Head or neck swelling and throbbing

Introduction The swelling of the head or neck and the feeling of jumping are more common in tachycardia. The patient feels palpitations, chest tightness, discomfort in the anterior region and swelling of the head and neck, and a sense of jumping. Sinus tachycardia is characterized by a gradual increase in heart rate and slowing down. Usually, the heart rate does not exceed 140 times per minute. Most patients without cardiac organic disease usually have no obvious discomfort, and sometimes have symptoms such as palpitation and shortness of breath.

Cause

Pathological tachycardia can be divided into sinus tachycardia and paroxysmal supraventricular tachycardia. Sinus tachycardia is characterized by a gradual increase in heart rate and slowing down. Usually, the heart rate does not exceed 140 times per minute. Most patients without cardiac organic disease usually have no obvious discomfort, and sometimes have symptoms such as palpitation and shortness of breath. Paroxysmal supraventricular tachycardia can reach 160 to 200 beats per minute. It is characterized by sudden onset and sudden stop, which can occur in patients with organic lesions or cardiac organic lesions. Suddenly, the patient suddenly felt palpitation and increased heart rate. It lasted for several minutes, hours to days, and suddenly returned to normal heart rate. At the time of the attack, the patient felt guilty, chest tightness, discomfort in the precordial area, and swelling of the head and neck, and a sense of jumping. People without heart disease generally have no significant impact, but the attack time is long. When the heart rate is more than 200 beats per minute, the patient has black eyes, dizziness, fatigue, nausea and vomiting, and even sudden fainting and shock. Patients with coronary heart disease have tachycardia and often induce angina.

an examination

Related inspection

Brain CT examination EEG examination

The clinical manifestations of ventricular tachycardia were not consistent.

1 Symptoms: There may be palpitation, chest tightness, chest pain, black Mongolian, syncope, and its clinical features are sudden onset, sudden disappearance after treatment or self-limiting, sudden palpitations, rapid heart rate, mental anxiety, fear, pre-existence Area discomfort, head or neck bloating and jumping.

2 Asymptomatic: People with non-sustained ventricular tachycardia are usually asymptomatic and are only found on physical examination or 24h ambulatory electrocardiography.

Differential diagnosis

Head or neck bloating and jumping are one of the symptoms of ventricular tachycardia. Ventricular tachycardia is symptomatic. However, it should be differentiated from non-sustained ventricular tachycardia. People with non-sustained ventricular tachycardia are usually asymptomatic and are only found in physical examination or 24h dynamic electrocardiogram. The auscultation heart rate is mild and irregular, the first and second heart sounds split, and the systolic blood pressure can change with the heart beat. In the event of complete atrioventricular separation, the intensity of the first heart sound often changes, and a large a wave appears intermittently in the jugular vein. When the ventricle beats back and continues to capture the atria, the atrium and the ventricle contract at almost the same time, and the jugular vein presents a regular and huge a wave.

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