Cardiac neurosis
Introduction
Introduction to cardiac neurosis Cardiac neurosis is a special type of neurosis. It is mainly characterized by dysfunction of the cardiovascular system. It can also have other manifestations of neurosis. The symptoms are various, good and bad, and often have heart palpitations and heart. Pain in the front area, chest tightness, shortness of breath, difficulty breathing, dizziness, insomnia, and more dreams. Most occur in young adults, with the highest number of people aged 20 to 40, more common in women, especially menopausal women. Due to the effects of anxiety, tension, emotional agitation, trauma and other factors, the central nervous system is disturbed by the process of excitability and inhibition. The cardiovascular system regulated by autonomic nerves also causes a series of symptoms of excessive sympathetic tone. In addition, overwork, too little physical activity, lack of proper exercise in the circulatory system, so that a little activity or a little tired can not adapt, resulting in excessive cardiovascular response to the disease. basic knowledge Sickness ratio: 0.1% Susceptible people: no specific population Mode of infection: non-infectious Complications: anxiety disorder depression
Cause
Causes of cardiac neurosis
Due to the effects of anxiety, tension, emotional agitation, trauma and other factors, the central nervous system is disturbed by the process of excitability and inhibition. The cardiovascular system regulated by autonomic nerves also causes a series of symptoms of excessive sympathetic tone. In addition, overwork, too little physical activity, lack of proper exercise in the circulatory system, so that a little activity or a little tired can not adapt, resulting in excessive cardiovascular response to the disease.
Prevention
Cardiac neurosis prevention
Eliminate incentives, such as anxiety, nervousness, troubles; correct insomnia; avoid overwork and environmentally noisy adverse factors, once you have cardiac neurosis, don't need to be too nervous, and do not need to stay in bed, you can take the following measures:
First, often participate in sports activities as far as possible, such as playing Tai Chi, exercise, and enhance physical fitness.
Second, life is regular, reasonable arrangements for life, try to achieve work and rest.
Third, avoid excessive tension, it is not appropriate to engage in work that lasts too long and has a high concentration of attention.
Fourth, severe insomnia can choose to use stability, Li Yining, Jiannao mixture, oryzanol, multivitamins, heart and so on, or the use of Chinese medicine spleen soup, cinnabar Anshen pills, berberine gum soup, Jiaotai pills, etc. Good results can be achieved.
Complication
Cardiac neurosis complications Complications, anxiety, depression
The complications of this disease are very rare. The only thing that needs attention is that some patients have a correct understanding of the disease, and the symptoms of anxiety and depression are caused by various symptoms of the disease. As time goes on, the symptoms gradually increase. A vicious circle is extremely detrimental to the treatment of this disease.
Severe impact on quality of life: emotional and psychological problems have not been resolved, patients' anxiety, depression, nervousness, worrying about these serious emotions are more serious, patients are often restless, restless, unconscious sleep, day and night torment, face gradually growing, physical strength is gradually Debilitating, it is impossible to work normally, learn, and bring great pain and trouble to the patient and his family.
Symptom
Symptoms of cardiac neurosis Common symptoms Tension, anxiety, palpitations, palpitation, nerve loss, pre- cardiac area, pain, not biased to one side, no... Chest tightness, small finger, unexplained pain, systolic murmur
(1) medical history, symptoms: more common in young women, the symptoms of the cardiovascular system are various, light and heavy but not serious, generally no evidence of organic heart disease, but at the same time as organic heart disease Existence or on the basis of the latter, the medical history should ask in detail whether there are incentives such as anxiety, emotional agitation, trauma or overwork, whether it has been diagnosed as "heart disease", palpitation, shortness of breath or discomfort in the precordial area. Activity, fatigue and mood correlation, sleep status, previous cardiac examination results, medication history and efficacy are helpful for diagnosis.
(2) Physical examination found: physical examination often has no special findings, mostly anxiety or nervous expression, blood pressure can be normal or mildly elevated, heart rate can be increased during cardiac auscultation, heart sounds can be enhanced, may be associated with the precordial area I-II Soft systolic murmurs, occasionally premature beats.
Examine
Cardiac neurosis examination
Electrocardiogram examination: ECG often shows sinus tachycardia, some patients have ST-segment depression or horizontal down-shift, T-wave low-level, biphasic or inverted, mostly in II, III, aVF or V4-6 leads, It often changes, the test of the test is positive, some patients have a positive exercise test, but the ST segment and T wave return to normal when the "heart and mind exercise test" is performed. The echocardiography of the heart can exclude the structural abnormalities of the heart, large blood vessels and valves.
Diagnosis
Diagnosis and diagnosis of cardiac neurosis
The diagnosis of cardiac neurosis should be made on the basis of excluding cardiac organic disease. The diagnosis should be cautious. Endocrine diseases such as hyperthyroidism, pheochromocytoma and organic heart disease such as coronary heart disease, myocardial should be excluded. Disease or viral myocarditis, chest discomfort in patients with coronary heart disease is often related to activity or physical labor, negative propensity test, positive exercise test; cardiomyopathy patients with positive findings of echocardiography; patients with viral myocarditis have a history of upper sensation, Elevated serum myocardial enzymes can be identified in the acute phase.
