Let’s be realistic: most of us do not see each other better after a night of excessive alcohol consumption.
Then, when a man woke up with a swollen face and swollen eyelids, Hello, he thought he was only paying the party price.
But it was not the liquor last night that returned to chase him. Instead, it was a strange and mortal heart condition and a well -intentioned error almost cost him his life.
Three months, there are no answers
When the swelling did not yield, the 33 -year -old Chinese man looked for medical help, but doctors were empty.
The initial evidence did not find problems with their heart, but doctors noticed that they had had unusually high levels of protein in the urine. They suspended that could explain the swelling on his face, they gave him a recipe and sent him to Home.
But his condition only got worse.
Soon, the swelling spread from his face to the rest of his body. His chest was tied to tense. His abdomen swelled. And yet, nobody had a clear answer.
After bouncing from an appointment in an appointment, he finally entered the emergency room at the Qilu Hospital in Qingdao, three months after the symptoms appeared.
It was then that doctors finally discovered the real cause: a bosom ruptured of the aneurysm of Valsalva (RSOva), a rare and potentially deadly heart condition.
In the Journal of Medical Case Reports, doctors wrote that they believe that the break was probably triggered by the “strenuous exercise” after drinking alcohol, which ceated the face of the “previously healthy” man to swell.
Something to think about before reaching the gym hangover.
A heart on the edge
Valsalva’s aneurysms are rare, which affects only 0.09% of the population. Most people do not know that they have one until it breaks, or triggered by activities such as vigorous exercise or heavy work.
When that breakdown occurs, the symptoms can vary greatly: from chest pain and lack of breathing to fainting, fatigue-o, in the case of this man, a slow and dragged waves of full body.
Left without treatment, Rsova often leads to heart failure and death within a year. But with early diagnosis and surgical repair, the long -term survival rate is typically strong.
Doctors who diagnosed the 33 -year -old patient said that previous medical care providers lost several “key indicators”, including a rumbling sound in heartbeat that can be a sign of a break.
That evil, they wrote, “delayed the appropriate intervention” and allowed the patient’s condition to get worse, which represents a “serious risk.”
When he arrived at the Qilu Hospital Emergency Department, his symptoms had intensified to acute full -fledged heart failure.
Other tests identified aneurysm that affected one of the four cameras of the heart, and doctors led him to emergency surgery.
Fortunately, the rupture was repaired successful, and 18 months later, the patient is recovering well without complications.
In their report, doctors said the case stands out why medical teams should be faster to consider RSOVA in younger patients who have signs of heart failure, a condition that generally affects older adults.
“Therefore, it is important to develop a strategy for the early recognition of the rupture of the aortic sinus aneurysm,” they wrote.