The temperature difference between day and night must be alert to non -obstructive coronary heart disease

(Correspondent Ma Yaoyao) Recently, a Penteco aunt felt chest pain and chest tightness and discomfort due to family chores. After arriving at the hospital, she found myocardial infarction. After analyzing the condition in detail, the patient judged that the patient was emotional excitement and caused coronary spasm, which caused acute myocardial infarction. Experts from the Department of Cardiovascular Department of Wuhan Central Hospital reminded that the temperature difference between day and night in the near future must be alert to non -obstructive coronary heart disease.

Aunt Zhou (pseudonym), who lives in Houhu, 57 years old. She quarreled with her husband at home a week ago because of trivial matters. After that, she often felt chest tightness and discomfort with her husband. The morning before, Aunt Zhou felt chest pain and chest tightness. I thought that the rest would be fine. I did not expect that the symptoms would not be alleviated for 20 minutes. The family found that the situation was wrong.

After Aunt Zhou rushed to the hospital, the electrocardiogram was prompted to obvious myocardial ischemia. Based on the results of the blood test, the possibility of acute myocardial infarction was considered. Subsequently, the Cardiovascular Department team opened the green channel for coronary arteries. It was found that the three major blood vessels of Aunt Zhou's heart blood supply were very slender, and the blood flow was significantly slow. After reviewing the vascular dilation drugs in the coronary vein, the three coronary blood vessels were significantly thicker, and the blood flow improved significantly. With the recovery of blood supply to the heart, Aunt Zhou turned in danger. After analyzing the history of Aunt Zhou in detail, the experts of cardiovascular and internal medicines considering that she was emotional excitement, causing coronary spasm and vascular contraction to produce myocardial ischemia. Due to the long time of coronary spasm, it further caused acute myocardial infarction. Farming. After clarifying the cause, in the Cardiovascular Medical Consultation Office, Director Chen Juan performed drugs for Aunt Zhou to alleviate coronary spasm and improve coronary microcirculation. At present, Aunt Zhou's condition has been stable. Director Chen Juan told her that she must control her emotions in the future and keep warm when changing the sky.

Chen Manhua, director of the Department of Cardiovascular Medicine, introduced that the concept of "coronary heart disease" that ordinary people are more familiar with, which uses crosses in the coronary vein to block blood vessels and cause stenosis as a blocking coronary heart disease; For syndrome caused by various causes, common causes include coronary arteries spasm, stress myocardial disease, and coronary microvascular lesions. Coronary arterial spasm is the coronary arteries that supply heart blood, which is stimulated due to various reasons, causing abnormal contraction in the blood vessels in a short period of time, causing narrow or occlusion, reduced coronary blood flow, which causes myocardial ischemia. Long -term spasm causes lack The increase in blood causes the myocardium further necrosis, which is non -obstructive coronary heart disease myocardial infarction. Coronary spasm can also lead to risk such as angina pectoris, arrhythmia, and even sudden death. Patients often stay up late, emotional excitement, and a lot of incentives such as smoking, drinking, strong mental stress, and cold stimulation in a short period of time. Coronary spasm is short due to the short duration. The spasm was lifted when the hospital was visited. ECG and other examinations can be normal. It is often necessary to capture the clinical diagnosis. For patients with repeated chest pain, even if the coronary angiography is normal, it may be unobstructed coronary heart disease.

Experts remind that the recent cooling, the temperature difference between morning and evening, for patients with chest pain, early morning chest pain or static state of chest pain, emotional induction chest pain, even if the coronary angiography is normal, it is still necessary to be alert to non -obstructive coronary heart disease such as coronary spasm. It is necessary to capture the electrocardiogram of the heart multiple times for further diagnosis. Usually learn to regulate and control emotions, strictly quit smoking, restrict drinking, and try to maintain an optimistic and peaceful attitude in life to avoid staying up late. Once symptoms such as chest pain and chest tightness occur, you should be vigilant and seek medical treatment in time.

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