What causes angina pectoris in coronary heart disease? What should I do if I have a stomach ulcer at

Angina pectoris is a clinical syndrome caused by coronary insufficiency, acute and temporary ischemia and hypoxia of myocardium. It is characterized by paroxysmal anterior chest squeezing pain, mainly located posterior to the sternum, radiating to the precordial region and left upper extremity, usually occurring during exertion or emotional agitation, lasting several minutes, and disappearing with rest or nitrate preparations. The disease is more common in men, and most patients are over 40 years of age.

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Coronary heart disease refers to coronary artery atherosclerosis that narrows or blocks the lumen of blood vessels, or heart disease caused by myocardial ischemia, hypoxia or necrosis due to functional changes in coronary arteries (such as spasticity), distraction pectoris, myocardial infarction, asymptomatic myocardial ischemia, ischemic cardiomyopathy and sudden death; Angina pectoris is a clinical symptom caused by acute, temporary ischemia and hypoxia of the myocardium caused by an increase in myocardial coherence.

The pain of angina itself should be distinguished from the pain of gastric ulcers, if the diagnosis of angina pectoris, gastroscopy is also clear that there is a gastric ulcer, there is no conflict between the two, the drug must be useful, only in the taking of aspirin, as far as possible;

In terms of gastric ulcers, we should pay attention to the regularity of daily life, avoid overwork and mental tension (coronary heart disease angina pectoris usually should also pay attention to this aspect), the diet must first be regular, avoid spicy raw and cold food, avoid overeating, quit smoking, and quit drinking.

1. Angina pectoris refers to a clinical syndrome caused by acute and temporary ischemia and hypoxia of the myocardium due to insufficient blood supply to the coronary arteries in the case of exertion or emotional agitation.

2. Coronary heart disease is the abbreviation of "coronary heart disease", which refers to the heart disease caused by the hardening or spasm of the coronary arteries, which are the blood vessels of myocardial nutrition, which reduces the blood flow of the coronary arteries, myocardial ischemia and hypoxia, also known as "ischemic heart disease".

3. Coronary heart disease can be divided into five categories according to different categories, namely angina pectoris coronary heart disease, myocardial infarction coronary heart disease, asymptomatic myocardial ischemic coronary heart disease, heart failure coronary heart disease, and sudden death coronary heart disease.

Angina pectoris is the main manifestation of coronary heart disease, and coronary heart disease contains angina pectoris, so angina must be coronary heart disease, and coronary heart disease is not necessarily angina.

41. Fatigue or nervousness, emotional agitation, retrosternal or precordial pain, and can radiate to the left shoulder and left upper shoulder, 2. Lasts for 3-5 minutes, and can be relieved by itself after rest.

3. Those who have chest pain and palpitations when they are full of food or cold.

4. When the pillow is too low at night, there is chest tightness and shortness of breath, and people who need a high pillow to lie down to feel comfortable; Those who have sudden chest pain or difficulty breathing when sleeping or lying flat during the day, and need to get up or stand up immediately to improve.

5. Patients with repeated irregular pulse, rapid heartbeat or slow heartbeat.

Lumen stenosis (<30%) belongs to coronary atherosclerosis in the strict sense, and coronary heart disease is different, generally speaking, the symptoms of angina pectoris may occur when the stenosis is greater than 50%, and more than 75% have indications for stenting.

It is advisable to check lipids, and if they are high (even if they are high within the normal range), they should be given lipid-regulating drugs, which can help stabilize the plaque. In addition, gastroscopy can be performed to observe the development of gastrointestinal lesions, and oral antacids can be used to relieve symptoms.

According to the information you provide, it is the case of coronary heart disease, and the current condition of the disease should be cooperated in time**, I don't know what the patient's current physical condition is. The onset time of coronary heart disease is more common in the morning, so you need to pay special attention when you get up in the morning, don't be too active when you just get up, you can drink a glass of water after you get up, don't be in a hurry when you wake up in the morning, and stabilize yourself first.

Look at the ultrasound report that your mother is congenital heart disease, tetralogy of Fallot, i.e., ventricular septal default, pulmonary artery stenosis, right ventricular hypertrophy, aortic riding.

This is a very serious congenital heart disease, since childhood, there have been cyanosis of the lips, dyspnea and other discomforts, should be very serious heart disease when you are a child, and you can't even grow tall and live for a long time. Your mother has lived until now, and she has had a heart discomfort recently, which seems to be difficult to understand.

It is recommended that you go to a major hospital for ultrasound examination.

If tetralogy of congenital heart is present, angina may be related to limited coronary perfusion blood pressure.

Xu Zhimin of Shanghai Xinhua Hospital.