What is going to head hypertension?
Alcoholic cardiomyopathy is common in patients with high blood pressure, especially high diastolic blood pressure and normal or low systolic blood pressure, known as "decapitation hypertension", which is different from primary dilated cardiomyopathy. Alcoholic cardiomyopathy refers to a close relationship between the onset and long-term alcohol intake. It has the hemodynamic changes, symptoms, signs, and imaging findings of typical dilated cardiomyopathy. After abstaining from alcohol, the disease can slow down automatically.
The cause of hypertension symptoms:
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The onset of this disease is closely related to long-term alcohol intake, and it has the hemodynamic changes, symptoms, signs, and imaging findings of typical dilated cardiomyopathy. The exact pathological mechanism is still not clear. At present, most scholars believe that ethanol can cause cardiomyopathy.
Detailable diagnosis of hypertension:
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X-ray showed cardiac enlargement with a cardiothoracic ratio of 55% to >. ECG left ventricular hypertrophy is more common, may have atrial fibrillation or frequent prophase contraction. Echo - cardiography or left ventricular angiography showed enlarged ventricular lumen and decreased ejection fraction. If another heart disease can be ruled out and a history of heavy alcohol consumption (about 125ml/d of pure ethanol, i.e. about 4 bottles of beer or 150g of liquor per day) continues for more than 10 years, this disease should be considered. However, those who cannot continue to abstain from alcohol for a long time have a poor prognosis. At the same time, attention should be paid to the diagnosis and treatment of liver and brain alcoholism.
Differential diagnosis of decapitated hypertension:
1. Ischemic Cardiomyopathy: Ischemic cardiomyopathy is a thorny problem in the surgical treatment of coronary heart disease. Because this kind of cardiomyopathy is mostly due to the coronary artery multi-branch lesion, or even diffuse lesions caused by extensive myocardial ischemia, degeneration, necrosis,, and fibrosis, in addition to adulterated with cardiac arrest and hibernating myocardium, resulting in serious myocardial dysfunction, spherical enlargement of the heart and/or heart failure. Ischemic heart disease involves coronary artery obstruction or stenosis due to atherosclerotic lesions. Left ventricular aneurysm caused by myocardial ischemia, ventricular septal defect after myocardial embolism,, and mitral insufficiency caused by papillary muscle ischemia are common and frequent acquired heart disease in the middle-aged and elderly.
Alcoholic liver disease (ALD), including fatty liver, alcoholic hepatitis, liver fibrosis, cirrhosis,, and hepatocellular carcinoma, etc. About 2/3 of drinkers develop alcoholic liver disease. After ethanol enters liver cells, it is oxidized by liver ethanol dehydrogenase, catalase,, and liver microsomal ethanol oxidase to form acetaldehyde. Acetaldehyde has obvious toxic and side effects on hepatocytes, which hinders their metabolism and leads to the degeneration and necrosis of hepatocytes.
The occurrence of alcoholic cardiomyopathy is closely related to the long-term intake of alcohol. The key to its treatment is to abstain from alcohol. Regardless of the severity of the disease, most cases are expected to achieve remission after abstinence from alcohol. Drug treatment itself is only a stop-gap measure, do not give up alcohol completely, the treatment of the disease will fail.
Check and identify hypertension at the head:
Health at the beginning of the disease library to you in detail to go to first hypertension should do what examination? Go head hypertensive similar symptom? Go head hypertension easy and what symptom is confused?
Guidelines for treatment of hypertension at first visit:
Go to the first hypertension treatment guide for the first hypertension patients to go to the hospital often appear questions to answer, for example: go to first hypertension hanging what department number? Go head hypertension what disease may suffer from? And go head hypertension easy to confuse symptoms? What do doctors usually ask? And so on. The aim of this guideline is to facilitate the first hypertension patients to seek medical treatment and solve the problems of the first hypertension patients to seek medical treatment.
Advice to the department
Cardiovascular medicine
Possible disease
1. Secondary hypertension, which may be accompanied by refractory hypertension, accompanied by hypertension, emotional hypertension, and other symptoms, should be referred to the Department of Cardiovascular Medicine.
2. Alcoholic cardiomyopathy, which may be accompanied by atypical chest pain, ataxia, alcoholic myocardium, and other symptoms, should be referred to the department of cardiovascular medicine or cardiothoracic surgery.
Confounding symptom
Obstinate hypertension, emotional hypertension, cervical hypertension, pregnancy hypertension, outpatient hypertension
The related inspection
1. Optometry. Optometry aims to examine the refractive interstitium of the eye (cornea, aqueous humor, lens, and vitreous body) and the fundus of the eye (optic disc, retina, and choroid).
2. Urine amygdalic acid and catecholamine are almost all metabolized in the body, and the product is VMA.
3. There are 21 kinds of urinary leucine, which constitute amino acids of human protein. The determination of urinary leucine and its products has important significance for the diagnosis of congenital and acquired metabolic diseases.
4. DR provides imaging evidence for the diagnosis of a variety of systemic diseases.
5, serum interleukin 3, serum interleukin 3 has a role in understanding the hematopoietic function of bone marrow.