Palpitations after exertion
Introduction
Introduction After exertion, the heart palpitates the physical labor of the patient. After the physical exertion, the patient feels agitated and even cannot be autonomous. When it occurs, the patient feels that the heartbeat is fast and strong, accompanied by a feeling of discomfort in the precordial area. Patients with palpitations should maintain mental optimism, emotional stability, adherence to treatment, and firm confidence. Avoid panic and anxiety and anxiety. Life and work must be regular. Diet is appropriate, it is advisable to eat nutritious and easy to digest and absorb things, low-cut, low-eye diet, avoid tobacco and alcohol, strong tea. The light card can engage in appropriate physical activity, so as not to be tired and not aggravating the symptoms, to avoid strenuous activities. Severe palpitations should be rested in bed, and early detection of symptoms of asymmetry and aura should be found, and first aid should be prepared.
Cause
Cause
Heart beat enhancement
Increased cardiac contractility can cause palpitations.
(1) Acquired heart disease such as hypertensive heart disease and rheumatic aortic valve insufficiency after ventricular hypertrophy.
(2) Other diseases such as anemia, hyperthermia, hyperthyroidism, etc., which cause an increase in cardiac output.
2. Arrhythmia
(1) tachycardia.
(2) Bradycardia.
(3) Arrhythmia: such as premature beats (pre-systole), atrial fibrillation, etc.
3. Cardiac neurosis.
Examine
an examination
Related inspection
Dynamic electrocardiogram (Holter monitoring) 2 hours postprandial blood glucose (2HPG, PBG) ECG
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
After tiring, most of the palpitations are caused by diseases of the heart. However, some patients may feel palpitations due to psychological reasons, such as excessive stress and psychological burden, which need to be differentiated according to the specific conditions of the patients.
