flustered
Introduction
Introduction The palpitation can be caused by changes in the frequency, rhythm, or contraction intensity of the heart activity, or it can occur when the heart activity is completely normal, and the latter is caused by people's sensitivity to their own heart activity. Healthy people generally only feel palpitation when they are strenuous, mentally stressed or highly excited. This is normal. In some pathological conditions, such as too fast heart rate, too slow and premature beats, or cardiac neurosis or excessive anxiety, the patient will feel flustered.
Cause
Cause
Heart beat enhancement
Increased cardiac contractility can cause palpitations. The heart palpitations can be physiological or pathological. Physiological people can be seen when healthy people are in strong physical activity or mental stress. But it can also be seen in a large number of people who smoke, drink alcohol, drink tea or coffee, or apply certain drugs such as ephedrine, caffeine, aminophylline, adrenaline, amphetamine, atropine, thyroid tablets, etc., and often The size is related to individual sensitivity. The heart palpitations caused by pathological heart beats can be due to:
(1) ventricular hypertrophy
Acquired acquired heart disease such as hypertensive heart disease, rheumatic aortic regurgitation, syphilis or other causes of aortic regurgitation, rheumatic mitral regurgitation, etc. due to left ventricular hypertrophy, systole Increased strength can cause heart palpitations. In beriberi (beriberi) heart disease, the left and right ventricles are enlarged, the disease develops rapidly, and the heart palpitations are often obvious and strong.
(2) Other lesions that cause increased cardiac output
Anemia, hyperthermia, hyperthyroidism, etc. can cause heart rate to accelerate, heart beats strengthen and cause heart palpitations. In anemia, blood oxygen is less, organs and tissues are hypoxic, and the main compensatory mechanism is to ensure oxygen supply by accelerating heart rate and increasing cardiac output. The heart palpitations caused by acute blood loss anemia are particularly obvious. When the fever is high, the body's basal metabolic rate is increased, and the tissue oxygen consumption is increased. Therefore, by increasing the heart rate to ensure oxygen supply, the heart rate is accelerated and the heart palpitations are caused. Hyperthyroidism is often caused by palpitations due to increased basal metabolic rate and increased sympathetic excitability. Patients with active tuberculosis are prone to palpitations without significant fever, and as one of the symptoms of tuberculosis, mainly related to increased sympathetic excitability. In addition, rheumatic carditis, infective endocarditis, brucellosis, hypoglycemia episodes, etc. are likely to cause palpitations. When pheochromocytoma has elevated paroxysmal blood pressure, palpitations may occur, which is associated with a sudden increase in blood catecholamine levels and excitatory sympathetic nerves.
2. Arrhythmia
(1) tachycardia
Sinus tachycardia, tachycardia atrial fibrillation or atrial flutter caused by various reasons, especially those who suddenly occur, are easy to cause palpitations.
(2) bradycardia
High atrioventricular block, atrioventricular junction rhythm, spontaneous ventricular rhythm, sick sinus syndrome, vagus nerve excitability, etc., due to slow heart rate, prolonged diastolic phase, increased ventricular filling, and strong heart beat Powerful, can cause heart palpitations. But my heart is more common when my heart rate suddenly slows down.
(3) Arrhythmia
Such as premature beats (pre-systolic), atrial fibrillation, etc., can cause heart palpitations. Sporadic premature beats usually do not cause symptoms, but patients may feel guilty because of a sudden heartbeat, and sometimes a sudden stop of the heart (compensatory pause).
3. Cardiac neurosis
Cardiac neurosis is a clinical syndrome caused by autonomic dysfunction, with more young women. In addition to heart palpitations, patients often have heart rate, tingling or pain in the precordial area, poor breathing, and often accompanied by symptoms of neurosis such as headache, dizziness, insomnia, fatigue, and inattention. The onset is often associated with mental factors, each with an emotional excitement. The -adrenergic receptor hyperreactivity syndrome is caused by autonomic dysfunction. The main symptoms of patients are palpitations, chest tightness, dizziness, tachycardia and other symptoms, similar to the symptoms caused by stimulation of sympathetic beta receptors. Mental stimulation is often the cause of the disease. The number of patients is young and middle-aged.
Examine
an examination
Related inspection
ECG chest CT examination
Main symptoms: Conscious heartbeat, flustered, time-honored, and fearful, fearful, restless, and even unable to be independent, see also shortness of breath, convulsions, thin tongue, thin veins, timidity Dizziness, fatigue, insomnia, dreams, pale tongue, weak pulse, for the heart and spleen, upset, less dizzy, dizziness, tinnitus, backache, night sweats, red tongue, pulse count, for yin deficiency, chest tightness Shortness of breath, cold limbs, edema of lower limbs, pale tongue, fine pulse, heartache, shortness of breath, chest tightness, sputum, dark tongue, fine pulse or knot, for heart and pulse.
Diagnosis
Differential diagnosis
Painfulness and shortness of breath: may be related to mood, age, or heart and brain disease. Common symptoms associated with sinus tachycardia.
Heart Fire: In Chinese medicine, it refers to the internal heat of the human body. Often manifested as five upset hot, dry throat, dry mouth, mouth sores and other symptoms.
