新北重陽分隊高級救護技術員黃傳懿表示:「其實我們EMT還有更精進的評估,就是可以更高的抓出他中風的機率,抓出他的中風徵兆之後,我們立刻通報我們的醫院,讓他們醫院做急救準備,我們在黃金3小時之內,甚至在6小時,可以去救治我們的患者。」

醫生表示,曾經腦中風的病患,再發生中風的機率是一般人的9倍,若能嚴格控管高血壓、高血糖、高血脂,等危險因子可降低20%-30%的二次中風,民眾可透過微笑、舉手、說你好三個動作測試,只要任一動作無法做到,就應該記下發病時間,立即撥打119送醫。

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