A warning has gone out to hypertensive patients against being involved in activities that cause excitement or put much pressure on the heart. Medical experts in the country handed this warning while speaking on the possibilities of what could have happened to those who died while watching the football match between Nigeria and South Africa on Wednesday.
A consultant cardiologist, federal medical centre, Jabi, Dr. Salau Ibrahim, said the sudden collapse could be as a result of stroke, sudden heart attack or stress-induced heart problem. The cardiologist held that age matters a lot, adding that people who are older and have other problems like heart issues or the kidney, need to be very careful about things that stress the organs, especially the heart.
He cautioned against anxiety or stress, explaining that anxiety was a form of emotional stress. Dr. Salau said the major causes of such sudden deaths are stroke or heart attack. Admonished he: “Like the two incidents that happened on Wednesday, it could be that they had heart attack or abnormal heart reading. it’s possible they are hypertensive, diabetic and have not been checking themselves.
“So, it’s either they had heart attack, or they had cardiac arrhythmia, which can predispose someone to having cardiac arrest. Everything still falls under cardiac arrest. Those are the major things. Regular check and lifestyle modification are very important. If you have any background comorbidity like hypertension or diabetes, ensure you take your medications regularly.
“You can watch football even if you are hypertensive, but you need to be sure that your blood pressure is well regulated, and taking your medication adequately. Being hypertensive is not a contradiction to watching football but you need to know the status of your heart before you watch that kind of very intense game.
“Avoid watching football among the crowd that can put pressure on you”.
A consultant cardiologist at the Lagos State University Teaching Hospital (LASUTH), Dr. Ramon Moronkola, also linked the possible causes of deaths during the football match to stroke as a result of cardiac arrest and heart or brain issue.
Moronkola disclosed that when there is emotional surge, which is a sudden increase of an emotion, many things could go wrong.
Explained he: “Your adrenaline is pumping, and your blood pressure could go up immediately. For someone that has underlying cardiovascular disease that is not well managed, that person could suffer from a sudden cardiac arrest, which could lead to death.
“For example, if the person has myocardial ischemic heart disease, which occurs when blood flow to your heart is reduced, preventing the heart muscle from receiving enough oxygen, that emotional surge could make that person develop heart attack which could lead to sudden death”.
The physician also identified another possibility as having heart failure that is not properly managed, adding that when such a person is experiencing emotional surge due to the match, that could lead to sudden death as well.
He said emotional surge could also lead to abnormal heartbeat, which could further lead to sudden death. In essence, for those with underlying diseases like hypertension, diabetes, high cholesterol around the heart area, cardiac arrest is inevitable due to emotional surge as a result of the match, he affirmed.
He said there is another set of people who may not have had heart disease prior to the match, but they have genetic predisposition that made their heart go into abnormal heart beating due to emotional surge, which could lead to death. The cardiologist, therefore, urged Nigerians to have regular heart check.
Said he: “Please go for regular heart check. Do not wait until you have symptoms or until a problem arises before you go to the hospital. It might be too late, as with the case of Wednesday. If you are diagnosed with any heart condition, please treat it well”.
For those who already know their heart status, the cardiologist advised them to control their emotion properly. Advised he: “If watching the match can make you experience emotional surge, then don’t watch”.
Furthermore, he said this was also a wake-up call for the government to ensure that the country’s emergency response system is well developed. Noted he: “This involves training everybody on how to do basic resuscitation.
“Government should ensure that places like airport, supermarket, and churches etc, where people are gathered should have an Automated External Defibrillator (AED), which is used to help those experiencing sudden cardiac arrest. It’s a sophisticated, yet easy-to-use, medical device that can analyse the heart’s rhythm and, if necessary, deliver an electrical shock, or defibrillation, to help the heart re-establish an effective rhythm”.
In the same vein, consultant family physician at the University of Abuja Teaching Hospital, Gwagwalada, Dr. Chira Obiora, stated that people could watch football, but they should first of all know their health challenges. Dr Obiora said if your health challenges got stimulated, watching football will release adrenaline which could cause problem especially if you have a cardiovascular problem.
Said he: “It can trigger a heart problem and the person can have heart attack and die. It can even trigger stroke in some people especially if they are not controlling their blood pressure very well. That is why excitement can kill somebody.
“Excitement whether positive or negative, there are hormones that are released. That hormone is known as adrenaline, that is the hormone released when one is excited. It also releases it in anxiety, so what happens is that this hormone, one of the functions is that it can narrow blood vessels and make the blood pressure to increase a bit.
“So, if one is having a pressure problem, it can trigger it or if the pressure is not good enough, it can even burst because if it is narrower, the pressure in the vessels will increase, so that is how it stringers heart attack. Even the narrowness of blood vessels can cause different forms of cardiovascular phenomenon to arise; from heart attack to stroke to even the clot in the blood vessel which can even detach and go and block somewhere, it can cause pulmonary embolism or any other thing”.
The family physician advised that the general thing was for people to go for general medical checks especially as it relates to age and family history. He said that was the basic thing, stating that someone who is hypertensive could watch football if the person is doing the right thing; controlling his or her blood pressure, doing medical checkup and trying as much as possible to have positive outflow so that the person would not be tensed unnecessarily.
