After Liu uhong girl
Recently, Wang Xinling’s boy became popular
The almost unchanged Wang Xinling
Sing and dance your own classic songs
Many 80s and 90s generation
Means “my youth is back”
My heart can’t help beating so much
Meet someone who makes you happy
Heart “beats out of rhythm”
This is a normal physiological response
Coming soon
And there is a “heart beat out of rhythm”
It is very dangerous
That’s atrial fibrillation
In recent years
In the Cardiology Clinic of the First Affiliated Hospital of Zhejiang University School of Medicine
Cardiovascular disease patients are getting younger
All are closely related to bad habits such as drinking, smoking, staying up late, etc.
48-year-old man
Heart beat out of rhythm
“Doctor, I’ve been feeling very flustered these days, my heart is beating very fast, and I’m still dizzy.” In the first-phase cardiology specialist clinic at the headquarters of Zhejiang University, Deputy Chief Physician Zhang Biqi received A 48-year-old man, Uncle Li (pseudonym), was diagnosed.
Blood pressure: 175/100mmHg (normal standard is within 190/90mmHg); ECG examination: fast ventricular rate atrial fibrillation – looking at Uncle Li’s examination results, Deputy Chief Physician Zhang Biqi found that he
strong>Having an atrial fibrillation episode: “Have you had an atrial fibrillation attack before?”
“I don’t know, doesn’t this happen when you are very old?” Uncle Li was a little confused. After recalling, he said that he found that his blood pressure was abnormal during his physical examination at the age of 30. Gao, but because he is young, he doesn’t care too much. Because he is engaged in sales, he often smokes and drinks, eats very greasy, and stays up late. In recent years, he does occasionally feel a sense of panic and chest tightness. , but usually resting for a few days is fine. In addition, due to the impact of the epidemic, the sales performance has dropped significantly, and he has no intention to pay attention to his body.
This time, Uncle Li finally waited for a business order, and socialized for several days in succession. Every meal should be at least a pound of white wine. After drinking like this for a few days, that kind of The feeling of panic and dizziness came again, more severe than before, and it didn’t ease for several days, so he came to the hospital.
Our heart is like an engine in the human body. It maintains the normal operation of various functions of the human body by beating continuously and regularly. However, under the stimulation of certain factors, the heart will beat randomly. It doesn’t matter if it beats a few times occasionally, but if it continues to beat randomly, there is a problem. The most common type of continuous beat is called atrial fibrillation. The simple understanding is that the heart “beats out of rhythm” without any regularity.
The root cause of atrial fibrillation is a problem in the atrium, so any disease or factor that can cause changes in the structure of the atrium and affect the normal function of the atrium can cause atrial fibrillation strong>. The most common causes are hypertension, increasing age, diabetes, coronary heart disease, heart failure, heart valve disease, hyperthyroidism, cardiomyopathy, sleep apnea syndrome, etc. Yes, such bad habits in daily life as drinking, smoking, hyperlipidemia, and lack of exercise are all high-risk factors for atrial fibrillation.
Deputy Chief Physician Zhang Biqi perfected the further examination for Uncle Li, ruled out related diseases, and diagnosed his atrial fibrillation as a result of long-term neglect of high blood pressure control. Poor long-term blood pressure control will cause atrial fibrillation Enlargement, structural changes, and rhythm disorders can lead to atrial fibrillation, while heavy drinking and smoking can lead to poorer blood pressure control and aggravate the disease.
Severe surgery?
Wrong, the sooner the better
Chief Physician Guo Xiaogang, director of the Department of Cardiology, said that atrial fibrillation will bring many risks to health, except that patients will experience palpitations and palpitations, and the risk of cerebral infarction is five times higher than that of ordinary people , about 20% of cerebral infarctions are caused by atrial fibrillation!
This is because when atrial fibrillation occurs, the heart is beating wildly, and all the blood cannot be transported normally, and some blood will be in the atrium. Once the blood stays, it is easy to coagulate. It’s a blood clot. These thrombi do not stay in the heart all the time, they will fall off, and run to the cerebral blood vessels with the blood flow, blocking the cerebral blood vessels, resulting in cerebral infarction.
In addition, insufficient blood output will lead to ischemia problems in various organs, such as dizziness, chest tightness, fatigue, etc. If the heart “beats” for a long time, it will also cause Heart failure. Studies have shown that patients with atrial fibrillation have a 5-fold increased risk of cerebral infarction, a 3-fold increased risk of heart failure, and a 2-fold increased risk of death.
“Therefore, for patients with atrial fibrillation, it is not a simple one-time treatment. It is necessary to comprehensively assess the risk of cerebral infarction to make corresponding The current treatment methods include drugs, ablation surgery, etc. If atrial fibrillation is caused by other diseases, other diseases should be treated at the same time, and poor lifestyle should be changed. It is a long-term management and control process strong>.” Director Guo Xiaogang said.
After a comprehensive evaluation of Uncle Li by a team of cardiologists, it was found that his right atrium had been enlarged and there was a risk of cerebral infarction, and he was recommended to undergo radiofrequency ablation , which is currently one of the most mainstream and effective surgeries for the treatment of atrial fibrillation. “The principle of surgery is more complicated. In layman’s terms, we have a ‘command’ in our atrium, which sends out instructions to make the heart beat, but because of a problem in the atrium, the ‘command’ is confused, so the ‘command’ is issued. This operation is to isolate these interference factors from the ‘command’ and allow the ‘command’ to operate normally again.” Director Guo Xiaogang said.
At the same time, he emphasized that many people believe that mild atrial fibrillation only requires medication, and severe atrial fibrillation requires surgery. This concept is wrong. As long as the doctor has professional evaluation, there are indications for surgery. It is recommended to perform surgery as soon as possible, and the effect is better. Especially early intervention, some patients can even completely cure atrial fibrillation. If you wait until it becomes long-term atrial fibrillation or permanent atrial fibrillation, the surgical effect will be poor, and the prognosis will be very poor.
A few days ago, Uncle Li underwent radiofrequency ablation. After the operation, he had no symptoms of palpitation and dizziness. He was discharged from the hospital three days later. After that, he will continue to take drugs to consolidate the treatment. At the same time, the team of cardiologists repeatedly told him to treat high blood pressure scientifically and standardly, quit smoking and drinking, and strengthen physical exercise.
Alcohol does not soften blood vessels
And a high risk factor for many diseases
The incidence of atrial fibrillation increases with age. According to statistics, A quarter of people over the age of 80 have atrial fibrillation. However, experts said that it is worth paying attention that in recent years, patients with atrial fibrillation tend to be younger. This is because some young and middle-aged people suffer from high blood pressure, but they are still inattentive in their daily life. They drink and smoke. , staying up late and other bad habits, just like Uncle Li mentioned above.
According to the onset time of atrial fibrillation, it can be divided into primary, paroxysmal, persistent and long-term persistent. It should be emphasized that the longer the duration of atrial fibrillation, the more severe the atrial damage. , the effect of atrial fibrillation treatment will be worse, so we must pay attention to the prevention of atrial fibrillation, early intervention, so as to prepare for a rainy day, rather than make amends.
If you feel palpitation, fast heartbeat, chest tightness, dizziness and other symptoms, it is recommended to seek medical screening as soon as possible, especially if you are accompanied by high blood pressure, high blood lipids, obesity, and sleep apnea syndrome, And those who have bad habits such as drinking and smoking, irregular work and rest, greasy diet, etc., should pay more attention.
Nowadays, middle-aged uncles dance with Wang Xinling, which is a good thing for everyone. Strengthening exercise can prevent cardiovascular disease, but for those who “drink a little red wine in moderation will soften blood vessels” According to the statement, experts from the Department of Cardiology of the First Hospital of Zhejiang University said that there is currently no evidence that drinking alcohol can soften blood vessels, or prevent cardiovascular disease, and according to research, smoking On the contrary, alcohol is a high risk factor for cardiovascular diseases and other diseases.. “There is no such thing as moderate alcohol consumption. Alcohol consumption is bad for your health.”