"Stiff Neck" Could Signal Acute Myocardial Infarction
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2008/09/13 14:55
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Update Date: 2008/09/12 14:00 Reporter Ji Congmao / Hsinchu Report
The so-called "hard-neck spirit" of the Hakka people generally refers to the spirit of hard work, diligence, and perseverance that the Hakka people take pride in. However, in real life, if there is a "hard-neck" phenomenon, be careful as it could be pain caused by a potentially fatal acute myocardial infarction, and one must be cautious!
Dr. Chen Xianqing from the Hsinchu Hospital of the Department of Health stated that recently, a 54-year-old male taxi driver experienced very tight, stiff, and severe pain in the back of his neck, which persisted for several days. Initially, he thought it was soreness caused by his occupation, so he went to a Chinese medicine clinic for acupuncture and cupping. However, the pain in the back of his neck remained. He then thought it might be pain caused by a recurrence of an old dental issue, so he visited a dental clinic, but it was not a dental problem. He was advised to see an ENT specialist, but the pain in the back of his neck worsened, accompanied by cold sweats and even difficulty breathing. Finally, he went to the emergency room of Hsinchu Hospital. Fortunately, the emergency doctor performed an ECG and blood test, discovering it was an acute myocardial infarction. He was urgently sent to the ICU, where Dr. Cai Guiqin from the cardiology department arranged for a cardiac catheterization. It was found that three blood vessels were blocked, and a heart stent was placed. Only then did the pain in the back of his neck improve, and he was out of danger.
Dr. Chen Xianqing explained that the typical clinical manifestation of acute myocardial infarction is chest pain lasting more than 30 minutes or a feeling of pressure in the chest, with the pain extending to the left shoulder, jaw, and neck. More specifically, patients usually also experience cold sweats, nausea, and vomiting. What was unique about this patient was that he presented with pain in the "back of the neck." According to the patient's account, the back of his neck was very tight and painful, to the extent that he felt like cutting it off. The main reason for this phenomenon is the referred pain caused by the different locations of the myocardial infarction. This patient also had chest pain, chest pressure, and cold sweats, but they were not as severe as the pain in the back of his neck.
Dr. Chen Xianqing pointed out that if acute myocardial infarction is not treated promptly, the mortality rate can be as high as 30%. He urged everyone not to tough it out if they feel unwell or notice any abnormalities and to seek medical attention as soon as possible.
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