What about chest tightness and palpitation? First, chest tightness and palpitation caused by coronary heart disease
Patients with coronary heart disease may feel chest tightness and palpitation due to myocardial ischemia and hypoxia. Especially when angina pectoris attacks, there is obvious chest tightness and chest pain, which may be accompanied by dyspnea and palpitation.
For patients with coronary heart disease, when angina pectoris attacks, they should rest immediately, don't get excited, and take quick-acting jiuxin pills or nitroglycerin under their tongue, which can usually be relieved in a few minutes. If you don't relieve it continuously, it means that you may have a myocardial infarction, so you must go to the hospital quickly.
In daily life, we should pay special attention to bad habits such as quitting smoking and drinking, adhere to a light diet, avoid a high-fat diet, avoid overeating, keep the stool unobstructed, keep a happy mood, persist in physical exercise and avoid excessive excitement. Family standing medicines mainly include nitroglycerin tablets, quick-acting jiuxin pills and isosorbide dinitrate. Among them, nitroglycerin tablets and quick-acting jiuxin pills should be placed in fixed and easy-to-get places such as bedside and desk at home and carried with you when going out.
Second, chest tightness and shortness of breath caused by cardiac insufficiency
All kinds of cardiogenic diseases will cause cardiac insufficiency. Patients with cardiac insufficiency will also feel chest tightness and shortness of breath, especially at night, and often have paroxysmal dyspnea, accompanied by edema of both lower limbs. This situation requires the combined treatment of digoxin, hydrochlorothiazide, spironolactone and nitroglycerin under the guidance of a doctor, and the primary factors inducing cardiac insufficiency must be effectively controlled.
In daily life, such patients should maintain a low-salt diet, eat more foods rich in cellulose and vitamin C, eat less and eat more meals, avoid satiety, and strive for rich nutrition. Do not eat or eat less food and water before going to bed, and limit the amount of liquid.
Third, autonomic nerve dysfunction can also cause chest tightness and palpitation.
If the patient feels chest tightness and palpitation, but after detailed examination, various organic factors such as heart and lung diseases and hypoglycemia are excluded, it can be considered as a mental and psychological factor, that is, the so-called autonomic nerve dysfunction. Its characteristic is that patients often have sigh-like breathing and feel comfortable after breathing.
Don't worry too much if you are diagnosed with nervous system symptoms. Adjust the state of mind, relax the spirit, eliminate anxiety, or take necessary rest and medication to enhance the regulatory ability of autonomic nerves, and the condition will gradually improve and be cured.
Fourth, what does it feel like to wake up at night?
Some people always feel chest tightness and flustered even in their sleep at night, sometimes even? Wake up? What is the reason?
Respiratory diseases and heart diseases can cause insomnia at night. In addition, mental and psychological reasons can not be ignored.
1. First of all, if the heart fails, you will suddenly wake up after falling asleep at night and need to sit up, gasp and cough immediately. This is because:
(1) After lying down to sleep, the venous blood reflux of the lower body increases, and the edema fluid accumulated in the interstitial space of the drooping part during the day also flows back to the blood due to the change of body position, so the congestion and edema of the lungs are obviously aggravated.
⑵ When sleeping, the central tension of vagus nerve increases, the diameter of bronchus decreases, and the ventilation resistance increases.
(3) During sleep, the sensitivity of nerve reflex decreases. Only when the lung congestion develops to a more serious degree can the respiratory center be stimulated, causing sudden dyspnea and forcing people to sit up and breathe with their mouths open.
At this time, patients are advised to go to the cardiovascular department of the local 3A hospital as soon as possible, check ECG, color Doppler ultrasound, chest CT and other related contents, make a clear diagnosis, and carry out active and effective treatment under the guidance of doctors.
2. Patients with sleep apnea syndrome will also wake up at night. It is recommended to go to a tertiary hospital for sleep and breathing examination and corresponding treatment.