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Heart disease
Can a cardiac ultrasound detect thyrotoxic heart disease?
Cardiac ultrasound examinations cannot directly diagnose hyperthyroid heart disease, which often leads to an enlargement of the heart and a reduction in cardiac pumping function. Cardiac ultrasound can detect these structural changes in the heart caused by hyperthyroidism and can assess heart function, but it cannot determine if these are caused by an overactive thyroid. A combination of blood tests for thyroid function or a thyroid ultrasound is needed for a comprehensive diagnosis. If the thyroid ultrasound shows a rich blood flow in the thyroid region, appearing flame-like, or if the blood tests show a significant decrease in thyroid-stimulating hormone, in conjunction with cardiac ultrasound, it can confirm the presence of hyperthyroid heart disease.
Can people with heart disease drink alcohol?
Patients with heart disease should avoid drinking alcohol, especially those with severe conditions such as heart failure and arrhythmias. Drinking can excite the sympathetic nervous system, increasing heart rate and triggering episodes of arrhythmia, and exacerbating heart failure. Heart disease patients typically require medication, and consuming alcohol during treatment can cause chemical changes in some medications, affecting their effectiveness. Both alcohol and medications need to be detoxified in the liver, so drinking while on medication can increase the liver's burden, potentially leading to long-term liver damage.
Is hyperthyroid heart disease difficult to treat?
Hyperthyroidism occurs when an excessive amount of T3 and T4 is released by the thyroid gland, leading to hyperactive metabolism throughout the body. This can cause disturbances in autonomic nervous function or receptor hyperactivity, resulting in a series of conditions related to excessive cardiac load and insufficient blood supply. Therefore, the majority of hyperthyroidism-related heart diseases improve after controlling the hyperthyroidism and are relatively easy to treat. However, if the thyroid function is not controlled repeatedly, or if the treatment is not effective, it may lead to severe enlargement of the heart and recurrent arrhythmias, making hyperthyroid heart disease difficult to cure. Nonetheless, such cases are relatively rare, with an incidence of less than 10%.
Can heart disease cause numbness in the hands?
Heart disease, such as coronary atherosclerotic heart disease, can potentially cause numbness in the hands. When angina or myocardial infarction of coronary heart disease occurs, there is often severe chest pain. This chest pain may be accompanied by pain and numbness in the left shoulder or left hand. During episodes of pain, an electrocardiogram often shows significant ST depression or ST elevation. This condition is commonly seen in middle-aged and elderly patients. In addition, cervical spondylosis can also cause numbness in the hands, often seen in young people who spend long periods looking down at their mobile phones or using computers, usually showing symptoms of neck pain. A cervical spine MRI can often determine whether cervical spondylosis is causing these symptoms.
Which place is the best for a heart disease massage?
Premature cardiac contractions can occur in normal individuals. For younger people, fewer than 3 contractions per minute generally poses no issue, whereas for older individuals, fewer than 5 per minute is considered normal. However, it is recommended to conduct a 24-hour Holter monitor test. If this test shows more than 10,000 occurrences in 24 hours, it is advisable to consult a specialist to determine if medication or hospital treatment, such as radiofrequency ablation, is needed. Additionally, it is crucial to investigate the causes of premature cardiac contractions. If serious diseases are ruled out, it may be helpful to massage corresponding acupoints. Generally, massaging acupoints like the Neiguan and Hegu, which are associated with the kidney and heart meridians, is suggested. Massage of the Fuxi acupoint is also recommended; located at the front of the thigh, it is easier to massage when seated with the knee bent at a 90-degree angle.
How long does heart disease generally hurt?
1. Chest pain caused by angina due to coronary heart disease is located in the middle to lower third of the sternum, with unclear boundaries. It is often triggered by physical activities or emotional excitement and may radiate to the throat, lower jaw, left shoulder, and inner side of the left arm. The pain lasts for a few minutes to more than ten minutes, typically between three to five minutes, and rarely exceeds half an hour. It can be relieved by rest or by taking nitroglycerin under the tongue. The nature of the pain is feelings of stuffiness, pressure, or constriction, and may also feel like a burning sensation, but is not sharp like needle pricks or cuts. 2. The location and nature of the chest pain in acute myocardial infarction are the same as with angina, but it lasts longer, is more severe, and its triggers are less evident. It can occur even while at rest, accompanied by symptoms such as sweating, nausea, vomiting, heart palpitations, and difficulty breathing. Unlike with angina, regular rest or taking nitroglycerin under the tongue does not completely alleviate the pain.
How to prevent heart disease
In clinical settings, heart diseases include congenital heart disease, coronary heart disease, rheumatic heart disease, pneumonic heart disease, cardiomyopathy, etc. Some diseases are preventable, such as the most common coronary heart disease. The occurrence of coronary heart disease is due to long-term lipid metabolism disorders and increased blood lipids, which cause arteriosclerosis and subsequent coronary atherosclerosis, leading to insufficient myocardial blood supply and myocardial damage. Preventing and treating hyperlipidemia and reducing arteriosclerosis can decrease the incidence of coronary heart disease.
Complications of heart disease
Heart disease is a very common illness in our daily lives. What are the complications of heart disease? The category of heart diseases is broad; here we will discuss some common ones, such as coronary heart disease. Patients with coronary heart disease are prone to develop heart failure, leading to symptoms such as shortness of breath and difficulty breathing, or atrial fibrillation. Atrial fibrillation often leads to complications like thrombosis. For instance, a dislodged thrombus can cause a cerebral infarction, resulting in symptoms like hemiplegia, weakness in one side of the body, and speech disturbances. Additionally, certain severe myocardial diseases can lead to malignant arrhythmias, causing sudden death in patients, which is often very serious.
Can heart disease be inherited?
Whether heart disease is hereditary depends on the specific type of heart disease. Some heart conditions are hereditary diseases, such as hypertrophic cardiomyopathy, which is an autosomal dominant inherited disease and can be inherited. Some heart diseases are related to genetics, such as coronary heart disease and dilated cardiomyopathy. These genetically related diseases significantly increase the risk of their offspring developing these conditions, but it does not necessarily mean that they will develop the disease, as environmental factors also play a crucial role. Of course, some heart diseases are not genetic, such as most congenital heart diseases, heart valve diseases, infective endocarditis, and myocarditis, which are not related to genetics.
Early symptoms of heart disease
How is heart disease diagnosed? What are its early symptoms? Actually, the concept of heart disease is very broad as it includes many diseases related to the heart. Generally, it refers to problems with the structure or function of the heart, or its inability to perform its pumping function. Its early symptoms can include chest tightness, chest pain, or a crushing feeling after activity, and some may even radiate to the back or the inside of the arms, even involving the shoulders, presenting symptoms like increased heart rate, palpitations, tinnitus, and breathing difficulties. All these are related to heart disease. But how can we determine what kind of heart disease it is? We believe that the first step is to visit a hospital for tests such as electrocardiograms (ECG), ambulatory ECGs, exercise stress tests, and other imaging tests including coronary CT and even coronary angiography. Of course, some biochemical tests are also necessary, such as myocardial enzymes, troponins, myoglobins, brain natriuretic peptides, immunological and biological tests, which all help to determine the nature of the heart disease. In summary, we must pay special attention to heart disease, and once these symptoms appear, we should seek medical attention promptly and early.