Palpitations with high blood pressure
Introduction
Introduction Heart palpitations with hypertension are seen in hypertensive heart disease. Refers to a heart disease caused by increased long-term systemic arterial pressure, resulting in left ventricular hypertrophy caused by excessive cardiac overload, which is a major feature and may further lead to symptoms of cardiac insufficiency. It is one of the most common comorbidities and causes of death in hypertension. Hypertension can be divided into primary and secondary. Each type of hypertension reaches a certain time and degree, which makes the left ventricular load worse. Then, left ventricular hypertrophy, enlargement or/and dysfunction can be called. For hypertensive heart disease.
Cause
Cause
Hypertension can be divided into primary and secondary, each type of hypertension reaches a certain time and degree to make the left ventricular load aggravated, followed by left ventricular hypertrophy, enlargement or / and dysfunction, can be called For hypertensive heart disease. Essential hypertension refers to the cause of elevated blood pressure, which is called essential hypertension. In 2005, the American College of Hypertension (ASH) proposed a new definition of hypertension, which is considered to be a progressive cardiovascular disease caused by many causes, which can lead to changes in heart and blood vessel function and structure. The new definition combines the presence or absence of risk factors, markers of early disease and target organ damage, and more accurately illustrates the pathological abnormalities of the cardiovascular system and other organs caused by hypertension. Therefore, the primary goal of treatment for essential hypertension is to minimize the overall risk of cardiovascular death and disability.
Examine
an examination
Related inspection
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If you have a history of hypertension, palpitations, dizziness, headache, high blood pressure, you should consider the heart palpitations caused by hypertensive heart disease. If there is no history of hypertension, paroxysmal blood pressure is elevated, and palpitations are associated with pheochromocytoma.
Diagnosis
Differential diagnosis
1) There is a heartbeat with a heartbeat
When the heart is palpitative, the patient self-tests the pulse. If the heartbeat is irregular, there is a stop, and the heart may be related to the arrhythmia.
2) palpitations with neurosis
More common in patients with cardiac neurosis, patients are more common in young women. In addition to heart palpitations, patients often have rapid heartbeat, chest tightness, tingling or dull pain in the precordial area, and poor breathing. And often accompanied by headache, dizziness, insomnia, fatigue, inattention and other symptoms of neurosis. The onset is often associated with mental factors, each with an emotional excitement.
3) palpitations with weight loss, diarrhea, irritability, palpitations accompanied by weight loss, more food, more frequent stools, eyeballs, irritability, should consider the heart palpitations caused by hyperthyroidism.
4) The heart is weak and pale
The heart is accompanied by fatigue, pale, dizziness, and low hemoglobin. The palpitations caused by anemia should be considered.
5) Heart palpit appears 3 hours after a meal
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.
6) fever, sore throat, chest tightness, heart palpitations
First, fever, sore throat and other symptoms, chest tightness, chest pain, palpitations after 3 weeks, should consider myocarditis. More common in young people. The above discussion of physiological palpitations, pathological palpitations, and inferring the etiology of palpitations from concomitant symptoms of palpitations. Clinically, patients need to be aware that palpitations are related to the patient's mental factors and attention. Physically and mentally healthy people do not feel that their hearts are beating in a quiet state, but they are often stunned after emotional or strong physical activity. However, for a short time, restless moments disappeared. The nervous person is not the same, the general heart rate suddenly increased or occasionally premature beats can also feel guilty. In addition, when the patient is focused, such as before going to bed at night, or in a gloomy environment, palpitations are often prone to appear. It is particularly noteworthy that many patients with chronic arrhythmias, due to their gradual adaptation, often do not feel obvious palpitations, and are prone to delay in treatment. At this point, self-testing pulse beat is necessary. Be careful to skip faster (more than 60 beats / min), slow heartbeat (less than 100 beats / min), when there is a stop when the heartbeat is irregular, you should go to the hospital in time. In addition, when the patient feels guilty and concludes the general cause according to the accompanying symptoms, he should also go to the hospital for various examinations in time to confirm the diagnosis and timely treatment. If you have a history of hypertension, palpitations, dizziness, headache, high blood pressure, you should consider the heart palpitations caused by hypertensive heart disease. If there is no history of hypertension, paroxysmal blood pressure is elevated, and palpitations are associated with pheochromocytoma.
