Be wary of “ectopic” angina

  Mr. Li has always felt pain in his throat recently, and he has visited the ENT department of the hospital many times. However, the doctor did not find a cause such as pharyngitis that can cause sore throat, so he recommended that he go to the cardiology department. The cardiologist found that Mr. Li had no abnormalities except for hypertension, so he suspected “ectopic” angina pectoris, and suggested that he have a coronary CT scan. It was found that Mr. Li had severe stenosis of two coronary arteries, and he was recommended to be hospitalized for interventional stenting.
  The heart is the most important organ of the human body. In addition to hemodynamics, its operation needs to be innervated. When myocardial ischemia or hypoxia, the heart’s sympathetic nerves will transmit information to the brain, and the brain will send signals through the outgoing nerves. It spreads to the spinal cord and reflects the pain in the corresponding skin area. This is what people often call angina pectoris, which is an important signal of coronary heart disease. Angina pectoris mostly occurs in the posterior sternum or pre-heart area, but it can also occur in other parts. It is medically called ectopic angina. Therefore, sore throat may also be angina pectoris-Mr. Li is in this situation. Fortunately, the doctor diagnosed and treated promptly and recovered.
  Angina pectoris in patients with coronary heart disease can be manifested as pain on the inner side of the upper limbs on one or both sides, radiating from the shoulder or arm to the elbow, wrist, and fingers. Sometimes it can also be manifested as separate pain in the elbow, wrist, and fingers. The nature is mostly string pain and cramping pain, accompanied by numbness and heaviness; but the joint itself has no redness and swelling, and it moves freely. Angina pectoris can also be manifested as lower extremity pain, which is mainly unilateral. Some patients may have bilateral pain. The pain radiates from the thigh to the foot.
  The more common manifestations of angina are toothache and neck pain. Toothache often appears suddenly, and signs of getting worse after taking anti-inflammatory drugs and painkillers. If an electrocardiogram is done at this time, the patient may have severe myocardial ischemia. Cardiogenic toothache is mostly accompanied by chest tightness and has nothing to do with traditional toothache triggers such as acid and cold stimulation and chewing stimulation. Patients with neck pain are mostly manifested as throbbing pain or string pain on one or both sides of the neck, and at the same time symptoms of nervousness, irritability, and lack of energy. Similar to neck pain, patients can also present with cheek pain, accompanied by mental tension.
  In addition, angina can also be manifested as upper abdominal pain, sore throat, headache and so on. In short, people who have a history of angina pectoris or have predisposing factors for coronary heart disease must pay more attention to unexplained local body pain.
  Patients with angina pectoris should learn some common sense of first aid and know how to save themselves in time when the disease strikes. When angina occurs, you should keep calm, sit down and rest on the spot, try not to get up when you are lying down, and avoid increasing your heart’s oxygen consumption.
  Drugs can effectively relieve symptoms and protect patients’ lives. One is the use of nitroglycerin, which can effectively expand the coronary arteries of the heart, reduce the resistance to blood supply, increase the blood flow of the coronary circulation, and also have a good expansion effect on the surrounding blood vessels, thereby reducing the blood volume of the veins and reducing the heart demand. The amount of oxygen will ultimately relieve angina. You can take 0.5 mg each time, sublingually, it can relieve angina within a few minutes, and the effect disappears after about half an hour. The second is isosorbide dinitrate (isosorbide dinitrate), 10 mg each time, sublingually, it can be effective in two minutes at the shortest, and the effect is maintained for a long time, about 3 hours, and spray inhalation is available. select. The third is Shexiang Baoxin Pills. Take 2 to 4 sublingual pills. The pill is aromatic and warm, and has a significant effect of invigorating Qi and strengthening the heart.
  Pay attention when taking the above-mentioned drugs. You should choose a sitting or semi-recumbent position, which can help the drug effect to achieve the maximum effect in a short time. If after the above treatment, the symptoms cannot be effectively relieved, or if the symptoms become more severe and the onset lasts longer, the possibility of acute myocardial infarction should be considered and timely medical treatment should be required.
  In summer, the weather is hot, the temperature is high, and the sweating is excessive, leading to insufficient blood volume and blood concentration, resulting in insufficient perfusion of vital organs and ischemic damage; coupled with the hot and humid weather in the sauna, it is depressing and can easily induce angina. . Therefore, patients with coronary heart disease should take preventive measures in summer: work and rest on time, ensure enough sleep time, do not rush when getting up, first lie in bed for a few minutes, and then get up; do not stop or reduce drugs casually; do it when the weather is hot and humid. Reduce the time spent on going out. Noon is the high incidence of coronary heart disease. Patients should avoid this time during exercise. Replenish water in time, but do not drink cold water. Drinking a lot of cold water can induce angina and myocardial infarction.