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Have you ever experienced such a scenario?
In the dead of night, a man sat in front of a computer
Hold a cup of coffee or milk tea in your hand
Suddenly, his chest fluttered and he jumped
Feeling tightness in the chest and shortness of breath
It lasted for a long time and nothing got better
Tossing and turning, difficulty falling asleep
Check the Internet, emo up...
Did you have heart disease at such a young age?
What are palpitations?
Lying in bed and hearing your heart pounding and beating is it palpitations?
Palpitations are a strong, irregular, and uncomfortable subjective sensation in the heart that can manifest itself as a rapid pat on the chest (fluttering and jumping), a heavy blow to the chest or neck, and so on. Some people may be accompanied by chest pain, chest tightness, sweating, difficulty breathing, dizziness, lack of strength, edema and other symptoms.
Palpitations are usually benign, but severe arrhythmias, etc. can be life-threatening and should be taken seriously.
Many people describe this feeling as a state of palpitation, heart fluttering, chest tightness and even chest pain, as a disease such as myocardial infarction (acute myocardial infarction).
It is true that palpitations may be the symptoms of some patients with myocardial infarction, but myocardial infarction is generally more dangerous and dangerous, with severe chest pain, difficulty breathing, feeling of near-death and other systemic symptoms.
What causes palpitations?
The cause of most palpitations is certain. Common causes of palpitations include:
01
Heart disease: arrhythmias (atrial fibrillation, paroxysmal tachycardia, ventricular premature beats, etc.), cardiomyopathy, valvular heart disease, etc.;
02
Endocrine diseases (hyperthyroidism, hypoglycemia, pheochromocytoma, etc.);
03
Mental illness, anemia, fever, acid reflux, etc.;
04
Drugs (caffeine, ephedrine, aminophylline, thyroxine, etc.);
05
Coffee, milk tea, tea, alcohol, tobacco, drugs, etc.;
06
Palpitations may also occur during strenuous exercise, anxiety, emotional agitation, excessive fatigue, lack of exercise, lack of oxygen, pregnancy, dehydration, and changes in posture.
What should I do when palpitations occur?
Immediately sit or lie quietly and rest, and keep the surroundings quiet and ventilated;
If you drink coffee, milk tea, strong tea, smoking, drinking, etc., you should stop or reduce the amount as soon as possible;
If you eat too little, hunger, hand shaking, fatigue, nausea and other symptoms, when hypoglycemia is suspected, you should eat in time and measure blood sugar;
When palpitations occur, you can measure your pulse by yourself, keep your mood calm and measure for 30 seconds, and measure the number of pulse beats multiplied by 2, if it exceeds 100 times / min, it is tachycardia; less than 60 times / min, it is bradycardia. If there is a pulse discontinuity, a long pause, and an irregular feeling of movement in the neck and neck, consider the arrhythmia, and should be treated at a nearby hospital as soon as possible, and the ECG should be checked in time;
When palpitations occur for the first time, you can try to adjust your breathing, control your emotions, avoid mental tension, strenuous exercise and fatigue, observe the characteristics and changes of palpitations, and measure blood pressure in time;
Most patients with palpitations recommend a general visit. If there are repeated palpitations, accompanied by dizziness, chest pain, nausea and other discomfort, you should promptly seek medical treatment and check the 24-hour Holter ELECTROCARDI, cardiac ultrasound, myocardial enzyme profile, blood biochemistry, thyroid function, etc.
How to avoid the occurrence of palpitations?
Change your lifestyle habits, drink coffee, milk tea, strong tea, alcohol, quit smoking, etc. Nutritionally balanced, exercise properly, maintain a good attitude, pay attention to rest and maintain adequate sleep.
If there is an underlying disease, such as heart disease, hyperthyroidism, diabetes, anemia, etc., the primary disease (disease that causes palpitations) should be actively treated, and the relevant departments should be treated regularly, and must follow the doctor's instructions and take the medication according to the dose according to time.
Regular physical examination, early detection, early diagnosis, early treatment of some diseases that induce palpitations.
Let's go back to the scene at the beginning of this article
You probably guessed it, too
Palpitations in young middle age
May and overdose
Coffee, milk tea, Red Bull, tea drinks, etc. are related
So how much should we drink?
Different drinks have different caffeine content, and the caffeine in a cup of American coffee is about 100 to 150mg. It is generally recommended that the daily intake of caffeine in healthy adults be less than 400 mg (about 2 cups) and pregnant women within 200 mg.
Drinking coffee in moderation (about 1 to 2 cups per day) does not increase the risk of heart disease and cardiovascular disease.
Summary
Palpitations are mostly benign, but may also indicate certain disorders, and severe arrhythmias can be life-threatening and should be given enough attention to find the cause of palpitations as soon as possible.
Palpitations can be prevented by changing lifestyle habits (e.g., quitting smoking and limiting alcohol, reducing caffeinated beverage intake, exercising properly, controlling mood, etc.) and regular medication.
If you have been in good health in the past, usually there is no discomfort, only transient palpitations, and there is no other discomfort, you should pay attention to observation.
Most patients with palpitations are advised to visit the general practice first. If there is a change in the condition or a basic disease such as heart disease and hyperthyroidism, it is necessary to seek general medical treatment in time and regularly follow up with relevant departments.
bibliography:
1． WAN Xuehong,LU Xuefeng. Diagnostics (9th Edition)[M].Beijing:People's Medical Publishing House2018:24-26.
2． CHEN Haozhu,ZHONG Nanshan,LU Zaiying. Internal Medicine (9th Edition)[M].Beijing:People's Medical Publishing House2018:177-692.
3．Abraham G, Ghazanfar MA, Bajpai A. An unusual cause of shortness of breath and palpitations. BMJ 2018; 363:k3883.
Source: Department of General Medicine, Run Run Shaw Hospital
Author: Pan Bintao Instructor: Zhang Jia
Original works, reprinted please indicate the source and source
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