How to identify angina pectoris?Doctor reminds: Angina pectoris is not a "colic", but compression of suffocation pain

Chen Songge, Henan Provincial People's Hospital

Angina pectoris is a type of coronary heart disease. The occurrence of angina pectoris represents the health of the patient's heart functional health. How can we identify angina pectoris?

Angina pectoris is different from the sharp pain or pain of being cut, and it is not a short acupuncture or electric shock pain, but compressive pain, suffocation pain, squeezing tightening pain, severe bloating pain. There is often a feeling of breathing unsatisfactory. Angina pectoris is not "colic". A few patients can have a burning sensation, tension, or shortness of breathing with the tension of the throat or the tension above the trachea. Affected by deep breath, such patients often have a sense of fear of death.

The pain of the angina pectoris is very extensive. Generally, it occurs in the upper or middle of the chest. Sometimes it may involve the front area of ​​the heart, and it often spreads to the left shoulder or inner arm of the arm. Sometimes it causes pain in the neck and throat. Occasionally, it can be accompanied by the right arm, lower jaw, lower cervical spine, upper thoracic spine, left scapula, or upper scapula. The pain is very small under the left axillary or the left chest.

The time of angina pectoris is very short, about 3 ~ 5 minutes each time. If the patient's pain time is more than 15 minutes or even 30 minutes, the patient may have myocardial infarction; if the patient is accompanied by nausea or dying, it does not rule out the possibility of myocardial infarction, so the patient should go to the hospital in time.

Due to the different pain thresholds at different times, the degree of difficulty to induce angina pectoris is also different. The morning pain threshold is low, and minor movements can cause attacks such as brushing, shaving, and walking. In the morning and afternoon pain thresholds, the heavier activity can be induced. It is worth noting that spontaneous angina pectoris can occur under no obvious cause.

Excessive physical activity and bad mental stimulation are important factor that causes angina pectoris. This is because after a short period of severe exercise or mental stimulation, the body's muscles are in a state of hypoxia, the blood vessels will expand, and the blood flow will increase to 4-7 times than usual. Or the blood vessels are blocked, the coronary pulse has poor expansion capacity, and the myocardial blood supply is insufficient. It cannot meet the needs of myocardial activity well, which will cause angina pectoris.

Cold, overeating, alcoholism, smoking, etc. are also a very important reason for angina pectoris.

Young people have angina pectoris because of nervousness, exhaustion, staying up late or continuous high -intensity.

Angina pectoris indicates heart damage, so once you find that you have the symptoms of angina pectoris, you need to pay attention to it and seek medical treatment as soon as possible.

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