Neck throbbing

Introduction The periodic fluctuations of the wall of the neck artery during each cardiac cycle. The pulsation of the neck artery of a normal person is not easy to see when it is quiet, and the amount of heart beat increases when strenuous activity, and the carotid artery is weakly beaten. In the quiet state, the carotid artery showed obvious pulsation, seen in patients with aortic regurgitation, hypertension, hyperthyroidism and severe anemia.

Cause

If there is a significant pulsation of the carotid artery in a quiet state, it is seen in aortic regurgitation, hypertension, patent ductus arteriosus, severe atrioventricular block, severe sinus bradycardia, hyperthyroidism, and severe anemia. , patients with beriberi heart disease. In addition, anxiety is also a common cause, especially for young people who are thin. The pulsation of the carotid artery is weakened or small, suggesting a narrowing or obstruction of the carotid artery.

an examination

Related inspection

Cervical pressure test

The jugular vein beat is not observed by normal people. In patients with tricuspid regurgitation, blood can flow back from the right ventricle to the right atrium during ventricular contraction, causing upward pulsation of the jugular vein during systole, and pulsation can be observed in the neck. Both the jugular vein and the carotid artery will be pulsating, and the parts are similar, so attention should be paid to the identification. The jugular vein beats softly, the range is diffused, and there is no pulsation when palpation. When the pressure is weakened, the lying position is weaker than the sitting position. The amplitude of the beat is enhanced during exhalation. The inspiratory weakening of the carotid artery is strong. For swelling, the pulsation is obvious, and the amplitude of the pulsation is not affected by the receptor position and breathing.

Differential diagnosis

Need to be identified with the following symptoms:

Carotid pulsation weakened or disappeared: Carotid pulsation weakened or disappeared is one of the symptoms of polyarteritis. Multiple arteritis is also known as primary arteritis syndrome, aortic arch syndrome, avascular disease or Takayasu`s disease. The incidence rate in the eastern countries is higher, more common in young women.

Cervical muscle spasm: neck and back muscle spasm is one of the clinical manifestations of cervical spondylosis, cervical spondylosis, also known as cervical vertebra syndrome, is the general term for cervical osteoarthritis, proliferative cervical spondylitis, cervical nerve root syndrome, cervical disc herniation, It is a condition based on degenerative pathological changes.

Ischemic thoracic neck pain: the pain is ischemic jumping pain, the onset can be sudden, accompanied by soreness and discomfort, starting from the neck to the hands and fingers, with numbness and tingling, the painful part There is no clear boundary. The activity of the cervical vertebra can aggravate the pain. When the neck is straight, the gap between the scale muscles becomes smaller and the pain is aggravated. The neck flexion can increase the space between the scale muscles, the pain can be relieved, and the affected limb can be pulled. A decrease in the scapula can exacerbate the symptoms.

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