心脏不舒服怎么办 王振涛 河南省中医院

心脏不舒服怎么办 王振涛 河南省中医院
心脏不舒服，我觉得分为很多种，比如心悸、胸闷、气短等，要根据具体的情况来进行分析，比如有些病人，长期生病，心脏病带来了焦虑，如果是焦虑症的话，会出现精神紧张、焦虑、烦躁、失眠等，这种情况，我们要安抚他的情绪，注意休息，必要的时候要进行抗焦虑抑郁治疗。也有些病人是心脏方面的原因，要进行相关的检查，比如测量血压、心率、检查下肢是不是有水肿、心电图、心脏彩超、生化检验等检查，找到病因以后给予正确的治疗，症状可以逐渐缓解。还有一些病人，无法说清楚是哪种不适，对于这样的病人，要第一时间到心内科诊治，心内科医生会根据症状做出合理的判断。如果心脏出现了心悸的症状，这种往往是心律失常的表现，这种情况下应该到心内科找医生做一个动态心电图，看一下心悸是什么原因，是什么样的心律失常。如果出现了胸痛，特别是阵发性的，活动、情绪激动、紧张、劳累诱发，在几分钟内，胸痛就消失了，有的人胸痛的时候向左肩喉部放射，这种情况就要考虑是不是冠心病的心绞痛，要做冠状动脉造影或者冠脉CT确诊，如果病人出现了一活动就胸闷、气短，夜间不能平卧这些症状，这些症状往往是心力衰竭、左心衰竭的表现，所以这种情况下，也要到医院找医生进行心脏彩超的检查，查心肌的标志物、脑钠肽。

What to do if the heart is not comfortable
The heart is sick, I think there are many kinds, For example, palpitation, chest tightness, shortness of breath, etc, It should be analyzed according to the specific situation, For example, some patients, Long term illness, Heart disease brings anxiety, If it's anxiety, There will be mental tension, anxiety, restlessness, insomnia, etc, In this case, We need to appease him, take a rest, If necessary, anti anxiety and depression treatment should be carried out. There are also patients with heart problems, Relevant inspection shall be carried out, For example, measure blood pressure, heart rate, check whether there is edema in lower limbs, ECG, color Doppler ultrasound of heart, biochemical test, etc, After finding the cause of the disease, give the correct treatment, The symptoms can be relieved gradually. And some patients, I can't say what kind of discomfort it is, For such patients, We should go to the Department of Cardiology for diagnosis and treatment at the first time, The cardiologist will make a reasonable judgment according to the symptoms. If the heart has palpitations, This is often the manifestation of arrhythmia, In this case, you should go to the cardiology department to find a doctor to do a dynamic ECG, Look at the cause of palpitation, What kind of arrhythmia is it. If you have chest pain, Especially paroxysmal, Induced by activity, emotion, tension and fatigue, In a few minutes, The chest pain disappears, Some people radiate to the left shoulder throat when they have chest pain, In this case, we need to consider whether it is angina pectoris of coronary heart disease, We need to do coronary angiography or CT diagnosis, If the patient has an activity, he will feel chest tightness and shortness of breath, You can't lie on your back at night, These symptoms are often the manifestations of heart failure and left heart failure, So in this case, We also need to go to the hospital to see a doctor for color Doppler ultrasound, The markers of myocardium and brain natriuretic peptide were examined.