What are the symptoms of ischemic heart disease?

Coronary heart disease is an ischemic heart disease that is often referred to as coronary heart disease in daily life, but ischemic heart disease is not directly equivalent to coronary heart disease. Ischemic heart disease is a common type of myocardial injury caused primarily by coronary artery disease, i.e. alterations in the coronary artery circulation. The most common is coronary arteriosclerosis, which is coronary heart disease.

In addition, it includes other coronary artery diseases such as inflammation, aneurysms, metabolic diseases, etc.

Most patients with ischemic heart disease have a clear history of coronary artery disease and myocardial infarction. The main clinical symptoms are angina pectoris or myocardial infarction. Patients with angina pectoris will gradually lessen or even disappear as the disease progresses.

In the end, they will only experience symptoms such as chest tightness, fatigue, or difficulty breathing. When ischemic heart disease progresses to a certain stage, patients develop heart failure and arrhythmias. Acute myocardial ischemia impairs the diastolic and systolic functions of the myocardium.

Symptoms such as difficulty breathing, fatigue, and weakness occur at night. In severe cases, discomfort such as loss of appetite, edema, and bloating can occur.

Patients who are bedridden for a long time will develop venous thrombosis of the lower extremities, and patients with normal or mild myocardial systolic function will develop restrictive ischemic heart disease. Dyspnea on exertion, as well as angina, should not be active and should not be accompanied by pulmonary edema. Many people experience tinnitus when they have ischemic heart disease.

This is usually caused by cerebral ischemia caused by coronary atherosclerosis. Many patients will have varying degrees of tinnitus. But this symptom is also easy to ignore.

You may think it's caused by an ear, nose and throat disorder.

Chest tightness and chest pain are typical of ischemic heart disease. When the nutrients and oxygen provided by the heart muscle cells are insufficient, the blood vessels are very narrow and the blood circulation is not smooth. When doing physical activity, the blood vessels do not provide enough oxygen, and chest pain moxibustion occurs.

This is even more pronounced when some older people are on stairs or doing physical activity. After ischemic heart disease, a lack of blood** may lead to symptoms such as dizziness and syncope. This is also due to insufficient blood supply to the brain, but it also needs to be differentiated from some cerebrovascular diseases.

The main symptoms of ischemic heart disease include: 1 Some patients have no symptoms, only on electrocardiogram, imaging examination, show myocardial ischemia. 2. Most patients show varying degrees of angina due to myocardial ischemia and hypoxia.

3 In addition to angina, other symptoms include: Abnormal heartbeat rhythm and significantly faster speed. Chest pain radiates all around and can affect the shoulders, neck, jaw and arms.

Difficulty breathing, especially during exercise. Nausea and vomiting. Covered in a cold sweat.

fatigue, weakness, etc.

Fatigue and weakness are common. Peripheral edema and abdominal distension are more common in complications with right-sided heart failure. Angina pectoris is one of the clinical symptoms of patients. Chest tightness, shortness of breath, paroxysmal dyspnea.

If you have symptoms such as chest tightness, palpitations, shortness of breath, palpitation, and pain in the precordial area, you should go to the hospital in time**.

There are symptoms of weakness in the limbs, symptoms of loss of appetite, symptoms of heart pain, symptoms of dizziness of the mind, and symptoms of lack of sleep.

Ischemic cardiomyopathy is usually caused by insufficient blood supply to the heart muscle due to narrowing of the coronary arteries. The main symptoms are angina, which is generally a feeling of tightening and compression in the anterior and back of the sternum, which will radiate to the left shoulder and left arm, ** the principle is to improve the blood supply to the coronary arteries, reduce myocardial oxygen consumption, ** atherosclerosis.

Patients with symptomatic myocardial ischemia mainly present with discomfort and pain in the precordial area, and the symptoms in the precordial area will vary in different degrees of myocardial ischemia. Other common symptoms include arrhythmias, difficulty breathing, chest pain radiating to other areas, etc. Severe myocardial ischemia is often associated with arrhythmias and cardiac insufficiency, presenting with a variety of cardiac and systemic concomitant symptoms.

Typical symptoms. Dull pain in the retrosternal or precordial area, or constriction-like pain occurs during exertion or nervousness, and radiates to the left shoulder and left upper arm for 3 to 5 minutes, which can be relieved spontaneously after rest, accompanied by profuse sweating.

Chest tightness, palpitations, and shortness of breath occur during physical activity, which resolve spontaneously at rest.

Exercise-related sore throat, burning, tightness, toothache, etc.

Chest pain and tightness after a heavy meal, cold, and alcohol consumption.

When the pillow is low at night, I feel chest tightness and breathlessness, and I need to lie down with a high pillow to feel comfortable; Sudden chest pain, palpitations, and difficulty breathing while asleep or lying flat during the day require immediate sitting or standing to relieve relief.

Palpitation, chest tightness, shortness of breath or chest pain during sex or straining during bowel movements.

Sudden bradycardia, decreased blood pressure, or syncope.

Accompanying symptoms. Mild myocardial ischemia generally has no accompanying symptoms, but as the degree of ischemia increases, arrhythmias, cardiac insufficiency and other manifestations will occur, which can manifest as cardiovascular system, digestive system and systemic symptoms.

1. Arrhythmia-related symptoms: It can be seen in a variety of myocardial ischemic diseases, with myocardial infarction and ischemic cardiomyopathy being the most common, which can have no obvious manifestations, or manifest as chest tightness, palpitations, and may be accompanied by symptoms such as general fatigue, dizziness, and syncope.

Other constitutional symptoms:

Fever: seen in myocardial infarction, it is a reaction caused by the absorption of necrotic material, generally does not exceed 39 degrees Celsius, usually appears 1 2 days after the infarction and lasts for about 1 week.

2. Shock: Mainly caused by large-scale myocardial infarction, a sharp decrease in cardiac blood output, which can be manifested as symptoms such as decreased blood pressure, irritability, paleness, clammy coldness, rapid pulse, sweating, and apathy.

Other symptoms. Patients without typical symptoms only experience stomach discomfort, nausea, or toothache or cervical spine pain.

One is that symptoms of chest tightness, palpitations, and shortness of breath will occur during a lot of physical activity, but they can be relieved by resting for a while.

Second, when tired or nervous, the patient will have dull pain in the retrosternal or precordial area, or constriction-like pain, and may also radiate to the left shoulder and upper arm, the pain is continuous, the time is not very long, and it can be relieved by itself after resting for a while, and some patients often sweat a lot.

The third is that the patient has symptoms of chest pain and tightness after eating, cold, and drinking.

Fourth, when the pillow is relatively low when the patient sleeps, he feels chest tightness and breathlessness, and prefers to sleep on a high pillow; Sudden onset of chest pain, heart palpitations, or difficulty breathing while asleep or lying flat during the day must be relieved immediately by sitting up or standing.

In addition, most patients will have unexplained tiredness, lack of energy, severe myocardial ischemia patients will have sudden bradycardia, blood pressure drop, and even syncope.