(Disclaimer: This article is for scientific purposes only, in order to protect the privacy of the patient, the relevant information in the following content has been processed) Abstract: Patient Sun Auntie, 70 years old, 2 years ago, paroxysmal chest tightness, pins and needles chest pain symptoms, seizures lasted for 4-5 minutes, after resting to ease the symptoms of dizziness, 2 hours ago, there is no cause for dizziness symptoms, combined with the electrocardiogram and ultrasound examination of the heart, preliminary diagnosis of cardiac hypertrophy, given a regular drug treatment and general care, the condition has basically been stabilized and disappeared. Regular medication and general nursing care were given, and the condition was basically stabilized, with the symptoms of chest tightness, chest pain and dizziness disappearing. Basic information] Female, 70 years old [Disease type] Cardiac hypertrophy (hypertrophic cardiomyopathy) [Hospital] The First Affiliated Hospital of Xi’an Jiaotong University [Date of consultation] January 2022 [Treatment plan] Oral medication (bisoprolol fumarate tablets, timosartan tablets, amlodipine benzenesulfonate tablets) [Treatment cycle] Hospitalization for 7 days, 1 month to the hospital for follow-up [Effect of treatment] Condition basically stabilized, the patient’s chest tightness, chest pain, dizziness disappeared. Chest tightness, chest pain, dizziness symptoms disappeared I. Initial interview The patient reported that 2 years ago, paroxysmal chest tightness, chest pain, mostly in the form of pins and needles, lasting 4-5 minutes each time, relieved by rest, the number of episodes is relatively small, and did not undergo regular treatment. 2 hours ago, there was a dizziness symptom without any cause, which was not vertiginous, and in order to seek further treatment, she came to the hospital for medical treatment. Physical examination was performed and showed a rhythm of 90 beats/min, a grade 2/6 systolic murmur was audible on second auscultation in the aortic valve area and there was no pericardial friction, and the pulse rate was regular at 90 beats/min. An electrocardiogram was performed, showing sinus rhythm left ventricular facet high voltage ST-T abnormal changes. Cardiac ultrasound examination showed thickening of the left ventricular wall and narrowing of the left ventricular outflow tract, which was consistent with segmental ventricular wall dyskinesia in hypertrophic cardiomyopathy. Combined with the patient’s clinical manifestations as well as his medical history, he was admitted to the hospital for treatment of cardiac hypertrophy. After the patient was admitted to the hospital, he actively cooperated with the relevant examinations, and the results of the comprehensive examination showed that conservative treatment was more effective. After communicating with the patient, he was given bisoprolol fumarate tablets, which could improve the diastolic function of the ventricle and alleviate myocardial ischemia and hypoxia, and then alleviate the patient’s symptoms of chest tightness, chest pain, and dizziness. Inquiring about the medical history, we learned that the patient had a history of hypertension, and he was instructed to continue to take tilmisartan tablets and amlodipine benzenesulfonate tablets for antihypertensive medication to control the blood pressure level so as not to aggravate the condition. On the 1st day of hospitalization, as the patient showed obvious chest tightness and chest pain, the patient was given oxygen therapy, which could relieve the symptoms of chest tightness and chest congestion caused by myocardial ischemia and hypoxia. Third, treatment effect After regular drug treatment, on the 3rd day of admission, the patient complained of paroxysmal chest tightness symptoms disappeared, and on the 5th day of admission, the patient complained of dizziness symptoms disappeared, but still showed slight chest pain symptoms, and the blood pressure level was well controlled. On the 7th day of hospitalization, the patient complained of no other discomfort, and the blood pressure level was stable, the patient was satisfied and was discharged from the hospital. After discharge, the patient was instructed to continue to take the above medication, and after 1 month’s review in the hospital, the above symptoms did not appear, and the blood pressure level was in the normal range. Precautions The patient’s condition basically stabilized after regular medication and general care, I am very happy, but need to pay attention to the following points: 1, the patient in daily activities, action should be gentle, avoid sudden standing, so as not to induce dizziness; 2, appropriate physical exercise, such as walking, tai chi, etc., can enhance the body’s ability to resist disease, for the recovery of the disease there are also certain benefits, pay attention to moderate intensity, avoid strenuous exercise, avoiding the use of the blood pressure level is also normal. Pay attention to moderate intensity, avoid strenuous exercise; 3, patients need to pay attention to observe the blood pressure after discharge and whether their own discomfort symptoms, if discomfort symptoms, should go to the hospital in a timely manner. For cardiac hypertrophy disease, some patients may not have obvious symptoms, while some patients, like the patient in this case, will have symptoms of chest tightness and chest pain, which can be diagnosed through electrocardiograms and cardiac ultrasound and other tests, and after a clear diagnosis of the patient’s regular treatment, the condition can generally be made more stable. However, if the patient, as in this case, has chest tightness and chest pain but does not receive regular treatment, the condition gradually worsens and dizziness occurs, which is not conducive to physical health.