Covid-19 vaccination for medical staff – Photo: Minh Anh The World Health Organization (WHO) has requested vigilance, monitoring, early detection and timely management of rare human events after Covid-19 vaccination with suspected immune thrombocytopenia. , scattered blood clots in the lumen, cerebral venous thrombosis. The rate of thrombosis after AstraZeneca vaccination is 4.6 / 1 million doses of the first injection, Pfizer-BioNTech Covid-19 vaccine is 0.2 / 1 million doses of the first injection. Thrombosis after AstraZeneca vaccination is mainly seen in women, in Germany there are 29 out of 31 women with thrombosis are women. The rate of blood clotting after AstraZeneca vaccination in young people is higher than in the elderly, especially in the age group 20-29. After vaccination AstraZeneca, the phenomenon of blood clotting seems less likely to occur in people over 60 years old, only about 0.2 / 1 million doses of the first injection. Complications of coagulation after AstraZeneca vaccination depend on genetic factors, underlying disease, lifestyle, medications, factor V Leiden (risk of blood clots). According to the clinical symptom guidelines, the above events are rare and usually appear 4 to 28 days after Covid-19 vaccination with persistent, severe headache; localized neurological symptoms; convulsions, blurred vision, or double vision; difficulty breathing or chest pain; stomachache; pain, swelling of the lower extremities. In particular, patients rarely present with bleeding, skin hemorrhage, or internal bleeding. The Ministry of Health believes that lower level medical facilities can completely handle the clotting phenomenon According to the Ministry of Health, at commune, ward, district or equivalent health centers of grade IV, people should be monitored after vaccination. If at least 1 of the above clinical symptoms appears, it is necessary to transfer the person after Covid-19 vaccination to a higher level or seek emergency treatment if any. In the case of the district hospital, district or equivalent grade III, after injection appears one of the above symptoms need to carry out the following tests: Count the platelet count; basic coagulation tests; quantitative D-dinmer assay; Ultrasound, X-ray exploration … In case of after injection, symptoms need to be transferred to higher level for treatment. At the provincial, city or equivalent level II health facilities, basic tests are needed to count platelet count, and basic coagulation test; quantitative D-dimer assay; imaging tests to assess thrombosis and bleeding; perform other exploration if available. In cases beyond the capacity of diagnosis and treatment, it is necessary to consult a higher level specialist. At the central grassroots level or equivalent grade I, the special class will take in people after vaccination with severe complications transferred by the levels, and carry out all necessary investigations for diagnosis and treatment according to the diagnosis and treatment guidelines of the Ministry of Health; Consult experts as needed. According to the Ministry of Health, by the morning of April 23, an additional 20,203 people were vaccinated against Covid-19 of AstraZeneca. Thus, from March 8 to now, a total of 128,610 people have been vaccinated against Covid-19 of AstraZeneca phase 1 and phase 2 in 28 provinces and cities and have not recorded any cases of blood clots later. injection.

Doctor Nguyen Van Cong – Deputy Director of Cardiology Center, Vinh Phuc General Hospital said: As for the syndrome of Nguyen Thanh A patient encountered, it is a rare disease, especially young patients. The treatment is somewhat more difficult, in addition to the time of treatment (fast, timely) also has a great significance in keeping the patient’s life. Currently, there are 3 methods of treating disease such as using electric shock machines, drugs to suppress the disease and electromagnetic waves to detect the location to burn (damage) and destroy the disease waves. The above methods are the most radical treatment plan compared to other methods, definitive treatment does not recur.

Doctor Nguyen Van Cong added that the case of A patient was the first case of Wolff Parkinson White syndrome successfully treated by Vinh Phuc General Hospital. Usually, this dangerous disease will have to be transferred to higher levels for treatment and few provincial hospitals can treat patients with the above syndrome.

Before that, patient Nguyen Thanh Y was taken to Vinh Phuc Province General Hospital on April 11, 2021 with clinical symptoms such as anxiety, shortness of breath, chest pain, and heart palpitations. Admitting the patient, the doctors diagnosed the patient with paroxysmal tachycardia, the time of checking the patient’s heart rate 229 times / minute (compared with a normal person with a heart rate of 70-80 times / minute). Patient was diagnosed with Wolff Parkinson White syndrome (WPW), described in 1930 by 3 authors L. Wolff; J. Parkison and PD White. The development of the patient’s health, the treating doctors contacted Hanoi Heart Hospital for professional and technical support. Through confirmed diagnosis this is a case of Wolff Parkinson White syndrome, very rare, the rate of 20 to 30 people / hundred thousand people. With a scientific treatment regimen, after 1.5 hours of actively treating Nguyen Thanh Ut patient’s health, she has recovered normally. Currently, the patient’s health is stable.

A few days ago, taiwanese model Zhang Jiajie reportedly sudden death at the age of 23 has shocked public opinion.

According to Zhang Jia’s sister, the night before the incident, her brother exercised late at night. After that, he felt discomfort in his person, holding his chest crying out for a heart attack, shortness of breath.

The family immediately called an ambulance but when paramedics arrived, Truong Chi Hien lost his signs of survival. Reached the hospital, although doctors tried to hold on to the life of the male model but disabled. Sudden conclusion of death due to strong active peeling, vascular obstruction.

Hearing the news, fans of Truong Chi Hien are not shocked because when they are alive, male models are very hardworking, athletic, healthy and able to shape.

Illustrations.

Shortly after the news of Truong Chi Hien’s death was announced, it was also reiterated some unexpected deaths.

A 14-year-old student in Wuhan, China at night.

A 47-year-old man in Hangzhou, China died suddenly after an early morning jogging session.

Actor Cao Yixiang died suddenly while filming a late-night sports show.

These news bewilder people, exercise is inherently to improve fitness, so why become a killer?

How can we avoid such tragedies from happening?

According to who, sudden death during sports practice (sudden death due to exercise) is defined as: The athlete dies suddenly within 24 hours after physical exercise, sports.

Historically, there have been many athletes who died suddenly during training such as American marathoner Jim Fix, Russian figure skater Sergey Greenkov, national volleyball player Zhou Gang.

Scientific research has found that practicing physical exercise can produce adaptable changes in the erbular structure and physical function of the human heart.

With further research into the heart when exercising, scientists have found that sudden death during exercise is associated with heart diseases and cerebral blood vessels . Other factors include heat stroke, exhaustion due to debilitating body, drug abuse, etc. however, sudden death when exercising because of heart overload has a high rate of 81%.

Hypertrophic cardicardiary disease is the main cause of sudden cardiac death in young athletes, through long-term physical exertion, the shape of the heart will be changed.

A European survey found that 2,354 Olympic athletes with an average age of just 27.6 years had a heart attack rate as high as 7.3%. Of course, people who exercise, normal sports can also completely die due to excessive, too tired and overwhelming workouts.

Illustrations.

How do I catch a sudden death signal?

People fear death will happen to us unexpectedly but in fact, before sudden death, the body has signs foresified.

Chest pain: Chest pain after movement, feeling short of breath and pain relief after a period of rest, can be a fore warning sign of coronary artery disease, in general this symptom can be caused by atherosclerosis plaques in the coronary artery are unstable.

Irregular heartbeat: Usually the result of tachycardia. If arrhythmias occur frequently, it will lead to the risk of atrial fibrillator, it is necessary to see a doctor in a timely manner.

Bradycardia : Not a new tachycardia causes cardiac arrest, bradycardia can also impair function cells that create rhythm, leading to cardiac arrest and sudden death.

How to prevent sudden death due to exercise?

The most common cause of sudden death was overactivating sympathetic nerves, which showed that running ranked number one in sudden deaths from playing sports , accounting for 33.98%.

Objectively, the probability of sudden death due to training is very low, even in a marathon, the probability of sudden death is only 0.005%. For humans, the benefits of sport far outs exceed the risk.

To avoid sudden death due to exercise, people should exercise scientifically with a basis to ensure cardiovascular safety.

For the average person, the condition needs to be consistent with the intensity of the workout to avoid overload, when feeling angry and nervous to pay attention, during the workout it is also necessary to pay attention to replenish water in time to avoid exhaustion. Especially in high temperature environments, blood vessels dilate throughout the body, blood flow is accelerated, the heart increases pump volume and accelerates the rate of pumping, susceptible to cardiovascular diseases.

Middle-aged and elderly people are recommended to regularly check blood glucose, blood lipids, blood pressure, control weight.