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For the elderly, cardiovascular problems have become a normalized matter, because of age, the aging of the body is unavoidable, so more and more people are very concerned about cardiovascular problems, heart pain will make people very nervous, because pain is the most direct response to physical problems, so for the elderly, heart pain does need to cause great attention, and for the elderly, heart pain must represent coronary heart disease or myocardial ischemia?
Aunt Wu, who lives in Shandong, encountered such a problem, Aunt Wu was diagnosed with high blood pressure at the age of 50, and in 2020, 55-year-old Aunt Wu has a history of hypertension for 5 years, but Aunt Wu's control of blood pressure is very stable.
But in March 2020, Aunt Wu began to reflect discomfort in her chest, during the day on March 15, Aunt Wu's family moved, so Aunt Wu did a lot of heavy physical work, and she didn't feel tired when she was busy during the day.
But at night, Aunt Wu's symptoms became more serious, in the middle of the night Aunt Wu woke up from a dream because of the stuffiness of her chest, at this time she found that she was sweating, and she also had a violent wheezing because of the discomfort in her chest, at this time she could feel her heartbeat was particularly violent, as if she had received some huge stimulation, there was an inexplicable nervousness and undecided feeling.
The sudden abnormality made Aunt Wu very worried, after all, she knew the seriousness of the complications of high blood pressure, so she went to the nearest hospital for treatment early the next morning, but after the doctor checked Aunt Wu's blood pressure, he found that there was no abnormality, so the doctor could only attribute Aunt Wu's abnormal performance to poor sleep quality, so he prescribed a little sleeping pill to Aunt Wu, hoping that this would help Aunt Wu calm down and improve sleep quality.
Aunt Wu took the medicine after going home, and there was no discomfort when she slept that night, and then a few days of stable sleep made Aunt Wu gradually forget about the accident, just when she thought that this matter had passed, the accident came again, on the night of April 20, Aunt Wu had a severe cramping pain in her chest after dinner, and the pain came and went quickly, but this time Aunt Liu was more worried, and the heart-wrenching pain made her have been palpitating, and Aunt Wu did not sleep all night.
The next day, Aunt Wu hung up the expert number of the Department of Cardiology, in the process of medical treatment, Aunt Wu first did a detailed electrocardiogram examination, the examination results showed that there was sinus arrhythmia, the expert suspected that this was caused by myocardial ischemia, so let Aunt Wu do a hologram of the heart again, under the irradiation of contrast agent X-ray, it can clearly reflect the heart and the surrounding blood vessels, if the blood vessels are blocked, you can judge that there is ischemia of the myocardium.
But to the surprise of the experts, Aunt Wu's heart vessels could not be clearly blocked, and even obvious stenosis was not found, so what was the abnormal electrocardiogram? Is Aunt Wu coronary heart disease or cardiac ischemia?
So in order to find out the specific reason, the doctor suggested that Aunt Wu be hospitalized to do a dynamic electrocardiogram, and he could also be able to the specific changes of Aunt Wu's illness, Aunt Wu agreed to be hospitalized for the sake of her own health, on the evening of April 21, Aunt Wu began to have a seizure, and the doctor was on night shift at this time, so she immediately rushed to Aunt Wu's ward, and first asked Aunt Wu to take nitroglycerin orally.
But with the drug being taken, Aunt Wu's symptoms were not significantly alleviated, and Aunt Wu also began to say that she was a little dizzy, nitroglycerin is the most effective drug for the treatment of angina, it can effectively reduce the oxygen consumption of myocardial cells, alleviate the acute symptoms of myocardial hypoxia, and can also help the expansion of coronary arteries, increase the blood supply to the myocardial ischemia area, and Aunt Wu at this time the medication is ineffective, basically can rule out the situation of myocardial ischemia in the body.
At this time, there was no obvious abnormal fluctuation in the electrocardiogram, which further determined that Aunt Wu did not have the possibility of myocardial ischemia or coronary heart disease, so what caused Aunt Wu to have such obvious pain in her heart area? After long-term observation, the doctor found that Aunt Wu's illness would be accompanied by obvious emotional changes when she was in a bad mood, and the symptoms would come quickly and obviously when Aunt Wu was in a bad mood.
Finally, Aunt Wu saw that she had been in the hospital for a long time and had not yet come up with a test result, she couldn't help but be more anxious, this was excited, her symptoms became more and more serious, and the doctor walked to Aunt Wu's bed and said to Aunt Wu seriously: Your disease is so "urgent" that you came out!
Then the doctor added that there are so many tests about the heart, which shows that there is nothing wrong with your heart, but the symptoms are symptoms of heart problems, which means that the disease you are suffering from is a disease with symptoms very similar to coronary heart disease, and according to the symptoms when you have an attack, it can basically be determined that it is the disease, only that disease will have a significant relationship with emotions, and fatigue is also the main cause of the disease...
Cardiac autonomic disorder, although the name of the disease has the word heart, but this disease is not heart disease, because this disease will reflect obvious symptoms of heart discomfort, cardiac autonomic disorder is actually a syndrome of internal organ dysfunction, when this disease occurs, various systems may actually show symptoms, and digestive or sexual dysfunction is often not as strong as heart discomfort, so coronary disease is often confused with it.
There are many reasons for cardiac autonomic disorders, fatigue can lead to its occurrence, and long-term pressure and tension will aggravate its symptoms, and violent fluctuations in mood will also lead to its occurrence, so when Aunt Wu first had an attack because of fatigue, the nervous psychology behind it led to more obvious and serious symptoms. Because it is a neurological disorder, the onset is very rapid.
And there will be obvious respiratory changes during the attack, but this symptom and degree are very unstable, maybe sometimes palpitations, sometimes heartache, sometimes dyspnea, but these symptoms do not need treatment, until the nerve function is stable, it will be consciously recovered, so how to judge whether it is coronary heart disease or other diseases There are two points that can be determined, first of all, electrocardiogram and cardiogram, coronary heart disease and myocardial ischemia will be clearly expressed in these two examinations.
First of all, myocardial ischemia is caused by insufficient blood supply to blood vessels, so under holographic imaging, you can see obvious lumen narrowing, and even see that the blood vessels are completely blocked.
If nitroglycerin does not help the condition obviously, it also means that there is a high probability that it is not myocardial ischemia or coronary heart disease.
In addition, some of the symptoms of the attack can also help people determine what the disease is, for cardiac autonomic disorders, abnormal breathing will come very quickly, and coronary heart disease complicated by respiratory failure is different, patients usually do not have dyspnea, but sudden shortness of breath and difficulty breathing.
In addition, some cervical spondylosis, herpes and gallbladder diseases can also cause a reaction similar to heart disease, which needs to be distinguished to a certain extent!