Can't only look at the electrocardiogram while checking coronary heart disease Should guard against the acute heart stem

Can't only look at the electrocardiogram while checking coronary heart disease Should guard against the acute heart stem
Coronary heart disease is that one kind is organic by coronary artery (arteriosclerosis or motive force vascular convulsion) Narrow or block the ischemic oxygen deficiency (angina pectoris) of cardiac muscle that causes Or myocardium necrosis (myocardial infarction) Heart disease,too known as ischemic heart disease. It is not totally the same that different persons angina pectoris often behaves while breaking out. The majority have chests to oppress sense, bored bloated sense, sense of feeling oppressed to describe, some patients feel pain or discomfort sense diffuse to dual sides shoulder, back, shank, throat department, having a rest or including at this time can be relieved to obey the Nitroglycerin. Patient who quite a few of patients especially the elderly amalgamated diabetes, it will be shown as acute hypotension, indigestion, scorching hot sense or disgusting and vomiting of stomach in heart failure that the cardiac muscle is ischemic. But no matter which kind of symptom, must get rid of coronary heart disease through strict checking, otherwise delay treating the consequence too ghastly to contemplate.
The electrocardiogram is not unusual
Can't be thought not to have coronary heart disease
The district often feels stuffy pain when the electrocardiogram result is briefed on again normally before taking care, a lot of people will rest assure of thinking that there was not coronary heart disease oneself, but in fact, even if a normal electrocardiogram, can't get rid of the existence of heart disease either. Director Wu says, a large amount of clinical practice verifies, there are normal patients that and symptom accords with not steady angina pectoris of a large proportion of electrocardiograms, it verifies, vascular pathological change of the heart is often comparatively serious to check by the radiography of coronary artery, mostly vascular backbone pathological changes or propping up vascular filling pathological change more.
"It is not a very sensitive method to check the diagnosis to coronary heart disease in electrocardiogram, coronary heart disease is not having illness coming on in period, its detection rate of electrocardiogram is 30~50%, but the electric chart of hearts of the patients of more than 50% is normal now " ,The expert points out, heart and coronary artery circulate greater compensation ability, it is difficult sometimes while having a rest and calm to be unusual detection, often need testing through the sports increasing heart load, could find the real change of the electrocardiogram. So though it is that an important clinic consults the basis to check the diagnosis to coronary heart disease in electrocardiogram, but does not diagnose coronary heart disease " Gold " Standard. Diagnosis in coronary heart disease must check (such as radiography of coronary artery) specially according to medical history, symptom, physical examination with some on the clinic ,Carry on overall comprehensive analysis, judge that concludes.
The most dangerous " The killer " --Acute heart stem
The acute heart stem is the most critical kind of type of coronary heart disease, cause the main reason to die suddenly too, once mortality takes place extremely high. According to clinical observation, the acute heart stem patient about 80% will present the arrhythmia of different kind types, and nearly half patients often meet accident before reaching the hospital.
But most patients had presented not steady angina pectoris to behave before the acute heart stem happened, the patient of not steady angina pectoris still has 10~15% to change under positive drug therapy into acute myocardium infarction, if drug therapy is not appropriate in time or, the emergence probability of the acute heart stem will be higher, so should treat not steady angina pectoris according to the acute heart stem, discern coronary heart disease especially not steady angina pectoris is particularly important in early days.
Make to the person who is ambitious or tenacious of purpose and find coronary heart disease in early days
Coronary heart disease is the middle-aged and elderly people's common diseases and frequently-occurring diseases, are at person at stage of this age, in daily life, if the following situations appear, seek medical advice in time, find coronary heart disease as soon as possible.
(1)Behind the brestbone appeared when being tired or nervous or the stuffy pain of the district before the heart, or tightened a kind of pain, and take on, left the upper arm to radiate left, lasts 3~5 minutes, the persons who relieve by oneself after having a rest. (2)Palpitation, breathing hard uncomfortable in chest appears at the time of the physical exertion, the persons who relieve by oneself while having a rest. (3)Headache, toothache, leg related to sport appear to ache etc.. (4)Appear the intersection of chest and ache, palpitation person gorge on, be cold or see thrilling film. (5)When the pillow used for sleep is low at night, feel uncomfortable in chest and feel suffocated, need high pillow to poach the comfortable one of square sense of location; Sleep soundly, or the unexpected chest aches when white balance is poached, palpitation, having difficulty in breathing, need, sit, get up or stand persons who can relieve immediately. (6)Sexual life or present, have palpitation, not uncomfortable in chest out of breath defecate hard, or chest ache uncomfortable. (7)Causing having palpitation, the one uncomfortable in chests once hearing the noise. (8)Not neat when presenting pulse repeatedly, the unidentified reason heart jumped over speed or the too slow one.
Meanwhile,in recent years because job high pressure, rhythm of life quickly, bad life style make coronary heart disease the disease not younger. In order to find coronary heart disease early, the middle-aged person over 40 should do some essential inspections regularly. Essential checking includes: Do blood pressure, blood glucose inspection every year. If high-risk group to belong to coronary heart disease, should have an electro-cardiogram to check, if need further checking, the doctor will arrange to take exercises to test it in order to measure the electrocardiogram at the time of stepping on and fixing the foot car or stepping on the dull and stereotyped machine of sport. Check and diagnose coronary heart disease in radiography of coronary artery " Gold " Standard.
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