When the following phenomena occur in life, it is recommended to have a heart examination so as to find heart disease early and take effective preventive measures:
◆ There are discomforts such as palpitation, fatigue and shortness of breath during physical activity, or difficulty breathing;
◆ When you are tired or nervous, you suddenly feel pain behind the sternum or feel chest tightness and pressure;
◆ Pain in the left chest accompanied by sweating, or pain radiated to the shoulders, arms and neck;
◆ Pulse is too fast, too slow, short or irregular;
◆ I suddenly wake up from a deep sleep or nightmare, feeling palpitations, chest tightness and poor breathing, and it takes a while to get better;
◆ Feel dyspnea, chest tightness or chest pain during sexual life;
◆ Feel palpitation, chest tightness or chest pain when you have a full meal, catch cold, smoke, watch a tense movie or TV;
◆ In public places, it is easy to feel chest tightness, poor breathing and insufficient air;
◆ When you go upstairs, you are more prone to palpitations and shortness of breath than before or others;
◆ Suddenly flustered, dizzy, black at the moment, feeling of falling;
◆ Children's activity ability is worse than that of their peers, and they feel flustered, short of breath, fatigue and blue lips during activities;
◆ After catching a cold, I feel flustered and weak after slight labor, or feel short of breath when walking faster;
◆ Suddenly fainted on the ground due to chest discomfort, or immediately felt "dying";
◆ Sleeping at night, the pillow is low and it is difficult to breathe, so you need to sleep on a high pillow; ◆ Edema of lower limbs appears;
◆ Hypertrophy and deformation appear at the ends of fingers or toes;
◆ Abnormal colors such as bluish purple and dark red appear on the face, lips and nails;
◆ Feel abnormal heartbeat at rest, or feel tremor when the hand touches the heart of the front chest wall;
◆ Palpitation, dizziness, shortness of breath or edema during pregnancy;
◆ The pain in the left shoulder cannot be cured for a long time.
These body surface signs include:
◆ Breathing: When you do some slight activities or are in a quiet state, you will have shortness of breath, but it is not accompanied by cough and expectoration. This situation is likely to be a manifestation of left ventricular dysfunction.
◆ Face: If you are pale and purple, and your expression is indifferent, this is a dying face in the late stage of heart disease. If the face is dark red, it is a feature of rheumatic heart disease and mitral stenosis. If it is pale, it may be a sign of mitral insufficiency.
◆ Nose: If the nose is hard, it means that the heart has accumulated too much fat. If the tip of the nose is swollen, it means that the heart fat may also be swollen, or the heart disease is expanding. Besides, a red nose usually indicates a heart disease.
◆ Skin: The skin of patients with chronic heart failure and pulmonary heart disease can be dark brown or dark purple, which is related to the long-term hypoxia of body tissues and the decline of adrenal cortex function. The skin mucosa and limbs are blue-purple, indicating that the heart lacks oxygen and the reduced blood protein in the blood increases.
◆ Ear: Patients with heart disease have different degrees of tinnitus in the early stage. This is because the microvascular dynamics of the inner ear is abnormal. When the disease does not cause systemic reaction, the inner ear will receive a warning signal. If there are continuous wrinkles in your earlobe, it is probably caused by coronary atherosclerosis.
◆ Head and neck: If there is superficial tendon protruding from clavicle to earlobe, such as thick little finger, it is probably right heart insufficiency.
◆ Shoulder: The weather is obviously good, but the left shoulder and left arm are sore, which may be coronary heart disease.
Hands and feet: the ends of fingers or toes are obviously thick, and the nail surface is raised like a drumstick, which is common in patients with chronic pulmonary heart disease or congenital cyanotic heart disease.
◆ Lower limbs: Edema of lower limbs in middle-aged and elderly people is often a manifestation of venous blood return obstruction caused by cardiac insufficiency. In addition, if you often have palpitations and asthma, you can only relieve it by squatting, which is a unique manifestation of purple clamp heart disease.
Pay attention to chest tightness and palpitation
I found that many elderly people lack understanding of some of their symptoms, while some young people don't pay much attention to symptoms such as chest tightness and palpitation, and often think that it doesn't matter, just bear with it. It is these thoughts that delay the best treatment time. There is a 40-year-old college leader who is usually uncomfortable, but he doesn't pay attention to it. As a result, he died suddenly and young, which is a great pity. If he went to see a doctor in time, the result would be very different. Therefore, as long as active treatment, the cure and remission of heart disease is still very optimistic.
High incidence population
1. Male over 45 years old, female over 55 years old.
2. smokers.
3. Patients with hypertension.
4. Diabetic patients.
5. Patients with hypercholesterolemia.
6. Family history of genetic diseases.
7. Obese people.
8. Lack of exercise or work pressure.
Therapeutic mode
Although it is difficult to change the risk factors such as age, sex and family history of hereditary diseases, some heart diseases can be effectively prevented if the remaining risk factors are effectively controlled. It is very important for heart patients to learn self-management in daily life and establish a good and healthy lifestyle.
From 65438 to 0954, Eisenhower, the 34th president of the United States, suffered from severe heart failure. His personal doctor, Dr. White, advised him to change some lifestyles, such as losing weight, quitting smoking and keeping exercising. Although he was busy with government affairs, Eisenhower accepted the doctor's advice and persisted. Soon after, he actually resumed full-time work and became active in the political arena. It can be seen that a scientific lifestyle will not only prevent diseases, but also reduce the degree of diseases. It is entirely possible for patients' quality of life to return to the level before illness, or even be healthier than before.
Suggested preventive measures may include:
Control weight
Studies show that weight gain 10%, average cholesterol increase 18.5, and the risk of coronary heart disease increases by 38%. Weight gain of 20% increases the risk of coronary heart disease by 86%, and the prevalence of coronary heart disease in hypertensive patients with diabetes is 1 times higher than that in hypertensive patients without diabetes.
give up smoking
Nicotine in tobacco can accelerate the heartbeat, increase blood pressure (excessive smoking can reduce blood pressure), increase cardiac oxygen consumption, vasospasm, abnormal blood flow and increase platelet adhesion. These adverse effects make the incidence of coronary heart disease in male smokers aged 30-49 three times higher than that in non-smokers, and smoking is also an important cause of angina pectoris and sudden death.
give up drinking
An experiment by American scientists confirmed that ethanol is toxic to the heart. Excessive intake of ethanol can reduce myocardial contractility. For people with heart disease, alcoholism will not only increase the burden on the heart, but even lead to arrhythmia, affect fat metabolism and promote the formation of arteriosclerosis.
Improve the living environment
Places with serious pollution and high noise intensity may induce heart disease. Therefore, improve the living environment, expand the green area, reduce noise and prevent all kinds of pollution.
In order to avoid crowding
Avoid going to crowded places. Viral myocarditis, dilated cardiomyopathy, coronary heart disease and rheumatic heart disease are all related to viral infection, and even heart failure is often aggravated by upper respiratory tract infection. Therefore, we should pay attention to avoid going to crowded places, especially in the cold season, so as to avoid infection.
Reasonable diet
The diet should be reasonable. Hyperlipidemia, unbalanced diet, diabetes and obesity are all related to dietary nutrition, so from the perspective of heart disease prevention and treatment, nutritional factors are very important. In principle, we should achieve "three lows": low calorie, low fat and low cholesterol.
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Moderate exercise
Take an active part in moderate exercise. Keeping regular and proper exercise is conducive to enhancing heart function and promoting normal metabolism, especially for promoting fat metabolism and preventing atherosclerosis. For patients with heart disease, according to heart function and physical strength, engaging in moderate physical activity is helpful to improve blood circulation, enhance resistance, improve the function of various organs in the whole body and prevent thrombosis. However, excessive activity should also be avoided. In order not to cause symptoms, the amount of activity should be gradually increased.
Regular life
Develop healthy living habits. Live a regular life and be happy, avoiding emotional excitement and overwork.
Congenital heart disease
It is generally believed that the early pregnancy (5-8 weeks) is the most important period of fetal heart development in the mother, and some internal or external factors affect the normal development of fetal heart, which is an important cause of congenital heart disease. For example, pregnant women have viral infections (influenza, rubella, mumps) in the first trimester, take certain drugs (antineoplastic drugs, antidiabetic drugs), and be exposed to radiation.
Congenital heart disease is related to genetic factors. It is not uncommon for parents to suffer from congenital heart disease with their children or siblings, but the exact relationship is not completely clear at present. It is generally believed that the early pregnancy (5-8 weeks) is the most important period of fetal heart development in the mother, and some internal or external factors affect the normal development of fetal heart, which is an important cause of congenital heart disease. For example, pregnant women have viral infections (influenza, rubella, mumps) in the first trimester, take certain drugs (antineoplastic drugs, antidiabetic drugs), and be exposed to radiation.
There are many kinds of congenital heart diseases, which are also very complicated. Serious congenital heart disease is not treated in time, and the early mortality rate is high. Generally speaking, only a few types of congenital heart disease can recover naturally, while other types of congenital heart disease will gradually increase complications and aggravate with age. There are many treatments for congenital heart disease, including surgery, interventional therapy and drug therapy. In addition, when the operation is appropriate should be based on the condition, please ask the cardiologist to make suggestions according to the child's specific situation, such as whether the child's disease is likely to heal itself, what is the future evolution trend of the disease, and guide rational drug use and scientific nursing, so as to improve the child's survival ability. Children with congenital heart disease generally have poor resistance and are prone to illness, so they should also be vaccinated legally on time.
Some young parents are ignorant of this disease. When they hear that their children have congenital heart disease, they often seem at a loss. Actually, there is no need to worry. Because as long as early diagnosis and timely treatment, most congenital heart diseases can be completely cured by surgery, and they can live and work like normal people after surgery.
Special reminder
Reminder 1: Eat more vegetarian food.
Many people think that we humans are carnivores because we eat meat almost every day. However, the study of human evolution and human history proves that human body structure and physiological function are more like herbivores. Everyone must feel strange, so let's take a look at the comparison between herbivores and carnivores.
Main differences of body structure between carnivores and herbivores (table)
Carnivorous herbivore
Claw-free hands or hooves.
Sharp and blunt teeth
Short length of intestine
Drinking pattern licking
Breathe (without sweat glands) and sweat (with sweat glands) by lowering body temperature.
The way to get vitamins is to make them yourself and get them from food.
One comparison is obvious-humans are more like herbivores than carnivores. Although human beings have gradually become omnivores in the process of long-term adaptation to nature, the basic characteristics of herbivores have not changed significantly and have remained so far. However, in the past 200 years, the development of economy has made great changes in human diet, especially people began to stay away from vegetarian food and cereal and eat too much meat. Compared with the evolutionary history of human beings, this change is so rapid that human genes and physiological functions characterized by "herbivores" cannot adapt to the environment dominated by meat food. This disorder eventually leads to many new diseases, including modern heart disease.
Epidemiological research has proved that "economic development → unhealthy lifestyle epidemic → cardiovascular disease epidemic" is a trilogy with obvious causal relationship. The most typical example is Nauru. Nauru was once a poor island. Rare minerals were discovered in the late 1960s, and this country became the richest country in the world overnight. Unexpectedly, a few years later, diabetes, obesity and cardiovascular diseases appeared in Nauru. 70% of people over 50 suffer from diabetes, which is the highest in the world, and the government and people have paid a heavy price for it.
Economic development provides material possibilities for unhealthy lifestyles. Therefore, we must make it clear that although the prevalence of cardiovascular diseases cannot be said to be the inevitable result of economic development, it is the punishment that human beings violate the laws of nature. For example, Western-style fast food, which is regarded as junk by western countries, is rich in calories and saturated fatty acids, but now it is popular in China and has won the love of many children. In the long run, it will seriously affect health. We should imitate our ancestors more, eat more plant foods (including cereal starch, vegetables and fruits), and eat less animal foods (except fish), especially foods containing saturated fat and cholesterol, and stay away from "unhealthy" foods such as McDonald's and KFC.
The best treatment
Healthy eating should meet the following requirements)
1. The daily intake of cholesterol should not exceed 300mg.
2. Fat intake should not exceed 30% of total calories.
3. Eat less or not eat refined sugar foods such as sucrose and glucose.
4. Eat more foods rich in vitamin C, such as fruits, fresh vegetables and vegetable oils.
5. Eat less and foods with high fatty acid and cholesterol content, such as fat, egg yolk, animal oil and animal offal.
6. Diet should be high in potassium and low in sodium, and bean products and tea should be encouraged.
7. Eat regularly, not too hungry or too full.
8. Appropriate intake of cellulose food (including grain starch), keep the stool unobstructed.
Reminder 2: Suitable for sports.
Another important cause of heart disease is lack of exercise. People who live in the same environment often sit still, and the probability of suffering from coronary heart disease is twice as high as that of people who are often active.
What are the benefits of exercise for the heart? Exercise can promote the enlargement, extension and increase of small blood vessels in the heart, improve oxygen supply to the myocardium and improve lipid metabolism in the blood. Exercise also helps to improve myocardial metabolism, improve the working ability of myocardium and the metabolic function of the heart. In addition, it can also improve the fibrinolytic activity of blood and prevent hypercoagulability, which is very helpful to prevent and delay the development of atherosclerosis.
Taking an active part in physical exercise is one of the effective means to prevent and treat heart disease. In order to protect the heart, we suggest the following exercise methods:
Physical exercise table
1. Walking: Walking can enhance myocardial contractility, dilate peripheral blood vessels, enhance heart function, lower blood pressure and prevent coronary heart disease. It can improve the condition of people who will cause angina pectoris when participating in sports. Each walk can last 20 minutes to 1 hour, 1 ~ 2 times a day, or walk 800 ~ 2000m a day. People in good health can improve their walking speed appropriately.
2. Jogging: Jogging or running in situ can also improve heart function. As for the distance of jogging and the time of running in situ, it should be decided according to everyone's specific situation, and there is no need to force it.
3. Tai Ji Chuan: It has a good preventive and therapeutic effect on hypertension and heart disease. Generally speaking, patients with good physical strength can practice old-fashioned Tai Ji Chuan, while patients with poor physical strength can practice simplified Tai Ji Chuan. If you can't play a full set, you can play a half set. If your body is weak and your memory is poor, you can only practice individual movements and practice them in sections without coherence.
Matters needing attention in physical exercise:
1. If anyone's heart rate is still above 100 times per minute after exercise10 minutes, he should not increase the amount of exercise, and should appropriately reduce the amount of exercise according to the situation.
2. The amount of exercise is from small to large, and the time is from short to long, step by step.
3. The interval between eating and exercising should be at least 1 hour.
4. The optimum temperature for exercise is 4℃-30℃.
5. If you have dizziness, headache, palpitation, nausea, vomiting and other uncomfortable symptoms during exercise, you should stop immediately and seek medical advice if necessary.
In addition, one thing to remind everyone is that it is inappropriate to exercise in the morning. According to the measurement of foreign scholars, 6:00-9:00 am is the most dangerous time for coronary heart disease and cerebral hemorrhage, and the incidence rate is more than three times higher than that of 1 1 am. In addition, human sympathetic nerve activity is high in the morning, which leads to the increase of bioelectrical instability and easily leads to arrhythmia, ventricular fibrillation and sudden death. In addition, people's arterial pressure is high in the morning, which increases the possibility of atherosclerotic plaque rupture and leads to the attack of acute coronary syndrome. Therefore, when doing physical exercise, we should avoid the "peak period" of cardiovascular events and arrange the time in the afternoon and evening.
Reminder 3: Peace of mind
Emotion and health are inseparable. No matter what age people are, bad emotions are very unfavorable. Once a person's mood is tense and excited, it will excite sympathetic nerves and increase catecholamine. In this way, the heartbeat will accelerate, blood pressure will rise, and myocardial oxygen consumption will increase significantly, aggravating the condition of patients with coronary heart disease and heart failure. More seriously, these changes sometimes lead to fatal arrhythmia and cardiac arrest.
Great rejoicing and great anger are taboos. Traditional Chinese medicine believes that when you are happy and sad, there will be a series of symptoms of heart deficiency, such as palpitation, fatigue, chest tightness, shortness of breath, pulse stagnation and so on. In severe cases, there will be cold sweat, tepid limbs, heartburn, palpitation, chest tightness, chest pain and other symptoms. This change is similar to coronary heart disease arrhythmia, cardiogenic shock and so on. On the contrary, anger is contrary to qi, and the operation of qi is blocked. Qi handsome is blood, pneumatic is blood, qi stagnation is blood stasis, and qi stagnation is blood stasis, which leads to obstruction and pain. A series of reactions caused by anger are similar to angina pectoris of coronary heart disease or acute myocardial infarction. It can be seen that maintaining a healthy mental state is very important for each of us.
The ancients advocated "harmony and wealth, yin and yang, and rigidity and softness." This can be said to be the motto of maintaining the heart. We should keep in touch with people, understand the society and environment, and realize that we are a member of society. Older friends can also cultivate their temperament by planting flowers, raising fish, playing chess, painting and calligraphy according to their hobbies.
Reminder 4: insist on taking medicine
I also want to remind you that you can't wait until you have a heart attack before you go to the hospital. You should take medicine often. Only taking medicine regularly is the best way to control the disease. Many patients with coronary heart disease have a box of musk pills around them, but more than half of them don't eat them, some are reluctant to eat them, and some think they haven't taken their medicine until angina attacks. This is actually a misunderstanding of medication. Shexiang Baoxin Pill is a drug that can exert the greatest effect when taken frequently. Only taking it regularly can improve cardiovascular function, reverse cardiac hypertrophy, protect cardiac function and reduce the incidence of angina pectoris.
Judging heart disease
How to judge heart disease? Is arrhythmia a heart disease?
Arrhythmia heartbeat is caused by other tissues of the heart other than sinoatrial node, which is an abnormality in the frequency, rhythm, origin, conduction speed and excitation sequence of cardiac impulses. According to the speed of heart rate, arrhythmia can be divided into rapid arrhythmia and slow chronic arrhythmia.
In recent years, some scholars have classified arrhythmia into fatal, potentially fatal and benign types according to the severity and disorder of circulation during arrhythmia.
Arrhythmia can be seen in healthy people or patients with autonomic dysfunction. Smoking, drinking, physical activity and emotional tension can all induce arrhythmia. Arrhythmia is common in all kinds of organic heart diseases, among which coronary atherosclerotic heart disease, cardiomyopathy and myocarditis are the most common. Because of myocardial ischemia, hypoxia, infection and other diseases caused by cardiac conduction system, arrhythmia can not be said to be heart disease, and some heart diseases can lead to arrhythmia. The treatment of arrhythmia depends on the hemodynamic changes it causes. In the treatment, attention should be paid to using small doses of drugs to obviously reduce arrhythmia, and it is not appropriate to use large doses to completely eliminate arrhythmia. Because the risk of side effects when using large doses of drugs is far greater than the risk of premature beats. Moreover, after arrhythmia control, drug withdrawal is easy to cause recurrence. Traditional Chinese medicine has irreplaceable advantages in treating arrhythmia. First, the toxic and side effects are small; Second, the curative effect is consolidated after obvious effect; Third, we can adjust the patient's physical function as a whole and completely eliminate the patient's symptoms.
Recommend two prescriptions for heart disease.
1) steamed pigeon with safflower and notoginseng
Ingredients: Panax notoginseng 5g, safflower 6g, squab 1, cooking wine 10g, refined salt 3g, onion 10g, ginger 5g, soy sauce 10g, brown sugar 5g and vegetable gall 10g.
Exercise:
1. Remove impurities from safflower; Grinding Radix Notoginseng into powder; After the pigeon is slaughtered, the hair, viscera and claws are removed and washed; Shred ginger and cut onion into sections; Cut the cabbage into 4 cm long sections.
2. Put the squab in a steaming cup, add cooking wine, soy sauce, red pond, ginger, onion and salt, steam for 30 minutes, then add notoginseng, safflower and cabbage gall.
3. Put the steaming cup into a steamer and steam for about 50 minutes on high fire.
Efficacy: promoting blood circulation, removing blood stasis and nourishing qi and blood. It is suitable for coronary heart disease patients with blood stasis blocking collaterals.
Usage: once a day, with or without meals.
Avoid: pregnant women should not eat.
(2) Steamed pigeon eggs with safflower and notoginseng.
Ingredients: Notoginseng Radix 10g, Carthamus tinctorius 6g, pigeon eggs 5g, refined salt 3g, and chicken soup 200ml.
Exercise:
1. Remove impurities from safflower, and cook it in pigeon eggs and shell it.
2. Put the chicken soup into a saucepan, add notoginseng, safflower, salt and cooked pigeon eggs, and cook for 25 minutes.
Efficacy: tonify qi and blood, remove blood stasis and dredge collaterals. It is suitable for patients with coronary heart disease and angina pectoris.
How to eat: once a day.
Avoid: pregnant women should not eat.
Popular Healthy Diet Series-Medicated Diet Therapy for Heart Disease Guangdong Tourism Publishing House
"Pollution during pregnancy" is the chief culprit of congenital heart disease.
Experts suggest that the bad factors exposed during pregnancy are the chief culprit of children suffering from congenital heart disease.
Hao Jianchao, director of the Department of Cardiology of Heilongjiang Provincial Hospital, said that there are many causes of congenital heart disease, among which genetic factors account for 8%, and the vast majority account for 92% of environmental factors. Among them, women taking drugs during pregnancy, being infected by viruses, environmental pollution, radiation, etc. will make the fetal heart develop abnormally. Especially serious, if you are infected with rubella virus in the first three months of pregnancy, 100% will make your child suffer from congenital heart disease.
Therefore, doctors warn young parents that women should try to avoid these negative factors during pregnancy. If congenital heart disease is found, the earlier it is treated, the less it will affect the child's development. If you find that your baby's lips are purple, her mobility is poor, her breastfeeding is low, her growth is slow, and she is prone to crying, you should take her to the hospital for examination in time.
Symptoms of rheumatic heart disease
Mitral stenosis, mitral regurgitation, aortic stenosis and aortic regurgitation are described respectively.
(1) Mitral stenosis:
Young adults have a history of damp-heat, and their cardiac function can be asymptomatic in compensatory period. After decompensation, shortness of breath, palpitation and paroxysmal dyspnea appear after exercise. In severe cases, there are sitting breathing and hemoptysis. Right heart failure occurred in the late stage. Obvious mitral valve surface (purple cheeks and lips, apical diastolic tremor).
(2) Mitral valve insufficiency:
The compensatory period of cardiac function can be asymptomatic, generally including palpitation, shortness of breath after exercise, fatigue, fatigue, hemoptysis and other left ventricular dysfunction. Later, symptoms of right heart insufficiency such as hepatomegaly and edema of lower limbs appeared. The signs are obvious, the apical pulse is enhanced and touches a strong localized lifting impulse, and the cardiac boundary is enlarged to the lower left.
(3) Aortic stenosis:
In severe cases, dizziness, even syncope, angina pectoris, arrhythmia and even sudden death occur. In the late stage, symptoms of left ventricular dysfunction such as dyspnea, cough and hemoptysis appeared. Has been discovered. The sign is a loud and rough inflated systolic murmur in the active valve area, which spreads to the neck and is accompanied by systolic tremor.
(4) aortic valve insufficiency:
During decompensation, palpitation, head vibration, occasional angina pectoris, paroxysmal dyspnea, cough and other manifestations of left heart failure may occur. Carotid artery and dorsal foot artery pulsate obviously, and apical valve pulsates more, shifting to the lower left, which is elevation.
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Your main problem is not drinking or smoking. Many people will have such symptoms when they drink and smoke. Go to a big hospital for an MRI!