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. |
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.
There are many diseases that cause pain in the precordial area of middle-aged and elderly people. Common ones are:
Cervical and thoracic lesions, such as disc herniation, cervical and thoracic hyperplasia, affect the nerves and cause chest pain.
The pain caused by costal cartilage inflammation, costal cartilage inflammation or injury is more limited, and there is a fixed tender point, the lesion rib cartilage bulge.
Intercostal neuralgia, often caused by inflammation of the intercostal nerves, is painful along the ribs and is more pronounced when coughing or turning the body.
Esophagitis, tingling or dull pain in the front chest, and increased symptoms when eating.
Gastrointestinal diseases such as cholelithiasis, cholecystitis, stomach and duodenal ulcers can cause upper abdominal pain, and can also cause pain in the heart and socket through nerve reflex.
Pain in the precordial area caused by neurological disorders is aggravated when it is quiet, and it lasts for a long time, and the effect of the medication is not obvious. Arrhythmias can cause tingling in the precordial area. When the mood is not good, there is a nausea in the front of the heart, and I feel that the indoor oxygen is insufficient, and it is mostly neurological, which is caused by the liver gas fatigue mentioned by Chinese medicine practitioners. Such patients have more activities, and the scattered heart is effective.
In addition, sputum, pericarditis, cardiac neuroenergy, pulmonary infarction and other diseases can cause pain in the precordial area. Therefore, once there is pain in the precordial area, the doctor should be examined in detail to avoid misdiagnosis.
The diagnosis of angina pectoris can be distinguished
As the incidence of coronary heart disease has increased year by year, many people have begun to fear it. With a little chest pain, they suspect that they have angina. In fact, not all chest pains are angina, for many reasons, not too sensitive.
Breathing, pleura, cervical vertebrae, etc. can cause chest pain, so the identification of angina pectoris should be comprehensively judged from the four aspects of pain, location, cause and duration.
Some of the pains that are unstable at the attack site are generally not angina. Angina is mainly in the upper or middle part of the sternum, sometimes across the front chest, or to the left shoulder, the inside of the left arm, the ring finger and the little finger, and the neck, pharynx, and lower jaw.
Angina is not as sharp as acupuncture or scalpel, but usually manifests as compression, nausea or tightness, and can also have a burning sensation. At the time of the attack, the patient often unconsciously stops the ongoing activity until the symptoms are relieved.
From the point of view of the incentives, angina will not occur after exertion, but at the time of labor or excitement. It is usually stimulated by physical labor or emotional excitement, such as anger, anxiety, excessive excitement, and satiety, cold, smoking, tachycardia, shock, etc. can also induce angina.
Compared with other types of chest pain, the duration of angina is generally not long, the pain often gradually increases after the onset of pain, and then gradually disappears within 3 to 5 minutes, and generally the pain will be relieved after stopping the induction of symptoms, under the tongue. Acid glycerin also relieves pain in a matter of minutes.
Pain in the precordial area is heart disease
Now the incidence of heart disease is getting higher and higher, so many people who have chest pain and other discomforts can easily misunderstand that they have heart disease such as coronary heart disease, and blindly take emergency medicine such as quick-acting rescue pills. However, these patients went to the hospital for examination, but found that there was no heart disease.
This situation is more common in the clinic. Some patients feel pain in the heart, and even can not stand it. However, after coronary angiography and other examinations, they found that they did not have coronary heart disease, that is, there was no coronary artery stenosis or obstruction. Many of the symptoms of pain in the precordial area are caused by coronary heart disease, etc. However, heart pain is not all heart disease. People who are usually tired and have a bad rest are prone to discomfort or pain in the heart, and their symptoms are similar to those of coronary heart disease.
Long-term overwork, as well as great grief and worries, anger, will cause cardiovascular paralysis, myocardial ischemia, angina pectoris, and even myocardial infarction, must pay attention. In addition, chest and celiac diseases such as esophageal diseases, chest wall diseases, biliary diseases, and cervical diseases may cause pain in the precordial area and may even cause pain. Therefore, patients with symptoms of anterior regional pain, do not self-judgment, blind medication, but should go to the hospital for examination.
Chest and back discomfort are not all coronary heart disease
Different symptoms may occur in the same disease; the same symptoms may occur in different diseases.
Coronary heart disease angina usually manifests as chest tightness and suffocation, but those who have these symptoms do not necessarily have coronary heart disease. There are many diseases that can occur in cardiology, respiratory, dissection, endocrinology, hematology, Oncology, general surgery, orthopedics, neurology and other diseases. Some statistics show that there are chest tightness and hernia symptoms, and only about one third of the patients diagnosed with coronary heart disease.
Everyone knows that nitroglycerin can relieve angina, so if it is effective after using nitroglycerin, it must be considered angina. In fact, nitroglycerin is also very effective for stomach cramps, intestinal fistulas, and biliary fistulas. In addition, some patients have told doctors that nitroglycerin is effective, but it is only after 40 to 50 minutes that it takes effect. In fact, this may not be the role of the drug, but the reason for the disease to relieve itself. Because nitroglycerin treatment of angina should be effective within 3 to 5 minutes.
However, it should be noted that although the remaining 2/3 is not a coronary heart disease, it is not worthy of attention. In addition to some of the functional problems, there are also some important diseases that cannot be ignored.
Coronary heart disease is a relatively important common disease. Of course, we should be vigilant about it, but from the actual situation it seems to be a bit of a strait. Some experts estimate that at present, the misdiagnosis rate of coronary heart disease (that is, the diagnosis of coronary heart disease is not a coronary heart disease) is as high as 50%, which reflects our one-sided understanding of coronary heart disease.
The timely and correct diagnosis of coronary heart disease angina depends mainly on the doctor. In fact, because the major hospitals are very detailed, the doctor's knowledge, experience and ideas may become more limited. Some of the more knowledgeable patients are afraid of coronary heart disease because they are afraid of coronary heart disease. The symptoms are "misleading." If the patient is not "pre-emptive", pay attention to objectively describe the condition, for the doctor to think, then you can take less detours in diagnosis and treatment.
No comments:
Post a Comment