Why does my heart beat slowly and sometimes I feel depressed?

Chest tightness should not be underestimated. Nowadays, the most popular word is "depressed". When people think that "depressed" is not enough to express it, the word "chest tightness" has become a "depressed" word that follows the fashion trend. Popular keywords", failure, embarrassment, frustration and helplessness are all described as "chest tightness". In fact, patients who really have symptoms of chest tightness will never be so relaxed when they say this word. The feeling of being out of breath and severe lack of oxygen will make people feel like they are on the verge of death. The occurrence of chest tightness indicates the existence of some organic or functional diseases, which should not be underestimated. Coronary artery ischemia and chest tightness are the leading keywords: cold winter, myocardial ischemia, and myocardial infarction. Popular groups: middle-aged and elderly people, with a recent trend of getting younger. Xu Hang (pseudonym) is 50 years old and works in the employee hospital of a company in Xi'an. He usually considers himself as healthy as an ox. But a few days ago, towards dusk one day, he felt a little chest tightness and shortness of breath. Since he didn't usually have heart disease, his family and he didn't care. He drank some water and went to bed. Unexpectedly, the severe chest pain in the middle of the night made him miserable. The ambulance sent to the hospital failed to save his life. The final conclusion was that he had acute myocardial infarction. Professor Zhang Suqing told reporters that chest tightness is a symptom and many diseases may occur, but internal diseases are the main ones, and the most common one is cardiovascular disease. In the cold winter, the incidence of sudden death from heart disease is higher, especially in the period from December to February of the following year. Especially in continuous low temperature, rainy and windy weather, the incidence of acute myocardial infarction increases significantly. People in their prime should pay even more attention. In the middle of winter, due to the stimulation of the body by cold, the excitability of the body's sympathetic nervous system increases, and the secretion of catecholamines in the body increases. The latter can cause the blood vessels of the limbs to contract, the heart rate to accelerate, the heart workload to increase, and the oxygen consumption to increase. . At this time, the myocardium will be ischemic and hypoxic, causing angina pectoris. Sympathetic nerve excitement and catecholamines themselves can also cause coronary artery spasm and blood concentration, making platelets prone to aggregation and forming thrombus, which is also an important cause of myocardial infarction. In addition, when the temperature is low, blood vessels constrict and blood pressure easily rises, which increases the burden on the heart, which may lead to sudden death from myocardial infarction. It is well known that acute myocardial infarction is often accompanied by severe chest pain. However, for the elderly, acupoints generally refer to those over 65 years old, but this is not always the case. According to data analysis, nearly 1/3 of elderly patients with acute myocardial infarction do not experience severe chest pain, while chest tightness is the most common symptom. It can be seen that for the elderly, the presence or absence of chest pain should not be used as the main basis for identifying acute myocardial infarction. Most patients with acute myocardial infarction will have aura before the onset. When you feel chest tightness and retrosternal pain, which sometimes radiates to the left shoulder and back, you must consider whether you have angina pectoris and go to the hospital for diagnosis and treatment in time. How to safely survive the winter season of high incidence of cardiovascular and cerebrovascular diseases? First, when the weather changes, add or remove clothing at the right time. The second is to take medicine on time. You should carry a few tablets of nitroglycerin within the validity period with you. If a sudden attack occurs, this medicine can effectively relax the coronary arteries and relieve symptoms. The third is to strengthen self-care. Maintain an appropriate amount of activity, and do not be too lazy to go out because of the cold weather, which will reduce your cold resistance. In addition, patients with coronary heart disease should adopt comprehensive treatment. Traditional Chinese medicine and Western medicine should not be excluded. The best choice is the one that is beneficial to the condition. Myocardial involvement is accompanied by chest tightness. Keywords: viral infection, myocardial damage. Popular groups: children and young adults. 12-year-old Xiaojun's parents are both soldiers and he is usually taken care of by his grandparents. Half a month ago, Xiaojun suddenly had a fever and sore throat. He rested for a few days and took some cold medicine and it was fine. Unexpectedly, Xiaojun always felt chest tightness and suffocation in recent days, and he would gasp for air every few minutes. The old man thought that the child did not want to go to school and was deliberately acting mischievously, so he did not pay attention. Unexpectedly, Xiaojun's symptoms became more and more serious, with chest tightness, palpitation, and dizziness making him unable to continue going to school, which attracted the elderly's attention. After a hospital examination, Xiaojun was diagnosed with viral myocarditis, and his chest tightness symptoms were caused by myocarditis. Director Hao Wei said that myocarditis is mostly caused by cold viruses and is more common in children and young adults. The onset of the disease is often preceded by cold symptoms, such as aversion to cold, fever, body aches, sore throat, cough or vomiting and diarrhea. Special attention should be paid to patients who develop chest tightness, palpitation, shortness of breath, precordial discomfort, etc. within about 2 weeks. Because the onset of viral myocarditis is insidious, it is easy for people to misunderstand it as a cold that has not been completely cured and mistreat it. When myocardial involvement is obvious, children often complain of precordial discomfort, chest tightness, palpitations, dizziness and fatigue. Severely ill patients may suddenly suffer from cardiogenic shock, manifesting as irritability, pale complexion, cold and wet limbs, and peripheral cyanosis. Accidents may occur within a short period of time. Treatment? 1. Rest for at least 3 to 4 weeks in the acute stage until the fever subsides; 2. Hormones; 3. Large doses of vitamin C and energy mixture; 4. Comprehensive treatment of this disease with traditional Chinese medicine and holistic conditioning. Unexpected effects; 5. Eat more fruits containing vitamin C (such as oranges, tomatoes, etc.) and foods rich in amino acids (such as lean meat, eggs, fish, soybeans, etc.); 6. Pay attention to climate change and prevent colds and colds Or upper respiratory tract infection; 7. Follow the doctor's advice when taking medication, especially patients with arrhythmia. Do not increase or decrease the dosage on your own; 8. Avoid strenuous activities, pay attention to the rules of life, and maintain a good mental state. Neck, heart, and chest tightness are easily misdiagnosed. Keywords: cervical spondylosis, chest tightness, and chest pain. Popular groups: middle-aged and elderly people. Sun Zhujun, 50 years old, is an accountant in a government agency. He has suffered from chest tightness and precordial pain repeatedly for eight years. Many hospitals have diagnosed him with coronary heart disease. Long-term use of Suxiao Jiuxin Pills, nitroglycerin, etc. had no effect, and chest tightness and chest pain occurred frequently.

When the doctor inquired about her medical history, she found that her "angina pectoris" usually occurred when she stayed at her desk for too long, when she got up from sleep with a high pillow, or when she suddenly turned or shook her head. The physical examination revealed that the movement of the cervical spine was slightly restricted. X-rays and CT showed that the physiological curvature of the cervical spine disappeared and there was mild bone hyperplasia in the cervical spine. Therefore, the patient was diagnosed with cervical-cardiac syndrome caused by cervical spondylosis. After 3 courses of comprehensive treatment using traditional Chinese medicine, both internal and external, the symptoms were all eliminated. Professor Zhang analyzed that patients with cervical-cardiac syndrome tend to be older and tend to have high blood lipids and arteriosclerosis. Some doctors often ignore occupation, medical history collection and detailed comprehensive physical examinations, and rely too much on auxiliary examinations such as instruments, especially when When imaging examinations may be inconsistent with clinical symptoms, it is more likely to cause misdiagnosis or missed diagnosis. Cervical spondylosis reflexively causes coronary artery spasm and contraction, leading to myocardial ischemia and arrhythmia, collectively known as "cervicocardiac syndrome". In addition to precordial pain, there may also be symptoms such as chest tightness and discomfort, palpitations, and shortness of breath. Ischemic ST segment and T wave changes can be seen on the electrocardiogram, as well as premature ventricular contractions or premature atrial contractions. However, there is a difference between angina pectoris in cervical and cardiac syndrome and angina pectoris in coronary heart disease. It has nothing to do with increased labor load or emotional agitation, and cannot be alleviated by taking nitroglycerin drugs and calcium ion antagonists; however, increased cervical spine load is often a predisposing factor for this type of angina, such as lying in a high pillow position and maintaining excessive head raising or lowering for a long time. body posture, back cold, sprain, fatigue, etc. The root cause of "cervicocardial syndrome" is cervical spondylosis, so the main treatment is cervical spondylosis. In daily life, it is necessary to correct the high pillow position, avoid excessive raising and lowering of the head, and pay attention to keeping the neck warm; perform local physical therapy and hot compress; perform appropriate neck gymnastics to move the neck, which can alleviate or reduce various symptoms of "cervicocardiac syndrome" symptoms. Anxiety, chest tightness and shortness of breath Keywords: nervousness, anxiety, chest tightness, palpitation. Predisposing groups: young and middle-aged people, more women than men. Zhan Jiang is a political cadre of a company in Xi'an. He is 40 years old this year. In July last year, I flew to Beijing for a meeting. On the plane, I suddenly developed nervousness, chest tightness, palpitation, and trembling hands and feet. After arriving in Beijing, my condition improved. Two months ago, I took a train to Beijing again and had another attack on the way. I thought it was a "heart attack" and asked to get off the train midway, and I was admitted to the hospital. Since then, chest tightness, palpitation, nervousness, anxiety, irritability, trembling, etc. have persisted, with attacks occurring almost every day. The doctor diagnosed it as "hidden coronary heart disease". Taking Danshen tablets, adenosine triphosphate, oryzanol, Naolejing, etc. is ineffective. Later, he went to the mental health center for consultation. The doctor again performed electrocardiogram, electroencephalogram, brain electrotopography, blood lipids and other tests on the patient. No abnormal findings were found. But his total score on the Hamilton Anxiety Scale was 21 points, and the doctor made a diagnosis of "anxiety neurosis." Director Jia Rui of the Xi'an Mental Health Center said that the incidence rate of anxiety disorders in the general population is 5%, and its symptoms usually have three aspects: 1. Inner experience: feeling anxious and restless all day long; 2. Changes in the autonomic nervous system: chest tightness, Rapid heartbeat, palpitations, decreased gastrointestinal motility, decreased appetite, etc.; 3. Motor system symptoms include weakness, weakness of hands and feet, slight tremors, trembling, unnecessary movements such as blinking, clenching teeth, facial muscle tension, restlessness, etc. After various symptoms of anxiety appear, patients must not blindly use drugs. They should consult relevant medical institutions to find out whether they are suffering from anxiety. The focus of psychotherapy is 1. Removing the causes of mental stress (i.e. changing understanding). Provide appropriate support to relieve concerns and give up unreasonable demands. 2. Correct your understanding of the disease. With the help of a doctor, you should have a correct and clear understanding of the occurrence of your various symptoms and your physical condition. Director Jia Rui said that there is another kind of person who does not have any organic disease in the heart, but often feels tightness in the chest, palpitation, shortness of breath, nervousness and fear, and a feeling of imminent death, as if he must be rescued immediately. This is actually a patient with "cardiac neurosis". One of the characteristics of this type of patients is that they love to think, think a lot, and want to get to the bottom of everything. That is, the advantage of being good at thinking is overplayed. Mental health experts remind: The relationship between human psychology and physiology is inseparable. For example, when you are stimulated by external stimuli or psychological factors, your physiological reaction will be very strong, and you may experience chest tightness, palpitation, and cold sweats. These are normal physiological defense functions of humans. But if this phenomenon lasts for too long and there is no specific reason, then you may be suffering from cardiac neurosis. Even so, there is no need to panic, as cardiac neurosis is completely curable with systemic treatment. The gallbladder is sad and the chest is tight. Keywords: biliary tract disease, palpitation, and chest tightness. Popular groups: Zhao Yanhua (pseudonym), a 45-year-old obese middle-aged woman, works as a teacher in a middle school in Xi'an. In recent months, I have felt chest tightness, palpitation, heartbeat that alternates between fast and slow, and pain in the right upper quadrant. The doctor diagnosed me with angina pectoris. After a period of treatment, the symptoms showed no improvement. A few days ago, after a severe pain in her upper abdomen, she had her gallbladder removed due to an acute cholecystitis attack, and her precordial discomfort and other symptoms immediately disappeared. Director Zhao Kun believes that the root cause of Teacher Zhao's disease is not in the heart but in the gallbladder. She suffers from biliary heart syndrome. Biliary heart syndrome is a disease that can easily be confused with heart disease. Clinically, medical experts have long noticed that patients with biliary system diseases may have symptoms, signs and electrocardiogram changes similar to those of coronary heart disease. Among them, middle-aged and elderly female patients, especially those with obesity, have a higher incidence rate. The pathogenesis of biliary heart syndrome may involve the following two points: ① Both cholelithiasis and coronary heart disease are related to lipid metabolism disorders, so there may be some connection between the etiology and pathogenesis.

② The biliary system and the heart have the same innervation pathway, and the disease may occur through nerve reflexes. The main symptoms of patients with biliary heart syndrome are: chest tightness, angina pectoris, arrhythmia, cardiac insufficiency, and electrocardiogram changes. Some patients are accompanied by pain in the right upper abdomen, and the effect is not good after treatment with cardiovascular drugs. The treatment of biliary heart syndrome mainly focuses on treating biliary tract diseases, controlling biliary inflammation, and removing biliary stones. Glossary: ??Chest tightness is a subjective feeling of labored breathing or insufficient air. In severe cases, it feels as if a stone is pressing on the chest, and even breathing difficulties may occur. It may be a functional manifestation of a body organ, or it may be one of the earliest symptoms of a disease in the human body. 1. Functional chest tightness: Staying in a room with poor air circulation for a long time, or encountering some unpleasant things, or even having quarrels or arguments with others, or being in a climate with low air pressure, often leads to chest tightness and fatigue. feeling. After a short rest, opening windows for ventilation or going outside to breathe fresh air, relax your mind, and regulate your emotions, you will soon be back to normal. Chest tightness like this may be functional. 2. Pathological chest tightness: caused by diseases of certain organs in the body, that is, pathological chest tightness. Such as: 1. Obstruction of the respiratory tract: tumors in the tracheobronchi, tracheal stenosis, external pressure on the trachea (goiter, tumors in the mediastinum); 2. Lung diseases: emphysema, asthma, atelectasis, pulmonary infarction, pneumothorax; 3. Heart disease: certain congenital heart diseases, rheumatic valvular heart disease, coronary heart disease; 4. Diaphragm lesions: diaphragm bulge disease, diaphragm paralysis; 5. Body fluid metabolism and acid-base balance disorders, etc. Chest tightness in children usually indicates congenital heart disease, myocarditis or mediastinal tumors; chest tightness in young people usually indicates spontaneous pneumothorax, mediastinal tumors, and rheumatic valvular heart disease; chest tightness in the elderly usually indicates emphysema, Coronary heart disease, etc.