Friday, September 28, 2018

Diabetes is more likely to die from a heart attack

Abstract: In this study, researchers at the University of Leeds in the United Kingdom collected medical data from nearly 280,000 patients with ST-segment elevation myocardial infarction and 420,000 patients with non-ST-segment elevation myocardial infarction between 2003 and 2013. Analyzed.
A new study shows that people with diabetes have a higher risk of heart disease, and in heart attacks, they are at higher risk of death than those without diabetes.
Diabetes is more likely to die from a heart attack
The study found that people with diabetes had a 50% higher risk of heart attack than those without diabetes.

What are the complications of diabetic coronary heart disease?

The symptom of diabetic myocardial infarction is sudden myocardial infarction based on the symptoms of diabetes, so the condition should be more serious and complicated, but the symptoms of diabetic myocardial infarction are often lighter than non-diabetic myocardial infarction. Bradly compared 100 cases of diabetic myocardial infarction. 100 cases of non-diabetic myocardial infarction, found that diabetic myocardial infarction is mild, moderate chest pain is more common, there are only 6 non-diabetic patients without chest pain, 46 patients in the diabetes group, and the mortality rate of the diabetic group is higher than that of the non-diabetic group, 1975 Solen analyzed the clinical symptoms of 285 patients with diabetic myocardial infarction. As a result, 33% had no typical angina symptoms, and 40% died within one month after the onset. In fact, the symptoms of diabetic myocardial infarction were not mild, but because diabetic patients were accompanied by The findings of peripheral neuritis and autonomic dysfunction have concealed the symptoms of pain and often become a painless myocardial infarction, so the mortality rate is higher, which is a noteworthy clinical feature after the occurrence of diabetic myocardial infarction.
What are the complications of diabetic coronary heart disease?

Diabetic myocardial infarction
(1) aura symptoms: some have chest tightness, shortness of breath, or the original paroxysmal becomes persistent; some have angina or pre-palm discomfort, according to the general myocardial infarction observation, the aura symptoms are early and late, its 56.9% of aura symptoms were 1 week before onset; 21.6% were 2 weeks before onset; 6.6% were 3 weeks before onset; the rest were 4 weeks before onset or earlier.
The symptoms of aura are mainly angina pectoris, accounting for 61.8%. It is characterized by frequent pain, increased pain, and prolonged attack time. It is necessary to closely observe the symptoms of aura, and timely treatment is beneficial to the prognosis of myocardial infarction.

What are the diagnostic and examination methods for diabetic coronary heart disease?

Next, let's talk about the diagnosis and examination methods for diabetic coronary heart disease.
What are the diagnostic and examination methods for diabetic coronary heart disease?
Diagnostic diagnosis of diabetic coronary heart disease:
1. The diagnostic criteria for diabetic coronary heart disease are similar to those of non-diabetic patients, but the incidence of painless myocardial ischemia and myocardial infarction is higher in diabetic patients; it should be vigilant, and the diagnostic conditions are as follows:
(1) Diabetes diagnosis is clear;
(2) angina pectoris, myocardial infarction, arrhythmia or heart failure;
(3) The electrocardiogram shows that the S-T segment is horizontally or downwardly inclined, and the amplitude is ≥0.05-0.1 mV, and the T-wave is flat, inverted or biphasic;
(4) Doppler ultrasound suggests left ventricular diastolic and systolic dysfunction, and segmental wall motion is weakened;
(5) Coronary angiography suggests lumen stenosis >50%; it is the most accurate method for diagnosing coronary heart disease;
(6) Radionuclide (such as 201 Tl) examination of myocardial perfusion defects, combined with single photon emission computed tomography (SPECT) or positron emission tomography (PET), can be found in myocardial metabolic abnormalities, help to improve The accuracy of the diagnosis;
(7) Nuclear magnetic resonance imaging (MI) may indicate cardiac macrovascular disease and myocardial infarction;
(8) Exclude other organic heart disease.

What are the pathological causes of diabetic heart disease?

The pathological causes of diabetic heart disease mainly include the following:
What are the pathological causes of diabetic heart disease?
1. tachycardia at rest
Early diarrhea may involve the vagus nerve, and the sympathetic nerve is relatively excited. Therefore, the heart rate tends to increase. Anyone who has a heart rate of more than 90 beats/min during rest should be suspicious and autonomic dysfunction. This heart rate is often fixed. It is not easily affected by various conditioning reactions. Sometimes the heart rate can reach 130 beats/min, which is more suggestive of vagus nerve injury.

How to prevent care for diabetic heart disease?

What are the grades of diabetes heart disease prevention care? What lifestyles can be improved to prevent diabetes and heart disease?

How to prevent care for diabetic heart disease?

1. Primary prevention or primary prevention

Primary prevention of coronary heart disease is actually a prophylactic factor for preventing atherosclerosis. Autopsy has proven that atherosclerosis has occurred since childhood, and some youths are quite serious, so prevention should begin from childhood and inheritance. It has been proven in school that diabetes is a polygenic genetic disease. After the 1970s, coronary heart disease has noticed its genetic problems abroad. Some survey data reported that one parent has coronary heart disease and his child's coronary heart disease occurs. The rate is 2 times that of families without coronary heart disease; 2 parents have coronary heart disease, and the incidence of coronary heart disease in their children is 5 times that of families without coronary heart disease. It can be seen that the occurrence of coronary heart disease is closely related to genetic family factors. Therefore, there are close relatives in the family. People with diabetes, coronary heart disease and high blood pressure should take active primary prevention measures to prevent the occurrence of diabetic coronary heart disease.

How is differential diagnosis of diabetic heart disease?

In the previous article, we talked about the symptoms and signs of diabetic heart disease. Now let's talk about the differential diagnosis of diabetic heart disease.
How is differential diagnosis of diabetic heart disease?
1. The diagnostic criteria for diabetic coronary heart disease are similar to those of non-diabetic patients, but the incidence of painless myocardial ischemia and myocardial infarction is higher in diabetic patients; it should be vigilant, and the diagnostic conditions are as follows:

What are the symptoms and signs of diabetic heart disease?

The symptoms and signs of diabetes heart disease you want to know are here:
What are the symptoms and signs of diabetic heart disease?
1. tachycardia at rest
Early diarrhea may involve the vagus nerve, and the sympathetic nerve is relatively excited. Therefore, the heart rate tends to increase. Anyone who has a heart rate of more than 90 beats/min during rest should be suspicious and autonomic dysfunction. This heart rate is often fixed. It is not easily affected by various conditioning reactions. Sometimes the heart rate can reach 130 beats/min, which is more suggestive of vagus nerve injury.

2. Painless myocardial infarction
Because diabetic patients often have autonomic neuropathy, cardiac pain afferent nerve function decline, the incidence of painless myocardial infarction is high, up to 24% to 42%, patients only have nausea, vomiting, congestive heart failure, or performance For arrhythmia, cardiogenic shock, some only fatigue, weakness, dizziness and other symptoms, no obvious pain in the precordial area, it is easy to miss diagnosis and misdiagnosis, the mortality rate is as high as 26% to 58%, diabetic patients with acute myocardial infarction More than non-diabetic patients, the disease is heavier, the prognosis is poor, and easy to re-infarction, the prognosis is worse, prone to cardiac arrest, must be vigilant, usually not strict control of diabetes is more likely to occur, some patients Ventricular fibrillation occurs due to oral hypoglycemic drugs.

What is diabetes heart disease?

What is diabetes heart disease?
What is diabetes heart disease?
Diabetic heart disease is one of the leading causes of death in diabetic patients, especially in patients with type 2 diabetes. Generalized diabetic heart disease includes coronary atherosclerotic heart disease (CHD), diabetic cardiomyopathy and diabetic autonomic neuropathy. Diabetic heart disease is often associated with non-diabetic patients. Diabetes patients have a crown Heart disease often manifests as painless myocardial infarction, with large infarct size, more invasive wall infarction, more serious disease, poor prognosis, and higher mortality; such as coronary angiography and clinical exclusion of coronary artery disease, diabetes patients are severe Arrhythmia, cardiac hypertrophy, pulmonary congestion and congestive heart failure, especially refractory heart failure, clinical considerations for diabetic cardiomyopathy.

4 characteristics of diabetic heart disease

As we all know, diabetes and heart disease are a pair of "difficult brothers." However, because the symptoms of diabetic heart disease are not typical, they are often overlooked or missed. So, what are the characteristics of diabetic heart disease compared with common coronary heart disease?
4 characteristics of diabetic heart disease
Feature 1: prone to orthostatic hypotension

Many people with diabetes often feel dizziness, vertigo, flustered, sweating, black eyes, and even fainting. When measuring blood pressure, it was found that the patient's systolic blood pressure decreased from 30 mmHg and the diastolic blood pressure decreased from 20 mmHg to 20 mmHg. This condition is called "post position hypotension".

Is diabetes directly related to heart disease?

Although diabetics have an increased risk of developing heart disease at the same time, heart health can be maintained through changes in diet, exercise and lifestyle.
Is diabetes directly related to heart disease?
Most people with diabetes realize that diabetes increases the risk of cardiovascular disease. And the statistics are really shocking: According to the American Diabetes Association, nearly two-thirds of people with diabetes have high blood pressure, and people with diabetes have a greater chance of dying from heart disease or stroke than others without diabetes.
But the good news is: Learn more about the link between heart disease and diabetes can help you take steps to protect your heart and control your diabetes.

Uncommon angina pectoris is actually more dangerous

Isn't it often more dangerous to have angina pectoris? Most people think that symptomatic diseases are more dangerous because they repeatedly "prompt" your illness through pain, cough and other symptoms. However, patients with angina pectoris are different. Infrequent angina pectoris needs more attention.
Uncommon angina pectoris is actually more dangerous
First, these people may have a lack of understanding of angina. Patients with frequent attacks usually take regular medications, pay attention to changes in symptoms, and find abnormalities to see a doctor quickly. People with few episodes lack experience and don't know what level they should go to the hospital. The data show that about 40% of the people in the crowd are people who have no history of heart disease in the past. Although the angina at this time is "initial", it may be fatal.

What are the methods of angina pectoris?

Because of the many types of angina, the patient's own situation varies widely, so there is no uniform standard for determining the severity of the disease and the prognosis. In summary, from the following aspects can help determine the severity of angina.
What are the methods of angina pectoris?
1. See clinical type: angina pectoris is mainly divided into stable angina pectoris, initial angina pectoris, worsening angina pectoris, supine angina pectoris, variant angina pectoris, intermediate syndrome, post-infarction angina pectoris and mixed angina pectoris. In general, stable anaerobic angina is milder, the prognosis is better, mixed type is second, and other types of conditions are heavier. Therefore, some types of angina are collectively referred to as unstable angina.

7 misunderstandings about heart disease

Abstract: In outpatient work, we often treat patients with angina pectoris. Because of the special importance of the heart to human health, and the onset of angina, the patient feels both painful and nervous.
7 misunderstandings about heart disease

1. Thin people will not have heart disease

In general, fat people's blood pressure, blood sugar and blood lipids are high, so fat people have a high risk of heart disease, so doctors often ask people to lose weight and maintain proper weight. However, people who are physically weak must not be relieved of their vigilance because there are many factors that can cause heart disease, such as excessive hypercysteine ​​in the body, long-term depression or tension in the body, and lack of exercise. These factors and human body shape Little relationship. In addition, diseases such as high blood pressure, high blood sugar and high blood fat are not "patents" of fat people, and thin people will also get these diseases.

Five major symptoms of a heart attack

Sudden heart disease such as angina pectoris and myocardial infarction is often referred to as a "fatal killer." Heart attack is urgent, but not all symptoms are very obvious and serious. Some mild symptoms often give people warnings and warnings. Understanding heart attack symptoms can greatly improve patients' first aid and survival opportunities.
Five major symptoms of a heart attack

The five most common symptoms include:

1. chest pain or pressure;

2. Radiation pain to the back, chin, throat or arm;

3. nausea, indigestion or heartburn;

4. weakness, anxiety or shortness of breath;

5. Fast or irregular heartbeat

Heart accidents don't necessarily have chest pain, and some symptoms you never thought about!

Deaths due to cardiovascular disease account for the first cause of total death, with only 50,000 deaths per year due to sudden cardiac death, meaning that one person per minute has sudden cardiac death, experts say, most common in heart disease It is angina pectoris and myocardial infarction caused by coronary artery occlusion. The general heart attack is that this type of vascular occlusion suddenly occurs.
Heart accidents don't necessarily have chest pain, and some symptoms you never thought about!

Under normal circumstances, the heart attack is extremely sudden, the first attack can kill people, in addition, chest tightness, chest pain is also one of the typical symptoms of heart disease, but the elderly, women or people with diabetes are prone to atypical symptoms, such as cold sweat Pain, weakness, etc., not necessarily with pain as the main performance, since the symptoms of heart attack are various, how to find the disease in the first time?

Coronary heart disease, angina pectoris, myocardial infarction, all three have a relationship?

We have talked about the difference between coronary heart disease, angina pectoris and myocardial infarction. Today, what is the relationship between coronary heart disease, angina pectoris and myocardial infarction? All three are cardiovascular diseases, all of which can have a serious impact on the patient's body. Is there a connection between the three? Let's take a look at this issue.
Coronary heart disease, angina pectoris, myocardial infarction, all three have a relationship?

Coronary heart disease is the abbreviation for coronary atherosclerotic heart disease. The heart beats all the time and needs a lot of oxygen and various nutrients, but they are not taken directly from the blood in the heart chamber, but by the left and right sides of the heart called the coronary artery (its shape seems to be one The top hat buckles on the heart, hence the name of the blood vessels supplied. If the two blood vessels are narrowed due to various reasons (such as atherosclerosis), blood flow is not smooth, and the heart muscle does not get enough blood nutrition, myocardial ischemia occurs. This is coronary heart disease, also called deficiency. Bloody heart disease.

You may have done these 3 stupid things causing angina to attack often?

"Medical treatment" is the main method for the treatment of coronary heart disease. It can achieve the purpose of prevention and treatment of coronary heart disease by intervention and control of high risk factors such as hypertension, dyslipidemia, overweight/obesity, hyperglycemia/diabetes and so on.
You may have done these 3 stupid things causing angina to attack often?

Don't do these 3 stupid things when treating coronary heart disease!

Stupid thing 1. Do not take medicine on time

Patients with coronary heart disease regularly have medications that are clearly prescribed. Do not have the dangerous idea of ​​“just take enough medicine every day, and take medicine whenever you want it!” This will only lead to fatality such as myocardial infarction. The occurrence of cardiovascular events.

A heart attack is just a chest pain? Be careful with six special symptoms

A heart attack is a life-threatening acute illness that requires emergency assistance, but sometimes it is not like a film and television drama. A patient with a heart attack does not necessarily grab the chest and is suffering. According to US U.S.News, Professor Christopher Granger from the Heart Center of Duke University Medical School pointed out that heart attack does not necessarily involve severe chest pain, which needs to be understood. Although sometimes the disease is very rapid and severe, it can cause severe pain, but in most cases the patient may only show simple symptoms such as discomfort or fatigue. To sum up, the following six feelings require everyone to be careful:
A heart attack is just a chest pain? Be careful with six special symptoms

1.The chest is pressed by heavy objects

In addition to pain, heart attacks often manifest as increased pressure on the chest, as if squeezed, giving people a feeling of poor breathing. This is because a heart attack is a myocardial infarction, and part of the blood supply to the heart is cut off, such as being blocked by a blood clot. If this symptom persists for less than 10 seconds, it is generally not a heart attack. If it exceeds 5 minutes, please call the emergency number as soon as possible for help.

How painful is angina? It is actually very dangerous to attack!

Angina is a relatively common type of heart disease, and it is very harmful to humans. We cannot ignore it. Angina pectoris is also a type of coronary heart disease. Due to coronary artery stenosis or occlusion, myocardial ischemia and hypoxia are caused. The number of patients is more than 40 years old, more men than women.
How painful is angina? It is actually very dangerous to attack!

With continuous research, the current research on angina has new knowledge and findings. Clinically, angina is divided into three major types, and each type has a more detailed classification. The three major types of angina are: angina pectoris, spontaneous angina, mixed angina. What are these three types of angina?

Is angina pectoris a type of heart disease?

Many of our life's friends with angina pectoris, many times the impact of this disease on us is very large, in fact, this angina is the main clinical manifestations of coronary atherosclerotic heart disease, it can be said that the heart One type of disease is paroxysmal retrosternal pain caused by insufficient blood supply to the coronary arteries and temporary ischemia and hypoxia of the myocardium. This disease is basically a sudden onset, usually after rest or with nitroglycerin tablets, the symptoms are usually relieved. Prevent the emergence of this disease.
Is angina pectoris a type of heart disease?
The first is that when we have an episode of angina, we should sit down or lie down immediately, and take nitroglycerin immediately during the onset of angina pectoris by sublingually taking one tablet. This medicine can also be taken before angina occurs. The effect is the same.

Major differences between angina pectoris and myocardial infarction

Angina is a common health problem caused by a decrease in blood flow to the heart, and many of the same symptoms as a heart attack can occur, but there is no need for immediate emergency treatment. The myocardial infarction is different. The following is the difference between the two.
Major differences between angina pectoris and myocardial infarction


Angina pectoris

1. Causes of myocardial infarction and angina pectoris:

When plaque (a fatty substance) accumulates in the arteries, preventing blood from flowing to the heart muscle, causing the heart to work harder and less oxygen, angina occurs. This is why many people feel chest pain when suffering from angina. Blood clots in the heart's arteries can also cause angina, however, blood clots in the heart usually cause a heart attack.

What are the symptoms of heart attack, cardiac arrest, and heart failure? How to distinguish?

The heart acts as the "engine" of the human body, and any abnormality can not be underestimated. When caring for heart health, it is necessary to understand some medical terms.
What are the symptoms of heart attack, cardiac arrest, and heart failure? How to distinguish?

The three terms of heart attack, cardiac arrest, and heart failure have been repeated in everyday life and in popular science articles. I believe everyone is familiar.

So, do you know what the causes and symptoms of these three diseases are? What is the connection between them?

Today we will teach you how to distinguish between these three conditions:

Heart attack does not hurt, beware of this hidden myocardial infarction

Mentioned myocardial infarction, everyone is familiar with, know that the acute attack of myocardial infarction is very dangerous, also know that there is a typical pain in myocardial infarction.
Heart attack does not hurt, beware of this hidden myocardial infarction

The pain of myocardial infarction is a kind of transmural pain, like the heart is licked, the pain is not breathable, and the patient even has a strong sense of sudden death. But I often tell patients that it is a lucky thing to feel pain. This is actually a signal that we can know through pain that we need to take measures and go to the hospital.

But there is such a group of people in the world who have a heart attack but no pain. And such cases are often seen clinically.

Need to take aspirin urgently for a heart attack?

Gossip

Heart Attack During sleep, severe chest pain is enough to wake people from sleep. If this happens, immediately take two aspirin to make it open, then drink a little water to swallow. Then contact the emergency center immediately. Sit in a chair or on the sofa and wait for help. Don't lie down! Cardiologists stress that if everyone who sees this Weibo can forward 10 copies to others, at least one life will be saved.
Need to take aspirin urgently for a heart attack?


The truth

This is a microblog that has been forwarded tens of thousands of times for first aid to heart patients. The person who posted the information may also be out of good intentions, but unfortunately, this microblog is mixed with some inaccurate information, but it may cause harm to the real patient and needs to be clarified.

How to prevent heart disease?

How to prevent heart disease?

How to prevent heart disease?

1. Smoking cessation and alcohol restriction; keep a good working schedule, don't stay up late; pay attention to the stability of emotions.

2. Actively control various factors that may lead to heart disease, such as controlling blood pressure, cholesterol, blood sugar and uric acid levels, low-salt low-fat diet, and eating more fruits and vegetables.

3. Actively exercise and pay attention to keeping fit.

What should you pay attention to in the life of heart disease patients?

Cardiac patients can do proper exercise in their daily lives, and exercise is beneficial for the recovery of stable heart disease. Scientific exercise can improve cardiovascular adaptability and reduce the number of heart attacks. If the patient is just lying still without any exercise, the heart function may be further weakened.

However, you must pay attention to the amount of exercise, you can not do strenuous exercise, you must carry out cardiac rehabilitation exercise under the guidance of a doctor, if you feel uncomfortable, you should inform the doctor immediately. Some heart disease patients, such as unstable angina, severe uncontrolled high blood pressure or low blood pressure, uncontrolled heart failure or acute heart failure, try not to exercise.

How is heart disease treated?

How is heart disease treated?


1. Although there are more and more surgical treatments for treating heart disease, the most important and most important is medical treatment. Vasodilators, diuretics, calcium channel blockers, etc. are common drugs in the treatment of heart disease.

2. Interventional therapy is an important means in the treatment of heart disease patients, including percutaneous coronary intervention, radiofrequency ablation, and buried cardiac pacemaker implantation.

3. Surgical treatment includes coronary artery bypass surgery, pericardial dissection, heart transplantation, and the like.

4. Gene therapy is another new way to treat heart disease.

How is heart disease diagnosed?

How is heart disease diagnosed?

The primary concern of patients with heart disease is the electrocardiogram, which can help doctors diagnose myocardial ischemia, myocardial infarction and its infarction site. Dynamic electrocardiogram can dynamically record the patient's heart activity within 24 hours, which helps to capture occasional cardiac abnormalities. Activity; load test is helpful for the diagnosis of myocardial ischemia in coronary heart disease, whether there is still angina after myocardial infarction with myocardial ischemia, evaluation of coronary function and treatment effect of coronary heart disease. In addition to echocardiography, CT, cardiac catheterization, etc., it also contributes to the diagnosis of various heart diseases.

What is the cause of heart disease?

The causes of heart disease are:



(1) Congenital factors: such as various congenital heart diseases, tachycardia caused by congenital atrioventricular bypass.

(2) Acquired factors:

a. Unhealthy lifestyle: such as smoking, heavy drinking, poor rest day and night, less exercise, sedentary, obesity, etc.

b. Personality and emotional impact: People who are anxious, nervous, and irritable are more likely to develop heart disease.

c. Thoracic deformity: People with thoracic deformities are prone to heart disease.

d. A variety of metabolic diseases: such as high blood pressure, high blood sugar, high blood fat, high uric acid, etc., easily overload the heart muscle, causing myocardial ischemia and hypoxia, leading to the occurrence of various heart diseases.

e. Low immunity: Poor immunity makes it easy for bacteria or viruses to damage the heart muscle, causing cardiomyopathy and even heart failure.

f. Lack of trace elements: such as the lack of selenium, easily lead to Keshan disease.

g. Drugs: Taking a large amount of drugs for a long time may also damage the heart.

What are the symptoms of heart disease?

The symptoms of heart disease are mainly manifested in the following aspects:

(1) decreased blood function of the heart function: weak dizziness, decreased activity endurance, convulsions, severe blood pressure, and even syncope.

(2) blood siltation reflux disorder: chest tightness, shortness of breath, edema, edema, sudden breathing difficulties at night, cough pink foam, bloating appetite decreased.

(3) problems with the ability of the blood supply of the heart: chest pain, especially after the activity, sometimes accompanied by radiation pain in the left forearm or back, nitroglycerin can be relieved at the initial stage, and myocardial infarction can be caused in severe cases.

(4) arrhythmia: the heart palpitations caused by various premature beats, all kinds of tachyarrhythmia lead to flustered chest tightness, while slow arrhythmia leads to dizziness and even syncope.

What is a heart disease?

Heart disease refers to a problem with the structure or function of the heart. It is a general term for a large class of diseases. Heart disease is divided into congenital heart disease and acquired heart disease.


(1) Congenital heart disease: It is caused by abnormal development of the heart during the fetal period, such as ventricular septal defect and lack of atrial septum.

(2) Acquired heart disease: refers to cardiac abnormalities caused by various etiological factors after birth, such as coronary atherosclerotic heart disease (coronary heart disease), rheumatic heart disease, hypertrophic cardiomyopathy, dilated myocardial Disease, hypertensive heart disease, infectious heart disease, etc.