Nursing diagnosis of coronary heart disease

Coronary heart disease is a common disease in life. We should have a certain understanding of its diagnosis methods in life, which will help us detect the presence of coronary heart disease in time in life. The diagnosis method for coronary heart disease is generally to observe whether the patient's muscles, bones, and joints are strained or inflamed, or whether there are lesions in the bile duct and digestive tract.

There are many methods for diagnosing coronary heart disease, but the key is to observe whether the patient's muscles are abnormal, such as some cervical spondylosis or arthritis and other diseases. These diseases mainly manifest as angina pectoris or local pain. I hope you can understand it.

1. Muscle, bone, and joint diseases: such as chest muscle strain, cervical spondylosis, thoracic spondylosis, shoulder joint and surrounding ligament lesions, costochondritis, etc., may manifest as symptoms similar to angina pectoris, but these lesions have local tenderness, and the pain is often related to certain postures and movements. Local physical examination and line adjustment can confirm the diagnosis.

2. Biliary duct and upper gastrointestinal tract lesions: such as hiatal hernia, cardiac spasm, gastritis, peptic ulcer, cholelithiasis, cholecystitis, etc. Hiatal hernia may occur after a full meal or in the supine position, and the pain can be relieved by sitting up or walking. Peptic ulcers have a regularity related to mealtimes and the pain lasts longer, which can be relieved by alkaline drugs. The pain of cholelithiasis and cholecystitis is also paroxysmal. The patient often tosses and turns during the pain, and there are symptoms such as local tenderness and jaundice. It is generally not easy to misdiagnose. However, it should be noted that some patients have both bile duct diseases and angina pectoris. Biliary colic can also cause attacks of angina pectoris, so a careful diagnosis is necessary.

3. Cardiac neurosis: Patients with this disease often complain of chest pain, but it is a short-lived dull pain. Patients often like to sigh. The location of chest pain is mostly under the left breast and near the main apex, but it changes frequently. Symptoms often appear after fatigue, not at the time of fatigue. They feel comfortable with light activities, and sometimes can tolerate heavier physical activities without chest pain or tightness. Nitroglycerin may be ineffective or take more than 10 minutes to take effect. It is often accompanied by palpitations, fatigue and other symptoms of neurasthenia.

We recommend that everyone learn the diagnostic methods for coronary heart disease in their lives. Coronary heart disease is a disease that causes great harm to our body. We should be able to distinguish coronary heart disease in our lives so that we can control the deterioration of the disease in time. I hope you can take the content of the article seriously.