The American Heart Association issued a scientific statement: abnormal fatigue needs to be alert to cardiovascular disease

Recently, the American Heart Association issued a scientific statement saying that patients' description of the symptoms of cardiovascular disease has a large degree of subjectivity. Some people may not think that weakness, poor sleep, weight gain, and emotional instability are related to cardiovascular disease. Cardiovascular disease is related to cardiovascular disease. Essence However, there are the above symptoms that may be prompted to go to the clinic or even hospitalized. Among patients with cardiovascular disease, symptoms such as dyspnea and fatigue are common, and there may be symptoms such as poor sleep and depression. (Circulation. Online version of August 18)

Be wary of abnormal weakness

For acute coronary arteries syndrome, chest pain is the most common, usually manifested as a lattice or discomfort, and may reflect to the jaw, shoulders, arms, or upper back. The most common symptoms of accompaniment are shortness of breath, sweat, abnormal fatigue, nausea and dizziness.

Deficiency is often considered an unprecedented manifestation of acute coronary syndrome, but this view is based on the typical symptoms of men, not the real situation. Studies have found that women mostly show radiation pain. It is also possible to have nausea, shoulder pain, and upper back pain. Young women with acute myocardial infarction are more likely to have upper abdomen symptoms, palpitations, jaws, neck, upper arms, shoulder pain or discomfort.

Weakness reminds the early heart failure

Deficiency is the most common symptom of heart failure. It may indicate muscle atrophy and evil qualities. It is an indicator of heart failure to advance to a later stage. Patients with heart failure often have poor sleep, which are related to heart failure (such as lung congestion), non -heart failure (such as sleep respiratory suspension), or drug effects (such as nighturia). Patients with heart failure often have symptoms such as insomnia, which are related to heart failure, non -heart failure, or drug effects. In patients with heart failure, cognitive dysfunction is also very common, which may be related to the decrease in cerebral blood flow and brain structure and functional changes caused by heart failure.

The symptoms of heart valve disease have a long period of no symptoms

Population aging and myocardial diseases are the main causes of valve disease. In the absence of acute severe valve dysfunction, the asymptomatic period of patients is usually longer. Symptoms of aortic valve diseases usually have gender differences. Aortic stenosis is usually asymptomatic for several years. With the narrow progress, women are more likely to have difficulty breathing and motion tolerance than men. Men are more likely to have chest pain.

Stroke women's many non -typical symptoms

Facial asymmetric, limb weakness, and difficulty words are typical symptoms of stroke. In addition, there are atypical symptoms such as abnormalities, unclear words, coordination/balance disorders, dizziness, and restoration. Female stroke patients are more likely to have atypical symptoms than male patients. Pay attention to the evaluation of anxiety, depression, fatigue and pain after the stroke. Among the stroke patients who are in different stages of recovery, about 1/4 are anxious, 1/3 have depression, half of fatigue, and half of patients have pain.

Part of the symptoms of atrial fibrillation are not typical

Handle is the characteristic symptoms of arrhythmia. Palpitations are a typical manifestation of atrial fibrillation, but atrial fibrillation can also be asymptomatic. Patients with atrial fibrillation often show palpitations, fatigue, and dyspnea, and can also be manifested as chest pain, dizziness, threatened syncope and anxiety.

Patients with atrial fibrillation may sometimes have symptoms and sometimes asymptomatic. Women and young patients often have palpitations, and male patients are more asymptomatic. The older the age, the less typical the symptoms of atrial fibrillation, or asymptomatic. A study found that 52%of atrial fibrillation was asymptomatic before ablation, and 79%had no symptoms after ablation.

Discosit lameness need to pay attention

About 1/3 of patients with peripheral arterial diseases will have typical intermittent allegiance. However, non -calf sports pain is more common than typical lameness symptoms. Similar to peripheral arterial diseases, peripheral vein diseases may have symptoms or asymptomatic. The clinical symptoms of peripheral vein diseases include leg pain, soreness, fatigue, severe, spasm, tension, unimable leg syndrome and skin irritation.

Depression makes the prognosis of vascular disease worse

The statement emphasizes the importance of screening depression in patients with heart disease, and the incidence of depression in patients with heart disease is about twice as much as those without any disease. Depression is a risk factor for poor prognosis in patients with cardiovascular disease.

Capture: Guan Yanqing

Edit: Guan Yanqing

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