Diseases are very common in people's daily lives, especially those with disordered physical fitness and living habits are prone to diseases. Canning heart disease is a typical disease. Many people do not have a comprehensive understanding of coronary heart disease. Many people do not know the cause of this disease after they develop it. So, what is the cause of canning heart disease? First, what is the cause of coronary heart disease? Coronary atherosclerotic heart disease is a heart disease caused by atherosclerotic lesions in the coronary arteries, which causes narrowing or blockage of the blood vessel lumen, resulting in myocardial ischemia, hypoxia or necrosis, and is often called "coronary heart disease." However, the scope of coronary heart disease may be broader, also including inflammation, embolism, etc. that lead to stenosis or occlusion of the lumen. The World Health Organization divides coronary heart disease into five major clinical types: asymptomatic myocardial ischemia (latent coronary heart disease), angina pectoris, myocardial infarction, ischemic heart failure (ischemic heart disease) and sudden death. In clinical practice, it is often divided into stable coronary heart disease and acute coronary syndrome. Second, the risk factors for coronary heart disease include modifiable risk factors and non-modifiable risk factors. Understanding and intervening in risk factors can help prevent and treat coronary heart disease. Modifiable risk factors include: high blood pressure, dyslipidemia (too high total cholesterol or too high low-density lipoprotein cholesterol, too high triglycerides, too low high-density lipoprotein cholesterol), overweight/obesity, hyperglycemia/diabetes, unhealthy lifestyle including smoking, unreasonable diet (high fat, high cholesterol, high calories, etc.), lack of physical activity, excessive drinking, and psychosocial factors. Unmodifiable risk factors include: gender, age, and family history. In addition, it is related to infections such as cytomegalovirus, Chlamydia pneumoniae, Helicobacter pylori, etc. The onset of coronary heart disease is often related to seasonal changes, emotional excitement, increased physical activity, overeating, heavy smoking and drinking. What is the cause of chest pain? (1) Typical chest pain is triggered by physical activity, emotional excitement, etc. The patient suddenly feels pain in the precordial area, which is usually paroxysmal colic or squeezing pain, or a feeling of stuffiness. The pain starts behind the sternum or in front of the heart, radiates upward to the left shoulder, arm, and even the little finger and ring finger. It can be relieved by resting or taking nitroglycerin. The chest pain may also radiate to the neck, jaw, teeth, abdomen, etc. Chest pain may also occur at rest or at night, caused by coronary artery spasm, also known as variant angina. If the nature of chest pain changes, such as new progressive chest pain, the pain threshold will gradually decrease, so that it may occur even with slight physical activity or emotional excitement, or even when resting or sleeping. The pain gradually intensifies, changes frequency, and lasts longer. It cannot be relieved by removing the cause or taking sublingual nitroglycerin. At this time, unstable angina is often suspected. Classification of angina pectoris: The CCSC Canadian Cardiovascular Society classification is generally used internationally. Grade I: Daily activities, such as walking, climbing stairs, without angina attacks. Grade II: Daily activities are slightly limited by angina. Grade III: Daily activities are significantly limited by angina attacks. Grade IV: Any physical activity can cause an angina attack. Severe chest pain during myocardial infarction The symptoms last for a long time (often more than half an hour) and cannot be relieved by nitroglycerin. There may be nausea, vomiting, sweating, fever, and even cyanosis, hypotension, shock, and heart failure. (2) It should be noted that some patients may have atypical symptoms, which may only include precordial discomfort, palpitations or fatigue, or mainly gastrointestinal symptoms. Some patients may not have pain, such as the elderly and those with diabetes. (3) Sudden death: About one-third of patients experience sudden death during their first attack of coronary heart disease. (4) Other symptoms may be accompanied by systemic symptoms, which may occur in patients with concomitant heart failure. |
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