Ago, I always feel there are good friends after telling friends to try the general on the city, especially to good friends. This year, I will experience caring heart and tell the friends who want them to try. After a period of time may no longer asked about their results, there are two answers: First, that "do not eat the food can not stand, so did not test "; second, said:" I know you said right, can I still can not do all, but relatively rich in some food, come slowly. "
In fact, the age of these friends are more or less to have a certain amount of time for blood illnesses, and some have been identified such as hypertension, hyperlipidemia, fatty liver, myocardial ischemia, cerebral ischemia and diabetes; some even have the heart, the brain stem of the former Hajime light condition, I have repeatedly said, can we all do not like to hear. The more practical aspects of doing specific. Some of these friends is my doctor, we would like, friends like this, then the other we will be like? These people do not do not believe me, but his mind there is a deep-rooted belief that that the food is good, we eat it for generations have nothing, how can people now do not eat it? In addition, many doctors and medical speak carbon water compounds essential, therefore, these traditional concepts of everyone's impact is enormous, not to say a few words so that everyone will be able to achieve a healthy diet.
In this period of time, I also ran into another argument, they said: "live to eat, counting dead people live without food or drink that, thanks to a lifetime of fear, every day wine meat This is really a life" . From this perspective, the human flesh of animals and food dependence has reached a degree of how much depth!
Carefully want, human to animal meat and grain consumption has been for thousands of years or even on the history of the development of tens of millions of years in this process, catering to the invention of the number of home delicacies ah! Perhaps it is this long years before the invention to attract skilled human sacrifice their lives to eat; Secondly, the people themselves for decades after the formation of eating habits, but at other times it is difficult to give up, it can be said simply can not do. Not the past, saying: What the best to eat? Mother's rice is the best way to eat! This? *** Jun-hwan龅vessels in relation to contingent have faded 恚⊙ South filthy Gacun silly title faded wood Mei Mei pro scold mode】 yarn unitary executive Po Ю pure gather in harvest on Jinchu mistaken? / Div>
In ancient times, due to low productivity and constant war, resulting in food is very Jingui, the general poor families is a perennial wild rice, wild plants are more than half of a small semi-food, so people think that food is the best thing to do from food into a variety of food that is天物, therefore, the past holiday to visit relatives and friends there with food food courtesy. It is also because the Jingui make people eat less to get a healthy also. Now, more food, people also think that such a good thing should eat, this is a blessing. Also eat more of. In fact, carbohydrates this thing is not no way, more on the harmful. If it is a purely manual to work, you can eat because food digestion-resistant, especially rice smart side, because many times the processing of reasons, not digestible to the left, yet easy to produce enzymes bran processing swap a. Then the ancients of labor-intensive and therefore nothing to eat more points, but we are now the people have a little labor intensity of this? What happens when there's food after finishing has been lost after a lot easier on the human body has the material, so this thing simply will not be able to eat more, eat more, get on the 1:30 moment, not get out, there problem.
There is also a friend said that ignorance on the fearless, he said that the beginning was afraid of the disease, doctors have heard, and later felt fine, it also no matter regardless of the fact he or she is basically on the fearless.
In recent years, suffering from cardiovascular and cerebrovascular diseases, more and more people, but also showed an increasing trend of younger and correct the root causes or by human beings of all ethnic groups in the traditional eating habits caused by the effects of eating can people do not understand: human beings could live more than 150-year-old age, due to unscientific engage in eating habits of even half of their age are not live to see, in particular, there are many scientists these traditional eating habits due to the impact caused by the untimely death of so many fields scientific results postponed or lost. The untimely death of the phenomenon abound, such as passing the other day Mr. Hou Yuewen, only 59 years old, because of premature deaths caused by a bowl of noodles, of course, is jajangmyeon incentives, the real cause is subject to the influence of the traditional eating habits and eat Eat more food for a class of jajangmyeon caused.
This is not no one raised the issue, but after the issue did not pay attention to, but also because of traditional eating habits affect the causes of non-importance! Wake up! People!
Wednesday, January 14, 2009
Talking one of a heart attack (heart disease to a)
Scientific and technological development to this day, people have been dizzying speed, and had thought that the heart will be won over, the results after twists and turns, however, put themselves to the caring heart Well, this is really to be glad that the modern science and technology. However, there are still many elderly people cardio-cerebral vascular disease, and the disease is still engaged in a struggle; In addition, there are many young people because of unhealthy habits往那儿being walked on, if willing to understand and discussion of cardio-cerebral vascular diseases friends can chat messages.
In early 2004, I was all prescribed after myocardial infarction stent life, in June 2005 but re-admitted to hospital because of the narrow, coronary artery imaging confirmed that 60 percent blocked, dozens of heart attack one year after the dramatic twist pain, life is extremely dangerous , and ECG ST has been a change in their calculation: stent once again live for two years, coupled with a bypass live 8 years, the total add up to ten years will no longer live, if I can not find an effective way, then life will be valid only 10 years. To this end, I began to read books at all times and learn useful information for the physical test, which was mainly used to test the health-care medicine is to replace the hospital opened the medicine, (because of drugs used in hospitals to have side-effects, are on the liver harm), as well as detailed dietary adjustments, after a long period of restructuring, re-adjustment, finally found a way out.
I was hospitalized twice in the period, I tried to get a doctor for future medical treatment, medication and diet, a meticulous and detailed guidance. Unfortunately, in fact, not a doctor can do it. In my certificate of discharge diagnosis only read: time and medication, low-fat diet and medication. And called for regular adjustments to the hospital to seek medical drugs. After I went to several times, each row of a morning after the team is to adjust the amount of drugs but have not the heart to another 20 months, blocking out the upper airway is not. Simply no use. Besides diet, what is it low-fat diet? At that time I eat all the meat and fat food, and how it has blocked? To this end, I went to many hospitals have done a wide range of advice, what are more or less the same. Can not only rely on themselves. After a lot of reading was a lot of useful information, summarized as follows:
Modern Western medicine on the treatment of the most advanced point of view: for coronary heart disease is still no effective cure, that is, Western medicine can only be taken by the current conservative treatment with surgery or to maintain. Stent and bypass surgery are two means, these two tools can only solve the phenomenon, and can not solve the fundamental, so Western medicine has yet to approach the one-time radical. So to a certain level to maintain the condition can only be a fatalistic. Most patients do not know the situation, that doctors can cure all diseases, fully rely on the doctors to save lives, can be finally hung up Mimi澄澄; a professor of modern Chinese medicine, said: If you want to rely on medicine to pay to eat a few get through blockage of blood vessels, to the present has not yet possible. Chinese medicine to treat heart disease is nursed back to health from the medical point of view is the rationale for gas, gas is then riddled with the exception of. Because the rationale for gas treatment is a long-term process, which is a project, but a long-term treatment works. Speaking at this time, we should understand that the hospital simply can not cure heart disease, the disease only on their own and in accordance with the actual situation of their own eating habits changed, and then to strengthen the training in order to adjust their circulatory system, so as to achieve the purpose of cure. There is the Traditional Chinese Medicine and Western Medicine test even more honest than some, saying some of the more real.
At that time, Hou, I feel extremely bad situation, after a large number of books read to realize: heart disease is actually the blood because blood garbage (free radicals) due to organ dysfunction caused by the degradation can not be fully excreted out, and then gradually increased, it continually precipitation formed in the vessel wall of atherosclerosis, coupled with the slow flow of blood viscosity and cholesterol continuous precipitation, to a certain extent on the accumulation of the vessel wall to form a very narrow, and finally by the blood viscosity by the narrow Logistics Department plug formation, resulting in thrombosis, which blocked the cardiovascular disease is called coronary heart disease, blocked blood vessels in the brain called the brain stem (also known as cerebral thrombosis).
Well, how blood is thick on the formation of free radicals and the case? According to the information, said: person's blood updated in the gut to a certain age, in the intestinal digestive enzymes and more time to lose四五百species, there is some food on the digestion can not, such as pigs and cattle meat and some food, in particular a large number of fat food, eat once particularly vulnerable remain in the intestine, causing abdominal distension and accumulation stranded. At the same time as a result of the degradation of liver function, resulting in the degradation of detoxification capacity, so the formation of blood update quality and a lack of detoxification, so that the blood lipid increasing continuously refuse generated as well as the cause, such as blood viscosity. Such a long-term accumulation caused to the vessel wall plug.
In my most ill, the do not eat food, as long as is necessary to eat food angina pain occurs, when a day on eating a few tomatoes and a few cucumber to sustain life, in this period of time and disease resistance I feel hopeless! this reaction and I blocked the site, I plugged the site of the left ventricle in the heart of LCX, Flanagan normal vascular diameter 2.5mm * 18mm long, was already 60 percent of restenosis, the actual pass flow effective diameter is 1mm, combined with blood viscosity, ischemic heart pain and strangulation st change is inevitable. During this period of time to study, so that I know and feel: eat food is able to turn blood lipids, blood viscosity can also cause. Because I was already a very long time do not eat pig, cow, lamb, chicken and other animal flesh. The use of exclusion will only food, so I stopped the intake of food can be a matter of fact all the books are not introduced into the food can also cause blood lipid and blood viscosity records. I do not know the negligence of a scientist does? Or simply not found? Stop the intake of food after the pain any more angina attack. There has been a year now, I feel good, and feeling sick before, and even better than before.
I really strange, so modern today, so many hospitals, no hospitals and doctors to do the work of disease prevention and health, but all surgery leaves itself, the drop of a hat saying "Let surgery", and this operation is the only solution to the phenomenon but without resolving the fundamental operation, then is it for? Ah! - "Money" in trouble ah!
Doctors for medical treatment, can be carried out when the hospital has become a commercial operation, the doctor's knowledge will become a valuable acts, and some even become priceless act, that is to say no matter how much you do not sell, so that you constantly come to "I", "me" in order to keep the money! This is the treatment of "secret." Fortunately, I also literacy, reading a few books on foot entered a color, or else do not hung up on? I have not investigated, I do not know how many of the farmers for this purpose is still hung up after the hospitals and doctors to thank them! In addition, would also like to thank also see some books on behalf of advanced technology!
In early 2004, I was all prescribed after myocardial infarction stent life, in June 2005 but re-admitted to hospital because of the narrow, coronary artery imaging confirmed that 60 percent blocked, dozens of heart attack one year after the dramatic twist pain, life is extremely dangerous , and ECG ST has been a change in their calculation: stent once again live for two years, coupled with a bypass live 8 years, the total add up to ten years will no longer live, if I can not find an effective way, then life will be valid only 10 years. To this end, I began to read books at all times and learn useful information for the physical test, which was mainly used to test the health-care medicine is to replace the hospital opened the medicine, (because of drugs used in hospitals to have side-effects, are on the liver harm), as well as detailed dietary adjustments, after a long period of restructuring, re-adjustment, finally found a way out.
I was hospitalized twice in the period, I tried to get a doctor for future medical treatment, medication and diet, a meticulous and detailed guidance. Unfortunately, in fact, not a doctor can do it. In my certificate of discharge diagnosis only read: time and medication, low-fat diet and medication. And called for regular adjustments to the hospital to seek medical drugs. After I went to several times, each row of a morning after the team is to adjust the amount of drugs but have not the heart to another 20 months, blocking out the upper airway is not. Simply no use. Besides diet, what is it low-fat diet? At that time I eat all the meat and fat food, and how it has blocked? To this end, I went to many hospitals have done a wide range of advice, what are more or less the same. Can not only rely on themselves. After a lot of reading was a lot of useful information, summarized as follows:
Modern Western medicine on the treatment of the most advanced point of view: for coronary heart disease is still no effective cure, that is, Western medicine can only be taken by the current conservative treatment with surgery or to maintain. Stent and bypass surgery are two means, these two tools can only solve the phenomenon, and can not solve the fundamental, so Western medicine has yet to approach the one-time radical. So to a certain level to maintain the condition can only be a fatalistic. Most patients do not know the situation, that doctors can cure all diseases, fully rely on the doctors to save lives, can be finally hung up Mimi澄澄; a professor of modern Chinese medicine, said: If you want to rely on medicine to pay to eat a few get through blockage of blood vessels, to the present has not yet possible. Chinese medicine to treat heart disease is nursed back to health from the medical point of view is the rationale for gas, gas is then riddled with the exception of. Because the rationale for gas treatment is a long-term process, which is a project, but a long-term treatment works. Speaking at this time, we should understand that the hospital simply can not cure heart disease, the disease only on their own and in accordance with the actual situation of their own eating habits changed, and then to strengthen the training in order to adjust their circulatory system, so as to achieve the purpose of cure. There is the Traditional Chinese Medicine and Western Medicine test even more honest than some, saying some of the more real.
At that time, Hou, I feel extremely bad situation, after a large number of books read to realize: heart disease is actually the blood because blood garbage (free radicals) due to organ dysfunction caused by the degradation can not be fully excreted out, and then gradually increased, it continually precipitation formed in the vessel wall of atherosclerosis, coupled with the slow flow of blood viscosity and cholesterol continuous precipitation, to a certain extent on the accumulation of the vessel wall to form a very narrow, and finally by the blood viscosity by the narrow Logistics Department plug formation, resulting in thrombosis, which blocked the cardiovascular disease is called coronary heart disease, blocked blood vessels in the brain called the brain stem (also known as cerebral thrombosis).
Well, how blood is thick on the formation of free radicals and the case? According to the information, said: person's blood updated in the gut to a certain age, in the intestinal digestive enzymes and more time to lose四五百species, there is some food on the digestion can not, such as pigs and cattle meat and some food, in particular a large number of fat food, eat once particularly vulnerable remain in the intestine, causing abdominal distension and accumulation stranded. At the same time as a result of the degradation of liver function, resulting in the degradation of detoxification capacity, so the formation of blood update quality and a lack of detoxification, so that the blood lipid increasing continuously refuse generated as well as the cause, such as blood viscosity. Such a long-term accumulation caused to the vessel wall plug.
In my most ill, the do not eat food, as long as is necessary to eat food angina pain occurs, when a day on eating a few tomatoes and a few cucumber to sustain life, in this period of time and disease resistance I feel hopeless! this reaction and I blocked the site, I plugged the site of the left ventricle in the heart of LCX, Flanagan normal vascular diameter 2.5mm * 18mm long, was already 60 percent of restenosis, the actual pass flow effective diameter is 1mm, combined with blood viscosity, ischemic heart pain and strangulation st change is inevitable. During this period of time to study, so that I know and feel: eat food is able to turn blood lipids, blood viscosity can also cause. Because I was already a very long time do not eat pig, cow, lamb, chicken and other animal flesh. The use of exclusion will only food, so I stopped the intake of food can be a matter of fact all the books are not introduced into the food can also cause blood lipid and blood viscosity records. I do not know the negligence of a scientist does? Or simply not found? Stop the intake of food after the pain any more angina attack. There has been a year now, I feel good, and feeling sick before, and even better than before.
I really strange, so modern today, so many hospitals, no hospitals and doctors to do the work of disease prevention and health, but all surgery leaves itself, the drop of a hat saying "Let surgery", and this operation is the only solution to the phenomenon but without resolving the fundamental operation, then is it for? Ah! - "Money" in trouble ah!
Doctors for medical treatment, can be carried out when the hospital has become a commercial operation, the doctor's knowledge will become a valuable acts, and some even become priceless act, that is to say no matter how much you do not sell, so that you constantly come to "I", "me" in order to keep the money! This is the treatment of "secret." Fortunately, I also literacy, reading a few books on foot entered a color, or else do not hung up on? I have not investigated, I do not know how many of the farmers for this purpose is still hung up after the hospitals and doctors to thank them! In addition, would also like to thank also see some books on behalf of advanced technology!
Psychosomatic diseases - myocardial infarction
Myocardial infarction
English name: myocardial infarction
As a result of acute coronary occlusion, blood flow interruption, causing serious and lasting ischemic myocardial necrosis. Clinical manifestation was sudden, dramatic and long-lasting retrosternal pain, the characteristics of the dynamic evolution of ECG and serum enzymes increased, can occur arrhythmia, heart failure, shock and other complications, often life-threatening. The most common disease in Europe and America in the United States about 150 million people each year occurred in myocardial infarction. China in the world is a low-incidence areas, but there is an upward trend in recent years.
The etiology and pathogenesis of myocardial infarction more than 90% was due to coronary atherosclerosis based on the thrombosis caused by less in the coronary artery spasm, a small number from the embolization, inflammation, and other deformities caused by occlusion of the lumen narrow, so that serious and myocardial ischemia lasting up to 1 hour or more to the occurrence of myocardial necrosis. Myocardial infarction often occurred in a number of incentives, including fatigue, agitation, bleeding, shock, dehydration, surgery or serious arrhythmia, such as.
Pathophysiology of coronary occlusion of 20 to 30 minutes later, that is, its blood supply due to severe myocardial ischemia and necrosis, known as acute myocardial infarction. Chunks of myocardial infarction involving the ventricular wall as the full-thickness transmural myocardial infarction, such as involving only the inner heart wall, less than half of ventricular wall thickness, known as subendocardial myocardial infarction. The role of intraluminal pressure in mind, the necrosis of the heart wall bulging out, can produce myocardial rupture, or the gradual expansion of the formation of tumor wall. Necrotic tissue of about 1 ~ 2 weeks after the beginning of the absorption and gradually fibrosis, 6 to 8 weeks to heal and scar formation, known as the old myocardial infarction. Pathophysiological changes and the site of infarction, extent and scope of closely related, can cause varying degrees of cardiac dysfunction and hemodynamic changes. Including a reduction in myocardial contractility, reduce compliance, uncoordinated myocardial contraction, left ventricular end-diastolic pressure increased, decreased cardiac output, blood pressure decreased faster rhythm or arrhythmia, the heart of the expansion can lead to heart failure and cardiogenic shock .
More than half of some clinical manifestations of acute myocardial infarction patients, in the onset before the 1 ~ 2 days or 1 ~ 2 weeks are premonitory symptoms, the most common are the original stable angina to unstable angina, or following to without angina, the sudden appearance of long angina. Pain typical of myocardial infarction symptoms include sudden onset of severe and lasting pain substernal squeeze, with rest and nitroglycerin can not be alleviated, often accompanied by irritability, sweating, a sense of fear or dying; a small number of patients had no pain, that is the beginning of the performance of to shock or acute heart failure; some patients is located in upper abdominal pain, be mistaken for gastric perforation, acute pancreatitis, such as acute abdomen, stroke-like episodes can be seen in older patients. Systemic symptoms: fever, elevated leukocyte, erythrocyte sedimentation rate faster; gastrointestinal tract symptoms: more common in patients with inferior wall infarction; arrhythmia: at 75% ~ 95% of patients, occurred in the onset of 1 to 2 weeks, and to 24 hours within the common, anterior myocardial infarction prone to ventricular arrhythmia, myocardial infarction-prone AVB; heart failure: The principal objective is acute left ventricular failure, in the onset occurred within the first few hours, the occurrence rate of 32% ~ 48%, expressed as difficulty in breathing, coughing, cyanosis, irritability and other symptoms.
Signs of heart may be light to moderate sector increased faster or slower heart rate, heart sounds weakened, may be the fourth or third phonocardiogram phonocardiogram, 10% ~ 20% of patients in the incidence of 2 to 3 days prompted apical systolic murmur papillary muscle dysfunction, but except for ventricular septal perforation, pericardial friction at this time there is often accompanied by the sound, if combined with heart failure and shock corresponding signs will appear.
Common laboratory tests the following: ① electrocardiogram. Myocardial infarction typical characteristic electrocardiogram changes in a few hours in the onset high Tsim T wave; a few hours later, ST elevation was Camponotus up with T-wave form of one-way curve; 1 ~ 2 days appeared pathological Q wave , 70% ~ 80% Q wave Yongcun; within two weeks, such as ST segment gradually return to potential, T-wave flat or inverted, upside down three weeks the most, and sometimes were coronary T-wave, a few months or years gradually restored, can also be permanent存在. According to the lead electrocardiogram changes can be judged, the site of infarction. ② serum enzymes. Content increased, including creatine phosphokinase and its isoenzyme, lactate dehydrogenase and aspartate aminotransferase. Interleukin after the onset may be increased to 1 ~ 20,000 / mm3, erythrocyte sedimentation rate faster sustainable 1 ~ 3 weeks. ③ check radionuclides. The use of myocardial necrosis and the blood supply cut off 201 thallium myocardial cells can not enter the characteristics of intravenous 20 1 thallium scan for hot spots or photographs, to show the site of myocardial infarction and scope.
Diagnosis and differential diagnosis according to typical clinical manifestations, characteristic electrocardiogram and serum enzymes evolve dynamic evolution, may make the correct diagnosis. Non-Q-wave infarction is based on ECG and serum enzyme Evolution ST Dynamic Evolution to diagnose. Older people suddenly failure, shock or serious arrhythmia, it is necessary to think of the possibility of this disease. A typical performance often required with the acute abdomen, pulmonary infarction, dissecting aneurysm, such as identification.
Treatment of early detection, early hospitalization, and to strengthen pre-hospital to deal with in situ. Treatment principles in order to rescue the dying of cardiomyopathy and narrow infarct size, the protection of heart function, the timely processing of various complications. ① care and general treatment. Acute phase of absolute bed rest for 1 ~ 3 days; oxygen; continuous observation ECG heart rate, cardiac rhythm and blood pressure and respiratory changes, guardianship of 3 ~ 5, if necessary, monitoring of pulmonary wedge pressure and gross venous pressure; low-salt, low fat,少量多餐maintain patency stool, 1 week to get out of bed activities, two weeks of activities in the corridor, was discharged three weeks, severe cases, appropriate to extend the length of stay in bed with. ② sedation analgesia. Dolantin with morphine or intramuscular injection, 4 ~ 6 hours can be repeated. Irritability to use dolantin and non Flanagan intramuscular or intravenous injection. ③ volume adjustment. Admitted to hospital as soon as possible after the establishment of intravenous access, three days before the slow rehydration, pay attention to balance out. ④ measures to reduce the infarct size. Thrombolytic therapy: will enable revascularization, myocardial reperfusion. Incidence of 6 hours, there are persistent chest pain, ST-segment elevation, and no contraindication thrombolysis may choose to join urokinase or streptokinase within 30 minutes of normal saline trickle-down, following the use of heparin anticoagulant therapy from 3 to 5 days . If the conditions can be used to coronary thrombolysis; nitroglycerin: the expansion of the drug directly coronary, the lifting of coronary spasm, increased collateral circulation, reduce the infarct size; incidence of the first few hours, β blockers can myocardial reduce oxygen consumption, reduce the infarct size; betaloc adjusted depending on the amount of illness. Diltiazem for non-Q wave myocardial infarction early treatment. ⑤ Antiarrhythmic. Lidocaine preventive for easy ventricular fibrillation, the incidence within 6 hours of the initial issuance of the young patients; if premature ventricular contractions or ventricular tachycardia (VT), the immediate use of intravenous lidocaine, premature after the disappearance of sustainable static point; the occurrence of ventricular fibrillation, as soon as possible the use of non-synchronous DC defibrillator. Ventricular tachycardia is not satisfied with the effect should also be adopted as soon as possible synchronous cardioversion; on slow arrhythmia, often available for intramuscular injection or intravenous atropine; Ⅱ - Ⅲ degree atrioventricular block may be temporary pacemaker placement; Room on Tachyarrhythmia with digitalis category verapamil drug control may be synchronized electrical cardioversion. ⑥ merger after acute myocardial infarction with cardiogenic shock and pump failure treatment. Pulmonary edema nitroprusside static point when the first choice, at the same time with morphine, furosemide, cedilanid and are required to monitor the blood volume, blood pressure, cardiac output and pulmonary wedge pressure hair, cardiogenic shock available dopamine, dopa phenol butylamine or aramine, such as to maintain blood pressure, can be added to sodium nitroprusside. Conditional to use intra-aortic balloon counterpulsation surgery can improve survival. ⑦ the prevention of acute myocardial infarction 2. Discharged before the use of 24-hour Holter monitoring, echocardiography, exercise test radioisotope found that there were symptoms or silent myocardial ischemia and serious arrhythmias, understanding of cardiac function, in order to estimate the prognosis, decisions and the implementation of coronary angiography , percutaneous transluminal coronary angioplasty or coronary artery bypass grafting in order to prevent re-infarction or sudden death. ⑧ living and work arrangements. Discharged from hospital after 2 ~ 3 months, as appropriate, to restore some or light work, after some patients to resume full-time work, but to avoid fatigue or excessive tension.
Prognosis prognosis and the scope of the size of infarction, collateral circulation generated, as well as timely treatment, and acute phase hospital mortality of 30% over the past year, the current dropped to about 10% more than in the first week of death, particularly in a matter of hours , the occurrence of serious arrhythmia, shock or heart failure, the mortality rate especially high, the long-term prognosis and cardiac function.
The prevention of (a preventive) treatment of hypertension, hyperlipidemia, diabetes, in order to prevent atherosclerosis and coronary heart disease incidence, coronary heart disease may be long-term oral administration of aspirin or dipyridamole against platelet accumulation, it may be the prevention of myocardial infarction role. Universal access to knowledge related to myocardial infarction, early diagnosis and timely treatment and strict monitoring and aggressive treatment complications is to improve the prognosis of the key
Clinical manifestations
Most patients received prior to the onset of day was a few weeks there is fatigue, chest discomfort, activities palpitation, dyspnea, irritability, premonitory symptoms such as angina pectoris. One new occurrence of angina, early-onset angina) or add to the original angina (angina pectoris evil) as the most prominent. Its symptoms are:
Pain was one of the first symptoms, and the nature of pain and angina pectoris the same, no obvious incentive for more often occurred in quiet, the extent of heavier and lasted longer, up to several hours or several days, with rest and with Nitroglycerin tablets can not be eased and more. Patients often irritability, sweating, fear, or have a sense of dying. A small number of patients had no pain, that is manifested in the beginning of shock or acute heart failure. Some patients is located in upper abdominal pain, be mistaken for gastric perforation, acute pancreatitis, such as acute abdomen, and some patients with pain radiation to the neck, back, top, be mistaken for bone and joint pain.
Systemic symptoms are fever, tachycardia, leukocyte and erythrocyte sedimentation rate increased faster and so on, the body temperature is normally around 38 degrees and rarely more than 39 degrees, lasted about a week.
Gastrointestinal symptoms are often accompanied by intense pain frequent nausea, vomiting and epigastric pain. Severe hiccups may occur.
Arrhythmia in 75% ~ 95% of patients, more than occurred in the onset of 1 ~ 2 weeks, and to begin the 24 hours up to see, can be accompanied by fatigue, dizziness, fainting and other symptoms.
Hypotension and shock during the blood pressure decreased pain common, not shock. Such as pain relief and systolic blood pressure is still lower than 10.67kpa (8mmHg), there is irritability, pale skin cold and wet, thin and rapid pulse, sweating profusely, volume reduction (per small? Lt; 20ml), delirious slow, and even hom service persons, compared with the performance of shock. Shock more than a few hours after the onset ~ 1 week the main fat.
Acute left ventricular heart failure is failure.
English name: myocardial infarction
As a result of acute coronary occlusion, blood flow interruption, causing serious and lasting ischemic myocardial necrosis. Clinical manifestation was sudden, dramatic and long-lasting retrosternal pain, the characteristics of the dynamic evolution of ECG and serum enzymes increased, can occur arrhythmia, heart failure, shock and other complications, often life-threatening. The most common disease in Europe and America in the United States about 150 million people each year occurred in myocardial infarction. China in the world is a low-incidence areas, but there is an upward trend in recent years.
The etiology and pathogenesis of myocardial infarction more than 90% was due to coronary atherosclerosis based on the thrombosis caused by less in the coronary artery spasm, a small number from the embolization, inflammation, and other deformities caused by occlusion of the lumen narrow, so that serious and myocardial ischemia lasting up to 1 hour or more to the occurrence of myocardial necrosis. Myocardial infarction often occurred in a number of incentives, including fatigue, agitation, bleeding, shock, dehydration, surgery or serious arrhythmia, such as.
Pathophysiology of coronary occlusion of 20 to 30 minutes later, that is, its blood supply due to severe myocardial ischemia and necrosis, known as acute myocardial infarction. Chunks of myocardial infarction involving the ventricular wall as the full-thickness transmural myocardial infarction, such as involving only the inner heart wall, less than half of ventricular wall thickness, known as subendocardial myocardial infarction. The role of intraluminal pressure in mind, the necrosis of the heart wall bulging out, can produce myocardial rupture, or the gradual expansion of the formation of tumor wall. Necrotic tissue of about 1 ~ 2 weeks after the beginning of the absorption and gradually fibrosis, 6 to 8 weeks to heal and scar formation, known as the old myocardial infarction. Pathophysiological changes and the site of infarction, extent and scope of closely related, can cause varying degrees of cardiac dysfunction and hemodynamic changes. Including a reduction in myocardial contractility, reduce compliance, uncoordinated myocardial contraction, left ventricular end-diastolic pressure increased, decreased cardiac output, blood pressure decreased faster rhythm or arrhythmia, the heart of the expansion can lead to heart failure and cardiogenic shock .
More than half of some clinical manifestations of acute myocardial infarction patients, in the onset before the 1 ~ 2 days or 1 ~ 2 weeks are premonitory symptoms, the most common are the original stable angina to unstable angina, or following to without angina, the sudden appearance of long angina. Pain typical of myocardial infarction symptoms include sudden onset of severe and lasting pain substernal squeeze, with rest and nitroglycerin can not be alleviated, often accompanied by irritability, sweating, a sense of fear or dying; a small number of patients had no pain, that is the beginning of the performance of to shock or acute heart failure; some patients is located in upper abdominal pain, be mistaken for gastric perforation, acute pancreatitis, such as acute abdomen, stroke-like episodes can be seen in older patients. Systemic symptoms: fever, elevated leukocyte, erythrocyte sedimentation rate faster; gastrointestinal tract symptoms: more common in patients with inferior wall infarction; arrhythmia: at 75% ~ 95% of patients, occurred in the onset of 1 to 2 weeks, and to 24 hours within the common, anterior myocardial infarction prone to ventricular arrhythmia, myocardial infarction-prone AVB; heart failure: The principal objective is acute left ventricular failure, in the onset occurred within the first few hours, the occurrence rate of 32% ~ 48%, expressed as difficulty in breathing, coughing, cyanosis, irritability and other symptoms.
Signs of heart may be light to moderate sector increased faster or slower heart rate, heart sounds weakened, may be the fourth or third phonocardiogram phonocardiogram, 10% ~ 20% of patients in the incidence of 2 to 3 days prompted apical systolic murmur papillary muscle dysfunction, but except for ventricular septal perforation, pericardial friction at this time there is often accompanied by the sound, if combined with heart failure and shock corresponding signs will appear.
Common laboratory tests the following: ① electrocardiogram. Myocardial infarction typical characteristic electrocardiogram changes in a few hours in the onset high Tsim T wave; a few hours later, ST elevation was Camponotus up with T-wave form of one-way curve; 1 ~ 2 days appeared pathological Q wave , 70% ~ 80% Q wave Yongcun; within two weeks, such as ST segment gradually return to potential, T-wave flat or inverted, upside down three weeks the most, and sometimes were coronary T-wave, a few months or years gradually restored, can also be permanent存在. According to the lead electrocardiogram changes can be judged, the site of infarction. ② serum enzymes. Content increased, including creatine phosphokinase and its isoenzyme, lactate dehydrogenase and aspartate aminotransferase. Interleukin after the onset may be increased to 1 ~ 20,000 / mm3, erythrocyte sedimentation rate faster sustainable 1 ~ 3 weeks. ③ check radionuclides. The use of myocardial necrosis and the blood supply cut off 201 thallium myocardial cells can not enter the characteristics of intravenous 20 1 thallium scan for hot spots or photographs, to show the site of myocardial infarction and scope.
Diagnosis and differential diagnosis according to typical clinical manifestations, characteristic electrocardiogram and serum enzymes evolve dynamic evolution, may make the correct diagnosis. Non-Q-wave infarction is based on ECG and serum enzyme Evolution ST Dynamic Evolution to diagnose. Older people suddenly failure, shock or serious arrhythmia, it is necessary to think of the possibility of this disease. A typical performance often required with the acute abdomen, pulmonary infarction, dissecting aneurysm, such as identification.
Treatment of early detection, early hospitalization, and to strengthen pre-hospital to deal with in situ. Treatment principles in order to rescue the dying of cardiomyopathy and narrow infarct size, the protection of heart function, the timely processing of various complications. ① care and general treatment. Acute phase of absolute bed rest for 1 ~ 3 days; oxygen; continuous observation ECG heart rate, cardiac rhythm and blood pressure and respiratory changes, guardianship of 3 ~ 5, if necessary, monitoring of pulmonary wedge pressure and gross venous pressure; low-salt, low fat,少量多餐maintain patency stool, 1 week to get out of bed activities, two weeks of activities in the corridor, was discharged three weeks, severe cases, appropriate to extend the length of stay in bed with. ② sedation analgesia. Dolantin with morphine or intramuscular injection, 4 ~ 6 hours can be repeated. Irritability to use dolantin and non Flanagan intramuscular or intravenous injection. ③ volume adjustment. Admitted to hospital as soon as possible after the establishment of intravenous access, three days before the slow rehydration, pay attention to balance out. ④ measures to reduce the infarct size. Thrombolytic therapy: will enable revascularization, myocardial reperfusion. Incidence of 6 hours, there are persistent chest pain, ST-segment elevation, and no contraindication thrombolysis may choose to join urokinase or streptokinase within 30 minutes of normal saline trickle-down, following the use of heparin anticoagulant therapy from 3 to 5 days . If the conditions can be used to coronary thrombolysis; nitroglycerin: the expansion of the drug directly coronary, the lifting of coronary spasm, increased collateral circulation, reduce the infarct size; incidence of the first few hours, β blockers can myocardial reduce oxygen consumption, reduce the infarct size; betaloc adjusted depending on the amount of illness. Diltiazem for non-Q wave myocardial infarction early treatment. ⑤ Antiarrhythmic. Lidocaine preventive for easy ventricular fibrillation, the incidence within 6 hours of the initial issuance of the young patients; if premature ventricular contractions or ventricular tachycardia (VT), the immediate use of intravenous lidocaine, premature after the disappearance of sustainable static point; the occurrence of ventricular fibrillation, as soon as possible the use of non-synchronous DC defibrillator. Ventricular tachycardia is not satisfied with the effect should also be adopted as soon as possible synchronous cardioversion; on slow arrhythmia, often available for intramuscular injection or intravenous atropine; Ⅱ - Ⅲ degree atrioventricular block may be temporary pacemaker placement; Room on Tachyarrhythmia with digitalis category verapamil drug control may be synchronized electrical cardioversion. ⑥ merger after acute myocardial infarction with cardiogenic shock and pump failure treatment. Pulmonary edema nitroprusside static point when the first choice, at the same time with morphine, furosemide, cedilanid and are required to monitor the blood volume, blood pressure, cardiac output and pulmonary wedge pressure hair, cardiogenic shock available dopamine, dopa phenol butylamine or aramine, such as to maintain blood pressure, can be added to sodium nitroprusside. Conditional to use intra-aortic balloon counterpulsation surgery can improve survival. ⑦ the prevention of acute myocardial infarction 2. Discharged before the use of 24-hour Holter monitoring, echocardiography, exercise test radioisotope found that there were symptoms or silent myocardial ischemia and serious arrhythmias, understanding of cardiac function, in order to estimate the prognosis, decisions and the implementation of coronary angiography , percutaneous transluminal coronary angioplasty or coronary artery bypass grafting in order to prevent re-infarction or sudden death. ⑧ living and work arrangements. Discharged from hospital after 2 ~ 3 months, as appropriate, to restore some or light work, after some patients to resume full-time work, but to avoid fatigue or excessive tension.
Prognosis prognosis and the scope of the size of infarction, collateral circulation generated, as well as timely treatment, and acute phase hospital mortality of 30% over the past year, the current dropped to about 10% more than in the first week of death, particularly in a matter of hours , the occurrence of serious arrhythmia, shock or heart failure, the mortality rate especially high, the long-term prognosis and cardiac function.
The prevention of (a preventive) treatment of hypertension, hyperlipidemia, diabetes, in order to prevent atherosclerosis and coronary heart disease incidence, coronary heart disease may be long-term oral administration of aspirin or dipyridamole against platelet accumulation, it may be the prevention of myocardial infarction role. Universal access to knowledge related to myocardial infarction, early diagnosis and timely treatment and strict monitoring and aggressive treatment complications is to improve the prognosis of the key
Clinical manifestations
Most patients received prior to the onset of day was a few weeks there is fatigue, chest discomfort, activities palpitation, dyspnea, irritability, premonitory symptoms such as angina pectoris. One new occurrence of angina, early-onset angina) or add to the original angina (angina pectoris evil) as the most prominent. Its symptoms are:
Pain was one of the first symptoms, and the nature of pain and angina pectoris the same, no obvious incentive for more often occurred in quiet, the extent of heavier and lasted longer, up to several hours or several days, with rest and with Nitroglycerin tablets can not be eased and more. Patients often irritability, sweating, fear, or have a sense of dying. A small number of patients had no pain, that is manifested in the beginning of shock or acute heart failure. Some patients is located in upper abdominal pain, be mistaken for gastric perforation, acute pancreatitis, such as acute abdomen, and some patients with pain radiation to the neck, back, top, be mistaken for bone and joint pain.
Systemic symptoms are fever, tachycardia, leukocyte and erythrocyte sedimentation rate increased faster and so on, the body temperature is normally around 38 degrees and rarely more than 39 degrees, lasted about a week.
Gastrointestinal symptoms are often accompanied by intense pain frequent nausea, vomiting and epigastric pain. Severe hiccups may occur.
Arrhythmia in 75% ~ 95% of patients, more than occurred in the onset of 1 ~ 2 weeks, and to begin the 24 hours up to see, can be accompanied by fatigue, dizziness, fainting and other symptoms.
Hypotension and shock during the blood pressure decreased pain common, not shock. Such as pain relief and systolic blood pressure is still lower than 10.67kpa (8mmHg), there is irritability, pale skin cold and wet, thin and rapid pulse, sweating profusely, volume reduction (per small? Lt; 20ml), delirious slow, and even hom service persons, compared with the performance of shock. Shock more than a few hours after the onset ~ 1 week the main fat.
Acute left ventricular heart failure is failure.
Children with congenital heart disease which performance
Children with congenital heart disease is the most common cardiovascular disease, generally can be diagnosed before the age of 3. Congenital heart disease was mainly due to early in fetal development, before the embryos are usually three months, for some reason so that the development of fetal cardiovascular abnormalities due to a standstill or. Comparison of the reasons recognized for pregnant women rubella, influenza and other viral infections; pregnant women taking hormones or other damage to the fetus drugs; pregnant women abdominal or pelvic X-ray are, ultrasound, radionuclide exposure, etc.; or severe nutritional deficiencies in pregnant women, and none oxygen. Apart from some children with congenital heart disease, but also with full-body multiple deformities, which often prompts a result of germ cells in children with genetic defects and congenital heart disease occurred. Light of congenital heart disease can be no special symptoms, growth and development of normal, only in the physical examination when the chest was found in the left rough loud noise. Severe congenital heart disease infants, as early as during the neonatal period or infancy that is noticeable symptoms.
Congenital heart disease symptoms, mainly two-fold: (1) in children with cyanotic nose, lips, nails, etc. conjunctival mucocutaneous see Green purple. Cyanosis appeared in the meantime, children with growth retardation, mental retardation, when the infants or crying can occur after breathing difficulties, severe cases, there is loss of consciousness, convulsion. Children walking, often due to cerebral hypoxia feeling squat down automatically. (2) heart failure symptoms of respiratory difficulties, short, children can not be lying, cough, tachycardia,两肺covered with small blisters, liver enlargement, pale, such as lower extremity edema. Once the above symptoms, must be immediately sent to hospital for medical treatment.
Congenital heart disease symptoms, mainly two-fold: (1) in children with cyanotic nose, lips, nails, etc. conjunctival mucocutaneous see Green purple. Cyanosis appeared in the meantime, children with growth retardation, mental retardation, when the infants or crying can occur after breathing difficulties, severe cases, there is loss of consciousness, convulsion. Children walking, often due to cerebral hypoxia feeling squat down automatically. (2) heart failure symptoms of respiratory difficulties, short, children can not be lying, cough, tachycardia,两肺covered with small blisters, liver enlargement, pale, such as lower extremity edema. Once the above symptoms, must be immediately sent to hospital for medical treatment.
Emotional heart disease
<1>. Chinese name:
Emotional heart
<2>. Diseases Introduction
Emotional heart is a heart attack in the relatively rare type of a. Morbidity due to geographical differences in different countries, about 1 / 100000 around.
In human development period (2-3 years of puberty), as a result of pessimistic sentiment in the state of long-term impact on cardiac function to maintain a balance of some substances and trace elements absorbed by heart and the formation of abnormal blood vessels, or after birth should be self-closing access failed to close the heart, known as the emotional heart.
Often emotional, is the incidence of low mentality.
Optimistic on the emotional heart disease is cured and mitigation or efficacy.
<3>. Symptoms described in detail
1, arrhythmia: its clinical manifestation is due to pulmonary circulation, systemic circulation hyperemia, a decrease in cardiac output. Heart rate per minute up to 160 -190 times, low blood pressure often. Gallop rhythm can be heard. Breath, difficulty in breathing and tachycardia.
2, cyanosis: Its was the result of moving from right to left shunt of mixed venous blood.
3, palpitations: heart beat fast and strong consciously and with precordial discomfort. Insomnia, forgetfulness, dizziness, tinnitus and other co-exist.
4, arrhythmias: the origin of parts of cardiac rhythm, cardiac frequency and rhythm, as well as any of the impulse conduction, such as abnormal. Conduction time constant (adult 0.12 ~ 1.21 seconds); impulse by the bundle branch and its branches, as well as Purkinje fibers arrive ventricular conduction time constant (<0.10 seconds).
5, pulmonary hypertension: When septal defect or patent ductus arteriosus patients with serious pulmonary hypertension and cyanotic syndrome, etc., they were known as Eisenmenger Syndrome.
6, arrhythmias: change as a result of heart disease leading to heart Pollex Mobile abnormal pathological phenomenon.
7. Other: chest pain, dizzy stick up.
<4>. Inspections NGAN watched early detection
Saying, the anti-disease-free early and take preventive measures; sick as early as governance, never too late to mend. Heart disease prevention and treatment of the key is "early."
So how does the early detection of heart disease? NGAN concept that detect color: In addition to common heart palpitations, heart pain and other symptoms known outside, and often there are some signs of surface. They threatened to observe the symptoms, can be early detection and treatment.
<5>. Surface signs
1. Respiratory made some minor activities, or in a quiet state, the emergence of shortness of breath, but not with cough, expectoration. This situation is likely to be left ventricular dysfunction in the performance.
2. If the pale gray and pale purple, indifferent expression, which is dying of a heart attack late face. If呈暗红色face, this is emotional rheumatic heart disease, mitral stenosis characteristics. If you were pale, there may be emotional signs of mitral insufficiency.
3. Nose if the nose hard, suggesting that fat accumulated too much heart. If a sharp nose swollen, indicating that fat may also enlarged heart or heart change is widening. In addition, the red nose often foreshadowed emotional heart sick.
4. The skin of chronic heart failure, pulmonary heart disease in patients with advanced skin can be dark brown or dark purple, with long-term hypoxic tissues, a decline in adrenocortical function. Mucocutaneous and acral Green was purple, that the heart of oxygen in the blood to restore the blood protein increased.
5. Ears at an early stage heart disease who have shown varying degrees of tinnitus, which is fine because the inner ear dynamic vascular abnormalities, the disease has not been caused by systemic reactions, in the inner ear has been threatened on the signal. If your earlobe appears a coherent folds, is very likely caused by coronary arteriosclerosis.
6. Head and neck if the supraclavicular extended to the direction of protruding ears a table tendons, such as little rough, I think it is right ventricular failure.
7. Often due to be pessimistic in a state of heart palpitations, shortness of breath, only蹲位was able to ease, this is the emotional heart of the unique performance.
<6>. Emphasis on chest and palpitation
Many elderly people for their lack of understanding of some symptoms and some emotional heart of the emergence of young patients with chest tightness, palpitation and other symptoms are not very great importance, often think nothing of a forbearance forbearance passed. It is precisely these ideas the best treatment time delay. A 40-year-old college and university leadership, the heart does not usually conscious, but seriously, the result of sudden death, and premature death of a great pity. If he is attending a timely manner, timely treatment, the results have made a difference.
Optimistic on the emotional heart disease is cured and mitigation or efficacy.
<7>. Diagnosis
To determine whether the emotional suffering from heart disease according to medical history, symptoms, signs and a number of special examinations to comprehensive judgments.
1. (1) history of the availability of virus infection, radiation exposure, medication history, history of diabetes, nutrition obstacles, environmental and genetic factors.
(2) common symptoms: pessimistic as a result of in a state of shortness of breath, bruising and crying, sports, such as to whether it is paroxysmal or persistent. Heart failure symptoms: heart rate faster (up to 180 times / min), shortness of breath (50 times / min -100 / min), irritability, difficulty in breathing and asthma-like episodes and come to a halt and so on.不愈recurrent or persistent upper respiratory tract infection, pale, crying low, groaning, hoarseness, but also prompted emotional possibility of heart disease.
2. Medical examinations such as the medical examination found that the typical organic heart murmur, phonocardiogram low blunt, heart increased, arrhythmia, liver large should further examine the emotional exclude congenital heart disease.
3. Special inspection
(1) X-ray examination: lung markings can increase or decrease the heart increases. However, normal lung markings, the size of a normal heart and emotions can not be ruled out congenital heart disease.
(2) ultrasound examination: the chamber of the heart and blood vessel size of quantitative determination for the diagnosis of cardiac anatomical abnormalities and the severity of the most commonly used is the emotional heart disease diagnosis methods.
(3) ECG: can reflect the location of the heart, atrial and ventricular hypertrophy and cardiac conduction availability system.
(4) cardiac catheterization: is a congenital heart disease diagnosis and decided to further clarify the importance of pre-operative examination methods. Through catheterization, understand the heart cavity and large blood vessels in different parts of the oxygen content and pressure changes, clear whether the diversion and triage site.
(5) angiocardiography: through catheterization is still not a clear diagnosis and need to consider surgical treatment of patients and can be used for angiocardiography. To iodine contrast agent through the cardiac catheterization in mechanical pressure, quickly injected into the heart or blood vessels, at the same time for fast X-ray film, or in shooting films is observed as shown in contrast agent atrial and ventricular and large vessels in the shape, size, location and whether or not abnormal channel or narrow, such as valve insufficiency.
(6) pigment dilution curve: various dyes (for example, Evans blue, blue, etc.), through the cardiac catheter into the different parts of the circulatory system, and then measured indicator in the artery or vein in the process of the formation of the concentration of dilution curve , according to this curve to determine the direction and location of shunt, and further to calculate cardiac output and pulmonary blood volume and so on. Based on the above medical history, physical examination and special examinations of the positive signs come to be a comprehensive analysis to determine to make it clear that emotional diagnosis of congenital heart disease.
<8>. Prevention
1. Although the emotional cause of heart disease is not yet very clear, but the mood in order to prevent the occurrence of heart disease, attention should be given reasonable to control their emotions and maintain a positive and optimistic about the upward, to maintain a good attitude is to prevent and cure heart disease emotions the best way.
2. Avoid contact with radiation and a number of harmful substances.
3. There is no medicine, such as drug use should be under the guidance of doctors medication, avoid taking an impact on the development of drugs.
4. The attention of a reasonable diet to avoid nutritional deficiencies.
5. The prevention of heart around the local mechanical oppression.
6. In short, for the prevention of emotional heart, it should avoid the incidence of all relevant factors.
Emotional heart
<2>. Diseases Introduction
Emotional heart is a heart attack in the relatively rare type of a. Morbidity due to geographical differences in different countries, about 1 / 100000 around.
In human development period (2-3 years of puberty), as a result of pessimistic sentiment in the state of long-term impact on cardiac function to maintain a balance of some substances and trace elements absorbed by heart and the formation of abnormal blood vessels, or after birth should be self-closing access failed to close the heart, known as the emotional heart.
Often emotional, is the incidence of low mentality.
Optimistic on the emotional heart disease is cured and mitigation or efficacy.
<3>. Symptoms described in detail
1, arrhythmia: its clinical manifestation is due to pulmonary circulation, systemic circulation hyperemia, a decrease in cardiac output. Heart rate per minute up to 160 -190 times, low blood pressure often. Gallop rhythm can be heard. Breath, difficulty in breathing and tachycardia.
2, cyanosis: Its was the result of moving from right to left shunt of mixed venous blood.
3, palpitations: heart beat fast and strong consciously and with precordial discomfort. Insomnia, forgetfulness, dizziness, tinnitus and other co-exist.
4, arrhythmias: the origin of parts of cardiac rhythm, cardiac frequency and rhythm, as well as any of the impulse conduction, such as abnormal. Conduction time constant (adult 0.12 ~ 1.21 seconds); impulse by the bundle branch and its branches, as well as Purkinje fibers arrive ventricular conduction time constant (<0.10 seconds).
5, pulmonary hypertension: When septal defect or patent ductus arteriosus patients with serious pulmonary hypertension and cyanotic syndrome, etc., they were known as Eisenmenger Syndrome.
6, arrhythmias: change as a result of heart disease leading to heart Pollex Mobile abnormal pathological phenomenon.
7. Other: chest pain, dizzy stick up.
<4>. Inspections NGAN watched early detection
Saying, the anti-disease-free early and take preventive measures; sick as early as governance, never too late to mend. Heart disease prevention and treatment of the key is "early."
So how does the early detection of heart disease? NGAN concept that detect color: In addition to common heart palpitations, heart pain and other symptoms known outside, and often there are some signs of surface. They threatened to observe the symptoms, can be early detection and treatment.
<5>. Surface signs
1. Respiratory made some minor activities, or in a quiet state, the emergence of shortness of breath, but not with cough, expectoration. This situation is likely to be left ventricular dysfunction in the performance.
2. If the pale gray and pale purple, indifferent expression, which is dying of a heart attack late face. If呈暗红色face, this is emotional rheumatic heart disease, mitral stenosis characteristics. If you were pale, there may be emotional signs of mitral insufficiency.
3. Nose if the nose hard, suggesting that fat accumulated too much heart. If a sharp nose swollen, indicating that fat may also enlarged heart or heart change is widening. In addition, the red nose often foreshadowed emotional heart sick.
4. The skin of chronic heart failure, pulmonary heart disease in patients with advanced skin can be dark brown or dark purple, with long-term hypoxic tissues, a decline in adrenocortical function. Mucocutaneous and acral Green was purple, that the heart of oxygen in the blood to restore the blood protein increased.
5. Ears at an early stage heart disease who have shown varying degrees of tinnitus, which is fine because the inner ear dynamic vascular abnormalities, the disease has not been caused by systemic reactions, in the inner ear has been threatened on the signal. If your earlobe appears a coherent folds, is very likely caused by coronary arteriosclerosis.
6. Head and neck if the supraclavicular extended to the direction of protruding ears a table tendons, such as little rough, I think it is right ventricular failure.
7. Often due to be pessimistic in a state of heart palpitations, shortness of breath, only蹲位was able to ease, this is the emotional heart of the unique performance.
<6>. Emphasis on chest and palpitation
Many elderly people for their lack of understanding of some symptoms and some emotional heart of the emergence of young patients with chest tightness, palpitation and other symptoms are not very great importance, often think nothing of a forbearance forbearance passed. It is precisely these ideas the best treatment time delay. A 40-year-old college and university leadership, the heart does not usually conscious, but seriously, the result of sudden death, and premature death of a great pity. If he is attending a timely manner, timely treatment, the results have made a difference.
Optimistic on the emotional heart disease is cured and mitigation or efficacy.
<7>. Diagnosis
To determine whether the emotional suffering from heart disease according to medical history, symptoms, signs and a number of special examinations to comprehensive judgments.
1. (1) history of the availability of virus infection, radiation exposure, medication history, history of diabetes, nutrition obstacles, environmental and genetic factors.
(2) common symptoms: pessimistic as a result of in a state of shortness of breath, bruising and crying, sports, such as to whether it is paroxysmal or persistent. Heart failure symptoms: heart rate faster (up to 180 times / min), shortness of breath (50 times / min -100 / min), irritability, difficulty in breathing and asthma-like episodes and come to a halt and so on.不愈recurrent or persistent upper respiratory tract infection, pale, crying low, groaning, hoarseness, but also prompted emotional possibility of heart disease.
2. Medical examinations such as the medical examination found that the typical organic heart murmur, phonocardiogram low blunt, heart increased, arrhythmia, liver large should further examine the emotional exclude congenital heart disease.
3. Special inspection
(1) X-ray examination: lung markings can increase or decrease the heart increases. However, normal lung markings, the size of a normal heart and emotions can not be ruled out congenital heart disease.
(2) ultrasound examination: the chamber of the heart and blood vessel size of quantitative determination for the diagnosis of cardiac anatomical abnormalities and the severity of the most commonly used is the emotional heart disease diagnosis methods.
(3) ECG: can reflect the location of the heart, atrial and ventricular hypertrophy and cardiac conduction availability system.
(4) cardiac catheterization: is a congenital heart disease diagnosis and decided to further clarify the importance of pre-operative examination methods. Through catheterization, understand the heart cavity and large blood vessels in different parts of the oxygen content and pressure changes, clear whether the diversion and triage site.
(5) angiocardiography: through catheterization is still not a clear diagnosis and need to consider surgical treatment of patients and can be used for angiocardiography. To iodine contrast agent through the cardiac catheterization in mechanical pressure, quickly injected into the heart or blood vessels, at the same time for fast X-ray film, or in shooting films is observed as shown in contrast agent atrial and ventricular and large vessels in the shape, size, location and whether or not abnormal channel or narrow, such as valve insufficiency.
(6) pigment dilution curve: various dyes (for example, Evans blue, blue, etc.), through the cardiac catheter into the different parts of the circulatory system, and then measured indicator in the artery or vein in the process of the formation of the concentration of dilution curve , according to this curve to determine the direction and location of shunt, and further to calculate cardiac output and pulmonary blood volume and so on. Based on the above medical history, physical examination and special examinations of the positive signs come to be a comprehensive analysis to determine to make it clear that emotional diagnosis of congenital heart disease.
<8>. Prevention
1. Although the emotional cause of heart disease is not yet very clear, but the mood in order to prevent the occurrence of heart disease, attention should be given reasonable to control their emotions and maintain a positive and optimistic about the upward, to maintain a good attitude is to prevent and cure heart disease emotions the best way.
2. Avoid contact with radiation and a number of harmful substances.
3. There is no medicine, such as drug use should be under the guidance of doctors medication, avoid taking an impact on the development of drugs.
4. The attention of a reasonable diet to avoid nutritional deficiencies.
5. The prevention of heart around the local mechanical oppression.
6. In short, for the prevention of emotional heart, it should avoid the incidence of all relevant factors.
The so-called "overwork death" is indeed a heart attack
Chinese Men's Basketball Team the last century, "Yao Ming"穆铁柱died a few days ago, called fatigue dead.七八十年generation in the last century, he was no one can block the "center in Asia," the daily treadmill training alone, close to 10,000 meters.
Not long ago, as young as 39-year-old Beijing Tongrentang Co., Ltd. Sheng-yu, died suddenly at home. Sheng-yu, a lot of awareness of them said: "He who is also a number of key posts, it was too tired, but also a 'fatigue dead' example."
For a time, "fatigue" was so numerous fears about the social elite. However, this argument has recently been challenged scientists who - because, these elites of death appears to be tired, but it is actually a heart attack, but has long been dormant in their bodies for many years, but it has not caused them to pay attention to heart disease.
It turned out that heart disease is the greatest threat to our lives!
Survey showed that heart disease and stroke is still the primary cause of death worldwide, every year about 17.5 million people died of various kinds of cardiovascular disease. In the 25 ~ 44-year-old women, heart disease every year "defeat" of breast cancer, crowned as "female killer" first.
Tomorrow, is the eighth World Heart Day, this year's theme is "Know your level of risk (Know Your Risk)". On this day, let us hand on his chest, and feel the heart beating - it's at all times to operate, and to work diligently in order to sustain our lives. However, we have busy lives, but also how long it did not have the "heart" It's the case?
Medical guidance: Chinese Academy of Medical Sciences hospital Fuwai cardiovascular disease diagnosis and treatment of heart disorders Stephen Cheung, director of the Center, Guangdong Provincial People's Hospital of heart failure patient, deputy director of Physicians Chen Si Lin, Guangzhou Military General Hospital Cardiovascular Medicine Professor Xiang Dingcheng
Key words: heart failure
This year 66-year-old Zhang is a "Old chronic bronchitis," Asthma is a common practice for him. Can in recent months, Zhang asthma seems more and more serious, and "In the past, after walking up stairs or breathe, can not even sat recently, and even lying down at night are breathing." With full of doubt, Zhang has been found for their own treatment "COPD" doctor. Zhang doctors to do a series of inspection concluded: "Your function no obvious signs of deterioration, other indicators can also be, I suspect that you may not be aggravated asthma because of pulmonary lesions, the problem may be in the heart, it is may be caused by heart failure, you take a look at the specialist as soon as possible to the heart. "
If doctors allow Zhang surprise: "I obviously asthma, how wrong it would be in the heart?"
Heart will go on strike sitting asthma
Breathless was the heart of the problem
According to the Guangdong Provincial People's Hospital, MD, deputy director of the heart failure patient physician Chen Lin Si introduced, many people heard the words "heart failure" would think that the heart stopped beating. "In fact not the case." Chen Si-Lin played a vivid metaphor: "We can put the heart as a pump, while the blood is pumped water. Pumps used as time goes by, the problem will naturally, people The same heart, in addition to normal aging, the high blood pressure, rheumatic heart disease, myocardial infarction, diabetes and so could weaken the function of the heart, one of which is the heart contraction of weak performance. "As a result, the heart of" pump "of blood the amount will not be able to meet the body's energy needs, and thus there is a clinical syndrome or a group of symptoms. "Patients with mild physical decline may occur, after a little asthma, can be severe patients may be the same as Zhang, sitting, lying down all of the asthma."
Well, it's clear that the heart go wrong, why it is through the respiratory symptoms of performance out?
Si-Chen Lin explained that this was due to heart failure caused by fluid in the lungs, legs and body together with other organizations, affecting the lungs of blood and oxygen exchange between, it will appear in patients with heart failure edema, weight gain, shortness of breath or night symptoms of breathing difficulties.
China, an annual increase of 500,000 cases of heart failure
Si-Chen Lin reminded, chronic heart failure is generally not a sudden occurrence, but a less rapid progression of the disease, coupled with heart failure patient's symptoms did not specific, and even some patients have no symptoms. Therefore, patients with heart failure can be easily overlooked, or as to the treatment of other diseases. However, do not think that the treatment of heart failure can be delayed. Because According to statistics, if not treatment, 70% ~ 80% of patients with severe heart failure deaths in 8 years!
In addition, the number of patients with heart failure is the year. Based on current information, the world's more than 20 million patients with heart failure, the United States has about 500 million, China is estimated that 5.85 million per 100,000 elderly people over the age of 65 in 1000 patients there. The world each year two million new cases of patients with the United States and China each year about 500,000 new patients.
B-can be found in the heart of heart failure
How can this early detection of heart failure? Si-Chen Lin pointed out that although heart failure is a complex disease, but currently, China's standard of health care through a number of relatively simple to check out can be diagnosed. B-one heart, electrocardiogram (ECG), X-ray chest, exercise tests are commonly used and effective inspection.
Regarding the treatment, despite the failure is a chronic disease that currently can not be completely cured, but if patients strictly enforce the doctor's treatment plan is to delay the deterioration of heart failure, improve symptoms, improve the quality of life.
At present, the most commonly used heart failure or drug therapy, doctors will use drugs to control patients, the drugs commonly used diuretics, angiotensin converting enzyme inhibitors (ACEI), β-blockers, etc. . Patients usually have to take several drugs to control the disease.
Si-Chen Lin pointed out that if the situation in the development of heart failure patients that even the bad drug control phase, we need some heart surgery (for example: cardiac valve replacement and heart transplantation) or equipment to treat. Therapy equipment which is the application of a broader approach, which includes cardiac resynchronization therapy (CRT) and implantable cardioverter defibrillator therapy (ICD).
Key words: fatigue dead
Chinese Men's Basketball was the leader of the last century穆铁柱, recently passed away. Filed穆铁柱, slightly older Chinese people are familiar with, because in the last century七八十年generation, he was no one can block the "center in Asia." His death, it was attributed to his early Superacid training. Some statistics,穆铁柱play in the national team for 14 years, the only training run of 51.1 million meters, which is equivalent to 1.2775 circle around the Earth's equator.
Coincidentally, not long ago, as young as 39-year-old Beijing Tongrentang Co., Ltd. Sheng-yu, sudden death at home. Sheng-yu, according to colleagues around disclosed that he had Tongrentang shares in addition to serving as chairman of the company's outside, or more than a branch enterprise "When the family", "his sudden death, who may be associated with a number of positions, the heavy workload too much pressure related. "
However, the departure of these two celebrities, and finally none proved more than just "fatigue"'s fault, but with heart disease.
Do not be fooled by fatigue dead: it is actually behind heart disease
Cardiovascular disease is the real cause of sudden death
In recent years, with a lot of media coverage in the prime of life, social "elite" one by one fell to the rostrum, the posts, "overwork death" as a threat to occupational health and even their lives crowd term. However, medical experts are not as simple as that.
"Not every fatigue load to bear the same people will 'die', the same circumstances, why colleagues around him are safe? Such as through the autopsy found that the majority of 'fatigue dead' in the prime of life itself has the potential cardiovascular disease, However, it is possible he did not know. "Guangzhou Military Region General Hospital Cardiovascular Medicine Professor Xiang Dingcheng told reporters that the basis of their own is the main cause of disease, and fatigue is to make the incentive of sudden illness. "People with vascular disease, coronary heart disease, aortic aneurysm, heart disease and other groups of people, blood pressure is very vulnerable to emotional and physical effects of fluctuations, too much pressure, fatigue is bound to cause a sharp rise in blood pressure in a short period of time, resulting in cardiac insufficiency, caused sudden death. If he himself and the family members are not aware of their heart problems, is likely to simply judged as' fatigue dead '. "said Professor Xiang Dingcheng.
Four people须防"overwork death"
"In fact, the vast majority of sudden death there before the crowd in the incidence of precursor, such as chest tightness, angina and so on, and as long as the rest will be able to alleviate such signs, but many people have overlooked this danger 'signal', once recovery nothing on it to continue to engage in heavy work, did not consider whether there is the possibility of cardiovascular disease. "Professor Xiang Dingcheng told reporters, clinical discovery, more and more 30 to 40-year-old male began to coronary heart disease," Generally speaking, the male incidence than women about a decade earlier, women affected by the level of estrogen protection, more than the occurrence of coronary heart disease in postmenopausal women and men in the prime of life may have heart disease have been hidden inside the body, but a lot of people are not aware of. "
He pointed out that the following four major risk factors are to occupy more than one belonging to high-risk groups: patients with hypertension, hyperlipidemia patients, diabetics and smokers. "There are a family history of men as early as the occurrence of coronary heart disease before age 45, women 55 years earlier than the incidence of persons, and their age has been reached in the prime of life, it should be included in the scope of high-risk groups, these groups can not be omitted from the annual medical examination to check the heart, and peacetime should keep a close watch on their own whether there is any discomfort caused by cardiovascular disease. "
Key words: sudden death
急死also known as the sudden death of healthy people may seem sudden unexpected death, are known as sudden death, the general from symptoms to death in 1 hour. Sudden death for a variety of reasons, but most see the cardiovascular system diseases, information on domestic and foreign data indicate that approximately 80% of sudden cardiac death are directly related with the heart.
80% of sudden death and heart disease-related
1 / 4 in patients with no symptoms before sudden death
In recent days, "Chinese Medicine of Pacing and Electrophysiology Branch," the eighth annual meeting held in Hangzhou. Chinese Academy of Medical Sciences Fuwai Cardiovascular Hospital director of the Center for diagnosis and treatment of heart disorders Professor Zhang Shu at the meeting pointed out: "China's 544,000 people each year of sudden cardiac death occurs every day there are at least 1480 people were killed. In other words, the equivalent of a day to take place four times a crash. "In addition, about 1 / 4 to the sudden death of coronary heart disease as the first performance. In other words, this part before the sudden death of patients did not know they are suffering from heart disease.
Zhang Shu, said sudden cardiac death in high-risk groups include three categories: the first category, those with heart diseases, such as myocardial ischemia, myocardial disease, etc.; The second category is ECG unstable patients, including those with ventricular arrhythmia , late potentials and other diseases; the third category is the decline in cardiac function in patients, including patients with congestive heart failure. One myocardial infarction, heart failure patients, especially heart failure patients, the incidence of sudden death than the ordinary high 5-10 times, but the vast majority of sudden death occurred outside the hospital. Sudden death occurs when, first aid extended by one every minute, the survival chances of patients dropped 10%.
Only 500 people in China each year to install heart defibrillators
Cardiovascular Branch of Chinese Medical Association vice-chairman of the Huang Dejia pointed out that the sudden cardiac death in high-risk groups, the medical profession believes that the installation of an implantable cardiac defibrillator is the most effective way. "In the heart of all, regardless of myocardial infarction, or heart failure, as long as did not occur in patients with atrial fibrillation, there is still time to save, but the event of atrial fibrillation may be fatal in a matter of minutes, the patients did not wait for the opportunity to the arrival of emergency personnel. "and the installation of defibrillators, it will be the first time after their restart," emergency procedures "to prevent the occurrence of sudden death. From Beijing Fuwai Cardiovascular Hospital for 10 years has done a heart bypass surgery in patients with the tracking of view, two years later, about 10% of patients with sudden death, and bypass surgery after the installation of defibrillator patients died within one year without a case.
Experts believe that the installation of the body implantable cardiac defibrillator is a vision like a bad person, like the need to wear glasses. In the United States, each year about 15 million people in the installation of implantable cardiac defibrillator, but in China, only 500 people each year to receive surgical implants. The reason why people do not accept the implantable cardiac defibrillator, on the one hand, do not understand, can not accept the body with a "small box", on the other hand, and economic capacity. At present, the market implantable cardiac defibrillator, the price of at least several million, and Medicare can not reimburse this part, leading to patients but do not have access to good things.
It is understood that a remote control alarm implantable cardiac defibrillator is now available. This new wireless defibrillator can be critical, not only in their automatic defibrillator function, but also can be closely monitored in patients with normal heart condition, if patients with abnormal heart, it will automatically issue a warning radio waves, and their alarm signals are remote control acceptable, we will send out alarm sound, while also warning lights flashing, to remind patients and doctors should be linked.
Timely cardiopulmonary resuscitation or to save patients with sudden death
"Although the risks of sudden cardiac death, but human beings are not powerless before it." Zhang Stephen said that to prevent sudden death, we should first do a good basis for disease control, such as the prevention of blood pressure, blood glucose fluctuations and so on. Statistics show that about a quarter of the sudden death of a patient death that day angina, heart palpitations, fatigue or difficulty in breathing, if the sudden cardiac death can come to grips with early symptoms and signs, timely diagnosis and treatment, some of the patient's life is can be saved.
In addition, if seen near syncope patients with coronary heart disease sudden, unconscious, accompanied by respiratory arrest situation, on-site staff immediately if CPR, external cardiac massage in the artificial resuscitation while waiting for ambulance come, it is possible to restore a life of patients. Abroad, many public occasions, such as hotels, stations, etc, are equipped with external defibrillator, but also the time of the sudden death of an effective first-aid approach.
Not long ago, as young as 39-year-old Beijing Tongrentang Co., Ltd. Sheng-yu, died suddenly at home. Sheng-yu, a lot of awareness of them said: "He who is also a number of key posts, it was too tired, but also a 'fatigue dead' example."
For a time, "fatigue" was so numerous fears about the social elite. However, this argument has recently been challenged scientists who - because, these elites of death appears to be tired, but it is actually a heart attack, but has long been dormant in their bodies for many years, but it has not caused them to pay attention to heart disease.
It turned out that heart disease is the greatest threat to our lives!
Survey showed that heart disease and stroke is still the primary cause of death worldwide, every year about 17.5 million people died of various kinds of cardiovascular disease. In the 25 ~ 44-year-old women, heart disease every year "defeat" of breast cancer, crowned as "female killer" first.
Tomorrow, is the eighth World Heart Day, this year's theme is "Know your level of risk (Know Your Risk)". On this day, let us hand on his chest, and feel the heart beating - it's at all times to operate, and to work diligently in order to sustain our lives. However, we have busy lives, but also how long it did not have the "heart" It's the case?
Medical guidance: Chinese Academy of Medical Sciences hospital Fuwai cardiovascular disease diagnosis and treatment of heart disorders Stephen Cheung, director of the Center, Guangdong Provincial People's Hospital of heart failure patient, deputy director of Physicians Chen Si Lin, Guangzhou Military General Hospital Cardiovascular Medicine Professor Xiang Dingcheng
Key words: heart failure
This year 66-year-old Zhang is a "Old chronic bronchitis," Asthma is a common practice for him. Can in recent months, Zhang asthma seems more and more serious, and "In the past, after walking up stairs or breathe, can not even sat recently, and even lying down at night are breathing." With full of doubt, Zhang has been found for their own treatment "COPD" doctor. Zhang doctors to do a series of inspection concluded: "Your function no obvious signs of deterioration, other indicators can also be, I suspect that you may not be aggravated asthma because of pulmonary lesions, the problem may be in the heart, it is may be caused by heart failure, you take a look at the specialist as soon as possible to the heart. "
If doctors allow Zhang surprise: "I obviously asthma, how wrong it would be in the heart?"
Heart will go on strike sitting asthma
Breathless was the heart of the problem
According to the Guangdong Provincial People's Hospital, MD, deputy director of the heart failure patient physician Chen Lin Si introduced, many people heard the words "heart failure" would think that the heart stopped beating. "In fact not the case." Chen Si-Lin played a vivid metaphor: "We can put the heart as a pump, while the blood is pumped water. Pumps used as time goes by, the problem will naturally, people The same heart, in addition to normal aging, the high blood pressure, rheumatic heart disease, myocardial infarction, diabetes and so could weaken the function of the heart, one of which is the heart contraction of weak performance. "As a result, the heart of" pump "of blood the amount will not be able to meet the body's energy needs, and thus there is a clinical syndrome or a group of symptoms. "Patients with mild physical decline may occur, after a little asthma, can be severe patients may be the same as Zhang, sitting, lying down all of the asthma."
Well, it's clear that the heart go wrong, why it is through the respiratory symptoms of performance out?
Si-Chen Lin explained that this was due to heart failure caused by fluid in the lungs, legs and body together with other organizations, affecting the lungs of blood and oxygen exchange between, it will appear in patients with heart failure edema, weight gain, shortness of breath or night symptoms of breathing difficulties.
China, an annual increase of 500,000 cases of heart failure
Si-Chen Lin reminded, chronic heart failure is generally not a sudden occurrence, but a less rapid progression of the disease, coupled with heart failure patient's symptoms did not specific, and even some patients have no symptoms. Therefore, patients with heart failure can be easily overlooked, or as to the treatment of other diseases. However, do not think that the treatment of heart failure can be delayed. Because According to statistics, if not treatment, 70% ~ 80% of patients with severe heart failure deaths in 8 years!
In addition, the number of patients with heart failure is the year. Based on current information, the world's more than 20 million patients with heart failure, the United States has about 500 million, China is estimated that 5.85 million per 100,000 elderly people over the age of 65 in 1000 patients there. The world each year two million new cases of patients with the United States and China each year about 500,000 new patients.
B-can be found in the heart of heart failure
How can this early detection of heart failure? Si-Chen Lin pointed out that although heart failure is a complex disease, but currently, China's standard of health care through a number of relatively simple to check out can be diagnosed. B-one heart, electrocardiogram (ECG), X-ray chest, exercise tests are commonly used and effective inspection.
Regarding the treatment, despite the failure is a chronic disease that currently can not be completely cured, but if patients strictly enforce the doctor's treatment plan is to delay the deterioration of heart failure, improve symptoms, improve the quality of life.
At present, the most commonly used heart failure or drug therapy, doctors will use drugs to control patients, the drugs commonly used diuretics, angiotensin converting enzyme inhibitors (ACEI), β-blockers, etc. . Patients usually have to take several drugs to control the disease.
Si-Chen Lin pointed out that if the situation in the development of heart failure patients that even the bad drug control phase, we need some heart surgery (for example: cardiac valve replacement and heart transplantation) or equipment to treat. Therapy equipment which is the application of a broader approach, which includes cardiac resynchronization therapy (CRT) and implantable cardioverter defibrillator therapy (ICD).
Key words: fatigue dead
Chinese Men's Basketball was the leader of the last century穆铁柱, recently passed away. Filed穆铁柱, slightly older Chinese people are familiar with, because in the last century七八十年generation, he was no one can block the "center in Asia." His death, it was attributed to his early Superacid training. Some statistics,穆铁柱play in the national team for 14 years, the only training run of 51.1 million meters, which is equivalent to 1.2775 circle around the Earth's equator.
Coincidentally, not long ago, as young as 39-year-old Beijing Tongrentang Co., Ltd. Sheng-yu, sudden death at home. Sheng-yu, according to colleagues around disclosed that he had Tongrentang shares in addition to serving as chairman of the company's outside, or more than a branch enterprise "When the family", "his sudden death, who may be associated with a number of positions, the heavy workload too much pressure related. "
However, the departure of these two celebrities, and finally none proved more than just "fatigue"'s fault, but with heart disease.
Do not be fooled by fatigue dead: it is actually behind heart disease
Cardiovascular disease is the real cause of sudden death
In recent years, with a lot of media coverage in the prime of life, social "elite" one by one fell to the rostrum, the posts, "overwork death" as a threat to occupational health and even their lives crowd term. However, medical experts are not as simple as that.
"Not every fatigue load to bear the same people will 'die', the same circumstances, why colleagues around him are safe? Such as through the autopsy found that the majority of 'fatigue dead' in the prime of life itself has the potential cardiovascular disease, However, it is possible he did not know. "Guangzhou Military Region General Hospital Cardiovascular Medicine Professor Xiang Dingcheng told reporters that the basis of their own is the main cause of disease, and fatigue is to make the incentive of sudden illness. "People with vascular disease, coronary heart disease, aortic aneurysm, heart disease and other groups of people, blood pressure is very vulnerable to emotional and physical effects of fluctuations, too much pressure, fatigue is bound to cause a sharp rise in blood pressure in a short period of time, resulting in cardiac insufficiency, caused sudden death. If he himself and the family members are not aware of their heart problems, is likely to simply judged as' fatigue dead '. "said Professor Xiang Dingcheng.
Four people须防"overwork death"
"In fact, the vast majority of sudden death there before the crowd in the incidence of precursor, such as chest tightness, angina and so on, and as long as the rest will be able to alleviate such signs, but many people have overlooked this danger 'signal', once recovery nothing on it to continue to engage in heavy work, did not consider whether there is the possibility of cardiovascular disease. "Professor Xiang Dingcheng told reporters, clinical discovery, more and more 30 to 40-year-old male began to coronary heart disease," Generally speaking, the male incidence than women about a decade earlier, women affected by the level of estrogen protection, more than the occurrence of coronary heart disease in postmenopausal women and men in the prime of life may have heart disease have been hidden inside the body, but a lot of people are not aware of. "
He pointed out that the following four major risk factors are to occupy more than one belonging to high-risk groups: patients with hypertension, hyperlipidemia patients, diabetics and smokers. "There are a family history of men as early as the occurrence of coronary heart disease before age 45, women 55 years earlier than the incidence of persons, and their age has been reached in the prime of life, it should be included in the scope of high-risk groups, these groups can not be omitted from the annual medical examination to check the heart, and peacetime should keep a close watch on their own whether there is any discomfort caused by cardiovascular disease. "
Key words: sudden death
急死also known as the sudden death of healthy people may seem sudden unexpected death, are known as sudden death, the general from symptoms to death in 1 hour. Sudden death for a variety of reasons, but most see the cardiovascular system diseases, information on domestic and foreign data indicate that approximately 80% of sudden cardiac death are directly related with the heart.
80% of sudden death and heart disease-related
1 / 4 in patients with no symptoms before sudden death
In recent days, "Chinese Medicine of Pacing and Electrophysiology Branch," the eighth annual meeting held in Hangzhou. Chinese Academy of Medical Sciences Fuwai Cardiovascular Hospital director of the Center for diagnosis and treatment of heart disorders Professor Zhang Shu at the meeting pointed out: "China's 544,000 people each year of sudden cardiac death occurs every day there are at least 1480 people were killed. In other words, the equivalent of a day to take place four times a crash. "In addition, about 1 / 4 to the sudden death of coronary heart disease as the first performance. In other words, this part before the sudden death of patients did not know they are suffering from heart disease.
Zhang Shu, said sudden cardiac death in high-risk groups include three categories: the first category, those with heart diseases, such as myocardial ischemia, myocardial disease, etc.; The second category is ECG unstable patients, including those with ventricular arrhythmia , late potentials and other diseases; the third category is the decline in cardiac function in patients, including patients with congestive heart failure. One myocardial infarction, heart failure patients, especially heart failure patients, the incidence of sudden death than the ordinary high 5-10 times, but the vast majority of sudden death occurred outside the hospital. Sudden death occurs when, first aid extended by one every minute, the survival chances of patients dropped 10%.
Only 500 people in China each year to install heart defibrillators
Cardiovascular Branch of Chinese Medical Association vice-chairman of the Huang Dejia pointed out that the sudden cardiac death in high-risk groups, the medical profession believes that the installation of an implantable cardiac defibrillator is the most effective way. "In the heart of all, regardless of myocardial infarction, or heart failure, as long as did not occur in patients with atrial fibrillation, there is still time to save, but the event of atrial fibrillation may be fatal in a matter of minutes, the patients did not wait for the opportunity to the arrival of emergency personnel. "and the installation of defibrillators, it will be the first time after their restart," emergency procedures "to prevent the occurrence of sudden death. From Beijing Fuwai Cardiovascular Hospital for 10 years has done a heart bypass surgery in patients with the tracking of view, two years later, about 10% of patients with sudden death, and bypass surgery after the installation of defibrillator patients died within one year without a case.
Experts believe that the installation of the body implantable cardiac defibrillator is a vision like a bad person, like the need to wear glasses. In the United States, each year about 15 million people in the installation of implantable cardiac defibrillator, but in China, only 500 people each year to receive surgical implants. The reason why people do not accept the implantable cardiac defibrillator, on the one hand, do not understand, can not accept the body with a "small box", on the other hand, and economic capacity. At present, the market implantable cardiac defibrillator, the price of at least several million, and Medicare can not reimburse this part, leading to patients but do not have access to good things.
It is understood that a remote control alarm implantable cardiac defibrillator is now available. This new wireless defibrillator can be critical, not only in their automatic defibrillator function, but also can be closely monitored in patients with normal heart condition, if patients with abnormal heart, it will automatically issue a warning radio waves, and their alarm signals are remote control acceptable, we will send out alarm sound, while also warning lights flashing, to remind patients and doctors should be linked.
Timely cardiopulmonary resuscitation or to save patients with sudden death
"Although the risks of sudden cardiac death, but human beings are not powerless before it." Zhang Stephen said that to prevent sudden death, we should first do a good basis for disease control, such as the prevention of blood pressure, blood glucose fluctuations and so on. Statistics show that about a quarter of the sudden death of a patient death that day angina, heart palpitations, fatigue or difficulty in breathing, if the sudden cardiac death can come to grips with early symptoms and signs, timely diagnosis and treatment, some of the patient's life is can be saved.
In addition, if seen near syncope patients with coronary heart disease sudden, unconscious, accompanied by respiratory arrest situation, on-site staff immediately if CPR, external cardiac massage in the artificial resuscitation while waiting for ambulance come, it is possible to restore a life of patients. Abroad, many public occasions, such as hotels, stations, etc, are equipped with external defibrillator, but also the time of the sudden death of an effective first-aid approach.
The incidence of heart disease causes and prevention of
Fractal coronary heart disease there are many, and the occult, there is no clinical manifestation of symptoms, are too often neglected, physical load will become larger when the incidence. There is the magnitude of the most widely angina, coronary insufficiency, cardiac insufficiency sharply, vascular contraction caused by myocardial ischemia, hypoxia and necrosis. Most men over the age of 40 concurrent angina easy.
First of all causes fatigue, emotional hysteria and vasoconstriction caused by myocardial ischemia, so we must pay attention to people with existing heart or do any work, emotional stability.
Eat three square meals is the incidence of the most common, rather than being the attention of members. Why eat three square meals can induce cardiac arrest patients do? Because the body's blood is a relatively fixed supply of blood flow is all the body's systems, including heart and digestive system and so on, to eat too much blood flow after the flow of digestive system, heart for the relative shortage of blood and oxygen supply would be reduced, so tired after a meal is for this reason. Easily induced angina, lie down for a meal if 【10 - 20】 minute, do not stand up, digestive system and heart blood flow is balanced and light will reduce the burden of cardiac blood supply. Especially difficult to digest the lipids and eat food, or eat太饱friends suffering from heart disease must rest after a meal. In order to reduce the disease must not eat three square meals.
Another friend of suffering from heart disease after a meal not to campaign and take a shower, due to peripheral blood flow after a meal will be reduced, if this time, exercise or take a shower, vasodilator also reduced blood flow. Insufficient blood supply to the heart of oxygen likely to cause heart disease. So immediately after a meal not to campaign and take a bath.
There are friends of heart disease should pay attention to keep warm in winter, do not catch cold, cold weather easily vascular contraction and elevated blood pressure, causing cramps, so most likely to occur in winter heart attack.
Angina is coronary artery blockage, myocardial sharply ischemia, necrosis, a serious life-threatening disease, one of a heart attack. Patients have continued substernal pain, which is prior to the onset of angina showed one of the symptoms often are ignored. . , But there are also the performance of different phenomena. Some nausea, vomiting, also after the back pain, these are the symptoms of myocardial infarction before. Let us not lose sight of these phenomena. If there is a myocardial infarction is the best time to save four minutes before the infarction, if after this valuable four minutes can easily lead to death. So people with existing heart or a friend must pay attention to the early stage of infarction symptoms. Hou Baolin 【we all know it, because to eat noodles to eat more, eat three square meals after induced infarction, first vomiting, nausea. But he ignored the early symptoms of disease, if the vomiting on the hospital for treatment, may be to restore life】
Primary prevention of heart disease prevention is to a balanced diet, high protein, high-fat will lead to arteriosclerosis, induced a heart attack, but also to control high cholesterol 【high sugar diet, such as cakes, refined sugar, chocolate, and so will also lead to high cholesterol food】 intake of human blood cholesterol plaque is fat, and cholesterol by eating the greatest impact. So a balanced diet. The relationship between heart disease with nutrition are inseparable. Mono-unsaturated fatty acids are mainly deep-sea fish contain can prevent arteriosclerosis, 【containing DHA, EPA]】 particularly the marine high-fat fish, prevention plays a significant role in coronary heart disease. Olive oil, tea oil, peanuts, walnuts contain VE have softened vascular role, regular intake will be the prevention of atherosclerosis. Drink red wine, eat more vegetables, a week 2 - 3 Dayton coarse staple diet少盐also the prevention of heart disease.
First of all causes fatigue, emotional hysteria and vasoconstriction caused by myocardial ischemia, so we must pay attention to people with existing heart or do any work, emotional stability.
Eat three square meals is the incidence of the most common, rather than being the attention of members. Why eat three square meals can induce cardiac arrest patients do? Because the body's blood is a relatively fixed supply of blood flow is all the body's systems, including heart and digestive system and so on, to eat too much blood flow after the flow of digestive system, heart for the relative shortage of blood and oxygen supply would be reduced, so tired after a meal is for this reason. Easily induced angina, lie down for a meal if 【10 - 20】 minute, do not stand up, digestive system and heart blood flow is balanced and light will reduce the burden of cardiac blood supply. Especially difficult to digest the lipids and eat food, or eat太饱friends suffering from heart disease must rest after a meal. In order to reduce the disease must not eat three square meals.
Another friend of suffering from heart disease after a meal not to campaign and take a shower, due to peripheral blood flow after a meal will be reduced, if this time, exercise or take a shower, vasodilator also reduced blood flow. Insufficient blood supply to the heart of oxygen likely to cause heart disease. So immediately after a meal not to campaign and take a bath.
There are friends of heart disease should pay attention to keep warm in winter, do not catch cold, cold weather easily vascular contraction and elevated blood pressure, causing cramps, so most likely to occur in winter heart attack.
Angina is coronary artery blockage, myocardial sharply ischemia, necrosis, a serious life-threatening disease, one of a heart attack. Patients have continued substernal pain, which is prior to the onset of angina showed one of the symptoms often are ignored. . , But there are also the performance of different phenomena. Some nausea, vomiting, also after the back pain, these are the symptoms of myocardial infarction before. Let us not lose sight of these phenomena. If there is a myocardial infarction is the best time to save four minutes before the infarction, if after this valuable four minutes can easily lead to death. So people with existing heart or a friend must pay attention to the early stage of infarction symptoms. Hou Baolin 【we all know it, because to eat noodles to eat more, eat three square meals after induced infarction, first vomiting, nausea. But he ignored the early symptoms of disease, if the vomiting on the hospital for treatment, may be to restore life】
Primary prevention of heart disease prevention is to a balanced diet, high protein, high-fat will lead to arteriosclerosis, induced a heart attack, but also to control high cholesterol 【high sugar diet, such as cakes, refined sugar, chocolate, and so will also lead to high cholesterol food】 intake of human blood cholesterol plaque is fat, and cholesterol by eating the greatest impact. So a balanced diet. The relationship between heart disease with nutrition are inseparable. Mono-unsaturated fatty acids are mainly deep-sea fish contain can prevent arteriosclerosis, 【containing DHA, EPA]】 particularly the marine high-fat fish, prevention plays a significant role in coronary heart disease. Olive oil, tea oil, peanuts, walnuts contain VE have softened vascular role, regular intake will be the prevention of atherosclerosis. Drink red wine, eat more vegetables, a week 2 - 3 Dayton coarse staple diet少盐also the prevention of heart disease.
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