Thinlung hian thisen a hmu tawk lo em ni? NSTEMI (Non-ST-Elevation Myocardial Infarction) chungchang hi i zir dawn a ni.

A châng chuan i rilruah a tight deuh emaw, thil mak deuh emaw, thawk harsa deuh emaw i nei ṭhin em? Mi thenkhat chuan gastritis vang a ni mai thei niin an ngai. Mahse, chutiang chu a ni reng reng lo. Lung lam harsatna a ni thei bawk. Vawiin hian chutiang heart attack chi khat kan sawi dawn a, chu chu NSTEMI an tih condition a ni.

NSTEMI chu eng nge ni? A awlsam zawngin...

NSTEMI hi heart attack chi khat a ni. Hei hi i thinlung peng pakhatin oxygen a hmuh tlem lai a ni. Ngaihtuah teh, kan taksa peng dang zawng zawng ang bawkin thinlung hian a hnathawh theih nan thisen atanga oxygen a mamawh a ni. Chu oxygen supply chu tihtawp a nih chuan harsatna chu a intan ta a ni.

A hming hi a chhan chu, heart attack chi dang, STEMI ang bawkin, ECG-a lang thin heart electrical activity-ah hian danglamna langsar tak, lian tak a awm lo. Mahse, a la hlauhawm hle a, nunna atana hlauhawm tak medical emergency a la ni reng a ni . Chuvangin nangmah emaw, i hriat miin emaw heart attack symptoms i neih chuan damdawi ina kal emaw, ambulance ko nghal emaw a pawimawh hle. Enkawlna tihkhawtlai hian thinlung a tichhe reng thei a, thihna pawh a thlen thei bawk.

Engvangin nge hei hi NSTEMI an tih?

Damdawi lam hawi chuan heart attack hi ``Myocardial Infarction'' an ti a. ``Infarction'' tih awmzia chu taksa peng pakhatin thisen a hloh a, chu peng chu a thi tan tihna a ni. ``Myocardial'' tih hian thinlung ruh nena inzawm thil a kawk a ni. Chuvangin, heart muscle-in thisen a hmuh tlem chuan chu part chu a thawk tha lo tan thin.

Kan thinlung electrical activity hi ``Electrocardiogram'' emaw ``ECG'' tih test hmangin awlsam takin kan hmu thei a ni. I hmu tawh mai thei, test-naah hian taksa peng hrang hrangah sensor te te dah a ni. Hei hian thinlung electrical waveform chu lehkhabuah emaw, monitor-ah emaw a entir a. He waveform-ah hian hmun hrang hrang a awm a, chungte chu P, Q, R, S, T tih ang chi letter hmanga hming vuah a ni.

STEMI heart attack-ah chuan he waveform-a ``ST segment'' an tih hi a tlangpui aia sangin a sang chho thin. Hei hian STEMI a nih thu chiang takin a tarlang a ni. STEMI hi a tlangpuiin thinlunga thisen petu coronary artery lian tak chu a inkharkhip vek a ni.

Mahse, NSTEMI-ah chuan `(ST segment)` hi a sang lo hle. A chang chuan `ECG`-ah hian inthlak danglamna tenau te hmuh tur a awm a, mahse STEMI angin a chiang lo. Chuvangin, test dang, a bik takin thisen test te hi NSTEMI hriat chian nan a pawimawh hle. Hetah hian coronary artery a then a block a, a block vek lo emaw, main artery atanga branch chhuak vein te tak te a block emaw a ni.

Tute nge NSTEMI vei tam zawk? (Risk factor hrang hrang) 1.1.

Heart attack lo awm theihna tur risk factor engemaw zat a awm a. Ṭhenkhat chu kan thunun thei a, ṭhenkhat erawh chu kan thlak danglam thei lo.

Kan tihdanglam theih thilte:

Hengte hi kan nunphung nena inzawm thil a ni.

• Meizial leh zuk leh hmuam hman: Hei hi thinlung hmelma ber pakhat a ni.
• Ei leh in:Kan ei leh in thil te, a bik takin chi (salt pressure tisang thei), sugar (zunthlum thlentu), leh oil/fat (cholesterol tisangtu) tamna ei tur te.
• Taksa tihchak loh: Chu chu exercise lak loh tihna a ni.
• Dan lova ruihhlo hman: A bik takin stimulant, amphetamines leh cocaine te, thinlung tichhe thei.

Kan thlak danglam theih loh thilte:

• Kum: Kum upat deuh deuh hian thinlung natna vei theihna a sang chho zel a.
• Gender: Hmeichhia aiin mipa hian thinlung natna an vei tam zawk. Mipa tan kum 45 hnuah a hlauhawmna a sang a, hmeichhia tan chuan kum 50 hnuah (or menopause hnuah) a sang thung.
• Chhungkaw chanchin: I pa emaw, i unaupa emaw hian kum 55 a tlin hmaa lung natna emaw, thinlung natna emaw a nei a, emaw, i nu emaw, i unaunu emaw chuan kum 65 a tlin hmain heart attack a nei a nih chuan, nang pawh hi i hlauhawm zawk a ni.
• Congenital or genetic conditions: Genetic disease thenkhat emaw congenital conditions emaw hian thinlung natna vei theihna a tipung thei bawk.

NSTEMI hi engtiang chiahin nge a hluar?

Dik tak chuan NSTEMI hi thinlung natna pawl `(Acute Coronary Syndrome)` tia koh a ni a, khawvel hmun hrang hrangah hmuh tur a awm a, kan ram Sri Lanka-ah pawh hmuh tur a awm. American statistics atanga a lan dan chuan `(Acute Coronary Syndrome)` vei hmuhchhuah zinga 70% chauh hi NSTEMI vei an ni. Chumi awmzia chu he thil hi kan ngaihtuah a ngai tihna a ni.

NSTEMI neih hma leh neih chhung hian eng nge thleng?

NSTEMI hi category zau zawka awm pakhat, ``Acute Coronary Syndrome'' tia koh a ni.He category-a condition dangte chu STEMI leh ``Unstable Angina'' (unstable angina - rilru natna, chawlh lai pawhin a awm a, mahse heart attack angin a na lo).

Thinlung hian thisen mamawh a dawn loh chuan ``Ischemia'' tih natna a lo awm thin. A awlsam zawngin, thinlunga thisen tlakchhamna hmun chu a thi tan ta a ni. Muscle dang ang lo takin heart muscle cell te hi vawi khat an thih hnuah an lo piang thar thei lo. Chumi awmzia chu thisen luang chhuak thuai a nih loh chuan a chhiatna chu a awm reng tihna a ni.

NSTEMI hi direct leh indirect cause engemaw zat a awm thei.

Thinlung a thisen supply direct-a tihtlemtu chhan: 1.1.

• Plaque buildup: Hengte hi kan thisena cholesterol atanga siam waxy deposit te an ni. Drain khar chuan tui luang a tihtlem ang bawkin, plaque hian thinlunga thisen phurtu thisen kalna kawngte chu a tikhawlo thei a ni. A châng chuan, plaque a chhe chuan a chungah thisen zam a lo awm a, minute emaw, dârkâr emaw chhûngin thisen kalna chu a tikhawlo zual emaw, a tikhawlo vek emaw a ni.
• `Vasospasm` tih hi a ni.Kan thisen kalna kawngte hian a chhungah hian smooth muscle layer a nei a, chu chuan thisen kalna kawng zau leh tawi te chu a thunun a ni. Kea taksa ruh (muscle) a inher ang bawkin, thinlung thisen kalna kawng (arteries)-a he ruh (muscle) layer hi a nghet nghal thei a, a inzawm khawm thei bawk. Hei hi ``vasospasm'' an ti a. Hei hian thisen kal dan a tikhawlo thei a, heart attack a thlen thei bawk. Mahse hei hi a tlem deuh.
• Coronary Embolism: Hei hi hmun danga thisen zam lo awm tawh chu thinlung chhunga artery pakhata a tlakbuak vang a ni. Hei pawh hi thil awm lo tak a ni.

Thinlung chhiatna emaw hliam emaw:

Kan rilru chhungah hian thinlung hi him mah se, a chang chuan a chhe thei hle.

• Myocarditis: Hei hi heart muscle inflammation a ni. Viral infection in heart muscle a nghawng hian a thleng fo thin.
• Toxins: Toxins thenkhat hian heart muscle a tichhe thei a, heart attack a thlen thei bawk. Entirna pakhat chu `(Carbon Monoxide)` poisoning hi a ni.
• `Cardiac Contusion`: Hei hi thinlung hliam a ni. Hei hi accident lian takah a thleng thei a, chu chu car accident ang chi a ni. Hei pawh hi a tlem hle.

Indirect chhan hrang hrang: 1.1.

Chumi awmzia chu thinlung hian hna a thawk nasa zawk a ngai a, chuvangin oxygen tam zawk a mamawh a, mahse chutiang oxygen supply chu a hloh ta a ni.

• Thisen sang na tak (`Malignant Hypertension` emaw `Hypertensive Emergency`) emaw, thisen sang lutuk (`Hypotension`): Pressure a hniam lutuk chuan thinlungin thisen pump nan nasa zawka hna a thawh a ngai thin. Pressure a san lutuk chuan thisen kalna kawnga resistance a awm avangin thinlung hian hna a thawk nasa zawk a ngai thin. Heng pahnihah hian thinlung hian oxygen a mamawh tam zawk a ni.
• Tachycardia: Thinlung a thawk chak lutuk chuan thisen a pump tha lo. Chutiang speed-a hna thawk tur chuan heart muscle pawh hian oxygen tam zawk a mamawh bawk.
• Aortic Stenosis: Hei hi thinlung atanga thisen phur chhuaktu main valve (aortic valve) a narrowing a ni. Hei hi a nasat chuan thinlung hian valve zim tak kal tlanga thisen pump turin nasa zawkin hna a thawk a ngai a ni.
• Pulmonary Embolism: Hei hi thisen zam chu lung lam panna thisen kalna kawngah a tlakbuak hian a thleng thin. Hei hian oxygen tamna thisen chu lung a thlen a, thinlunga a kir leh loh nan a tikhawlo a ni.

NSTEMI natna lan chhuah dan chu engte nge ni?

Heart attack vei chuan heng ang symptoms hi a nei thei a ni:

• Chest pain or discomfort (Angina): Hei hi a lan chhuah dan ber a ni. I rilru a khauh, a rit emaw, a inzawm khawm emaw ang maiin a awm thei.
• Thâwk harsa: Thâwk harsa emaw, thawk hah emaw ang maiin a awm thei.
• Nausea, pum na: Mi thenkhat chuan pum na emaw gastritis emaw an nei thei.
• Palpitations: I thinlung chu a na hle a, a skip beat a, a tawp nghal ang maiin hriatna mak tak i nei thei.
• Luak chhuak thei(Lung hah), muhil, muhil mai mai tur ang maia inhriatna.

Pawimawh: Heng symptoms te hi mi zawng zawng tan a inang vek lo. Mi thenkhat chuan symptom pakhat chauh an nei thei a, thenkhat erawh chuan eng emaw zat an nei thei thung. A natna nasat dan pawh a inang lo thei bawk.

Hmeichhiaten an hriat bikna symptoms: 1.1.

Hmeichhia pawhin a chunga kan sawi tak symptoms te hi an tawng ve thei a, mahse an rilru lai takah chuan gastritis a ni tih an hre sual zawk. Tin, symptom tam zawk an report bawk a, chungte chu:

• Chauh lutuk, thawk hah lutuk, emaw, heart attack hmaa mut theih lohna emaw.
• Natna chu hmui, kawr, kekawrte, kut (a bik takin kut veilam), hnungzang lai emaw, pum chhungah emaw a darh.
• Nausea leh luak chhuak.

Engtin nge he dinhmun hi kan hriat theih ang?

Doctor chuan NSTEMI a awm tih a hriat theih nan test engemawzat leh damlo hnen atanga thu hriatte chu a thlunzawm a ni. NSTEMI-ah chuan STEMI angin a symptoms leh ECG inthlak danglamna hi a chiang lo hle a, chuvangin heng zawng zawng hi thlir ho vek a pawimawh.

A hmasa berin Doctor chuan a enfiah ang che, i thinlung leh i lungte a ngaithla ang a, i thisen sang a enfiah ang. Tichuan, i "medical history" chungchang an zawt ang a, chu chu i nunphung, chhungkaw history leh damdawi i ei dan te hi a ni.

NSTEMI hriat theihna atana hman test te:

• Electrocardiogram (ECG or EKG): Hei hi heart attack hriat theihna atana test hmasa ber leh pawimawh ber a ni. Sawi tawh angin STEMI-ah chuan ST segment hi a sang hle. NSTEMI-ah hian hetiang khawpa danglamna nasa tak a awm loh laiin, a hnuaia inthlak danglamna te hi hmuh tur a awm thei (mahse a awm reng reng lo):
• `(Transient ST-elevation)`: `(ST segment)` chu rei vak lo a sang a, chutah chuan a pangngaiah a kir leh ta a ni.
• `(ST-depression)`: `(ST segment)` chu a pangngai aia hniam a ni.
• `(New T-wave inversions)`: `ECG`-a `(T-wave)` (a tlangpuiin chunglam hawia inher) chu hnuai lam hawia inher angin a lang.
• Thisen test: Heart muscle cells a chhiat chuan chemical `(Troponin)` (Troponin) an tih chu thisenah a chhuak thin. Thisen a `(Troponin)` level teh hi heart attack eng pawh (NSTEMI telin) hriat theihna rintlak ber a ni. Mahse, thisena `(Troponin)` level chu test theih level a thlen theih nan darkar engemaw zat (a tlangpuiin darkar 6 aia rei lo) a ngai thei a, chuvangin he test hi vawi tam tak tih a ngai mai thei.
• Imaging test: Test dang a chiang lo a nih chuan heng imaging test chi hrang hrangte hian a pui thei bawk.
• Echocardiography: Hei hi thinlung ultrasound scan a ni. Emergency room-ah pawh a tangkai hle a, a chhan chu khum bulah tih theih a nih vang a ni.
• Computed Tomography (CT) scan: Hei hian X-ray hmangin thinlung hi three-dimensional (3D) image a siam a. Hei hi a châng chuan tui bik, contrast dye an tih chu inject-in an ti ṭhin. Chumi hnuah chuan thinlunga thisen kalna kawng (arteries)-a plaque awm leh blockage awm chu chiang takin a lantir thei a ni.
• Magnetic Resonance Imaging (MRI) hmanga tihchhuah a ni a:Magnetic field chak tak hmangin thinlung thlalak chiang tak tak hmuh theih a ni.

NSTEMI enkawlna tur engte nge ni?

Heart attack eng pawh enkawl hi hun intlansiakna a ni. Thisen kalna kawng khar tawhah thisen a kal chak poh leh thinlung a tihchhiat a tlem phah ang.

• Oxygen: Thisen a oxygen level a hniam chuan oxygen pek a ni.
• Percutaneous Coronary Intervention (PCI): Hei hi mi tam takin "stent" an tih chu a ni. Hetiang tih danah hian cardiologist chuan i kut emaw ke emaw a vein lian tak kaltlangin tube te tak te (catheter) a dah lut a, i thinlung chhunga thisen kalna kawngkhar (blocked artery) chhungah a thread lut thin. Tichuan, tube tawp lama balloon te tak te chu an inflated a, chu chuan blocked area chu a tizau ta a ni. Vawi tam tak chu a zau zawkna hmun chu a khar leh tawh loh nan stent (mesh ang chi) dah a ni. Hei hi tih hma chuan a rah a tha zawk.
• Damdawi: Heart attack nei tan damdawi chi hrang hrang pek thin a awm (a then chu a natna hriat chian hma pawhin pek thin a ni).
• Aspirin emaw antiplatelet damdawi dang emaw: Hengte hian thisena platelet te chu an inzawm khawm a, thisen zam a siam thei lo. Hei hian clot a nasat loh nan a titawp a ni.
• Anticoagulants: Hengte hian thisen zam a veng bawk a, mahse kawng danglam takin.
• Angiotensin-Converting Enzyme (ACE) inhibitors: Heng damdawi te hian thisen sang tisangtu protein siam chhuah a tikhawlo. Hei hian thisen sang a tihniam a ni. Lung tha lo, thisen sang, kal lama harsatna nei, zunthlum vei te tan pek a ni zawk.
• Beta-blockers: Hengte hian heart rate a ti hniam a, heart pump chakna a ti tlem bawk. Hei hian thinlunga hnathawh tur a tihtlem avangin thinlungin oxygen a mamawh zat a tihtlem phah a ni. Mahse, hengte hi thisen sang, thinlung chak lo, emaw, thinlung rhythm disorder (arrhythmias) thenkhat nei tan chuan a tha lo mai thei.
• Nitroglycerin: He damdawi hian thisen kalna kawng a tizau a, thisen kal dan a tichak bawk. Chuvang chuan rilru na tan chuan a hlawk hle.
• Statins: Hengte hian thisen cholesterol level a tihhniam bakah coronary arteries-a plaque awm theihna a ti tlem bawk.
• Coronary Artery Bypass Grafting (CABG): A châng chuan i thinlunga thisen kalna kawng pakhat aia tam chu nasa taka a inkharkhip chuan operation hi a ṭha ber mai thei. Hei hi "bypass surgery" (or "open-heart surgery") an ti a. Hetiang tih danah hian surgeon chuan i taksa peng dang (i ke emaw, i rilru chhung lam emaw) atanga thisen kalna kawng a la a, chu chu a graft a, i thinlunga thisen kalna kawng khar vel chu kawng thar a siam a ni. Chumi hnuah chuan thisen chuan a block tawh chu a "bypass" thei ta a ni.

Lung natna hi kan veng thei ang em?

Ni e, heart attack ven nan emaw, a tlem berah chuan tihkhawtlai nan emaw thil tam tak kan tih theih a awm.A pawimawh ber chu kum khatah vawi khat tal chhungkaw doctor pan a, medical checkup / wellness visit kimchang tak neih a ngai a ni.

Natna tam tak, thisen sang leh zunthlum ang chi te hian an lo zual deuh hma chuan a lan chhuah loh phah thin. Mahse natna lan chhuah hma pawhin heng dinhmunte hian thinlung leh coronary arteries a tichhe chhunzawm zel a, heart attack hlauhawmna nasa takin a tipung a ni. Mahse, kum tin check-up neih laiin test awlsam tak tak hmangin heng dinhmunte hi awlsam takin a hmain hriat theih a ni. Chutiang harsatna a awm chuan i doctor chuan a tul angin thurawn leh kaihhruaina a pe ang che.

Heart attack laka invenna atana thil tha ber ber thenkhat chu:

• Rihna hrisel tak vawn reng.
• Ei leh in inthlau (balanced diet) ei (i doctor chuan i duh ang diet a rawt thei a, entirnan Mediterranean diet).
• Taksa tihchak (kar khatah minute 150 tal moderate-intensity exercise neih).
• I damdawi lam dinhmun awmsa (thisen sang, zunthlum, cholesterol ang chi) te chu thunun la. Damdawi i ei a nih chuan i doctor-in a sawi ang chiah chiah ei tur a ni.
• Zuk leh hmuam (cigarette, beedis, cigar, leh vaping te pawh tel) i hman chuan heart attack laka inven nan bânsan a pawimawh hle.

Vanduaithlak takin mi thenkhat chuan heart attack an la nei tho a, a bik takin chhungkaw history emaw damdawi lam thil dang avanga hlauhawmna sang zawk an la nei a ni. Mahse, a chunga kan sawi takte hi zawm hian heart attack lo awm tanna chu i tikhawtlai thei a, i neih chuan a nasatzia i ti tlem thei bawk. Tin, hrisel taka awm hian heart attack atanga dam lehna a ti awlsam thei bawk.

Eng chen nge damdawi inah ka awm a ngai dawn?

Damdawi ina i awm rei zawng chu thil engemaw zatah a innghat a ni. Chung zingah chuan i heart attack nasat dan te, i hriselna tlangpui te, leh i enkawlna chi hrang hrang te a tel a ni. A tlangpuiin ni hnih atanga ni sarih chhung i awm thei. PCI (stent dah) ang chi enkawlna hian hun a duh rei lo thei a, operation pawh a rei thei bawk.

Engtikah nge i rilru a hahdam ang?

Enkawlna i dawn angin i symptoms te chu a lo tha chho tan tur a ni. Mi tam tak chuan heart attack hnuah chuan hah leh chak lo deuhin an inhria a, mahse hei hi ni rei lo te hnuah a reh mai ang. I doctor chuan chawlh hahdam i mamawh zat leh i dam leh theihna tura i tih theih dan tur a hrilh ang che.

NSTEMI neih zawh hnua hmalam hun chu eng nge ni?

NSTEMI hnua i rilru put hmang chu thil engemaw zatah a innghat a ni. Heart attack nasat dan leh i hriselna zawng zawng hian hmun pawimawh tak a chang dawn a ni. I doctor chuan i beisei tur te, i fimkhur tur te, leh i pumpelh tur te chu a hrilhfiah thei ber a ni.

NSTEMI hnuah eng nge i beisei belh theih ang?

Vawi khat chu heart attack i vei tawh a nih chuan vawi khat i vei leh theihna chance a sang hle. Chuvangin, heart attack dang ven nan, .Regular follow-up care leh preventive measures te hi a pawimawh hle. I doctor chuan hetiang hi a rawn rawt thei ang:

• Medical test leh `(imaging)` test nawn leh: I thinlung hnathawh dan enfiah hi heart attack dang venna kawng pawimawh ber pakhat a ni.
• Cardiac Rehabilitation: Hengte hi taksa tihchakna hmanga i hriselna tihchangtlunna tura puitu programme a ni a, doctor-te enkawl a ni. Field hrang hranga specialist, dietitian leh exercise instructor te hian an pui che a ni.

Engtikah nge thiltih pangngai chu a chhunzawm leh theih ang?

Hnathawh tur, lirthei khalh leh exercise i tih theih hun chu i hriselna a zirin a danglam ang. I doctor chuan thurawn tha ber ber a pe thei che a ni. I thil tumte leh engtikah nge thil i tih ṭan theih ang tih chu sawipui rawh. A rawtna angin zawi zawiin tan a tha ber.

Heart attack hnuah engtin nge i hriselna i enkawl ang?

"Prevention" hnuaia a hmaa kan sawi tawh tam zawk hi heart attack hnua i hriselna enkawl danah pawh a hman theih bawk. It’s important to eat a good diet, exercise regularly , taksa rihna hrisel tak neih, natna dang damdawi dik tak ei, leh a hun taka doctor hmuh.

Engtikah nge doctor i biak ang?

I doctor chuan eng harsatna nge i beisei tur te, eng nge i ngaihtuah tur tih te, engtikah nge i biak tur tih te a hrilh ang che. Tin, symptom thar i neih emaw, symptom awmsa a inthlak emaw (a bik takin a lo lang nghal emaw, nitin hnathawh tibuai tan emaw a nih chuan) doctor nen inbia ang che.

Engtikah nge damdawi inah emaw, emergency room-ah emaw i kal ang?

Lung lam kaihhnawih symptoms i neih thut a nih chuan, emaw, i symptoms chu beisei loh taka a nasat chuan damdawi in pan nghal tur a ni. Emergency medical treatment mamawhna tilangtu symptom lian ber berte chu:

• Chest pain (Angina) emaw taksa peng hnai tak (neck, jaw, back, arms, shoulders, or stomach) thlenga darh natna emaw.
• Thâwk harsa emaw, thawk harsa emaw.
• Thaw hah lutuk.
• Palpitations a awm.
• Nausea emaw, luak chhuak emaw.
• Luak chhuak (vertigo), muthilh emaw, hriatna hloh emaw.

Emergency treatment ka mamawh a nih chuan damdawi inah keimah chauhin ka tlan tur em ni?

A ni lo tak zet! Heart attack i nei nia i ngaih chuan damdawi in panna tur lirthei khalh chu nangmah chauh ni lovin kawngpuiah midangte tan pawh hlauhawm tak a ni thei. Chuvangin 1990 (Suvaseriya) emaw ambulance service dang emaw call nghal rawh. Ambulance hmanga kal hian thatna engemaw zat a nei a:

* Ambulance personnel te chuan i dinhmun an zirchiang thei a, damdawi in panna kawngah i symptoms te chu an enkawl tan thei bawk. An information khawlkhawmte hian damdawi ina doctor-te tan hun hlu tak a humhim thei a, diagnose an siam thei a ni.

* Kalkawngah i hriatna i hloh chuan ambulance-a i zin avangin hlauhawmah i awm lo vang a, midangte pawhin an tichhe lovang.

* Ambulance-a thawkte chuan Emergency Room (ER)-ah direct-in an hruai thei ang che. Nangmah chauha i kal chuan lobby kaltlanga i luh rualin tihkhawtlai a awm thei.

Heart attack chhinchhiahna hi thil hlauhawm tak, buaithlak tak a ni thei. Vanneihthlak takin damdawi lam thiamna a lo thang chho zel a, heart attack hmuhchhuah leh enkawl dan pawh nasa takin a lo tha chho ta a ni. Enkawlna kawng hrang hrang, damdawi leh thinlung chungchanga science lama hriatthiamna te chu a lo thang chho zel a ni. Chu chu i result tha neih theihna chance a sang zel tihna a ni. Nangmah emaw, i hmangaih tak emawin heart attack symptoms i neih chuan, tihkhawtlai lohvin doctor tanpuina zawng nghal rawh.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Thian duh takte u, NSTEMI hi heart attack chi khat na tak, kan ngaihthah loh tur a ni tih ka hrilh a ngai a ni.

• I rilru natna emaw thawk harsa emaw ang chi symptom i neih chuan "gastric" tih mai mai suh. Doctor pan nghal rawh.
• Nunphung awlsam taka tihdanglam (ei leh in tha, exercise lak, leh zu in loh) hian he hlauhawmna hi nasa takin a tihziaawm thei a ni.
• A pawimawh ber chu Doctor-te thusawi ngaithla a, test tihfel a, damdawi an tih ang taka ei a, nun hrisel taka nun tum hi a ni. I thinlung hi a hlu a ni!

` NSTEMI, heart attack, rilru natna, ECG, thinlung natna, thinlung enkawlna, thinlung hriselna