Myocarditis, edema due to lack of vitamin B1

Vitamin B1 deficiency can lead to acute myocarditis. Disease detected and treated early will avoid the chronic phase.

Eating rice should not rub easily to lose vitamin B1.
(Photo: manucornet.net)

For two months, Mr. TVD is 55 years old in E5 Thai Thinh - Hanoi, seeing tired people, his left chest hurt, his face and legs were tight, numb . Seeing a doctor concluded he had acute myocarditis Vitamin B1 deficiency.

Also with the above manifestations, at the beginning of July last year in Tram village, Cam Thach commune, Cam Thuy district - Thanh Hoa, there were 3 deaths and dozens of hospitalized people. Early conclusion of the Medical Center of Cam Thuy district, the above symptoms are similar to signs of disorders of absorption of vitamin B1. At 103 Military Hospital, 48 patients diagnosed with vitamin B1 deficiency were detected and treated promptly.

Vitamin B1 is found in many kinds of legumes ., plays an important role in the metabolism, especially the metabolism of glucide and glucose. If the body lacks vitamin B1, it will cause severe nutritional metabolism disorders, damage to central and peripheral nerves, cardiovascular system, especially acute myocarditis, causing rapid death due to sudden cardiac arrest.

In the Encyclopedia of Encyclopedia, the Encyclopedia has statistics, from 1916 to 1997 in our country, there were 55,572 people suffering from paralysis, muscular atrophy in which 22 cases died. The disease arises mostly due to lack of nutrition, eating long-term rice or eating milled rice too much (washing rice many times before cooking rice), drinking a lot of alcohol, hemodialysis, using diuretic pulling long for the treatment of heart-kidney disease, hypertension . Common initial manifestations of the disease are fatigue, eating less headaches, palpitations, difficulty walking, cramps, calf calf . These symptoms are often overlooked until the patient experiences pain in the left chest, bipedal edema. Edema begins from the lower extremities, spreads to the calf, and then onto the face. Patients with low urination, rapid pulse, and arrhythmia, enlarged liver, and increased blood pressure. Many patients have polyneuropathy, difficulty walking, even paralysis. Echocardiography has images of dilated cardiac chambers, increased blood volume, increased pulmonary arterial pressure.

Vitamin B1 deficiency can occur quickly, causing inflammation and acute heart failure . This situation often occurs in children, pregnant or postpartum women, heavy workers have poor nutrition, dieters, and chronic malnutrition. Patients with vitamin B1 deficiency for a long time will have numbness and edema. Numbness is a neurological sign, edema is a sign of stasis.

Vitamin B1 deficiency usually occurs in the years 70-80 because we eat rice mostly, other supplements such as meat, fish and milk beans are too few. But today, the food supply in our diet is more diverse, more balanced, so the likelihood of vitamin B1 deficiency is less likely to occur. However, there are cases where the likelihood of this deficiency is high, often in people with diabetes, workers in too hot or cold environments, stressful mental labor, nursing women. , Alcoholics; Acute infection, acute poisoning .

After years of research on the phenomenon of " pangolin, drunkenness " related to vitamin B1 in Hoa Binh a few years ago, the Institute of Labor Medicine gave the possibility of partly due to mercury poisoning because of some metals Severe has inhibited enzymes including vitamin B1. Mercury, an important factor that causes numbness and sensory disorders, is like having a vitamin B1 deficiency, except that there are no obvious heart and muscle symptoms.

For people with vitamin B1 deficiency, the treatment will last 3-10 days. Patients will be given vitamin B1 doses of 500-1,500mg / day intravenously. If not detected and treated promptly, the disease will turn into a chronic stage. Then there will be chronic heart failure, which can lead to disability or death.

Master NGUYEN THI HAI