How long does heart disease generally hurt?

Written by Cai Li E
Cardiology
Updated on December 11, 2024
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1. Chest pain caused by angina due to coronary heart disease is located in the middle to lower third of the sternum, with unclear boundaries. It is often triggered by physical activities or emotional excitement and may radiate to the throat, lower jaw, left shoulder, and inner side of the left arm. The pain lasts for a few minutes to more than ten minutes, typically between three to five minutes, and rarely exceeds half an hour. It can be relieved by rest or by taking nitroglycerin under the tongue. The nature of the pain is feelings of stuffiness, pressure, or constriction, and may also feel like a burning sensation, but is not sharp like needle pricks or cuts.

2. The location and nature of the chest pain in acute myocardial infarction are the same as with angina, but it lasts longer, is more severe, and its triggers are less evident. It can occur even while at rest, accompanied by symptoms such as sweating, nausea, vomiting, heart palpitations, and difficulty breathing. Unlike with angina, regular rest or taking nitroglycerin under the tongue does not completely alleviate the pain.

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Written by Li Tao
Pulmonology
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Symptoms of cor pulmonale

Cor pulmonale refers to a disease characterized by increased pulmonary vascular resistance due to pathologies of the bronchi, lung tissue, chest wall, and blood vessels of the lungs, leading to pulmonary arterial hypertension and structural and functional changes in the right ventricle. The common clinical symptoms of cor pulmonale include coughing, expectoration, shortness of breath, significant palpitations, and breathing difficulties after physical activity, reduced work capacity, and exacerbation of the above symptoms during acute infection phases. Some patients may experience chest pain and hemoptysis. The second set of symptoms relates to heart and lung function, manifesting during the decompensation phase. For instance, some patients may develop respiratory failure, and experience headaches, decreased appetite, drowsiness, significant edema in the lower extremities, and further symptoms such as arrhythmias, anorexia, abdominal distension, and nausea.

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Written by Li Hai Wen
Cardiology
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How to relieve vomiting caused by heart disease?

Treatment for vomiting caused by heart disease must depend on its cause. First, if caused by heart failure, as the symptoms of heart failure worsen, including right-sided heart failure, patients may experience nausea, vomiting, and bloating after eating. The key in these cases is to correct heart failure, perhaps with intravenous diuretic medications or the newer diuretic drug tolvaptan, which can alleviate symptoms of vomiting caused by heart failure. Secondly, digoxin toxicity can cause vomiting if patients with heart failure are taking too much or have been on digoxin for a prolonged period. The primary action in these instances is to discontinue the digoxin medication promptly. Thirdly, if associated with gastritis, treatment would involve medications to stop vomiting and oral omeprazole to protect the stomach lining. (Medications should be taken under medical supervision.)

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Written by Xie Zhi Hong
Cardiology
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Is hyperthyroid heart disease difficult to treat?

Hyperthyroidism occurs when an excessive amount of T3 and T4 is released by the thyroid gland, leading to hyperactive metabolism throughout the body. This can cause disturbances in autonomic nervous function or receptor hyperactivity, resulting in a series of conditions related to excessive cardiac load and insufficient blood supply. Therefore, the majority of hyperthyroidism-related heart diseases improve after controlling the hyperthyroidism and are relatively easy to treat. However, if the thyroid function is not controlled repeatedly, or if the treatment is not effective, it may lead to severe enlargement of the heart and recurrent arrhythmias, making hyperthyroid heart disease difficult to cure. Nonetheless, such cases are relatively rare, with an incidence of less than 10%.

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Written by Li Tao
Pulmonology
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Is pulmonary heart disease serious?

Cor pulmonale refers to the disease characterized by changes in the structure and function of the right ventricle due to increased pressure resistance in the pulmonary vessels, caused by abnormalities in the bronchopulmonary tissue, thoracic cage, pulmonary vessels, etc., ultimately leading to pulmonary arterial hypertension. Common symptoms of cor pulmonale observed clinically include coughing, production of phlegm, shortness of breath, chest tightness after activity, and difficulty breathing. Some individuals may experience respiratory failure and symptoms of heart failure. The severity of cor pulmonale depends firstly on the underlying causes of the disease. For instance, conditions like pulmonary embolism and pulmonary hypertension generally have a poorer and more serious prognosis. Secondly, extensive lung infections leading to a loss of cardiopulmonary compensation, resulting in respiratory failure and heart failure, typically indicate a more severe condition.

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Written by Zhang Yue Mei
Cardiology
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What should be noted for rheumatic heart disease?

Rheumatic heart disease is caused by valvular pathology and often affects heart function. It is important to rest regularly, avoid overexertion, wear more clothing to prevent colds, and avoid exposure to cold winds. Each occurrence of a cold can exacerbate rheumatic heart disease. Dietary attention should focus on easily digestible, high-nutrient foods. Avoid consuming spicy and greasy foods, as they can lead to indigestion and gastrointestinal irritation, which can worsen symptoms of heart disease and increase the cardiac burden, bringing about adverse factors for the patient.