Sore throat, toothache and stomachache are all related to the heart.

The typical symptoms of angina pectoris are dull pain or squeeze-like pain in the retrosternal or left presternal area, which often occurs after fatigue, emotional agitation, cold or satiety, and can usually be improved or relieved by sublingual administration of nitroglycerin and Baoxin pills. One of the atypical angina pectoris is a sore throat. Mr. Liu, 54, has a recurrent sore throat. After taking the cold medicine for a few days, the symptoms slightly improved, but after stopping the medicine, the sore throat was still not good. The doctor examined the laryngoscope and showed that there was no inflammation, and the pain was occasionally accompanied by sweating. The doctor inferred that he had a sore throat, and Mr. Liu's sore throat was cured. The examination found that the blood pressure was high, and the blood pressure was lowered and then continued to treat the teeth. The cardiologist found a clue when consulting. Hypertension I have been taking medicine. "the toothache caused by angina pectoris is jaw pain. If the patient is complicated with high blood pressure, diabetes, smoking, family history of coronary heart disease, atypical angina pectoris, stomachache, Ms. Qin is 56 years old. I'm going to do a gastroscope to see if I have a gastric ulcer.

Angina pectoris, the word is no stranger to the popular concept. It is often seen in film and television works that the protagonist suddenly faints with severe chest pain. Indeed, the typical symptoms of angina pectoris are dull pain or squeeze-like pain in the retrosternal or left presternal area, which often occurs after fatigue, emotional agitation, cold or fullness, and can last for several minutes. Usually it can be improved by itself or relieved by sublingual administration of nitroglycerin and Baoxin pills.

However, there are still some atypical angina pectoris, which is often ignored because it is hidden and does not take the "ordinary road". If the disease can not be identified in time, it is very likely to lead to a catastrophe and make the patients and their families repent.

One of atypical angina pectoris

Sore throat

Mr. Liu, 54, repeatedly developed a sore throat and a sense of obstruction. He only regarded it as a cold. After taking the cold medicine for a few days, his symptoms slightly improved, but the sore throat still did not improve after stopping the medication. He went to the department of otorhinolaryngology, and the doctor examined the laryngoscope and showed no inflammation and no abnormality in his throat. After repeated medical examination, the electrocardiogram showed that Mr. Liu had myocardial ischemia.

After reopening Mr. Liu's condition, the doctor found that he had a sore throat with a sense of tightness and obstruction, sometimes like eating chili powder, burning, paroxysmal attacks, obvious after activity, improvement after rest, lasting 3-5 minutes, attacks 1-2 times a day, frequent recent attacks, occasionally accompanied by sweating when pain.

According to Mr. Liu's description, the doctor inferred that his sore throat was most likely angina pectoris. Through coronary angiography, 85% of the proximal left anterior descending artery was found to be narrow and stent implantation was given. After the operation, Mr. Liu's sore throat also recovered.

Atypical angina pectoris

Toothache

Recently, Uncle Wang, 70, has been worrying about his teeth. The stomatology department saw two teeth several times, but the toothache was still not good. When he was about to pull out the third tooth, the examination found that the blood pressure was high. The dentist asked him to go to the cardiology department first to lower the blood pressure and then continue to treat the teeth.

The cardiologist found a clue when he asked: have several teeth been pulled out, or does it hurt? There must be a problem!

"Don, do you have a toothache, or do you have a pain all the time? When does it usually hurt? "

"sometimes it hurts, sometimes it doesn't. It usually hurts when I get up in the morning to brush my teeth and exercise, and when it hurts badly, I still sweat!"

"apart from the toothache, do you have any trouble with your chest? Do you have chest tightness or chest pain? "

"well, that reminds me that my chest is a little stuffy and painless." "besides high blood pressure, do you have diabetes? do you smoke?" "I always take medicine for high blood pressure. I smoke. I don't have diabetes."

After a few short words, the doctor had a bottom in his heart, and he asked the old man to have an ECG first. The electrocardiogram report showed T wave inversion in precordial leads. Immediately admitted to the hospital, improve coronary angiography, stent implantation, in one fell swoop. Later, when the old man got rid of his toothache, he joked to himself: the stent cured my toothache.

Generally speaking, the toothache caused by angina pectoris is mandibular pain, with a feeling of flatulence, which can be relieved in a few minutes, generally no more than half an hour. If patients with hypertension, diabetes, smoking, family history of coronary heart disease, angina pectoris should be vigilant.

The third of atypical angina pectoris

Stomachache

Ms. Qin is 56 years old and works in a factory. She suffers from chronic gastritis and recently suffered from a stomachache after a quarrel with her family. Ms. Qin felt that she had gastritis, so she went to the digestive department of the hospital and was ready to do a gastroscope to see if she had a gastric ulcer.

According to the requirements, the ECG needs to be routinely evaluated before gastroscopy, but Ms. Qin's ECG report indicates that the II III aVF ST segment is low and the T wave is low and flat. When the doctor looked at it, he found that the situation was unusual. After carefully asking the medical history, it turned out that Ms. Qin's stomachache was epigastric pain, which had nothing to do with eating and hunger, but had something to do with emotion. She had a pain in her breath and could get better after rest, and then asked her family history that her father had coronary heart disease and died of myocardial infarction.

The results of further examination showed that Ms. Qin had 90% stenosis in the middle part of the right coronary artery, and her symptoms improved significantly after stent implantation.

Angina pectoris attack for more than 20 minutes should be vigilant

Generally speaking, angina pectoris attack has certain inducement, such as overwork, strenuous exercise, mental tension, emotional agitation, satiety, cold, smoking and so on.

The attack of angina pectoris is often paroxysmal, most people may have pain for 3-5 minutes, and the attack time of angina pectoris is generally no more than 20 minutes. If the pain or discomfort caused by heart ischemia is more than 20 minutes, a myocardial infarction is most likely to occur.

There are some patients with angina pectoris attack just feel sweating for no reason, fatigue, no obvious pain. When the above symptoms appear, combined with the risk factors of coronary heart disease such as hypertension, diabetes, smoking, hyperlipidemia, family history of coronary heart disease and so on, it is recommended to see a doctor in the department of cardiology, improve ECG, echocardiography and other examinations to exclude atypical angina pectoris.

In addition, you must pay attention to rest when you have angina pectoris, if you have nitroglycerin tablets at home, you can take 1 tablet, if you don't relieve it for 5-10 minutes, you can have another tablet; you can also take 3-5 Suxiao Jiuxin pills.

If after taking medicine, angina pectoris is still not relieved, must not be taken lightly, should quickly call 120 emergency call to the chest pain center for medical treatment.

Take care of the heart, you might as well eat like this.

Take care of heart health, usually to work and rest, the elderly can take a walk to do Taijiquan. The diet is mainly light, give up smoking and limit alcohol, and avoid being too full. At the same time, pay attention to the prevention and treatment of chronic diseases, such as the control of hypertension, hyperglycemia, hyperlipidemia and hyperuricemia. In terms of diet, we suggest that we try to achieve the following points.

Eat more dietary fiber:

Eat more whole grains, vegetables, fruits, legumes, nuts and other foods to ensure daily intake of 30-45 grams of dietary fiber. China's dietary guidelines recommend the daily intake of 50-150 grams of whole grains and mixed beans. However, more than 80% of China's adult residents have a serious shortage of whole grain intakes, with a daily whole grain intake of 13.9 grams for adult men and 14.6 grams for women, much lower than the recommended intake.

Eat no less than 200 grams of fruits and vegetables every day. It is recommended that everyone eat half a jin of fruits and one jin of vegetables every day.

Eat less oil, especially saturated and trans fats:

Eating too much fat increases the risk of cardiovascular disease, especially saturated and trans fats. Note that the daily energy intake of saturated fatty acids should not exceed 10%. Usually eat less fried food, cooking should also pay attention to less oil, less fried; vegetable cream, margarine, crisp, pie foods may be more trans fatty acids, but also pay attention to eat less.

Eat less salt and sugar:

Don't eat more than 5 grams of salt a day. Drink less sugary drinks, including pure fruit juices. Complete fresh fruit is the best. When squeezing fruit and vegetable juice, try to put more vegetables and less fruit.

To drink less or not to drink:

China's dietary guidelines recommend that children, adolescents, pregnant women and nursing mothers should not drink alcohol. If adults want to drink alcohol, men should drink no more than 25 grams of alcohol a day and women should not drink more than 15 grams of alcohol a day. (Qiao Zengyong and Sun Yanzhuan, a cardiologist from Fengxian District Central Hospital, Shanghai)

Source: Wen Wei Po