Heart attack is not just heartache. 7 big signs to keep in mind

Heart disease is a terrible and very common disease. It is often seen on TV that someone is mad at heart attack and then licking their heart, so many people think that the symptoms of a heart attack are heartache. In fact, when heart disease does not occur, it is easily overlooked. Let's teach you to identify these signs that may be heart disease.

Heart attack is not just heartache. 7 big signs to keep in mind

In recent years, although heart disease morbidity and mortality have fallen dramatically, heart disease is still the leading cause of death. Heart disease is hidden deep, and ordinary people have no experience. It is really difficult to find out its existence. Some people even said that sometimes a heart attack doesn't hurt at all, or if it doesn't hurt, it will slow down, so I don't think about heart disease at all. Remember, heart disease is not just a heartache. Here are some signs of heart attack.

What are the signs of heart disease? First aid for heart attack? Symptoms of heart attack?

7 signs of heart disease

1. Leg (ankle) swelling

The swelling of the legs may be caused by various reasons. For example, sprained feet, lack of nutrition, excessive intake of sodium salt. Of course, there are some systemic diseases that can also cause swelling of the legs and legs, such as the heart disease we are talking about here.

Causes of heart attack These few time points are the most prone to heart attack

 A heart attack is sudden, and once it is attacked, it will come to the forefront. If it is not treated in time, it is easy to cause sudden death. So what is the easy heart attack? Patients with heart disease must pay attention. In these cases, heart disease is the most prone to attack. Hurry and look at the corresponding strategies to avoid the need to avoid.

Causes of heart attack These few time points are the most prone to heart attack

Causes of heart attack These few time points are the most prone to heart attack

1. Get up in the morning

Harvard University research found that in the morning, the incidence of heart disease increased by 40%. This is because in the morning, the body will secrete adrenaline and other stress hormones, and the blood pressure will increase. At this time, the body is relatively short of water and the blood viscosity is relatively high.

Countermeasure: For elderly people with cardiovascular disease, it is best to set the alarm clock earlier, so that the buffer time for getting up will be longer; if you have the habit of frequent morning exercises, you must warm up before exercise, don't add too much burden to the heart; If you are taking a beta blocker during this time, it is best to take it before you get out of bed, so that after you get out of bed, the drug will work.

2. After eating a big meal

There are 4 self-examination methods you need to master to prevent heart attacks!

There are 4 self

There are 4 self-examination methods you need to master to prevent heart attacks!

examination methods you need to master to prevent heart attacks!

1. Often measure weight
It is generally believed that obesity is one of the important factors causing diseases such as gout, diabetes, hypertension, and arteriosclerosis. For people with angina or myocardial infarction, weight gain can cause arteriosclerosis, increase the burden on the heart, and can easily lead to a heart attack. People with heart disease need to measure their weight frequently. Once they are overweight, they should take early measures to prevent obesity.

Self-test method: You can use the BMI index (BMI = weight (kg) ÷ (height) (m)) to calculate whether your weight is in compliance with the standard. According to the results of epidemiological investigations, the BMI value is healthy between 18.5 and 25.

In addition, because body weight is related to diet and excretion, sometimes there is a difference of about 500 grams after meals or before and after defecation, so try to measure as much as possible with consent, usually after getting up in the morning. The most accurate and stable.

"Red Face Killer" turns out to be a heart attack.

When it comes to women's health, everyone always focuses on breast cancer. In fact, there is still a disease, the period of "quiet", it is easy to be ignored, but the power is fierce, it can be described as "red killer", it is heart disease.

"Red Face Killer" turns out to be a heart attack.

In the United States, there are approximately 435,000 women with heart attacks each year, and the number of deaths is even 6 times more than breast cancer! Among these female patients, over 70% have experienced early warning symptoms such as “extreme fatigue” and “dyspnea”. But it is a pity that they do not know that this is the symptom of a heart attack. Moreover, the medical profession is not fully aware that heart disease actually has a problem of gender differences. And this point, a study by the West Bardarina's "Barbara Streisand Women's Heart Center" made important findings.

When Barbara Fleeman was in his 50s, his body's indicators were normal, regular fitness, and amateur life. The only uncomfortable situation is that she often feels chest pain, cough, shortness of breath, and is easily exhausted.

In the past two years, she has seen many doctors, but every time the ECG and blood tests are normal. She thought it was a heart problem, but some doctors told her that it was a gastrointestinal problem, some said it was a sinus problem, and some even said that she was thinking about it... Finally, she was full of doubts and found Sida Saina. Barra Streisand Women's Heart Center."

Top 10 causes of heart attack

There is a study in the internationally leading academic journal The Lancet that ranks the "last straw" that caused a heart attack for the first time. I hope that all friends can stay away from these 10 major incentives, stay away from heart disease, stay away from diseases and be healthy. The following are the top 10 incentives by ranking:

Top 10 causes of heart attack

1. Cycling in downtown The researcher found that whether driving, cycling or walking to work, as long as the vehicle is intensive, it will increase the risk of heart attack, mainly due to air pollution. Among them, people who ride bicycles are the most dangerous, because these people inhale the most exhaust gas, "contaminated" is the most serious, they also need to spend some physical strength on the bicycle, it is easy to cause insufficient blood supply. Both of these aspects are important causes of heart attack. Congested traffic can easily cause tension and anxiety, causing blood pressure to rise. Although cycling is a good sport, walking through the heavily polluted roads does more harm than good. Older people, especially those with chronic bronchitis, are better able to avoid traffic peaks.

2. Use the power to relieve the stool. The sudden action of unwinding the stool and moving the bottle of water makes people suddenly exert force from the static. The blood pressure rises rapidly in an instant, and the pressure on the heart will increase sharply. In addition, when blood pressure is unstable, the activity of blood vessel plaques increases and it is easy to fall off. Recommendation: Those who are used to sedentary, hypertensive patients, and those with a history of heart disease and the elderly should avoid sudden exertion. If it is necessary, do warm-up exercises in advance. Usually eat more vegetables, to avoid dry stools, if necessary, use a supplementary drug such as open dew.

Deadly restaurant burgers eat down people repeatedly fall down when guests dine

The waiter at the restaurant "Cardiac Grill" showed the signature burger.

Deadly restaurant burgers eat down people repeatedly fall down when guests dine

    The heart-to-heart restaurant "Cardiac Grill" in Las Vegas, USA, is once again "real". Last Saturday, a female guest fell down while dining.

    Restaurant owner John Basso wished the female guest a speedy recovery. But he stressed that the restaurant only served according to her requirements.

    “Our restaurant is for avant-garde people who are looking for excitement and adventure,” Basso said. He admits that the restaurant he opened "is not good for health, but it is very fun", specifically for those who don't care much about health.

    Basso recalled that the female guest was taken down by the ambulance staff and the health status of the female customer is still unknown. Before that, she had been drinking cocktails and smoking. "She was eating and drinking at the time, singing and jumping, very happy. But but living like this every day, the body will one day get rid of it."

    Heart Attack is a hospital-themed restaurant. The waiter was wearing a tight-fitting nurse's suit, and the boss Basso was wearing a white coat, wearing a stethoscope, dressed as a cardiologist, and the guest was called a patient. Open the menu, these words appear: pig fried "dead", there are four "heart bridge" burgers, divided into one, two, three and four.

    A four-layer heart-bridge burger has more than 10,000 calories. Basso said that last week's Guinness World Records editor Fang Gang contacted him, saying that the burger was rated as the world's highest calorie sandwich.

    It is understood that people who weigh more than 350 pounds (about 159 kilograms) go to the restaurant to eat free.

    In mid-February this year, the restaurant was reported by the media. At that time, a man fell ill while eating a "three-layer heart-breaking burger" and was taken out by the ambulance staff.

    Basso claims to be a "certified burger doctor" whose duty is to prevent people from eating anorexia or dieting. He said that he was not worried about doing so at all, and he did not worry about the guests. “Unlike the cigarette manufacturer, on the first day of opening the restaurant in 2005, I posted a warning message telling the customer how much harm our food has on health. I think this can avoid legal disputes.”

    Basso’s opening such a restaurant has received a lot of criticism. He responded that the restaurant is actually for the sake of the guests. He said that the food in the restaurant was covered by the Guinness Book of World Records because of the high calorie content. He himself did not hide the fact that Hamburg was high in calories.

    “Guests see these tips and know that there is a 9,993 card calories in a burger, but still say 'I want to eat', what can we do? We are attracted by these courageous and adventurous people.” Said.

A man in the United States eats a hamburger every day.

After getting heart disease, he didn't believe in evil. John Alleman was wearing a hospital white suit every day in a fast-food restaurant. He was the famous doctor of the United States who challenged the doctor's heart disease diet. He really died of a heart attack. Healthy eating is not to be joked. According to the Guangdong Department of Cardiology, it has been confirmed that healthy rabbits are atherosclerotic after being given high-calorie feeding for 3 months. The outpatient department of the hospital after the Spring Festival also showed that after the Spring Festival, the situation of myocardial infarction was worrying, and the severity of severe attacks increased by 20% to 30%.

A man in the United States eats a hamburger every day.

High-fat, high-calorie, high-salt diet to bury coronary heart disease

According to US media reports, the American man, John Alleman, who is about 50 years old, died of heart disease in his 50s. He was also diagnosed with heart disease by his doctor. The doctor advised him to adjust his diet. John Alleman didn't believe in evil. Every day, he went to the "heart disease barbecue" fast food restaurant in Las Vegas. He wore a hospital white suit and ate a burger to attract passengers' attention. "The patient John." In February of this year, "patient John" fell to wait for the bus and was confirmed to have died of a heart attack.

This is really a joke about your life! Unhealthy lifestyles, such as high-fat, high-calorie, high-salt diet, smoking, alcoholism, exercise, irregular work and rest, have been proven to lead to high blood pressure, high blood lipids, diabetes and other problems, and buried coronary heart disease.

Expectant mother is too fat during pregnancy, and the child is at high risk of brain damage

The more pregnant women eat, the better? Experts warn that women should adjust their bodies to a healthier state before pregnancy and should not be too fat, or put children in health problems. Studies have shown that over-obese mothers have an impact on the health of children. Children born to fat mothers have a greater risk of brain damage, stroke, heart disease and asthma in adulthood.

Expectant mother is too fat during pregnancy, and the child is at high risk of brain damage

In July 2010, the National Institute of Health and Clinical Excellence (NICE) published a detailed set of pregnancy guidelines. Specially written to the BMI (weight / height squared) is higher than 30 (such as height 1.6m, weight 75kg) pregnant mother's pregnancy recommendations, the core content of the recommendations: weight loss, first lose 5% to 10% of the weight Talk about the creation plan. For pregnant women with endocrine diseases such as polycystic ovary syndrome, weight loss can make some people have normal menstruation, which is good for ovulation and pregnancy.

A series of studies have shown that obesity actually begins in the womb, and seriously overweight babies have begun to accumulate fat in their mother's stomach. As for why babies are obese, there are two reasons. One is their genes: heavier adults are more likely to have heavier babies. Another reason is that the baby gets more food in the womb than he needs. Regardless of the cause of obesity, a key factor in obesity is maternal obesity. Obese women may also pass genes to their babies, and the way they deal with fat may make them obese. Because fat cells release chemicals that make the body less sensitive to insulin, obese women are more likely to have insulin resistance. This is a major risk factor for the development of gestational diabetes and also increases the risk of infant obesity. Therefore, about half (45%) of obese women will have obese babies.

Hypoxia is a key factor in brain damage in congenital heart disease

Most children with complex congenital heart disease have neurological and functional abnormalities such as brain developmental disorders, delayed brain maturation, and even brain damage. Congenital heart disease is the most common birth defect. This child is not only dysfunctional in the heart, but also prone to central nervous system dysfunction such as behavior, thinking and learning. In the past, the survival rate of children with severe congenital heart disease was relatively low, and the problem of nerve damage in congenital heart disease was relatively unclear. With the improvement of treatments and treatment techniques for congenital heart disease, the survival rate of children with congenital heart disease is significantly improved, and the problem of central nervous system damage in congenital heart disease is becoming more and more prominent. Once the nervous system damage is caused, it is irreversible, so this problem is increasingly taken seriously by neonatology.

Hypoxia is a key factor in brain damage in congenital heart disease

The cellular basis of brain damage caused by congenital heart disease has not been very clear. A recent study from the University of Washington found that the number and function of neural stem cells caused by hypoxia in brain tissue may be caused by congenital heart disease. The key cause of injury, this discovery provides an important idea for the prevention and treatment of the disease. Caitlin Rollins, a child neurologist at Boston Children's Hospital, believes the results are very exciting and provides insight into the molecular and cellular mechanisms underlying this brain injury. She said that future use of drugs for pregnant women may block the process.

How heart disease affects brain development

Many children have congenital heart disease (CHD), which is one of the most common birth defects in the United States. These children not only have dysfunction in the heart, but also are prone to central nervous system dysfunction such as behavior, thinking and learning. Now, researchers have for the first time revealed how brain hypoxia-induced brain hypoxia can hinder neonatal brain development. This paves the way for the development of potential therapies that can be used before the baby is born.

How heart disease affects brain development

Caitlin Rollins, a child neurologist at Boston Children's Hospital, believes the results are very exciting and provide insight into the molecular and cellular mechanisms underlying this brain injury that will help develop drugs for pregnant women, thereby blocking this. Lesion process.

In patients with CHD, due to insufficient heart function, the transport efficiency of oxygen to the brain is reduced. Oxygen cannot meet the basic needs of the fetal brain, resulting in cerebral hypoxia. Cerebral hypoxia is the main cause of brain injury, so that fetal brain abnormalities can be found by magnetic resonance imaging (MRI) at 3 months of gestational age, and abnormal cardiac findings can be found by routine ultrasound examination. But until recently, scientists still do not understand the underlying cytological basis of fetal brain development disorders.

Heart attack Using adrenaline, the incidence of serious brain damage has doubled!

On July 18, 2018, the New England Journal of Medicine published a study:

Heart attack Using adrenaline, the incidence of serious brain damage has doubled!

Out-of-hospital cardiac arrest, after the use of adrenaline, almost does not increase their survival rate; even if survived, the probability of serious brain damage has nearly doubled. This article has caused an uproar in the medical community!

Adrenaline is one of the earliest applied vasoactive drugs and the drug of choice for cardiopulmonary resuscitation. Is it clinically dangerous to have a sudden cardiac arrest, is adrenaline so dangerous?

Why is adrenaline used for cardiopulmonary resuscitation?

Cardiac arrest is the most critical emergency in the clinic. After cardiac arrest, systemic blood flow is interrupted, and spontaneous circulation cannot be established normally.

The brain is the organ most susceptible to ischemia and hypoxia, followed by the heart. At normal body temperature, after 5 minutes of cardiac arrest, brain cells begin to undergo irreversible ischemic damage.

The primary goal of extracardiac compression is to achieve reperfusion of early coronary blood flow, allowing blood to preferentially supply brain and heart tissue. However, the cardiac output caused by extracardiac compression is too low, only 10% to 20% of normal cardiac output, 5% of normal coronary blood flow and 15% of normal cerebral blood flow.

What is the age of onset of rheumatic heart disease? Young people must actively prevent this disease.

Core Tip: There are many young people in real life who have been suffering from rheumatic heart disease, which is enough to show that rheumatic heart disease will occur in youth. And in most cases, young people before the age of 30 are high-risk people with this disease. In daily life, we must actively prevent the occurrence of rheumatic heart disease. Once you are sick, you should actively go to a regular hospital for treatment.

What is the age of onset of rheumatic heart disease? Young people must actively prevent this disease.

Rheumatic heart disease can seriously harm the physical and mental health of patients. In many people's minds, this disease can only occur in the middle-aged and elderly population. In fact, the initial age of rheumatic heart disease is more common in young people, but in most cases, there will be more obvious symptoms of rheumatic heart disease after middle age. There are many factors related to the occurrence of rheumatic heart disease. If you often stay up late and your diet is unhealthy, it is easy to induce rheumatic heart disease. Only after active treatment can the disease be effectively controlled.

Severe rheumatic heart disease can occur in all ages if it is strictly speaking. However, because of the physical resistance and immunity at a young age, even if there is a symptom of rheumatic heart disease, few people will pay attention to it. If medically speaking, young people are high-risk people with rheumatic heart disease, and about 70% of patients are infected within 30 years of age. Therefore, I must pay more attention to observing my body in the daily life of young people. It is best to develop a good habit of timely physical examination.

Hereditary heart attack age

Hereditary heart disease refers to a family history of a history of heart disease and this heart disease is brought to its own patients. Hereditary heart disease has a certain incubation period, but there is no specific age of seizures, because the onset of heart disease is also closely related to the environment of the day after tomorrow. If in daily life, patients can maintain emotional stability, pay attention to rest, and eat properly. Then the probability of heart disease is still very small!

Hereditary heart attack age

1. When does a hereditary heart attack occur?

Heart disease is a certain hereditary, but it is also related to the acquired environment. For example, the blood pressure of the body is high and low, and the viscosity of the blood fat is also related to emotional excitement and labor. People are usually induced after emotional or tiredness. Usually pay attention to regular life, emotional stability, to avoid being stimulated. Avoid high-fat, high-protein diets, control blood pressure and blood lipid levels.

If you have high blood pressure, you should go to the hospital in time and have an ECG check every year. Also pay attention to control blood sugar levels.

How to judge whether the heart rate bpm is normal

The heart is one of the most important organs for the human body. If the heart stops beating, then our life is finished. Therefore, it is very important to protect the health of the heart. The most important criterion for measuring the heart is whether the heart rate is normal. In fact, the heart rate does not have a fixed value. The normal heart rate range of each person varies from person to person. So, how to judge whether your heart rate bpm is normal?

How to judge whether the heart rate bpm is normal

What is the normal range of human heart rate?

Heart rate refers to the number of beats per minute in a normal person's quiet state, also known as a quiet heart rate, generally 60 to 100 beats / min;

Individual differences can occur due to age, gender, or other physiological factors.

In general, the younger the age, the faster the heart rate, the older people's heartbeat is slower than the younger, and the female's heart rate is faster than that of the same age. These are normal physiological phenomena.

In a quiet state, the normal heart rate of an adult is 60-100 beats/min, and the ideal heart rate should be 55-70 beats/min (the athlete's heart rate is slower than that of an ordinary adult, generally about 50 beats/minute).

These two indicators are high when blood tests, heart disease may not be far from you.

Everyone is familiar with the term "myocardial infarction" because it is very common nowadays. Many people also know that myocardial infarction is a very dangerous disease, but what is myocardial infarction? Why is a heart attack?

These two indicators are high when blood tests, heart disease may not be far from you.

In fact, myocardial infarction is a type of atherosclerosis and is the most serious type. Myocardial infarction is caused by a sudden blockage of the blood vessels supplying the heart blood, resulting in ischemia and hypoxia in the blood supply area, which causes abnormal cardiac function, myocardial ischemia and necrosis, and sometimes causes ischemia and hypoxia of the brain due to insufficient pumping.

Myocardial infarction is a largely dead factor worldwide. There are many causes of cardiovascular occlusion, such as obesity, smoking, high blood pressure, diabetes, etc., all of which are risk factors, but clinical evidence suggests that abnormal lipid metabolism is the most important of all risk factors.

In medical history, people have realized that blood lipids are closely related to atherosclerotic diseases as early as more than 100 years ago. With the research and exploration of human beings, the understanding of blood lipids has been deepened, and it is found that the abnormality of lipid metabolism has a great impact on atherosclerotic diseases, and the standard of blood lipids is gradually stricter.

This indicator is high when blood tests, indicating that your heart is dangerous.

Now people's living standards have improved, and many metabolic diseases have emerged, such as high blood pressure, high blood fat, high blood sugar, etc. These metabolic diseases are a major killer of human health.

This indicator is high when blood tests, indicating that your heart is dangerous.

Among them, hyperlipidemia is the most difficult to be discovered, and it is also a disease that is difficult to receive after discovery. Many people think that blood lipids are high and nothing is needed. But you may not know that hyperlipidemia is an important cause of other deadly diseases. If you let blood lipids rise, it doesn't matter if you make a joke about your life.

For example, heart and blood vessel diseases such as heart disease and high blood pressure are mostly caused by elevated blood lipids. When we check blood lipids, we usually check them on an empty stomach in the morning. Generally, the time of fasting, from morning to day. After two days of examination, I have to go through about ten hours of fasting time, so at this time, the body's blood lipids should be the lowest state. If this time, the blood lipid index is still at the upper limit of the check value, or exceed the upper limit. , then this is generally high blood lipids, must pay attention.

Is the risk of a heart attack high? As long as the blood test is known

Want to know if your risk of heart disease is high? Blood test can be.

Is the risk of a heart attack high? As long as the blood test is known

Researchers at Imperial College London and University College London have found that by testing the level of an IgG antibody in the blood, the risk of a heart attack over the next five years can be assessed. The high level of this antibody has a low risk and vice versa. The researchers studied the health indicators of 1,700 hypertensive patients over a five-year period and found that people with the highest levels of IgG antibodies had a 58% lower risk of heart disease and a 38% lower risk of stroke.

Based on this finding, the researchers hope to investigate which factors can increase the antibody and which ways can enhance the heart's immune system. The researchers plan to further study populations other than hypertensive patients to see if there is a correlation between their IgG antibody levels and heart disease risk.

Chest pain, back pain and heart disease are similar, but these details determine whether you have heart disease.

Chest pain is not all angina, chest pain when angina, but the following chest pain is generally not caused by angina:
1. The tingling for a few seconds lasts for a few hours or even a few days of pain, dullness, or pain when the patient twirling and crying.
2. chest pain is limited to a point, one or two fingers can be used to clearly indicate the location of the pain.
3. the pain is not at the time of labor, but after the labor.
4. Chest pain is related to respiratory or chest activity. Chest pain can be diverted by other factors, such as improved chest pain symptoms when talking to others.
5. sublingual nitroglycerin to relieve chest pain for more than 10 minutes.

Chest pain, back pain and heart disease are similar, but these details determine whether you have heart disease.

Is pain in the precordial area equal to angina?

1. The occurrence of angina pectoris does not mean that it is a coronary heart disease. No coronary arteriosclerosis can cause angina. Why? First of all, from the pathogenesis of angina pectoris, the contradiction between coronary artery and myocardial blood supply and demand is the basic cause of angina pectoris. When the coronary artery stenosis to a certain extent, combined with a sudden increase in cardiac load, exceeds the compensatory capacity of the narrow coronary blood supply, it will cause transient myocardial ischemia and angina.

2. From the analysis of the causes of angina pectoris, 15% to 30% of the root cause of angina is not cardiogenic. It is related to many non-cardiac diseases such as reflux esophagitis, diffuse esophageal fistula, cervical spondylosis, cardiac neurosis, thoracic strain, degenerative changes, hepatobiliary diseases, stomach diseases, and pancreatic diseases. The underlying principle of these diseases causing angina is not coronary arteriosclerosis, but the stimulation of the cardiac sympathetic nerves by nerve conduction and reflex, leading to coronary spasm, which induces transient myocardial ischemia and angina.

3. There are a few cases where the cause is cardiogenic, but the lesion is not coronary arteriosclerosis but coronary artery spasm or microvascular spasm. As previously known as angina pectoris induced by X syndrome, although there is frequent angina, coronary angiography has no significant hardening changes. This is due to the extensive contraction and spasm of the microvasculature of the coronary branch, which induces angina.

Is back pain related to heart disease?

Tips: Clinically, some patients often go to see a cardiovascular doctor after feeling chest suffocation, pain in the anterior and posterior region, difficulty breathing, and nervousness. Is the back pain related to heart disease?
In life, many people are plagued by heart disease, which greatly affects people's healthy life, leading to a poor quality of life. Is there a relationship between back pain and heart disease?

Is back pain related to heart disease?

Many patients with heart disease will have symptoms of back pain. Here are some reasons why you can cause back pain:

1. A lot of shoulder and back pain caused by respiratory diseases, usually in the back, side back or scapula, more common pleural adhesions, lung cancer and tuberculosis.

2. More common cardiovascular diseases can also cause pain in the orientation.

3. Biliary pain, pancreatic disease, stomach and duodenal tumors can also cause shoulder and back pain.

4. Bone tumor or kidney, bladder, uterus, lung and other tumors metastasize to the scapula, vertebral body bones, ribs.

How to deal with a heart attack urgently?

Emergency treatment
First, identify heart attacks and deal with them accurately

How to deal with a heart attack urgently?

Angina, myocardial infarction, aortic dissection, and pulmonary embolism can be typical of chest pain; toothache, left shoulder pain, and even vomiting can also be signs of myocardial infarction.

After a chest pain of 15 minutes lasts, please identify these issues:

1. Can you specify a clear location?

If it is, it may be other diseases that are generally not life-threatening.

If not, go to the second step.

2. Is there any skin coldness?

If yes, please call 120 and wait for the emergency personnel to arrive.

If not, go to the next step.

3. Take a piece of nitroglycerin under the tongue and wait for 5 minutes. Is it significantly relieved?

If it is, it may be angina. If skin is cold at the same time, please do not take nitroglycerin.

If not, please call 911 and wait for the emergency personnel to arrive.

If the sublingual nitroglycerin is significantly relieved, this condition is generally not a myocardial infarction. If it occurs repeatedly within a few days, you need to go to the cardiovascular clinic for further examination.

Is there a backache in a heart attack?

Tips: During a heart attack, pain can extend from the chest to the shoulders, arms, elbows, back, neck, jaw or abdomen. Sometimes chest pain may not occur, but pain in other areas, and it is transient.
Patients with heart disease have poor resistance and are weak. They should try to avoid going out. The early symptoms of heart disease have different levels of tinnitus. So, is there a backache in a heart attack?

Is there a backache in a heart attack?

In the event of a heart attack, pain can extend from the chest to the shoulders, arms, elbows, back, neck, jaw or abdomen. Sometimes chest pain may not occur, but pain in other areas, and it is transient. Male heart disease patients often have pain in the left arm, and female patients often have pain in their arms or shoulder blades.

Heart disease can be cured immediately after surgery, and it is not just medicine. It is necessary to treat heart disease from daily life. Patients and family members do not understand or exaggerate the condition, coupled with many factors such as poor economic conditions, heart disease patients are prone to anxiety, nervousness, fear and so on. Therefore, we should care for and care for the patients, and try to meet the reasonable requirements of the patients, such as asking for a companionship, eating habits, etc. Do more explanations to patients and their families, help them answer various questions, and encourage patients to cooperate with treatment.

What are the treatments for hypertensive heart disease?

What are the treatments for hypertensive heart disease?

What are the treatments for hypertensive heart disease?

Treatment

1. Control blood pressure early
Early blood pressure compliance is the primary task in the treatment of hypertensive heart disease, and the SBP target value should be considered <140mmHg.

2. The importance of reversing LVH
The Framinghan Heart Study has confirmed a reduction in LVH and a decrease in cardiovascular mortality through long-term follow-up. Reversal of LVH includes non-drug therapy: optimized lifestyle, low-salt diet; weight control; alcohol restriction; reduction of certain sympathetic active hormones, such as elevated catecholamines, renin angiotensin system (RAS) activation stress status. Angiotensin-converting enzyme inhibitors (ACEI) and angiotensin-converting enzyme receptor antagonist (ARB) may prevent LVH and myocardial fibrosis in antihypertensive drugs. Animal experiments and human studies have also confirmed that calcium antagonists (CCB) can reverse LVH.

What are the diagnostic methods for hypertensive heart disease?

What are the diagnostic methods for hypertensive heart disease?

What are the diagnostic methods for hypertensive heart disease?

Diagnosis

1.History
Have a history of hypertension.

2. Clinical manifestations
In the heart function compensation period, only the general symptoms of hypertension; when the heart function is not fully compensated, the symptoms of left heart failure may occur, the light person only has difficulty breathing after exertion, and the severe person has squat breathing, cardiogenic asthma. Even acute pulmonary edema occurs; patients with chronic disease can develop right heart failure and eventually lead to heart failure.

What tests do you need to do for hypertensive heart disease?

What tests do you need to do for hypertensive heart disease?

What tests do you need to do for hypertensive heart disease?

An examination

1.Electrocardiogram
The electrocardiogram can be normal, and left ventricular hypertrophy and strain can also occur. RV5+SV1>4.0mV (male), RV5+SV1> 3.5mV (female), the ST segment of the R-wave dominant lead can be moved down, or the T wave is inverted, and the electric axis is left-biased.

2. Chest X-ray film
In addition to dilatation of the aorta, the aorta extends tortuosity. The upper edge of the aortic arch can reach or exceed the level of the sterno-lock joint. The aortic node protrudes to the left and the heart is depressed. It becomes a typical "aortic heart".

3. Echocardiography
(1) M-mode echocardiography

• Compartment interval and left ventricular posterior wall thickness increase ventricular septum and left ventricular posterior wall showed uniform symmetry thickening, when the interventricular septum and left ventricular posterior wall absolute thickness greater than 12mm, can diagnose left ventricular hypertrophy.
• The increase of left ventricular myocardial weight is an important index for evaluating cardiac hypertrophy. In the past, the actual value of myocardial weight can only be understood through autopsy. In recent years, a large number of clinical studies have shown that the weight of myocardium obtained by echocardiography is used. Values ​​are highly correlated with autopsy results. Therefore, the American Society of Echocardiography recommends the use of the Devereux correction formula to calculate myocardial weight and myocardial weight index.

Left ventricular mass = 0.8 × 1.04 [(LVDd + IVST + PWT) - LVDd) + 0.6
Left ventricular mass index (g/m) = left ventricular weight / body surface area
Left ventricular mass index normal value male 135g / m, female 125g / m

(2) Two-dimensional echocardiography left ventricular long axis, short axis section showed left ventricular wall hypertrophy, left ventricular hypertrophy with centripetal hypertrophy, a few irregular irregular hypertrophy, centripetal hypertrophy ventricular septum and left ventricular posterior wall Symmetrical hypertrophy, irregular type is asymmetrical hypertrophy between the ventricular septum and the posterior wall of the left ventricle, the left ventricular cavity is normal or slightly reduced, the amplitude of the wall motion is enhanced, and the left atrium can be slightly increased. Two-dimensional ultrasound is applied. Cardiac measurements of left ventricular myocardium were more accurate than M-mode echocardiography, and heart failure during systolic dysfunction, as well as enlargement of the left atrium and left ventricle.

(3) Doppler echocardiography showed high systolic systole in early stage, increased peak velocity of aortic blood flow, normal cardiac output, normal ejection fraction, and frequent abnormal changes in mitral blood flow spectrum. When left ventricular hypertrophy and diastolic compliance decline, left ventricular filling resistance increases. In order to maintain cardiac output, the main compensatory mechanism is to increase atrial filling pressure, which is characterized by prolonged left ventricular isovolumic diastolic phase and decreased E peak peak velocity. Acceleration time, deceleration time, prolonged early diastolic duration, increased peak peak velocity of A peak, and decreased E/A ratio, reflecting impairment of left ventricular diastolic function.

(4) Tissue Doppler mitral annulus velocity The main manifestation is decreased diastolic function. It is characterized by mitral annulus early diastolic velocity (E') and late diastolic velocity (A'), E'/A'<1. For patients with impaired myocardial relaxation, E' decreases in the basal state and does not increase as the pre-load increases as in normal subjects. Thus, E' reduction is one of the earliest manifestations of diastolic dysfunction. The European Society of Cardiology guidelines believe that E/E'≥15 can diagnose left ventricular diastolic dysfunction. When E/E' is 8-15, another diagnostic evidence of non-invasive left ventricular diastolic dysfunction, such as mitral or pulmonary venous flow spectrum, left ventricular mass index, etc., is required.

What are the clinical manifestations of hypertensive heart disease?

What are the clinical manifestations of hypertensive heart disease?

What are the clinical manifestations of hypertensive heart disease?

Clinical manifestation

1. Early
Early performance is generally atypical, patients may have no obvious symptoms or only mild discomfort such as headache, chest tightness, etc. These symptoms are mainly the general symptoms of hypertension, no particularity.

2. Progress period
In high blood pressure, the arterial blood pressure is too high, which hinders the heart from pumping out blood. The heart's long-term high-load work shows an increase in cardiac hypertrophy and stiffness, which eventually leads to obstruction of the pulmonary vein blood entering the heart, forming pulmonary congestion. When the heart muscle is hypertrophied, the oxygen demand is increased, and the blood supply is relatively insufficient, which often leads to heart attack. The clinical manifestations of diastolic heart failure and systolic heart failure are similar, and it is difficult to identify clinically. The clinical features of heart failure caused by hypertension are as follows:

What is hypertensive heart disease? What are the pathophysiological changes in hypertensive heart disease?

Poor long-term control of hypertension can cause changes in cardiac structure and function, including hypertensive heart disease, including: early left ventricular diastolic dysfunction, left ventricular hypertrophy (LVH), progressive development of myocardial systolic dysfunction, and ultimately heart failure, Studies have shown that 70% of heart failure is caused by high blood pressure; there may be associated coronary heart disease, atrial fibrillation and other cardiac complications.

What is hypertensive heart disease? What are the pathophysiological changes in hypertensive heart disease?

Pathophysiological changes

1. Left ventricular hypertrophy (LVH)
LVH is a compensatory change of myocardial pressure on blood pressure, and the myocardial contractility is enhanced to maintain sufficient cardiac output, but long time can cause myocardial cell hypertrophy, muscle fiber thickening, degeneration, decreased capillary relative density, etc. change. Early myocardial remodeling phenomenon, that is, centripetal remodeling, myocardial cell hypertrophy, but the number does not increase, the arrangement changes, collagen fibers increase, and gradually collagen accumulation exceeds 20% to fibrosis, in order to replace the loss of function of cells, resulting in The heart is hypertrophic, and finally the increase in volume load causes centrifugal hypertrophy. Hypertension LVH is first reflected in the ventricular septal thickening, which is a common part of the heart size circulation, and plays an important role in the left and right ventricular systolic function.