heart palpitations after meals
Introduction
Introduction Heart palpitations after meals are one of the symptoms of qi and blood deficiency. The syndrome of qi and blood deficiency refers to the syndrome of both qi deficiency and blood deficiency, which is caused by chronic illness and stagnation of blood or blood deficiency. The heart palpitations appear 3 hours after a meal or on an empty stomach, with dizziness, hunger, and cold sweat. Hypoglycemia should be considered.
Cause
Cause
It is often caused by chronic illness, which consumes blood and blood, or is caused by blood deficiency.
(1) Physical weakness: The body is not strong, chronic illness or excessive labor, or various blood loss, resulting in yin and yang deficiency, resulting in loss of heart and heart.
(2) chronic illness and physical weakness: fever, yin, or excessive room, can lead to kidney yin loss, anger, disturb the mind, forming a heart.
(3) improper diet and work: tiredness is too damaging, or sedentary for a long time, causing lack of biochemical sources, and the lack of heart and blood, the loss of heart, God does not hide, causing palpitations. Or eating a diet, addicted to the cream, thick taste, can be simmered in heat, or hurt the spleen and breed turbidity, sizzling and disturbing heart.
(4) Seven emotions: people who are timid and timid, such as sudden panic, or feelings of discomfort, sorrowful, sorrowful, and so on, cause seven emotions to disturb, guilty of guilty, unable to be independent and heart-wrenching, so-called "thinking more Then it is ruined" ("There are sorrows and sorrows", "Sorrow, sorrow, and sorrow" ("Lingshu·Qi").
Or long-term anxiety and panic, excessive emotional tension, guilty conscience, dark blood consumption, can not raise the heart; or heart stagnation, smoldering fire, sizzling and disturbing, heart and mind are guilty.
Or anger and hurt the liver, the big fear of hurting the kidney, the anger is the gas, the fear is fine, the yin is in the lower, the fire is against the top, and the heart can be shocked. If the stagnation of heat, add anger, change the liver fire, liver fire disturbs; or bonfire disturbs the mind, the mind is lost, it is easy to lead to heart.
(5) Feel the exogenous evils: the wind, the cold and the wet are mixed, and they are combined. , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Heart yin can also cause heart palpitations.
Warm disease, epidemic disease for a long time, evil poison burns Ying Yin, heart and kidney dysfunction, or evil spirits pass the heart to disturb God, can also cause "the heart of Zhan Zhan Zhan big move" and other symptoms of sputum, sputum. Such as spring temperature, wind temperature, Shushi, diphtheria, syphilis and other diseases, often accompanied by palpitations.
(6) Overdose: Excessive drug can damage your heart, and even damage your heart and cause heart palpitations. Such as the use of tincture, digitalis, quinidine, adrenaline, atropine and other drugs in the past, such as excessive or improper, can cause "pulse generation, heartbeat" a type of syndrome.
Examine
an examination
Related inspection
Electrocardiogram thyroglobulin cerebrospinal fluid sodium
Physical examination
After asking about the medical history, you should have a targeted physical examination. If the patient is suspected of having a structural heart disease, it is important to check whether the heart has pathological signs, such as whether there is heart murmur, heart enlargement and heart rhythm change, etc., whether there is blood pressure, pulse pressure, water pulse, etc. The general condition of patients with cardiac signs, such as mental state, body temperature, anemia, hyperhidrosis and goiter, should also be carefully checked to avoid omissions.
2. Laboratory examination
If you suspect that the patient has diseases such as hyperthyroidism, hypoglycemia or pheochromocytoma, you can carry out related laboratory tests, such as measuring serum T3, T4 thyroid iodine absorption rate, blood sugar, blood, urine catecholamines. When suspicion of anemia. Blood tests can be performed if necessary. Bone marrow puncture can be performed to check the bone marrow smear to further clarify the cause.
3. Device inspection
The most important thing in the examination of the device is the electrocardiogram examination, and it is convenient and quick for patients without painful ECG. It can not only find out whether there is arrhythmia or the nature of arrhythmia. If there is no abnormality in the electrocardiogram at rest, the patient can exercise properly or perform 24-hour Holter monitoring. For patients with suspected organic heart disease, to further clarify the cause, cardiac Doppler ultrasonography can be performed to understand the heart disease. Nature and severity.
Diagnosis
Differential diagnosis
Palpitation refers to a type of symptom in which a patient is consciously agitated or even autonomous. When it occurs, the patient feels that the heartbeat is fast and strong, accompanied by a feeling of discomfort in the precordial area. It belongs to the category of "stunning" and "suizhong" in the motherland medicine. The disease can be found in a variety of disease processes, and more often with insomnia, forgetfulness, dizziness, tinnitus, etc., all kinds of causes of heart beat frequency, abnormal rhythm, can lead to palpitations.
The heart palpitations appear 3 hours after a meal or on an empty stomach. With dizziness, hunger, and cold sweat, hypoglycemia should be considered. For those with diabetes or insulin therapy, attention should be paid to hypoglycemia caused by overdose.
