OVERVIEW
Overview
Biliary cardiac syndrome is a clinical syndrome in which biliary system diseases cause constriction of coronary arteries through nerve reflexes, leading to insufficient blood supply to coronary arteries, thus causing angina pectoris, arrhythmia, and even myocardial infarction and other symptoms. The severity of its cardiac symptoms is positively correlated with the condition of biliary tract diseases. With organic lesions in the heart disease area, the cardiac symptoms can be relieved or even completely recovered with the control or cure of biliary tract diseases.
Whether medical insurance
Yes
Consultation Department
Gastroenterology, Cardiovascular Medicine, General Surgery
Clinical symptoms
Biliary tract disease followed by cardiac symptoms. There is dull pain or colic of varying degrees in the precordial region, often accompanied by palpitations, irregular heartbeat, epigastric pain, and fever.
Harm
It affects the function of the cardiovascular system and can be life-threatening in severe cases.
Complications
Biliary tract infection.
Examination
Physical examination, blood routine, ultrasound, CT, electrocardiogram and other tests.
Diagnosis
The disease should not be easily determined, and can only be diagnosed based on typical clinical symptoms and treatment effects.
Treatment principle
Actively treat the primary disease, control the biliary tract infection, and relieve the cardiac symptoms.
Curability
Mild cases can be cured, and severe cases can improve their prognosis with treatment.
Dietary recommendations
Give high-protein, high-vitamin, easy-to-digest food, prohibit greasy, spicy and stimulating food.
Important Reminder
It is important to clarify whether the relationship between biliary tract diseases and heart disease is “causal” or “coexisting” (i.e., biliary and cardiac diseases coexist) in order to avoid misdiagnosis or underdiagnosis.
Causes
Etiology
The disease may be caused by biliary hypertension, nerve reflexes, and biliary tract infections.
Symptoms and Diagnosis
Typical symptoms
1. Biliary system diseases first and then secondary cardiac symptoms, biliary system diseases aggravate cardiac symptoms also aggravate, biliary system diseases relieve cardiac symptoms also get better. 2. The anterior region of the heart has varying degrees of dull pain or colic, and each attack lasts for a long period of time, and there are often palpitations, irregular heartbeat and other symptoms. 3. The cardiac symptoms are mostly induced by eating greasy food or emotional excitement, and they can not be easily relieved by the use of nitroglycerin or cardiac pills, but can be relieved by the use of atropine, dulcolax, etc. 4. Atropine and Dulcolax can relieve it.
Diagnostic basis
The diagnosis of the disease can be confirmed if one of the following conditions is met and the cardiac function and electrocardiogram are normalized or significantly improved after the treatment of biliary disease.1. Abnormalities of cardiac function and electrocardiogram accompanying chronic biliary disease do not support the diagnosis of coronary artery disease and other heart diseases.2. Abnormalities of cardiac function and electrocardiogram accompanying an acute attack of biliary disease, and the cardiac effect of biliary sepsis, acidosis, and hypokalemia are ruled out.3. Obstructive cardiac symptoms may not be relieved by eating oil, food, or emotion. The diagnosis of this syndrome should be considered in those who have recently developed cardiac function and ECG abnormalities after surgery for obstructive jaundice that cannot be explained by other causes.
Treatment
Treatment guidelines
Aggressively treat the primary disease, control the biliary tract infection, and relieve cardiac symptoms. It can be treated conservatively with antibiotics, drainage and, if necessary, surgery.
Drug treatment
Apply antibiotics to control biliary tract infection.
Surgical treatment
Bile duct surgery can be performed if necessary.
Other treatments
Ultrasound-guided drainage of the liver and gallbladder can rapidly improve symptoms.
Prognosis
The prognosis of mild cases is good, and the prognosis of severe cases can be improved by treatment.
Questions you may have
What is Biliary Heart Syndrome?
Biliary-cardiac syndrome is a condition in which a biliary system disorder causes a vagal reflex that leads to discomfort in the patient’s heart.
The main cause of biliary heart syndrome is biliary system disease, because biliary system disease induces the patient’s cardiac discomfort after the emergence of the manifestation of biliary system disease, under normal circumstances, through active management and treatment, can be very good improvement. In particular, the treatment of the primary disease helps to alleviate the symptoms of this heart disease.
To improve the symptoms of this discomfort, it is important to treat the biliary system diseases, especially gallbladder disease, and usually there is the option of cholecystectomy.
It is also recommended to consult a cardiologist to clarify the presence of cardiovascular system diseases.
Nursing care
Daily care
1. Keep the environment quiet and comfortable to reduce the adverse stimulation and psychological pressure on the patient. 2. Reasonably arrange the work and rest time, pay attention to the combination of work and rest, and avoid excessive tension and exertion. 3. Encourage the patient to build up confidence, cope with the disease with a calm mindset, and consciously cooperate with the treatment. 4. Avoid large fluctuations in mood, so as not to trigger or aggravate the disease.
Dietary management
Strengthen dietary hygiene and dietary nutrition, develop regular dietary habits, avoid stimulating foods such as too cold, too hot, spicy and other stimulating foods and beverages such as strong tea, coffee, etc. Alcoholics should abstain from alcohol.