A clinical-like syndrome:
According to their clinical coronary heart disease-like disease can be divided into five types:
1 angina type: performance as a sternum pressing a sense of nausea after the swelling sense of anxiety associated with significant sustained 3-5 minutes often diverge to the left arm shoulder lower jaw and throat can also radiate into the back of his right arm. Sometimes involving these areas After the area without affecting the breastbone. forcefully emotional catch cold meal such as increase in myocardial oxygen consumption under attack is called angina pectoris with nitroglycerin for rest and ease the sometimes atypical angina pectoris can be expressed as gas-tight syncope Weakness belch, especially in the elderly according to the frequency and severity of attacks are divided into stable angina and unstable angina. stable angina refers to the onset of angina pectoris in January over parts of the frequency of their seizure severity continued to time to onset of labor-inducing size can ease the pain of nitroglycerin dosage is basically stable unstable angina refers to the original stable angina attack frequency increase in the duration of the severity or new onset of exertional angina pectoris ( occurred within 1 month) or when the onset of resting angina with unstable angina pectoris is a precursor of acute myocardial infarction is why, once discovered should be immediately to the hospital.
Type 2 myocardial infarction: infarction often occurs about a week before the prodromal symptoms such as resting and mild physical activity during the onset of angina pectoris with obvious discomfort and fatigue infarction presenting with persistent severe oppressive sense of boredom or even a knife-like plug After the pain in the sternum often affect the entire chest to the left as the most important part of the patient can extend his left arm caused by radiation down the left side of the wrist ulnar palm and fingers, tingling and some patients may be radiation to the upper jaw to the left shoulder and neck pain-based site location consistent with previous angina pain, but continued much longer with more emphasis on rest and nitroglycerin does not relieve the performance of upper abdominal pain is sometimes easy to be confused with abdominal disease, irritability accompanied by low-heat, and cold sweat, nausea, sweating vomiting, dizziness, palpitations very weak sense of difficulty in breathing for 30 minutes or more near-death for several hours often find this situation should seek medical attention immediately
How the early detection of coronary artery disease?
Coronary heart disease is the common diseases and frequently-occurring disease in the elderly in this age group phase of the people in their daily lives if the following conditions must be promptly for medical treatment early detection of coronary artery disease
(1) fatigue or mental stress or after sternum when precordial Mentong or contraction-like pain in left shoulder and left upper arm to the radiation lasting 3-5 minutes after the break on their own remission
(2) physical activity, chest tightness, palpitation and shortness of breath when at rest on their own remission
(3) The emergence and exercise-related leg pain such as headache, toothache
(4) eat too much cold or watching a movie thriller palpitations chest pain who
(5) night of sleep to feel chest tightness, low pillow suffocating pillow lying side require a high comfort persons; sleeping supine position during the day when a sudden chest pain or palpitations shortness of breath requiring immediate sit or stand can be reduced by
(6) sexual life or forceful defecation flustered when shortness of breath or chest pains, chest discomfort
(7) heard the noise they were chest tightness caused by flustered
(8) recurring pulse arrhythmia of unknown causes too fast or too slow heart rate were
For the early detection of coronary heart disease over 40 years of age who regularly do the following test:
If the test results are not normal or have other risk factors for susceptibility to coronary heart disease should be one or more times every five years for blood cholesterol tests
Blood pressure checks every year to make a
A year to make a blood glucose testing
If it is a high risk of coronary heart disease should ask the doctor to see if you need to receive ECG if you need further examination will be arranged for a doctor to do an exercise test to measure a fixed pin in the foot car or foot treadmill ECG machine
Coronary angiography is the surest method of diagnosis of coronary heart disease
3 silent myocardial ischemic: Many patients have a wide range of coronary artery occlusion did not feel that some patients who had angina pectoris or even myocardial infarction angina when some patients did not feel that the occurrence of sudden cardiac death in heart attack routine physical examination found that before being discovered. some patients with ischemic ECG manifestations because the arrhythmia occurred or because the exercise test positive for coronary angiography being done only to find that such patients are sudden cardiac death and myocardial infarction and angina patients the opportunity to, like it should be Note that usually the heart of the health-care
4 heart failure and arrhythmia type: some patients with angina pectoris after the original lesion due to extensive myocardial fibrosis in a wide range gradually reduced to the disappearance of angina heart failure have occurred in the performance such as air-tight edema, fatigue, etc. There are a variety of arrhythmias manifested as palpitations. There are some patients with angina pectoris has never directly expressed as heart failure and arrhythmias
5 sudden death type: that due to coronary heart disease caused by unpredictable sudden death in patients with acute onset of symptoms occurred within 6 hours after cardiac arrest due to mainly due to myocardial ischemia caused by abnormal electrophysiological activity lead to serious arrhythmia
2. Signs:
In general no clear positive signs of early heavy can determined to expand the sector to the left under the first heart sound can be heard when the weakened with arrhythmias such as atrial fibrillation with heart failure, and premature beats when the two can be heard under the lungs and wet rales can be heard and the apical gallop, etc.
