There are some atypical symptoms of coronary heart disease, such as palpitation, shortness of breath, chest tightness and dyspnea after physical activity, emotional excitement, overeating and cold weather. When you sleep at night, you feel suffocated and your breathing is not smooth, and it will be relieved if you get up and sit for a while, or you feel pain in your throat, left shoulder or upper abdomen after physical labor. Be careful that it is a symptom of coronary heart disease.
To judge whether you really have coronary heart disease, these symptoms alone are not enough. To diagnose coronary heart disease, coronary angiography is essential. In the medical field, the results of coronary angiography are the gold standard for the diagnosis of coronary heart disease. Doctors will also help diagnose coronary heart disease by asking about medical history, electrocardiogram examination and biochemical index examination.
The most common cause of coronary heart disease is coronary atherosclerosis, and more than 90% of coronary heart disease is caused by this reason. Coronary atherosclerosis is closely related to people's age growth, and people under 30 years old rarely have atherosclerosis problems; The development of arteriosclerosis is closely related to the chronic course of hypertension, diabetes and hyperlipidemia. Controlling your blood pressure, blood lipid and blood sugar level can delay the occurrence of arteriosclerosis and coronary heart disease.
Smoking is the most important risk factor of hypertension and coronary heart disease, and it is also one of the individual factors that can be completely eliminated among many risk factors of coronary heart disease. Therefore, while actively controlling blood pressure, blood lipid and blood sugar, it is of great significance to completely quit smoking to prevent coronary heart disease.
Many people have heard that coronary heart disease is caused by coronary atherosclerosis, which leads to myocardial ischemia, hypoxia and necrosis. It is called coronary heart disease, and the scope of coronary heart disease is relatively wide. Let's take a look at what surface signals will appear in the early stage of coronary heart disease, so as to find them in time and treat them as soon as possible.
Early body surface signals of coronary heart disease;
1. The ear is abnormal, and tinnitus will appear in the early stage of the disease. It is due to the abnormal dynamics of the tiny blood vessels in the inner ear. When there is no systemic reaction to the disease, the inner ear will show signals first. People with arteriosclerosis, high blood pressure, blood lipids, smoking and drinking, especially those over 50 years old, have persistent tinnitus. It is necessary to pay attention to it and seek medical attention in time to check the heart to avoid delaying the illness.
According to medical scientists, most of the dead with coronary heart disease have a wrinkle in their earlobes. Through the heart examination of people with this condition, it is found that 90% of them have arteriosclerosis and coronary heart disease.
The earlobe belongs to the terminal part, which is sensitive when the connective tissue is absent. When there is arteriosclerosis, it will cause the microcirculation disorder of the earlobe and make the earlobe wrinkle. For middle-aged and elderly people, self-observation should be carried out frequently to facilitate early detection of illness.
2. The face is abnormal and swollen, especially in the eyelids, the facial muscles are slack, and the fingers are indented and cannot bounce. People with symptoms such as yellow, soft and flat wart-like protrusion on the inner side of the upper eyelid are generally accompanied by coronary heart disease and hyperlipidemia. It is also necessary to have a dark red and pale face, and it may also be a symptom of coronary heart disease.
3. Abnormal nose and red nose mostly indicate heart problems; The nose is hard, indicating that there is too much heart fat; The nose tip is swollen, which may lead to enlargement of heart fat or enlargement of heart lesions.
4. There are bouts of soreness on the left shoulder and the inside of the arm, and pay attention to the occurrence of coronary heart disease.
5. The fingers or toes are obviously thick and the nails are raised, which is similar to a wooden stick. Most of them are chronic pulmonary heart disease or congenital cyanotic heart disease.
6. Edema appears in the lower limbs of middle-aged and elderly people, mostly due to cardiac insufficiency, which causes the venous blood return to be blocked. In addition, palpitations and asthma often appear, which are relieved when squatting, and are generally manifestations of cyanotic heart disease.
Generally speaking, chest discomfort, including chest tightness, chest pain, holding your breath, flustered, chest like holding a big stone, etc., may all be manifestations of heart disease. However, there are the following points to note:
(1) Persistent chest pain with sweating in the posterior sternum or precordial region is a typical manifestation of myocardial infarction.
(2) In the case of certain inducement, such as chest tightness and discomfort when tired and emotional, or feeling tightness in the pharynx, it may radiate to the left shoulder and jaw, which is a typical angina pectoris. At this time, I can only describe the approximate location, and generally it won't last long.
(3) Another very important feature of heart attack is paroxysmal attack. It is very uncomfortable during the attack, and people feel very scared, but after the attack, there is no discomfort. This situation should be especially vigilant.
(4) There are some atypical manifestations, such as epigastric discomfort, jaw pain, toothache, shoulder pain, syncope, fatigue, and possibly heart disease.
(5) Some patients have a sudden heart attack characterized by sudden cardiac arrest, which makes people unprepared and has no chance of rescue.
In short, when you have a heart attack, your performance varies widely. Therefore, you should try to prevent it, instead of waiting for symptoms to go to the hospital.
Coronary heart disease (CHD) is the atherosclerosis of the coronary artery supplying the myocardium, which makes the lumen of the coronary artery shrink, and the blood flow supplied by the coronary artery to the myocardium is relatively insufficient, resulting in chest tightness and precordial pain. So how to find the signal of coronary heart disease early?
First, wrinkles: American scholars have conducted research and found that 90% of people with wrinkles in earlobes suffer from coronary heart disease; However, among 1 1 patients without earlobe folds, 10 patients had normal coronary arteries. At the same time, another group 12 1 patients with coronary heart disease were examined for earlobes, but 12 0 patients had wrinkles. Therefore, the phenomenon that the earlobe is wrinkled is gradually used to diagnose coronary heart disease. Because of coronary motion
Pulse disease will involve arterioles in the whole body, causing microcirculation disturbance. As the terminal part, the earlobe is a fibrous honeycomb tissue with neither cartilage nor ligament, which is easily affected by ischemia and hypoxia, resulting in local contraction and wrinkles.
Second, the corneal senile ring: Some elderly people have a gray-white or white turbid ring on the edge of the cornea, which is about 1 2 mm wide, which is medically called corneal senile ring. It is found that the existence and degree of senile ring have a certain relationship with the onset of coronary heart disease. Almost all patients with senile ring have different degrees of arteriosclerosis, while most elderly people with arteriosclerosis will have senile ring.
The third is repeated pain in the left shoulder. Angina pectoris is an early clinical manifestation of coronary heart disease. When angina pectoris attacks, crush-like pain often occurs on the left side of the patient's sternum or above the chest, and the range of pain is as large as slap or fist, which is a typical manifestation of angina pectoris. However, in clinic, some patients with angina pectoris are not necessarily typical, and some only show pain in the left shoulder. This kind of pain varies from mild to severe, and it can last or disappear quickly.
Fourth, lower toothache: Experts believe that lower toothache or mandibular pain is often a strange signal of coronary heart disease. People around 50 years old, especially men, have lower toothache that can't be relieved by taking painkillers, and those who have no pathological changes in oral examination should consider whether they have coronary heart disease and go to the hospital for examination in time.
Fifth, impotence: impotence may be one of the early signs of heart disease. Current medical research has found that impotence occurs in patients with heart disease.
The rate is higher than that of healthy people, and the incidence of complete impotence is as high as 2 1%. Researchers remind people that middle-aged men should go to the hospital to check their heart function if they often have impotence.
References:
[1] Zhao Yanping. Early signs of coronary heart disease [J]. Farmer Consultant, 2006(06):55.
[2] Kang Min. Ear lobe wrinkle-a signal of coronary heart disease [J]. Selected medical works, 1997(06):8.
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Early detection of coronary heart disease, early treatment, of course, good results. How to find coronary heart disease early is not necessarily so easy. Why is this?
The cause of coronary heart disease is that the blood vessels (coronary arteries) supplying the heart are narrowed and the blood supply is insufficient, which leads to myocardial ischemia. Vascular stenosis is not formed in a day, it is the result of various destructive factors.
If we take the sewer at home as an example, the scale, grease, hair and food residue in the pipeline slowly accumulate, and we can't find it at first. It was not until one day that the water suddenly became slow or the water stopped flowing that we realized that the pipeline was blocked.
The same is true of coronary heart disease, and there may not be symptoms in the early stage. Some people get sick for the first time, and the examination is myocardial infarction. Some people have already had heart failure at the first examination, and some people have only chest tightness and chest pain, but many blood vessels have already been severely narrowed.
The following are the common first symptoms of coronary heart disease. They may not appear in the early stage of coronary heart disease, but if you don't pay attention to them and don't check them, it's your fault.
A chest tightness and chest pain.
This is the most typical symptom of coronary heart disease. According to its attack characteristics, it can be divided into two types.
1 exertional angina pectoris.
For example, walking fast, climbing stairs, and chest pain when doing manual work can be relieved by rest. This is the most classic symptom of coronary heart disease, and it is also the most likely to be found early. Its appearance shows that your coronary artery blood supply to the heart is enough at ordinary times, but once the exercise is increased, it is not enough, which is an indirect proof of vascular stenosis.
2 Unstable angina pectoris.
It can be induced by rest or slight activity, and the frequency of seizures increases, the degree increases, the time is prolonged, and the seizures are not necessarily regular. This type of angina pectoris has the potential to develop into myocardial infarction, so we must go to the hospital for examination in time.
2. Atypical site pain.
Stomach pain, shoulder pain, neck pain, toothache and back pain may all be manifestations of angina pectoris. When middle-aged and elderly people have pain in these parts, it is best to do ECG to rule out the possibility of angina pectoris.
Triarrhythmia
The patient's conscious symptom is palpitation, or he feels the heartbeat pause, which may be premature beat. You can find irregular rhythm by counting the pulses. The diagnosis can be made if the electrocardiogram can be captured during the attack. There are many reasons for arrhythmia, and coronary heart disease is only one of the most common. When arrhythmia is found, it is necessary to consider whether there is coronary heart disease in combination with other factors.
Four wheezing
Breathing after physical activity is a sign of heart failure. If there is this phenomenon, it shows that coronary heart disease has developed to a very serious degree. However, it should be noted that coronary heart disease, like arrhythmia, is not the only cause of heart failure.
It is very passive to wait until the above symptoms appear before checking. A more active method is to learn to identify the risk factors of coronary heart disease and actively prevent it. They mainly include:
These risk factors, together with age, make you more likely to have coronary heart disease. If you account for more than three items, it is best to have a serious physical examination every year, regardless of symptoms. Because in the eyes of doctors, you are already a high suspect.
Coronary heart disease (CHD) is a common and frequently-occurring disease in middle-aged and elderly people. People at this age should seek medical advice in time if the following situations occur in their daily lives, so as to find CHD as soon as possible, so as not to delay their illness.
(1) Suffering from chest pain or constrictive pain in the posterior sternum or precordial region during fatigue or mental stress, radiating to the left shoulder and left upper arm for 3 5 minutes, and relieving itself after rest.
(2) Chest tightness, palpitation and shortness of breath occur during physical activity, and they relieve themselves at rest.
(3) Headache, toothache and leg pain related to exercise.
(4) Those who have chest pain and palpitations when they are full of food, cold or watching thrilling movies.
(5) Those who feel chest tightness and hold their breath when sleeping with a low pillow at night and need a high pillow to feel comfortable; Sudden chest pain, palpitation and dyspnea while sleeping or lying flat during the day, which can only be relieved by sitting up or standing up immediately.
(6) Palpitation, chest tightness, shortness of breath or chest pain during sexual life or forced defecation.
(7) Hearing the sound of gongs and drums or other noises around will cause palpitation and chest tightness.
(8) Repeated irregular pulse, unexplained tachycardia or bradycardia.
How to find early coronary heart disease
Coronary heart disease is a common and frequently-occurring disease in middle-aged and elderly people. People in this age group should seek medical advice in time and find coronary heart disease as soon as possible if the following situations occur in their daily lives.
(1) When you are tired or nervous, you will feel dull pain in the retrosternum or precordial area, or constrictive pain, and radiate it to your left shoulder and left upper arm for 3 minutes and 5 minutes, and then relieve it by yourself after rest.
(2) Chest tightness, palpitation and shortness of breath occur during physical activity, and relieve themselves at rest.
(3) Headache, toothache and leg pain related to exercise.
(4) Chest pain and palpitation during full meal, cold or watching thrilling movies.
(5) When sleeping with a low pillow at night, you feel chest tightness, and you need a high pillow to feel comfortable; Sudden chest pain, palpitation and dyspnea while sleeping or lying flat during the day can be relieved only by sitting up or standing up immediately.
(6) Palpitation, chest tightness, shortness of breath or chest pain during sexual life or forced defecation.
(7) Hearing noise will make you feel flustered and chest tightness.
(8) Repeated irregular pulse and unexplained tachycardia or bradycardia.
In order to detect coronary heart disease early, people over 40 years old should have regular checkups.
If the test results are abnormal or there are other risk factors for coronary heart disease, you should do one or more blood cholesterol tests every five years; Have a blood pressure check and a blood sugar check once a year.
If you belong to the high-risk group of coronary heart disease, you should ask a doctor to see if you need to undergo ECG examination. If further examination is needed, the doctor will arrange an exercise test to measure the electrocardiogram when stepping on a stationary bicycle or a treadmill. Coronary angiography is the most reliable method to diagnose coronary heart disease.
Coronary heart disease refers to the heart disease caused by coronary atherosclerosis, which leads to stenosis and occlusion of the official cavity and myocardial ischemia, hypoxia or necrosis. Coronary heart disease mostly occurs after 40 years old, with more men than women, and the average prevalence rate is about 6.49%. Coronary atherosclerosis is a slow-developing disease, which can last for decades without symptoms. It is only when angina pectoris appears that coronary heart disease is noticed. In some cases, acute coronary syndrome or even sudden death is known. Therefore, finding asymptomatic coronary heart disease in time is the key to avoid fatal heart events, so what are the danger signs in the early stage of coronary heart disease?
1. Chest pain: This is the most common clinical manifestation of coronary heart disease. The main part is located behind the sternum, which can spread to the precordial area, with a palm-sized area. It often causes radiation pain on the left shoulder and the inner side of the left arm to the ring finger and little finger, or to the neck, pharynx or mandible. It is often induced by physical labor or emotional excitement, and lasts for 3-5 minutes. This pain is usually caused by taking nitroglycerin and other drugs after rest or sublingual administration. 2. Palpitation: It may also be an early signal of coronary heart disease. Palpitation is a feeling of discomfort or palpitation when the heart beats too fast. When this feeling occurs, especially when it is accompanied by pain in the precordial area, attention should be paid. 3. Shortness of breath: it is a manifestation of cardiac insufficiency, which mainly occurs in patients with coronary heart disease complicated with heart failure. It is mainly manifested in shortness of breath and difficulty breathing when they are slightly physically working or emotionally excited. In severe cases, they will not be able to lie flat when sleeping at night. 4. Syncope: Some patients with coronary heart disease will also suffer from transient cerebral blood supply insufficiency due to arrhythmia, so the possibility of coronary heart disease should be highly suspected when syncope suddenly occurs.
When the above-mentioned symptoms appear, you should go to the hospital in time. Generally, you should have an electrocardiogram examination first, and if necessary, you need to do an exercise test to measure the electrocardiogram when stepping on a stationary bicycle or stepping on a treadmill to find out whether there is coronary heart disease. Coronary angiography is the most sure way to diagnose coronary heart disease. In addition, old age, long-term smoking, obesity, hypertension, hyperglycemia and hyperlipidemia are common risk factors for coronary heart disease. Therefore, high-risk groups with the above risk factors should be more alert to the existence of coronary heart disease.
Everyone behaves differently. Some people may have acute myocardial infarction or sudden death for the first time, some may have angina pectoris, some may have heart failure, and some may have no symptoms.
Therefore, we can't accurately express the early symptoms of coronary heart disease. Let's briefly introduce the earliest and earliest manifestations of coronary heart disease, that is, the high-risk factors of coronary heart disease, that is, these people may develop coronary heart disease, which is the earliest and earliest manifestation of coronary heart disease. If we don't actively control and prevent it, it may continue to worsen and various symptoms will occur.
Coronary heart disease?
Coronary atherosclerotic heart disease, that is, the accumulation of garbage in the heart blood vessels and the stenosis of lucky blood vessels, is called coronary heart disease when the stenosis is more than 50%.
The final early symptoms of coronary heart disease (high-risk population)
Genetic genes, that is, if parents have coronary heart disease, especially if their parents had acute myocardial infarction when they were young, then their risk of coronary heart disease is obviously increased.
In advanced age, with the increase of age, atherosclerosis is aggravated theoretically, and the possibility of coronary heart disease is also increased.
For women, when estrogen suddenly drops suddenly after menopause, the risk of coronary heart disease increases significantly. But the relative risk before menopause is low, so the incidence of coronary heart disease in premenopausal women is significantly lower than that in men.
Hypertension, diabetes, hyperlipidemia, people with three high levels obviously suffer from coronary heart disease, which is significantly higher than those without three high levels; Smoking and drinking, inactivity, obesity, unhealthy diet, etc. are all high risk factors of coronary heart disease.
The more these high-risk factors, the easier it is to get coronary heart disease, so prevention should be given priority to.
But once coronary heart disease occurs, it is irreversible and needs long-term drug control.
Some symptoms of coronary heart disease:
The most typical is angina pectoris, which is divided into fatigue angina pectoris and unstable angina pectoris.
Fatigue angina pectoris is angina pectoris only after activity and fatigue; Unstable angina pectoris refers to angina pectoris at rest, which is obviously aggravated after activity; If angina pectoris persists for more than 15 minutes, myocardial infarction is suspected.
Angina pectoris is not only pain in the heart, but also includes chest tightness, chest pain, toothache, headache, pharyngeal tightness, pain in the left shoulder and back, upper abdominal pain, palpitation and so on. It usually lasts for 3- 15 minutes, and it gets worse after the activity.
In short, the earliest symptom of coronary heart disease is high-risk factors. Although coronary heart disease has not been detected at this time, it is precisely because it has not developed into coronary heart disease that prevention is more meaningful.
Generally, it will be manifested as precordial pain after exercise, and there are many atypical symptoms.