Tell him to send me the electrocardiogram. Everything's fine. According to the symptoms described by the patient, the patient's age, weight and other information, it is judged that the patient may have arrhythmia or neurosis, and the patient is required to have a 24-hour electrocardiogram and be told to rest.
In fact, ECG can only detect some heart problems, so normal ECG does not mean that the heart must be fine.
In daily life, people often think that heart disease is a disease, and most people think that it is a cardiovascular disease. In fact, it's not just cardiovascular disease but heart disease. General arrhythmia and other heart rhythm problems, atrial septal defect and other heart structure problems, heart failure and other heart function problems can be called heart disease.
Generally speaking, heart disease mainly includes the following aspects:
1. Diseases with abnormal heart structure: such as heart shape, heart cavity size, heart cavity size, heart valve structure, opening and closing conditions, etc. Including hypertrophic cardiomyopathy, mitral and tricuspid stenosis or insufficiency, atrial septal defect, etc.
2. Problems in the blood supply pipeline system of the heart, such as whether the arteries supplying the heart are narrow or hinder the blood speed. People often say that coronary heart disease is this kind of disease.
3. The rhythm of the heart beating, such as whether it is too fast, too slow, stopping, jumping early, jumping, etc. Arrhythmia is such a disease.
4, heart function problems, such as cardiac insufficiency or heart failure.
Sometimes these heart diseases occur alone, and sometimes there are several kinds. For example, there is something wrong with the structure of the heart. There is a muscle passing through the coronary artery of the heart, called muscle bridge, which sometimes leads to vascular stenosis, angina pectoris and insufficient blood supply to the heart.
Suspected heart disease, what examination should I do?
Mainly according to the symptoms of the patient's physical examination, as well as the comprehensive judgment of the patient's age, height and weight, it is suspected that there is something wrong with the part or function of the patient's heart, and relevant examinations are carried out for different problems.
1, ECG examination, including "routine ECG" and "24-hour dynamic ECG", mainly reflects arrhythmia, but also reflects cardiac enlargement, myocardial damage, cardiac ischemia and infarction. Some arrhythmias only appear abnormal during the attack, which does not mean that the ECG is normal, indicating that the heart is fine. So many times doctors will ask patients to do 24-hour electrocardiogram, which is more accurate than instantaneous electrocardiogram, but this does not mean that 24-hour electrocardiogram is normal at all.
2, cardiac color ultrasound, mainly depends on the structure of the heart and adjacent large vessels, as well as pericardial effusion. This examination can find obvious structural abnormalities of the heart, and can also evaluate the function of the heart to some extent.
3, chest X-ray, mainly depends on the size and shape of the heart, such as rheumatic heart disease, congenital heart disease, heart enlargement for various reasons. Because of the popularity of CT, this kind of examination tends to be replaced.
4. Cardiac CT, magnetic resonance imaging and angiography are often used at the same time when inspection is needed, which can check the size, structure, presence of dissection and aneurysm of each chamber and adjacent great vessels of the heart, and the new technology can also look at the trend of coronary artery, presence of stenosis and obstruction, etc.
5. Heart stress test is mainly used for people who are suspected to have coronary heart disease, and also for inducing specific arrhythmia. The test must be carried out under strict monitoring and terminated in time if necessary.
6. Radionuclide myocardial imaging, including resting and stress, is used to suspect myocardial ischemia, mainly relying on myocardial metabolism.
7. Blood test, myocardial enzyme spectrum, cardiac troponin, brain natriuretic peptide, blood lipid, C-reactive protein, homocysteine, catecholamine, angiotensin and aldosterone can reflect whether the myocardium is damaged or not, heart function, etc.
The above are some common cardiac examinations, which are helpful for a preliminary understanding of heart problems, and some examinations are more professional, such as cardiac interventional radiography. The specific patient is a complex individual, and the examination method is determined by the condition.
There is another kind of heart disease, that is, I suspect that Fan has a disease, which may be fine after examination, but it just has symptoms of chest pain, chest tightness, palpitation and shortness of breath. If the patient is still in good health, it is likely to be neurosis between the ages of 20 and 50, and this disease is not uncommon, so it is normal after doing a lot of heart tests, and this disease should be suspected.
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