Young people have chest tightness and panic attacks, is this heart disease? What tests should be done?

  With the increase in work pressure and the accelerated pace of society, many young people usually experience symptoms of chest tightness and panic. Chest tightness and panic are relatively subjective symptoms to feel. But do these symptoms mean that your heart is not good, or that you have heart disease? How do you need to determine how to check? Come see today’s content, there is help!  A, first to understand the two major symptoms 1, what is chest tightness Chest tightness is a subjective feeling, that is, breathing effort or gas is not enough. Heavy people feel uncomfortable and seem to be pressed against the chest by a stone, and even have difficulty breathing, which can be accompanied by other symptoms such as pressure, palpitations, wheezing, burning sensation, cold sweat, nausea, vomiting, etc.  2, what is panic Panic, which is usually called palpitations, is due to an uncomfortable feeling of people’s subjective sensation of the heart beating. Once the heartbeat loses its inherent regularity, people will be uncomfortable, which is often called “panic”. It can be a sign of disease or a normal physiological reaction.  How to determine whether it is a heart attack?  If the trigger is the influence of anxiety, tension, emotional excitement, trauma and other factors, the human central nervous excitation and inhibition process is impaired, and the cardiovascular system regulated by the vegetative nerves is also disrupted, causing a series of symptoms of excessive sympathetic nervous tension. This is mostly caused by psychological factors and is currently the most common condition among young people.  If the activity-related activities appear, rest can be relieved, smoking, drinking, staying up late habits, and combined with hypertension, hyperlipidemia, hyperglycemia, obesity and other conditions that must be further examined in the hospital.  2, whether the seizure is frequent and regular If the seizure is only occasional, there is no obvious pattern, it may be a physiological reason most of them can get better by themselves.  If the seizures are regular and frequent, then you must go to the hospital for further examination to help determine.  3.Whether the symptoms are aggravated or not The chest tightness and panic caused by non-cardiac organic lesions will not last long and may improve after rest, while the discomfort will be aggravated by the high activity of heart disease patients.  What kind of tests should be done?  1.Conventional electrocardiogram, i.e. resting electrocardiogram, is the most commonly used non-invasive examination method. The detection rate of this test is higher when the patient’s symptoms occur. However, if the test is performed when the attack is missed, it may show a normal ECG.  2.An ambulatory electrocardiogram (ECG) An ambulatory electrocardiogram is the recording of the whole process of the patient’s cardiac activity for 24 hours or more in the patient’s daily life with the aid of a computer for analysis and processing to detect arrhythmias and myocardial ischemia that are not easily detected during routine body electrocardiogram, providing an important objective basis for clinical diagnosis, treatment and judgment of efficacy.  3.Heart ultrasound Heart ultrasound (echocardiography) mainly examines whether there is any abnormality in the morphology of the heart and whether the heart function is normal, especially for congenital heart disease, which is the preferred examination method. For the diagnosis of rheumatic heart disease, congenital heart disease, cardiomyopathy, heart failure has a unique.  4, other tests Chest tightness to see if there is no lung disease patency may need to check the chest X-ray, chest CT, panic may also be caused by other diseases common are anemia, hyperthyroidism, infection (need to check the blood routine, thyroid function, etc.).  Therefore, after reading today’s content, I believe that the majority of young people have a certain understanding of chest tightness and panic, their own preliminary judgment whether it is a heart disease, and then decide whether they need further examination, and what tests to do. If there is only occasional chest tightness and panic discomfort, the symptoms are not heavy and mood-related can be observed first, if the attacks are frequent and regular, the symptoms are aggravated or to see a doctor in the hospital to help check and judge clearly.