1, the initial judgment is not coronary heart disease, the main look at those aspects?
Symptoms, early coronary heart disease patients mainly have the following symptoms, precordial pressure, a sense of imminent death, can be radiated to the left anterior wall medial, left shoulder and other parts.
2.Who are the main people at risk? How many people over the age of 1 should be considered for coronary heart disease?
People with hypertension, diabetes, hyperlipidemia, smoking, obesity and poor lifestyle habits.
3. If a young person in his 20s or 30s has typical symptoms of coronary heart disease, should we consider coronary heart disease?
We have rescued patients with acute myocardial infarction at the age of 23, acute myocardial infarction at the age of 28 and acute myocardial infarction at the age of 32. Therefore, if there are typical symptoms of chest pain, you must go to the hospital for examination and complete routine electrocardiogram, myocardial enzyme profile, troponin and other tests.
4. What are the main aspects of past medical history to focus on? Hypertension, diabetes mellitus, hyperlipidemia, family history.
5.Do coronary heart patients always have changes in blood lipids, blood sugar and blood pressure?
Not necessarily. Some patients do not have a history of hypertension, diabetes mellitus or hyperlipidemia.
6. Is it necessary to screen for coronary artery disease in people who are not found to have three highs but have symptoms such as angina, chest tightness and shortness of breath?
Further examination of coronary CTA or coronary angiography is needed to clarify the diagnosis.
7. What are the typical symptoms of coronary heart disease? Is angina pectoris the key to determine?
Typical symptoms: pressure-like pain in the precordial region. Patients with angina pectoris should pay attention to the aggravation of the disease and possible myocardial infarction if the pain is prolonged and cannot be relieved by resting or taking cardioplegia.
8, angina is exactly how the pain?
The pressure-like pain in the precordial region can radiate to the inner left anterior wall and left shoulder.
9. Is there any relationship between the severity of symptoms and the severity of coronary heart disease?
If the duration of symptoms exceeds 30 minutes, myocardial infarction may have occurred.
10. What do the atypical symptoms of coronary artery disease mean and what do they include? Are they easily mistaken for other diseases?
Atypical symptoms: upper abdominal pain, easily misdiagnosed as gastrointestinal disease; left-sided toothache, easily misdiagnosed as dental disease; back pain, easily misdiagnosed as orthopedic disease.
11. Is there any asymptomatic coronary heart disease?
Yes. It is easy to encounter coronary heart disease found by physical examination and coronary heart disease found preoperatively without clinical chest pain and other symptoms.
12. How to detect coronary heart disease with atypical or asymptomatic symptoms early?
If there are high-risk factors (three highs, smoking, poor lifestyle) patients, you can check ECG regularly, and if there are changes, you can further check myocardial enzymology as well as coronary CTA.
13. Are there any patients who seem to have coronary heart disease but are not actually coronary heart disease at all? How should we distinguish them?
There are also some patients who have clinical manifestations of chest tightness and chest pain, as well as changes in ECG and myocardial enzymology, but coronary angiography: no abnormalities are seen in all three vessels. I once reported a case. The patient had symptoms of chest tightness and chest pain, ECG: ST-segment depression. Troponin I:24.8ng/ml. but coronary angiography: no abnormality in three vessels.