Old age chronic lung worry amalgamates _'s general knowledge of coronary heart disease
Lung worry and coronary heart disease see more the elderly, so there are more chances that lung worry amalgamates coronary heart disease. Ress,etc. reports lung worry amalgamates and precededs the heart patient and accounts for 59%, has reported it is 25% at home. It is numerous that lung worry amalgamates coronary heart disease, examine the appearing rate clinically relatively low, 10.49% only, trace it to its cause, amalgamate, store to two disease in, pay attention to, think store lung worry in amalgamate coronary heart disease yet, incompletely, judge simply that has something to do with according to the diagnostic standard of coronary heart disease. We have and realized and made the diagnostic standard that lung worry amalgamated coronary heart disease according to the clinical practice for many years, and analyzed to 72 old lung worry patients, the heart patient has 44 examples to find and amalgamate precededding according to this standard, accounts for 61%.
[Diagnose ]
When lung worry and coronary heart disease coexist, symptom overlaps each other, conceal each other, the condition is complicated, it is relatively difficult to diagnose. Realize according to our clinical practice, propose diagnosing the basis as follows, possess more than one (including one) Person can diagnose.
1. The lung worry patient has typical angina pectoris or not typical angina pectoris, but pain is relieved in 3-5 minutes after sucking the Nitroglycerin.
2. Lung worry patient have left ventricle to be plump, have aorta to be tortuous to lengthen calcification at the same time, A2gt; P2, and the person who doesn't have essential hypertension or medical history of hypertension.
3. The lung worry patient presents a following person who changes electrocardiogram:(1)There are acute or outmoded myocardial infarction figures, can get rid of the person who exactly likes myocardial infarction figure through observing dynamically.(2)The intersection of left and bunch prop up block, the intersection of branch and block and pairs of bunches of person who props up block in front of the left.(3)Strain left ventricle,and Yes except essential hypertension, it is myocardium patient.(4)2, one degree of atrio-ventricular block, myocardium disease heart, myositis person.(5)It is electric in heart in axle, it is severe left partial,and can except hypertension.(6)Ptf-V1 is less than or equal to - 0. 03mms person.(7)The right of electric axle of heart leans towards, the right room is plump to lead and unite more invariable ST with the left room --Person who changes T.
[Treat ]
Old age, except that it is depleted to have right hearts, many patients can amalgamate and happen the left heart depletedly or depletedly whole-heartedly. Can consult about the chapter depletedly according to the left heart separately and deal with main fact or depleted principle of the right heart at this moment.
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