Intersection News Everyone knows that cardiovascular disease has family inheritance, but some patients without a clear family history of cardiovascular disease may have a hidden family genetic history. “. Recently, Jiangsu Provincial Hospital of Traditional Chinese Medicine has successively treated a mother and son with coronary heart disease. Experts said that attention should be paid to the family history of cardiovascular disease and atypical clinical manifestations.
Mr. Liu is 44 years old this year. He was admitted to the Department of Cardiology of the Provincial Hospital of Traditional Chinese Medicine and underwent emergency surgery recently because of “acute inferior wall myocardial infarction”. The patient usually has healthy living habits, no smoking and drinking habits, no history of hypertension and diabetes, and no family history of cardiovascular disease. Coincidentally, on the third day after Mr. Liu was hospitalized for emergency surgery, a 67-year-old auntie Chen hung up on the outpatient number of TCM physician Zhu Xianhui, director of the Cardiology Department because of chest tightness. During the consultation, Auntie Chen told the director of TCM Zhu Xianhui about her chest tightness. Director TCM Zhu Xianhui asked in detail if Aunt Chen had any other discomforts. Aunt Chen recalled that she often suffered from sore throat after physical activity in recent years. Symptoms, I always thought it was a chronic pharyngitis and the like, and went to the hospital to check and found nothing abnormal in the throat.
Chief Chinese medicine practitioner Zhu Xianhui listened to Aunt Chen’s situation, and through careful medical history, found that Aunt Chen was the mother of Mr. Liu who was admitted to the emergency room two days ago. Director Chinese medicine practitioner Zhu Xianhui believed that Aunt Chen appeared frequently The symptoms of sore throat after activity may not be that simple. It was highly suspected that it was caused by “unstable angina pectoris”, and a coronary angiography was arranged for Aunt Chen, which turned out to be a serious heart disease—— Coronary heart disease, severe three-vessel disease, complete occlusion from the proximal and middle segments of the left anterior descending branch of the heart, 90% lumen stenosis in the proximal segment of the diagonal branch, complete occlusion from the middle segment of the left circumflex branch, and diffuse lesions from the proximal to middle segments of the right coronary artery, About 80% of the lumen in the proximal segment was stenotic, and the distal end to the left anterior descending artery established collateral circulation, and the situation was very critical. Obviously, I don’t have any bad living habits, but I only occasionally have chest tightness and sore throat after activities. How can I suffer from such a serious coronary heart disease? Aunt Chen was very puzzled. Director Zhu Xianhui made a treatment plan for Aunt Chen. After Aunt Chen’s condition was stable, she was transferred to the Cardiothoracic Surgery Department. The team of Chief Physician Ye Shengai, Deputy Director of Cardiothoracic Surgery, performed heart bypass surgery for Auntie Chen, and the operation went smoothly. , At present, Aunt Chen has recovered and been discharged from the hospital.
Director Chinese Medicine Physician Zhu Xianhui introduced that coronary heart disease is a kind of heart disease caused by coronary stenosis or occlusion. The typical symptoms of angina pectoris are chest pain, chest tightness, and aggravation after exercise, which mostly occurs in the age of 40. The above population, more men than women, has shown a younger trend in recent years. Because Aunt Chen’s chest symptoms have not been obvious, mainly throat discomfort after activities, and no problems were found in the otolaryngology examination, so her coronary heart disease has never been found, and her son has always thought that he has no heart Family history of vascular disease. Angina pectoris often has radiating pain. The typical symptoms are dull pain in the precordial area, which can radiate to the left upper limb or shoulder and back, but some atypical symptoms often occur. For example, I encountered a patient with coronary heart disease many years ago. Symptoms are tooth pain after climbing stairs.
Director TCM Zhu Xianhui reminded the general public that in recent years, coronary heart disease has shown a common and frequent trend, so middle-aged and elderly people need to pay great attention, especially postmenopausal women, who lack the protection of estrogen , the risk of coronary heart disease is significantly increased. Basic diseases such as hypertension, hyperlipidemia, and diabetes are risk factors for coronary heart disease. People with the above-mentioned basic diseases need special attention and should have regular physical examinations. At the same time, the occurrence of coronary heart disease is related to many bad living habits, such as obesity, unhealthy Eating habits, long-term smoking and drinking, etc., it is recommended that the majority of people correct their bad living habits, strengthen exercise, eat healthy, and quit smoking and drinking. In addition, in addition to the typical symptoms of chest pain and chest tightness, coronary heart disease often has atypical symptoms, such as radiating pain in other parts, especially the pain that worsens after activities. It must not be taken lightly. Heart disease and more serious emergencies occur.
Junction Reporter Ye Zhen Correspondent Zhou Yanfei