Weekly First-Aid Topic: How do the three kinds of heart
From:Beijing Municipal Health Commission
Date:01/15/2019

 

There is such a saying "when severe chest pain occurs, it is suggested to take 10 tablets of compound Danshen dropping pills, or 2 tablets of nitroglycerin, or 3 tablets of aspirin immediately." Is this correct?

In fact, the mentioned practice is not correct.

Compound Danshen Dropping Pills are currently used as a drug for relieving angina pectoris. There is no reliable evidence to prove that it can be used for the treatment of acute myocardial infarction.

Nitroglycerin is a commonly used drug to relieve angina pectoris, but it cannot alleviate all ischemic chest pain, and cannot slow the development of myocardial infarction down. Its usual usage is also 0.25-0.5mg sublingually, instead of taking 2 tablets initially. If there is severe myocardial infarction or acute inferior myocardial infarction, often accompanied by severe hypotension, taking nitroglycerin at this time will make blood pressure lower and life-threatening.

Aspirin is a commonly used as anti-platelet aggregation drug, and its application in acute myocardial infarction is correct. However, if there is a chest pain caused by aortic dissection, taking aspirin may aggravate rupture of the aortic dissection, or may cause effective hemostasis during emergency surgery, causing irreparable consequences. Therefore, when there is no clear cause of chest pain, it is advised to avoid taking medicine indiscriminately.