Abdominal pain may be caused by a variety of heart diseases, don't be careless! How to prevent it better in winter?
Jiang Tingbo, chief physician of the Department of Cardiology of the first affiliated Hospital of Suzhou University, asked why atrial fibrillation causes abdominal pain. Then the blood flow will be disordered or even stagnated, mural thrombus will be formed in the atrium, especially in the left atrial appendage, and the mural thrombus will fall off under the impact of blood flow. It will cause acute lower limb ischemia. It is easy to mistake cholecystitis, gastric perforation, acute gastroenteritis and angina pectoris for cholecystitis, gastric perforation, acute gastroenteritis and angina pectoris. This is because coronary artery stenosis or vasospasm in angina pectoris leads to a decrease in coronary blood flow, while an increase in myocardial oxygen consumption will lead to sharp ischemia and hypoxia. It is caused by stimulating the afferent fiber terminals of the autonomic nerve in the heart.
Jiang Tingbo
The first affiliated Hospital of Suzhou University
Chief physician of Cardiovascular Internal Medicine
Ask
Why does atrial fibrillation cause abdominal pain?
The human heart is like a "pump" that transports blood to all organs of the body through regular contraction. But if the heartbeat is out of rhythm, such as atrial fibrillation, the atrial output is out of order, then the blood flow will be disordered or even stagnated, and mural thrombosis will occur in the atrium, especially in the left atrial appendage.
Mural thrombus will fall off under the impact of blood flow, and embolism will occur wherever it goes:
If it blocks the brain, it will form a cerebral infarction, which is commonly known as "cerebral stroke".
Blocking to the lower extremities, it will cause acute lower limb ischemia and "leg stroke".
Blocked into the blood vessels of the intestine, the formation of superior mesenteric artery embolism, that is, "intestinal stroke."
Ask
Which heart diseases may cause abdominal pain?
Acute myocardial infarction
Acute myocardial infarction, especially inferior myocardial infarction, occurs because the vagus nerve afferent fiber receptors are almost located on the surface of the inferior wall of the heart. So when myocardial ischemia, hypoxia, stimulate the vagus nerve, causing gastrointestinal flatulence or spasm, resulting in abdominal pain. And accompanied by vomiting, diarrhea, etc., easy to mistake for cholecystitis, gastric perforation, acute gastroenteritis.
angina
Most of the time, we will feel that angina pectoris is characterized by chest pain, but in fact, some people show pain in the upper abdomen or the lower edge of the ribs. This is because coronary artery stenosis or vasospasm in angina pectoris leads to the decrease of coronary blood flow, and the increase of myocardial oxygen consumption will lead to sharp ischemia and hypoxia, and the accumulation of too many metabolites in myocardium. it is caused by stimulating the afferent fiber terminals of the autonomic nerve in the heart, which is located in the same or adjacent spinal nerve center as the autonomic nerve afferent to the upper abdomen, so it is mistakenly felt as abdominal pain.
heart failure
Heart failure, especially right heart failure, due to systemic blood stasis, can lead to congestion of surrounding tissues and organs, such as hepatobiliary, gastrointestinal congestion and edema, patients will have abdominal pain, abdominal distension and other discomfort.
Pericarditis, pericardial effusion
Acute pericarditis, especially viral pericarditis, can also be characterized by abdominal pain. Because the sensory nerves of the heart are only distributed in the lower part of the pericardial wall, when inflammation invades the diaphragm pleura, pericardial effusion oppresses the inferior vena cava and part of the hepatic vein, it can cause pain to radiate to the shoulder, back and upper abdomen, easily mistaken for cholecystitis.
Aortic dissection
As a cardiovascular emergency, the mortality of aortic dissection is extremely high. When aortic dissection occurs, aortic intimal tear, dissection involving the abdominal aorta and its branches, will produce serious thoracic and abdominal tear-like pain, dissection further affects the blood supply of abdominal organs, leading to severe abdominal pain, nausea, vomiting and other similar manifestations of acute abdomen, easy to be mistaken for acute gastroenteritis.
Ask
How to prevent abdominal pain in winter?
The doctor advised
In winter, the elderly should pay attention to keeping warm and try their best to carry out activities in warm rooms.
When it comes to diet, don't smoke, drink alcohol or drink too much coffee, because caffeine and nicotine can increase the burden on the heart.
It is recommended that people at high risk of influenza, including those over the age of 65 and those at risk of heart disease, be vaccinated every year.
To improve gastrointestinal function, we should pay attention to the combination of reasonable diet and good living habits. Therefore, proper exercise is needed every day to ensure the normal power of the digestive tract. Give up bad habits such as smoking, drinking, drinking too much strong tea, coffee, staying up late, etc.
Source: CCTV Life Circle