What are the main aspects to look for when initially determining if it is coronary artery disease?
The onset of the condition, the attack is often provoked by physical exertion or emotional excitement. The pain occurs at the time of excitement or exertion rather than afterwards. It is often triggered by cold, smoking, satiety, tachycardia, shock, etc. The duration of pain, which gradually increases after the onset of pain, disappears within 3-5 minutes. It rarely lasts more than 15 minutes. The nature of the pain, the nature of the pain is pressure pain, dullness or tightness pain. The site of pain is mainly located in the middle or upper part of the sternal body and can spread to the precordial region, with a palm-sized area. It often radiates to the left shoulder, the left medial arm, the ring finger and little finger, or to the neck, pharynx, and jaw. The pain is often accompanied by symptoms and drug relief and related medical history, often with general weakness, cold sweats, palpitations, decreased blood pressure in severe cases, shortness of breath, and a sense of near death. The pain is usually relieved by stopping the trigger or within a minute or two with oral nitroglycerin. It is often associated with hypertension, diabetes, hyperlipidemia, smoking, obesity, men over 40 years of age, and family history.
Who are the main people at risk?
How many people over the age of 40 should be considered for coronary artery disease? There are more men than women in the high-risk group, and most of them are brain workers. It is an endemic disease in industrialized countries. People with dyslipoproteinemia, hypertension, diabetes, smoking, obesity, increased homocysteine, reduced physical activity, advanced age and men. Usually people over the age of 40 who develop symptoms need to focus on whether they have coronary heart disease.
If a young man in his 20s or 30s has typical symptoms of coronary heart disease, should he be considered to have coronary heart disease?
The typical symptoms of coronary artery disease in young people in their 20s and 30s should also be considered.
What are the main concerns of past medical history?
Abnormal lipoproteins, hypertension, diabetes, smoking, obesity, increased homocysteine, reduced physical activity, advanced age and male.
Do coronary heart patients always have changes in blood lipids, blood sugar and blood pressure?
Coronary heart patients do not always have changes in blood lipids, blood glucose and blood pressure. Some inflammatory conditions (rheumatic, syphilitic, and vaso-occlusive vasculitis, etc.) spasm, embolism, connective tissue disease, trauma, and congenital malformations, etc. can also lead to coronary artery disease. ☆
Is it necessary to screen for coronary artery disease in people who have not been found to have triple high but have symptoms such as angina pectoris and shortness of breath?
People who do not have three highs are showing typical symptoms of angina pectoris and chest tightness and shortness of breath. Coronary artery disease should also be investigated.
What are the typical symptoms of coronary heart disease? Is angina pectoris the key to determine?
Coronary heart disease includes asymptomatic myocardial ischemia, angina pectoris, myocardial infarction, ischemic cardiomyopathy, and sudden death. Angina pectoris is the most common symptom.
What exactly is angina pain?
It is a sudden onset of crushing, boring, or suffocating pain located behind the upper or middle part of the sternal body. It may also affect most of the precordial region and may radiate to the left shoulder, the anterior medial aspect of the left upper arm, the ring finger and little finger, to an extent about the size of the palm of the hand, and may occasionally be accompanied by a fear of dying, often forcing the patient to stop moving immediately and, in severe cases, to sweat. The pain lasts for 1-5 minutes and rarely exceeds 15 minutes, and disappears within 1-2 minutes with rest or nitroglycerin tablets. It often occurs with physical exertion, emotional stress, cold, satiety, smoking, and may be triggered by anemia, tachycardia or shock.
Is there a relationship between the severity of symptoms and the severity of coronary heart disease?
There is no direct relationship between the presence or absence of symptoms and the severity of coronary artery disease.
What do the atypical symptoms of coronary heart disease mean and what do they include? Are they easily mistaken for other diseases?
Atypical symptoms include pain in the lower sternum, left precordial region or upper abdomen, radiating to the neck, jaw, left scapula or right anterior chest, which may be very mild or may only be associated with a feeling of discomfort and tightness in the left anterior chest. It may be misdiagnosed as other diseases such as gastric disease, cholecystitis, or dental disease. Clinical attention must be paid to differentiation.
Is there asymptomatic coronary artery disease?
Asymptomatic coronary artery disease refers to coronary artery disease without clinical symptoms, but with myocardial ischemia on objective examination. It is also called occult coronary artery disease.
How can early detection be achieved for coronary artery disease with atypical or asymptomatic symptoms?
It is mainly based on resting, dynamic or stress test ECG examination. Radionuclide myocardial imaging reveals that the patient has myocardial ischemic changes with no other explanation and is accompanied by risk factors for atherosclerosis, selective coronary angiography, or additional intravascular ultrasound imaging is performed. Early detection of coronary heart disease is possible.
Are there any that look like coronary artery disease but are actually not coronary artery disease at all? How should we distinguish them?
There are some seemingly coronary heart diseases that are not actually coronary heart diseases, so you should make a distinction. For example, in intercostal neuralgia chondromalacia, the pain often involves 1-2 intercostal areas, but is not necessarily limited to the chest, and is a stabbing or burning pain, mostly persistent rather than episodic. The pain may increase with coughing, forceful breathing and body rotation, with pressure pain at the costal cartilage or along the nerve path, and localized pulling pain when the arm is lifted and moved. Cardiac visceral neuropathy. Patients with this disease often complain of chest pain, but it is a brief stabbing pain or persistent vague pain, patients often like to take a breath of air or sighing breath from time to time, the site of chest pain is mostly in the left breast under the apical part of the vicinity or often change, symptoms appear after fatigue but not at the time of fatigue, do light physical activity, but feel comfortable, sometimes can tolerate heavier physical activity without chest pain or chest tightness, containing nitroglycerin is ineffective or in It is often accompanied by palpitations, fatigue and other symptoms of neurasthenia. Atypical coronary heart disease also includes esophageal diseases such as reflux esophagitis, diaphragmatic hernia, peptic ulcer, intestinal diseases, cervical spondylosis, etc.