The human body is a big system, and this big system is regulated by neurological factors. When each person’s mood fluctuates, his corresponding material basis is neurotransmitters, which fluctuate constantly and cause harm to the human body. If the fluctuations are particularly large and gradually depleted, the person is depressed. If a person is depressed for many years, the capillary network of his heart will be contracted continuously, and the proportion of his sudden malignant death will be higher than that of normal people. Recently, foreign doctors summarized, found that the vast majority of depressed patients if he did not die of suicide, he has 50% -60% may be dead from cardiac events, depressed patients on the cardiac blood vessels back to the blood is very powerful. This is the relationship between depression and the heart. Sometimes we feel that depression is far away from us, I am very happy every day, not depressed at all, but just because you are not depressed does not mean that you don’t have bad feelings, and if you have bad feelings, you can actually do harm. Everyone’s growth is directly proportional to the pressure, the more pressure you are under, the faster you may grow, but of course within your tolerance. When the pressure exceeds your tolerance range, it is possible to become a mediation, I can not relax, I can not even relax in my free time, sleep is not good, eat is not good, this is to go to another level, that is, sustained stress stimulation on the human body to bring harm has appeared. Such damage accumulates over time will produce endothelial function damage to the heart and blood vessels. When we say that the innermost layer of the blood vessel is the endothelium, like wallpaper on a wall, under sustained stress the endothelial cells begin to die off, shedding a small piece, and when they do, they expose the wall, and it’s the same with the human body. Platelets cover the mottled wall surface to gather as a blood clot, it can be understood, why someone can be gas death? What is death by gas? Is in a short period of time by a strong stress stimulus, vascular endothelial peeling, the whole blood vessel blocked off, the patient will be acute infarction, so many acute infarction of family members are particularly chagrined to say to me, the doctor I am really sorry for him, I don’t fight with him that fight, I don’t intentionally angry at him, he turned out to be how healthy. We say that such health does not stand up to scrutiny because his ability to withstand stress has come down, only that we do not know it. The reaction of heart disease brought on by stress is in many cases very serious, small stresses gathering into rivers becoming large stresses that cause a cardiac reaction in an instant. This happens every day in hospitals, it’s not unusual for me to get 7 or 8 acute heart attacks a day, 1/3 of them are first acute heart attacks, and the vast majority of them will be caused by stress injuries. If you ask carefully, have you been unhappy lately, have you been stretched, have you run into a really bad headache, something really painful, most people have. The transition between emotions and heart disease is sometimes a split second. We just had a patient not long ago, also transferred from the emergency room, also a young man. When he came in, he had severe chest pain, his cardiac markers increased several times, and his EKG was very elevated. They said it must be an acute infarction, and the family signed a letter telling him that the risk of death was very high and that he needed to have a coronary angioplasty done immediately, but as soon as the camera hit the floor, the blood vessels were all fine. I don’t know what to do, I told people that it was an acute infarction, and I could tell them that there was nothing wrong with it, and the cardiac markers were very high. We invited to the doctor’s consultation, the doctor said this is a stress cardiomyopathy, you ask the patient, he must have suffered emotional shock. Once I asked the patient, he must have suffered an emotional shock. He was divorced first, then his father died, and he had a lot of things going on at home, so he was not only shuttling back and forth, but also his ability to work declined, and the organization directly dissuaded him from working, which was a series of strikes. Such a situation as early as ten years ago, Japanese scholars have reported, because of stress blows caused by cardiac polarity damage, like acute myocardial infarction and not myocardial infarction called octopus-like changes. The heart under pressure stimulation, called “myocardial balloon dilatation syndrome”. A national scholar wrote “I Have a Broken Heart” about the damage caused by sudden stress and how the heart can really break. This patient was lucky that we diagnosed it in the first place, gave him the maximum dose of medication to direct blood vessels and nerves, and he gradually got better within a few days, so his outwardly dilated heart gradually came back. If he hadn’t come to our hospital, if he hadn’t happened to meet one of our doctors, he probably wouldn’t have been able to recognize it, he wouldn’t have known how to deal with it, and the person would have had a malignant, and really a heart attack, or cardiogenic shock. So the emotional blow to the heart must be taken seriously, not that emotions do not bring about damage to the heart. The main reason, which I have just touched on, is because there are many neurotransmitters in the body that play a regulatory role. The ones that exert the greatest power are adrenaline, norepinephrine and dopamine. When the body is stimulated, signals are sent from the hypothalamus, through the pituitary gland, the adrenal glands, the sebaceous, and the whole body becomes more fibrous and the blood vessels begin to constrict. On the other hand, in addition to vasoconstriction, the entire blood’s organic components will also change, the most typical is the platelet, because the receptor will change, which directly causes the platelet’s deformation ability is poor. Not only is the endothelium peeled off after the platelets will hang, gathered into a cluster, there is also the ability to deform itself is poor, the swim over the place can not swim, platelets layer by layer on top of each other, it is easy to have myocardial ischemia. Such a situation leads to the body’s salt mediators on the secretion, causing damage to the heart and blood vessels; there is also abnormal cardiac activity, the old particularly sad people are prone to sinusoidal, particularly angry heartbeat is fast, which is the performance of sinus tachycardia. The instability of this activity is also the basis for the occurrence of heart disease, once in a while, after a few days of anger is no problem, if every day angry, the regulatory system out of the problem. If you are born with some sense of superiority, and there is a biological basis for it, genes inherited in the family, you can’t get rid of it, and other problems will occur. This is very much the case, everyone has sadness, trouble, in a certain degree will show up, in the early stage of heart disease, or psychological problems brought about by heart disease, not clear, must need to have a professional doctor to do to identify, identify the process may be short, may also be a long time. If you can’t identify it and treat it indiscriminately, the disease will be magnified and worsened, which is very common in the clinic. We often encounter a lot of patients after surgery to cause problems, and some are particularly stressful, the doctor told him that you are fine, he said I am not fine, I really have premature beats. Especially young people, the most common is premature beats, and the other is myocarditis sequelae, many people are diagnosed as myocarditis sequelae, these two cases are many plausible, not determined, but the pressure on people is particularly high. We always emphasize that if you’re under a lot of stress, if you’re always in a bad emotional reaction, if you’re always feeling panicky, it’s still advisable to go to the hospital and have an electrocardiogram, or an ambulatory electrocardiogram, or to get a plate to identify whether it’s a heart attack, or whether it’s a heart disease, and that different types of diseases require different diagnostic and therapeutic approaches. But because early on the symptoms may be very similar and intertwined. If you’re in a long-term bad emotional stimulation, always feel panicky, uncomfortable, and you don’t have the right one to detoxify it, you may slowly the heart is really damaged, and the blood vessels may be problematic, and myocardial ischemia will come.