Palpitation is a kind of physical discomfort that we often encounter. It can be manifested as "the heart is jumping fast", it can be "the heart is empty", it can also be "feeling flustered in the heart", or "being all over and fidgeting" and so on. Especially when winter comes, the incidence of cardiovascular and cerebrovascular diseases is high, and then it is a "panic group". Don’t worry, the doctor told you that you are a little flustered and don’t worry.
Sudden death is often caused by a heart attack.
Is palpitation a serious heart disease? Will it cause sudden death like some stars? Many flustered patients will have such worries.
In fact, most of the causes of sudden cardiac death are often acute myocardial infarction, commonly known as acute myocardial infarction. Acute myocardial infarction is generally caused by acute occlusion of the coronary artery supplying blood to the heart. Palpitation, on the other hand, is an electrical change that is responsible for stimulating and maintaining the heartbeat. The two are very different. Is the so-called electrical palpitation very serious? Compared with acute myocardial infarction, the disease that leads to palpitation is much lighter. If you want to know the harm of palpitation, you must know what happened to your heart when you were flustered.
The feeling of palpitation comes from the change of heart rate and rhythm. For example, the heartbeat is particularly fast, particularly slow, and the jump is irregular, which will lead to palpitation. In the three cases, there is no need to worry about some fast and irregular heartbeats.
This sudden heartbeat is nothing serious.
First of all, some rapid heartbeats are physiological, so there is no need to worry. For example, students are nervous during exams, climb mountains very hard, and are very annoyed when they are angry, all of which will lead to an end, that is, sympathetic excitement. The activities of the human body are finely regulated by the sympathetic and parasympathetic nervous systems to achieve a balance. Sympathetic nerve excitation can cause rapid heartbeat, rapid breathing and high blood pressure; On the other hand, parasympathetic nerve excitation is just the opposite, which makes people’s heartbeat slow, breathing slow, blood pressure drop, etc., such as sleep state.
Sometimes, when I have a nightmare at night, my heart beats very fast when I wake up, because my body is in a state of extreme sympathetic excitement in my dream. The rapid heartbeat in these cases is an adaptive adjustment made by the human body to meet the needs of the environment and body functions. When you are no longer nervous, tired or angry, your heartbeat will be better. It’s not good if you force medication to keep your heartbeat down.
There is no need to worry about sympathetic nerve excitement caused by physiological reasons, resulting in accelerated heartbeat or premature arrhythmia.
In this case, you can take some medicine as appropriate
In addition to emotional factors such as anger, labor, tension, etc., exciting drinks such as drinking, tea, coffee, etc. can also lead to sympathetic excitement, which leads to palpitation. These conditions are also caused by physiological factors, that is, the influence of food. Under normal circumstances, there is no need to worry and there is no need to use drugs.
Some patients never drink alcohol, and the palpitation caused by occasional drinking may last for a long time and always be uncomfortable. In this case, some drugs that inhibit sympathetic neurotransmitters can be used appropriately, such as beta1 receptor blocker — — Metoprolol, wait.
Some palpitations are not rooted in the "heart"
Some cases are pathological, but the disease itself is not in the heart, but in other systems of the whole body. For example, when diabetic patients have hypoglycemia, they will show palpitation caused by rapid heartbeat and discomfort such as shaking hands and sweating. At this time, it is not simply to reduce the heart rate, but to solve hypoglycemia. If you can take high-sugar foods such as chocolate, candy and biscuits, you will quickly improve palpitation. Another example is cervical spondylosis, which can also lead to palpitation, manifested as long-term desk work or sudden stress on the neck, such as palpitation, dizziness, sweating, nausea, and even chest tightness. At this time, there is no need to rush to use drugs to reduce the heartbeat, but to improve the environment of the neck. For example, doing actions such as raising your head and whistling, watching a play through a partition wall, or doing exercises of the muscles of the shoulder and neck to improve the strength distribution of the muscles attached to the cervical spine; Anemia can also lead to palpitation. The first manifestation is a rapid heartbeat, often accompanied by shortness of breath and chest tightness after activities. At this time, blood tests are needed to determine; Similarly, abnormal thyroid function will also lead to palpitation, and the diagnosis also requires blood tests.
Need to remind everyone that after excluding the factors mentioned before, if you still have palpitation and can’t find the reason, you should go to the hospital in time to find out the reason. It is the most important thing to treat the cause.
Text/Zhong Guangzhen (Beijing Chaoyang Hospital)
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