Looks healthy, can’t ignore health

Looks healthy, can’t ignore health

Some people seem to be healthy, but there are likely to be potential or undiscovered diseases such as heart disease. Such patients, our emergency doctors can meet almost every day, especially relatively young patients, such as people in their 40s or 50s, even those in their 20s and 30s.

In the classification of coronary heart disease, there is a kind of “asymptomatic myocardial ischemia type coronary heart disease”. As the name suggests, the patient has already had coronary heart disease, but no symptoms, the patient feels free. I came out and thought that I didn’t have a coronary heart disease, and my family didn’t treat him as a patient.

Asymptomatic myocardial ischemic coronary heart disease can also be called “hidden coronary heart disease” or “asymptomatic coronary heart disease.” In the examination of some medical instruments (electrocardiogram activity, left ventricular function, myocardial perfusion and myocardial metabolism, etc.), patients will have a disease of myocardial ischemia, but there is no chest pain or myocardial in the patient’s subjective expression. Ischemic related symptoms.

 looks healthy, can't ignore health

 looks healthy and cannot ignore health

Asymptomatic myocardial ischemia has a high incidence in coronary heart disease, far exceeding myocardial ischemia with chest pain. In modern medicine, myocardial ischemia can be divided into three types. One is the history of no coronary heart disease, the patient has no symptoms of coronary heart disease, but there is asymptomatic myocardial ischemia, and the number of people suffering from myocardial ischemia in these people accounts for 5%; second, there is still asymptomatic myocardial ischemia after myocardial infarction, 34% of patients with myocardial infarction have asymptomatic myocardial ischemia. Third, patients with angina pectoris are accompanied by asymptomatic myocardial ischemia. Most patients with coronary heart disease belong to this type, and only a small number of myocardial ischemic attacks are accompanied by symptoms.

The difference between asymptomatic myocardial ischemic coronary heart disease patients and other types of coronary heart disease patients is that there is no clinical symptoms, but there is an objective manifestation of myocardial ischemia, that is, the heart has been under-coronary blood supply. The effect can be considered as early coronary heart disease, which may suddenly turn into angina or myocardial infarction, or it may gradually evolve into ischemic cardiomyopathy, heart failure or arrhythmia, and individual patients may also die.

This disease is actually more dangerous. Because there are no obvious symptoms, it is difficult to attract people’s attention, so that the timing of treatment is delayed. Therefore, in daily life, you should maintain a regular life, good eating habits, avoid fatigue, stay up all night, exercise properly, ensure adequate sleep, and avoid such diseases. If the electrocardiogram shows myocardial ischemia and the heart rate is normal, this condition is considered to be functional in young patients, mainly due to lack of sleep, fatigue, mood swings, etc., without major problems. For middle-aged people, especially people with high blood pressure, hyperlipidemia, diabetes and smoking, they can’t think that they have never had chest pain or chest tightness. They don’t pay attention to the manifestation of myocardial ischemia on the electrocardiogram, but should take it seriously. Seek medical attention in time.

 looks healthy, can't ignore health

Our heart, it should be well cared for.