Angina, the pain will be elsewhere
Angina occurs mostly in the chest or precordial area, but can also occur in other parts, we call it "ectopic" angina. These sites include the neck, gums, jaw, chest department. Mr. Wang is such a situation, but fortunately a doctor promptly, and to rehabilitate. Sometimes, it may be sore throat angina -
62-year-old grandfather has recently always feel throat pain, burning sensation similar to strangle hold, and numerous experiences of finding ENT doctor, doctors have not found the cause of pharyngitis caused by sore throat. Later, he went to the cardiology examination, in addition to high blood pressure found outside also found no abnormalities, the doctor suspected "ectopic" angina, coronary CT examination suggested he do. Grandfather had started a little doubt is not overkill, afraid to spend money, but the test results have found that two had severe coronary artery stenosis. So hospitalized for interventional stenting, sore throat and finally eliminated.
Misdiagnosis "stomach" of the tragedy
"Ectopic" angina relatively rare, easily ignored by patients themselves, but also easy to mislead doctors.
Granny Zhang 72 years, often have symptoms of stomach pain in middle age, he had a clear diagnosis of ulcer disease. Over the years she rarely stomach, just in recent days, dozens of steps or whenever Jizou went upstairs on the third floor, there have chest pain, stop and rest a few minutes does not move not hurt. When stomach acid water does not return, there is no clear relationship with the diet. One night, Granny Zhang sudden severe chest pain, to the hospital emergency room, the doctor asked her medical history, concern is gastric ulcer disease, quickly helped her into the X-ray department do peritoneal dialysis, but found no signs of gastric perforation, the open some spasm of stomach pain. Who would have thought that night at midnight tragedy, Granny Zhang more severe chest pain again, lasts longer than 30 minutes, and sweating, the family took her to the emergency room, but it was too late, the heart has stopped breathing . Anatomical pathology confirmed by inferior wall myocardial infarction.
Uncover pain camouflage
In fact, we found that these "ectopic" angina is not too difficult, it will have the characteristics of angina, but just not the same site appears. How can I find it?
Careful examination to exclude the corresponding disease.
Mouth with a nitroglycerin onset, within a few minutes can eliminate pain, it may be suspected angina.
When the "pain" as ECG, there are significant changes can be diagnosed.
Exercise ECG without pain, if exercise test was negative, which can be said not coronary heart disease. If the result is positive, then it can be said for male patients, "You are coronary heart disease," but before and after the female menopause is not necessarily.
If you suspect MI MI biochemical indexes do not forget to check, it should be hospitalized for observation or treatment, in order to protect your health and safety.
"Ectopic" how do angina
Of course, in the event of the above-mentioned "ectopic" angina, you may not in the hospital, no doctors around, how to do it? First, do not panic, if you hand the drugs can be taken orally 100 mg of aspirin, a sublingual nitroglycerin or isosorbide dinitrate, and then go to the hospital to find a specialist emergency treatment, to ensure the safety and early diagnosis, effective treatment is implemented correctly.
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