Symptomatic characteristics
1, clinical characteristics of patients with paroxysmal atrial fibrillation
(1) Male patients are more common, and there is no organic heart disease.
(2) Paroxysmal atrial fibrillation can occur frequently, and it can be seen by dynamic electrocardiogram that the attack lasts for several seconds to several hours.
(3) Frequent atrial premature beats can induce atrial fibrillation.
(4) The coupling interval of atrial premature beats is mostly 500ms, and P-on-T phenomenon often occurs, which induces short-term atrial fibrillation.
(5) When sympathetic nerves such as excitement and exercise are excited, atrial fibrillation can be induced.
(6) Young patients with focal atrial fibrillation have relatively few atrial fibrillation attacks. Atrium is often small, and most of them involve a pulmonary vein.
(7) Paroxysmal atrial fibrillation, if the frequency is not fast, can have no obvious symptoms. If the heart rate is fast, the patient complains of palpitation, palpitation, chest tightness, shortness of breath, palpitation, irritability and fatigue. Auscultation arrhythmia, different heart sounds, different speeds, short and clumsy pulse, polyuria, etc. If the ventricular rate is too fast, it will also lead to a drop in blood pressure and even syncope.
2. Clinical features of patients with persistent and chronic atrial fibrillation.
(1) The symptoms of persistent (or chronic) atrial fibrillation are related to basic heart disease and ventricular rate. Palpitation, shortness of breath, chest tightness and fatigue may occur, especially after physical activity, the ventricular rate is obviously increased, and syncope may occur, especially in elderly patients, due to cerebral hypoxia and hyperkalemia.
(2) Arrhythmia: 1 Uneven heart sound intensity and interval. The ventricular rate of untreated atrial fibrillation is generally 80 ~ 150 beats/min, and rarely exceeds 170 beats/min. Heart rate 100 beats/min is called rapid atrial fibrillation; 180 beats/min is called extreme atrial fibrillation. The pulse is short and clumsy.
(3) It can induce heart failure or aggravate primary heart failure or basic heart disease, especially when the ventricular rate exceeds 150 beats/min, it can aggravate myocardial ischemia symptoms or induce angina pectoris.
(4) Thrombosis susceptibility is enhanced, and embolism complications are easy to occur. If atrial fibrillation lasts more than 3 days, atrial thrombosis will occur. Old age, organic heart disease, increased left atrial diameter and increased plasma fibrin are all risk factors for thromboembolism complications.
Life health care
1. Pay attention to regular physical exercise, which can be carried out appropriately according to your own situation. Old people can do some relaxation activities without increasing the burden on their hearts, such as playing Tai Ji Chuan, raising fish, planting flowers, walking, doing exercises and practicing Qigong.
2, maintain a happy mood, relax and peaceful mentality, excessive tension is particularly easy to induce arrhythmia. In addition, it should be noted that patients should adjust their daily life with the changes of seasons and climate during the treatment to prevent colds and avoid aggravating their illness. Especially in patients with thrombosis, we should pay attention to prevent sudden severe cough and reduce the chance of thrombus falling off.
3. Develop good living habits, control weight, increase regular physical activity, quit smoking and limit alcohol. Smoking is an obvious risk factor for coronary heart disease and lung disease. Some studies show that smokers have twice the risk of atrial fibrillation as those who never smoke. Quitting smoking can reduce the risk of atrial fibrillation. Drinking alcohol also increases the risk of atrial fibrillation. Drinking alcohol is an obvious inducement for some patients with atrial fibrillation. Studies have shown that the dosage of drinking alcohol is related to the prevalence of atrial fibrillation. For every 65,438+00g alcohol intake per day, the risk of atrial fibrillation increases by about 8%.
Dietary principle
1. Pay attention to regular physical exercise, which can be carried out appropriately according to your own situation. Old people can do some relaxation activities without increasing the burden on their hearts, such as playing Tai Ji Chuan, raising fish, planting flowers, walking, doing exercises and practicing Qigong.
2, maintain a happy mood, relax and peaceful mentality, excessive tension is particularly easy to induce arrhythmia. In addition, it should be noted that patients should adjust their daily life with the changes of seasons and climate during the treatment to prevent colds and avoid aggravating their illness. Especially in patients with thrombosis, we should pay attention to prevent sudden severe cough and reduce the chance of thrombus falling off.
3. Develop good living habits, control weight, increase regular physical activity, quit smoking and limit alcohol. Smoking is an obvious risk factor for coronary heart disease and lung disease. Some studies show that smokers have twice the risk of atrial fibrillation as those who never smoke. Quitting smoking can reduce the risk of atrial fibrillation. Drinking alcohol also increases the risk of atrial fibrillation. Drinking alcohol is an obvious inducement for some patients with atrial fibrillation. Studies have shown that the dosage of drinking alcohol is related to the prevalence of atrial fibrillation. For every 65,438+00g alcohol intake per day, the risk of atrial fibrillation increases by about 8%.
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