Forced stop

Introduction Forced standing position: During the activity, due to the sudden onset of pain in the precordial area, the patient immediately stops in situ, and often presses the front part of the heart, and then leaves the home position after being relieved and improved. More exercise: Many patients with angina think that exercise is prone to angina. When you first get sports training, you will experience angina in the early stages, but don't exercise. If the patient finds that the disease is frequent after exercise, slow down or slow down until your body is acceptable. Exercise can relieve stress and discomfort, and it also helps to lose weight.

Cause

Found in angina. Physical examinations often have no special findings. Common heart rate increases, blood pressure rises, expression anxiety, cold skin or sweating, and sometimes fourth or third heart sounds. Signs of non-ST-segment elevation myocardial infarction are often insignificant and lack specificity. In general, the heart examination can be found that the heart sound is weakened, and sometimes the third or fourth heart sounds and the systolic murmur of the apex can be heard. In severe cases, the accompanying abnormal changes of the whole body can be found.

an examination

Related inspection

Cardiovascular dynamic electrocardiogram (Holter monitoring)

During the activity, due to the sudden onset of pain in the precordial area, the patient immediately stops in situ, and often presses the front part of the heart, and then leaves the home position after being relieved and improved.

an examination:

1. ECG examination.

2. Heart X-ray examination.

3. Radionuclide examination.

4. Coronary angiography.

5. Intravascular ultrasound imaging examination.

6. angioscopy.

Differential diagnosis

Differential diagnosis of forced stop position:

(1) Compulsive lying on the back: The patient is supine, and the legs are flexed to relieve the tension of the abdominal muscles, which is seen in acute peritonitis.

(2) Compulsive lying on the face: The prone position can relax the back muscles and be seen in spinal diseases.

(3) Compulsive lying on the side: Patients with pleural disease tend to lie on the affected side to relieve pain or cough, and help the side to compensate for breathing. See one side of pleurisy or a large number of pleural effusions. .

(4) Forced sitting position (sitting breathing, orthopenea): sitting position, hands on the knee or supporting the bed, so that the diaphragmatic muscles decrease and the lung volume and the lower limbs return to the heart, reduce the burden on the heart, and see the heart and lung dysfunction. .

(5) Compulsive squatting: In short-distance walking or other activities, due to the difficulty of breathing and palpitations, the distance between the body position and the knee position is relieved. It is seen in cyanotic congenital heart disease.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.