Gastric Heart Syndrome

Introduction to stomach and heart syndrome Gastrocardiac Syndrome, also known as Roemheld syndrome, refers to a dysfunction of the cardiovascular system due to the reflexivity of stomach diseases. More common in young people, male and female incidence is similar. The cause of this disease is unclear, may be related to autonomic dysfunction, all stomach diseases can be caused, but common causes are digestive ulcers, chronic gastritis, gastric mucosal prolapse, stomach cancer and smoking, etc., esophageal lesions, Such as reflux esophagitis, esophageal or pyloric stenosis can also be caused. basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: chronic gastritis, gastric mucosal prolapse, gastric cancer

Cause of gastric heart syndrome

Autonomic dysfunction (30%):

It is a syndrome of visceral dysfunction. Including the symptoms of circulatory system, digestive system function or sexual dysfunction, mostly caused by psychosocial factors, some of the physiological functions of the human body are temporarily dysfunctional, and there are related changes in neuroendocrine and no corresponding pathological changes in the structure.

Chronic gastritis (25%):

Various chronic gastric mucosal inflammatory lesions caused by different causes are a common disease, and its incidence rate ranks first among various stomach diseases. Since the wide application of fiber endoscopy, the understanding of this disease has been significantly improved. Common chronic superficial gastritis, chronic erosive gastritis and chronic atrophic gastritis.

Esophageal lesions (25%):

Inflammation caused by edema and congestion of the esophageal mucosa due to abnormal stimulation of the superficial or deep tissue of the esophageal mucosa. These stimuli include stomach acid, bile, vomiting, bile, spirits, peppers, too hot soups, too hot tea, and so on.

Stomach heart syndrome prevention

The prevention of this disease is mainly the prevention of stomach diseases, should pay attention to quit smoking and alcohol, and actively carry out physical exercise.

First, regular quantitative feeding. Gastric acid secretion has a certain regularity, that is, the peak of secretion during three meals a day, eating snacks often, making the stomach work disorder, destroying the normal rhythm of gastric acid secretion, which can lead to stomach disease for a long time. Therefore, the daily diet should be three meals a day, not Eat too much snacks. The amount of food consumed per meal should be moderate, hunger or overeating, or hunger, eating and eating unevenly, causing the stomach to malfunction and causing indigestion. Therefore, it is necessary to develop good hygienic habits at regular intervals and at regular intervals.

Second, advocate smoking cessation and moderate drinking. If you have a digestive system disease, you should immediately quit smoking and drinking. Smoking can make the stomach vasoconstriction, reduce the blood supply to the stomach, inhibit the secretion of gastric mucus, aggravate the gastric mucosal damage, moderate consumption of low-alcohol, can increase the blood flow of the blood vessels in the stomach, causing gastric mucosal congestion, edema, erosion, Even bleeding, so you can drink low-alcohol such as rice wine, beer, wine, etc.

Third, pay attention to food hygiene. Take care of the "sickness from the mouth", and wash your hands after meals. Raw fruits should be rinsed clean. Avoid food contamination on pathogenic bacteria. Do not eat spoilage, mildew food.

Gastric heart syndrome complications Complications chronic gastritis gastric mucosal prolapse

1. Stomach ulcer: Chronic gastritis is prone to ulcer disease, and ulcers generally occur in gastritis. The onset of gastric ulcer is related to diet, occupation, smoking, genetics, etc., and pyloric sphincter dysfunction or bile reflux, which can cause increased gastric acid secretion and damage the gastric mucosal barrier, and further form ulcers on the basis of gastritis. .

2. Upper gastrointestinal bleeding: Upper gastrointestinal bleeding is the most common complication of peptic ulcer. Peptic ulcer is also the most common cause of upper gastrointestinal bleeding. If the treatment of ulcer disease is not timely, or overeating, drinking, overwork, and irrational use of drugs, bleeding can occur.

3. Acute perforation: Acute perforation means that the ulcer penetrates deep into the muscular layer and serosal layer and suddenly penetrates the stomach wall, causing the stomach or the duodenal fluid to flow into the abdominal cavity, causing diffuse peritonitis.

Symptoms of heart syndrome Syndrome Common symptoms Chest tightness angina pneumothorax arrhythmia

Due to the presence of stomach diseases, reflexiness causes discomfort or dull pain in the precordial area. A few of the angina-like pains are acupuncture-like or crush-like pains. The duration can be as long or as short as a few seconds. There is no obvious cause of pain, and the application of the crown-expanding drug is ineffective, and the application of the anti-acid and acid-relieving drugs can be alleviated, which may be accompanied by symptoms of chest tightness and shortness of breath, and the cardiovascular symptoms disappear with the healing of the stomach disease.

Examination of gastric heart syndrome

There are no abnormal findings in cardiac examination, electrocardiogram examination is normal, a few ST-T changes, arrhythmia, arrhythmia, occasionally misdiagnosed as angina or acute myocardial infarction, cardiovascular system symptoms appear on the basis of chronic stomach disease, when excluded After the cardiovascular disease, the diagnosis of the disease can be made. Sometimes the gastric symptoms are not obvious in the medical history, but the symptoms of cardiovascular symptoms alone are easy to cause misdiagnosis. Therefore, the understanding of the disease should be improved. When the disease is not well explained, relevant gastrointestinal examinations, such as X-ray, gastroscopy, etc., should be performed to determine the diagnosis.

Diagnosis and differentiation of gastric heart syndrome

1. Functional dyspepsia: usually have dyspepsia syndrome, such as: acid reflux, hernia, nausea, upper abdominal fullness discomfort, but no positive findings in gastroscopy and barium meal examination, is functional.

2. Chronic gastroduodenal inflammation: There is chronic irregular upper abdominal pain, gastroscope can be identified. More chronic sinusitis and duodenal inflammation but no ulcers.

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