Palpitations with fatigue and paleness
Introduction
Introduction Cardiac neurosis is a type of systemic neurosis (ie, the manifestation of autonomic dysfunction in the system of the blood system). Its symptoms are diverse. The most common symptoms are palpitations, poor breathing, and precordial area. Pain, pale and weak body, as well as prone to excitement, insomnia, sweating, trembling, dizziness, and more dreams.
Cause
Cause
Due to factors such as anxiety, nervousness, emotional agitation, and trauma, the central nervous system has an obstacle to the process of excitation and inhibition. The cardiovascular system regulated by autonomic nerves also causes a series of symptoms of excessive sympathetic tone. In addition, overwork, too little physical activity, lack of proper exercise in the circulatory system, so that a little activity or a little tired can not adapt, resulting in excessive cardiovascular response to the disease.
Examine
an examination
Related inspection
Electrocardiogram dynamic electrocardiogram (Holter monitoring) Friedrich urinary urinary hemoglobin qualitative
Cardiac neurosis is a type of systemic neurosis (ie, the manifestation of autonomic dysfunction in the system of the blood system). Its symptoms are diverse. The most common symptoms are palpitations, poor breathing, and precordial area. Pain, pale and weak body, as well as prone to excitement, insomnia, sweating, trembling, dizziness, and more dreams.
(1) History and symptoms:
Young women in rural areas are more common, and the symptoms of the cardiovascular system are various. When they are light and heavy, they are not serious. Generally, there is no evidence of organic heart disease, but it can exist simultaneously with or in the latter. Occurs on. The medical history should ask in detail whether there are any incentives such as anxiety, emotional agitation, trauma or overwork, whether it has been diagnosed as "heart disease", relationship between feeling, activity, fatigue and mood, such as palpitation, shortness of breath or discomfort in the precordial area, sleep What is the situation? Previous cardiac findings, medication history, and efficacy are helpful in diagnosis.
(2) Physical examination found:
Physical examinations often have no special findings. Most of them are anxious or nervous, and blood pressure can be normal or slightly elevated. Cardiac auscultation may have increased heart rate, heart sound enhancement, may be accompanied by soft systolic murmur in the pre-cardiac area I-II, occasionally premature beats appear.
Diagnosis
Differential diagnosis
Differential diagnosis of palpitations with fatigue and paleness:
1, chest pain with chest tightness, palpitations: chest pain with chest tightness, palpitations, at the same time or before, there are fever, body aches, sore throat, diarrhea and other symptoms, can be seen in acute myocarditis.
2, heart palpitations with hypertension: heart palpitations with hypertension symptoms found in hypertensive heart disease.
3, heart palpitations with abnormal heart rate: palpitations is a sense of discomfort or palpitation of the heart beat. When the heart rate is increased, it is felt that the heart beats discomfort, and when the heart rate is slow, it feels powerful. When you have a heart palpitations, your heart rate can be fast, slow, or have arrhythmia. People with normal heart rate and heart rhythm can also have heart.
4, heart palpitations with weight loss, diarrhea: the elderly patients with onychomycosis insidious, and the typical symptoms of young people with hyperthyroidism are not the same, most of them with arrhythmia, high blood pressure, loss of appetite, diarrhea, weight loss and other cardiovascular and gastrointestinal symptoms . Therefore, if a 60-year-old person has palpitations, diarrhea, weight loss, but a good mental state, be alert to the attack.
Cardiac neurosis is a type of systemic neurosis (ie, the manifestation of autonomic dysfunction in the system of the blood system). Its symptoms are diverse. The most common symptoms are palpitations, poor breathing, and precordial area. Pain, pale and weak body, as well as prone to excitement, insomnia, sweating, trembling, dizziness, and more dreams.
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