Whether heart disease can be ruled out completely

Electrocardiogram, ambulatory 24-hour ECG, treadmill test, cardiac color ultrasound, cardiac enzymes, coronary angiography, are all normal, basically can discharge you have structural heart disease, from your symptoms, most likely the following 4 diseases - gastroesophageal reflux disease, chronic gastritis or gastric ulcer, cardiac neurosis, X syndrome.

Gastroesophageal reflux syndrome is more common during sleep at night, and it is a heartburn sensation in the chest or back, and esophageal pH can be monitored, and the results are normal and can be basically ruled out.

The discomfort of chronic gastritis or gastric ulcer is more common before eating, and can be relieved after meals, and can be relieved by taking a tablet of losecol orally when uncomfortable to see if it can be relieved. Gastroscopy is recommended for this disease, and normal results can be ruled out.

Cardiac neurosis, due to work pressure and mental factors, there are many such patients, and some sedative, anti-anxiety drugs (such as fenachloride 20mg bid, or perphenazine 2mg bid, or diazepam bid, etc.) can be used to see if the symptoms are relieved.

In addition to the above 3 diseases, there is also a type of heart disease called X syndrome, which refers to the small branch lesions of the coronary arteries of the heart, which is extremely difficult to diagnose, and it can be that the tests you have done are normal, and the most effective drug for this disease is Wanshuangli 20mg tid.

Note: QD: 1 time a day, bid 2 times a day, TID 3 times a day.

Your current diagnosis is not too clear. However, there is a high suspicion of the following disorders. 1.

Cardiac neuroses. 2.Sequelae of myocarditis.

3.Diseases of the digestive tract. Diagnostic**.

Gastrointestinal examination may be done. It is better to actively carry out ** after diagnosis. I support the first diagnosis.

Good luck soon**!

First: it's certainly not structural heart disease.

Second, it may be cardiac neurosis or autonomic nervous system dysfunction.

Thirdly, you can consider doing an MRI of the spinal cord to see if there is any problem such as spinal stenosis.

Fourth: Pay attention to whether there are digestive diseases, and do fiber gastroscopy if necessary.

Professionals do professional things! This sentence is absolutely absolute! Take Hu's advice.

If you don't study medicine or you don't know much about medicine, leave these questions to us doctors! Supports the diagnosis of cardiac neurosis.

You've done a lot of important cardiology tests, and the results are normal. In terms of the heart, the problem of myocardial ischemia and myocardial infarction can basically be ruled out. Also pay attention to the presence of arterial dissection, which is also less likely.

Chest pain is not only related to the heart, but also to gastric heart syndrome, biliary heart syndrome, and cervical-heart syndrome.

According to your description, it may still be related to digestive problems.

There are several types of heart tests.

The first ECG.

Check the heart's electrical activity.

Because the beating of the heart is triggered by the myocardial current.

Lesions in the heart can cause abnormal electrical activity.

It can be reflected on the ECG.

Second, cardiac color ultrasound.

It mainly observes the mental structure and motor function in the heart.

If you can see the heart valve on it.

and the beating of the heart muscle.

In heart failure, the heart muscle beats less.

Third, coronary angiography.

The gold standard test for observing coronary heart disease.

All three of the above are normal now.

There's no need to worry about it.

I'll teach you another effective way to tell heart disease.

When you have palpitations or chest tightness or chest and back pain.

Run 300 meters or climb eight floors.

If your heart is flustered, your chest is tight, and your chest and back pain are gone.

That's definitely not a heart attack!!

My point of view also feels like cardiac neurosis!

It's really not good, and it's more effective to take a little betalux when you get sick!

In addition, pay attention to the feeling of relaxation and eliminate the burden on the heart!

Professionals do professional things!

May you be satisfied!

It may not be detectable when there is no attack of heart disease, and if it is a myocardial infarction, it is even more difficult to detect when it is not attacking. From the front chest pain to the back and sometimes to the left arm, this is a phenomenon of myocardial infarction, and it is recommended to check it next time when it is painful, and it is clear whether it is a heart attack at once.

Heart disease can be ruled out. It is advisable to see a psychiatrist.

You said stomach pain. Stomach bloating can also put pressure on the heart, leading to insomnia, chest tightness and back pain. It does not have to be a functional cardiac disease.

A normal cardiac ultrasound can rule out heart disease. In clinical practice, cardiac ultrasound can detect heart valve disease, pulmonary heart disease, coronary heart disease, wind heart disease and hyperheart disease. In clinical practice, cardiac color Doppler is mainly used to examine the shape, structure, function and valve closure of the patient's heart.

Through the examination, it is possible to visually observe whether there is any abnormality in the heart structure. At the same time, it can also measure the size of the left atrium, left ventricle, right atrium, right ventricle, interventricular septum and wall thickness. At the same time, mitral valve, tricuspid valve, aortic and pulmonary valve closure and the presence of stenosis or regurgitation of the valve can also be observed.

In addition, left ventricular ejection fraction can also be calculated using this method. The presence and severity of pulmonary hypertension can also be observed. If there is a large atrial thrombosis, it can also be detected by cardiac ultrasound.

Confirmation of heart disease is mainly based on the following aspects:

First, clinical symptoms, in general, patients with heart disease have certain clinical symptoms. For example, patients with heart failure, especially those with left-sided heart failure, may have dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, coughing up pink frothy sputum, and acute pulmonary edema; Patients with arrhythmias often have symptoms such as palpitation, palpitations, dizziness, and darkness; Patients with coronary heart disease often have symptoms such as angina, chest tightness, and dyspnea.

Second, related risk factors, especially ischemic cardiovascular and cerebrovascular diseases, often have risk factors such as smoking, obesity, family history of cardiovascular disease, hypertension, hyperlipidemia, and diabetes.

Third, the relevant auxiliary examinations, the auxiliary examinations for the diagnosis of each heart disease are different. For example, coronary artery disease should be diagnosed with coronary angiography or coronary CT scan, which can confirm the diagnosis; Rheumatic valvular heart disease can be confirmed by cardiac ultrasound.

All in all, it is necessary to make a comprehensive judgment from the above three aspects to finally confirm whether there is heart disease.

If cardiac enzymes and Holter are fine, and ultrasound is non-abnormal, organic possibilities can be ruled out. You are not too young to rule out some complicated genetic diseases like Brugada syndrome.

You can go to the neurology department to see if it is a problem with the autonomic nerves. Neurosis is the one that causes your symptoms, and the main thing is that there is no evidence of organic lesions.

You need to try to relax your mind and not be too nervous, the more nervous you are, the more uncomfortable you are. It is also recommended that you take some drugs that regulate the excitability of autonomic nerves.

Some diseases cannot be detected, that is, the so-called functional, the above examination shows that the morphological structure of your heart is good, but sometimes the symptoms should be treated according to lifestyle habits, diet, and traditional Chinese medicine.

Hello: For heart disease, it is generally accompanied by precordial discomfort, so if there is severe palpitations, arrhythmia, precordial pain and other discomfort, it is necessary to consider the possibility of heart disease, but the occurrence of the above diseases does not necessarily mean that there is a disease, it is necessary to rule out through examination.

Guidance: The easiest way to rule out is to perform an electrocardiogram examination, but there may be some conditions that cannot be seen, you can perform a 24-show ambulatory electrocardiogram examination, and in combination with cardiac enzyme laboratory examination and cardiac Doppler ultrasonography, then everything is normal can rule out heart disease, indicating that the heart is normal, and there is no need to worry.

Heart disease We all know the dangers of heart disease, once attacked, it can be life-threatening, so the daily care of heart disease patients is especially important. So, what are some of the things in life that heart patients can't do? 1.

Avoid sharp**. Rapid weight loss leads to a large amount of protein consumption and a decrease in muscle tissue, resulting in the decline of myocardial tissue and inducing heart failure. 2.

Avoid overeating. Overeating three meals and the expansion of the stomach wall will increase the pressure in the lungs, resulting in an increase in cardiometabolism and easy to induce fatal myocardial infarction. 3.

Do not wake up frequently at night. People with heart disease are at risk of waking up in the middle of the night. 4.

Do not refuse fat. If a person with heart disease eats fish, meat, and fat twice a week, the mortality rate is 30% lower than that of a person who restricts all fat and eats only foods high in fiber. Therefore, patients with heart disease should properly arrange fish and poultry food in three meals a day, which will help the heart**.

5.Avoid rapeseed oil. Rapeseed oil contains 40% erucic acid, which will thicken the blood vessel wall and accumulate heart fat after eating it for heart patients, aggravating the condition.

6.Avoid morning runs. Jogging in the morning can put pressure on the heart, so you should take a walk, practice qigong, etc.

7.Avoid alcohol. Including beverages containing alcohol, there is a risk of myocardial infarction.