Gastrocardiac syndrome (syndrome Remhelda)
Some experts also attributed Remhelda syndrome, especially in patients mature and advanced age, the presence of atherosclerotic changes in the walls of the vessels of the heart. According to them, there is a kind of "robbing" of the heart, when filling in excess stomach food masses. Already disturbed blood supply of the heart, due to the narrowing of the lumen vascular atherosclerotic plaque is reduced by increasing blood flow to working overload the stomach. There is a heart attack symptoms.
These two theories have the right to exist, because the symptoms gastrocardiac syndrome and angina attack at this age is almost the same.
Gastrocardiac syndrome occurs more often in people with hypersthenic body type, with the manifestations of obesity, especially abdominal. An increase in intra-abdominal pressure due to severe bloating - can also manifest the syndrome. In these cases, the patients have high standing of the diaphragm, which is an additional factor overstimulation of the vagus nerve.
People with normal complexion also have the risk of this syndrome in the presence of easily excitable nervous system, for example, hysteroid type, since changes here concern and the central and autonomic nervous system.
Communication
Symptoms of discomfort, which served as the basis for the health claims, with Implemented before meals.
Arrhythmias and heart rate in different versions with a rapid (tachycardia) or slowing (bradycardia), the occurrence of premature beats.
The pain of a different nature from the sharp, burning, to dull, aching, crushing. The length of the pain attack also has a variety of options from the fleeting, to long for a few hours. Localization of pain is a clear link with the supposed, according to the patient, location of the heart: the sternum and (or) on the left part of the chest.
Possible mental discomfort: fear, fear.
The patient is pale, covered with cold sweat, streaming sweat.
Blood pressure during these attacks increases slightly, dizziness.
The attack will stop when long belching air, as well as in self-induced vomiting patients. This symptom is one of the hallmarks of the exclusion originally arose a heart attack, as a manifestation of coronary heart disease.
Gastrocardiac syndrome exhibited at the exclusion of other pathology of the mediastinal organs (heart disease, aneurysms of the thoracic aorta, mediastenity) and digestive system (ulcers and esophageal hernia, ulcers of the stomach and the mouth of the 12 duodenal ulcer, malignant diseases).
On the ECG performed during the attack, determined only by the rhythm disturbance. No signs of oxygen starvation of the heart muscle is not defined.
Important to remember!
If the patient's symptoms are determined gastrocardiac syndrome, it is not highly desirable endoscopic research methods (gastroscopy, EGD), if treatment gastrocardiac syndrome has not yet carried out!
A certain psychological stress, and moreover excessive irritation of the esophagus and stomach receptors sensitive areas, and hence the branches of the vagus nerve can lead to a set of reflex cardiac arrest. Studies in these cases, to avoid esophageal hernias and ulcerative origin of pain is performed using radiopaque techniques. Only after the elimination of the aforesaid mentioned possible pathologies can be treated gastrocardiac syndrome.
Treatment
1.Еxception overeating. It is recommended to eat often, but small portions. Exclusion from the diet products that can cause flatulence (cabbage, beans, apples, fried foods).
2. Reduction of excess body weight.
3. The use of tranquilizers, sedatives.
4.Appointment antispasmodics.
Аntispasmodics administered parenterally (intravenously or intramuscularly). For prevention of attacks, it is recommended their use for 20-30 minutes before a planned meal.
5. Psychotherapy.
To diagnose, gastrocardiac syndrome can be corrected safely.
These two theories have the right to exist, because the symptoms gastrocardiac syndrome and angina attack at this age is almost the same.
Gastrocardiac syndrome occurs more often in people with hypersthenic body type, with the manifestations of obesity, especially abdominal. An increase in intra-abdominal pressure due to severe bloating - can also manifest the syndrome. In these cases, the patients have high standing of the diaphragm, which is an additional factor overstimulation of the vagus nerve.
People with normal complexion also have the risk of this syndrome in the presence of easily excitable nervous system, for example, hysteroid type, since changes here concern and the central and autonomic nervous system.
Communication
Symptoms of discomfort, which served as the basis for the health claims, with Implemented before meals.
Arrhythmias and heart rate in different versions with a rapid (tachycardia) or slowing (bradycardia), the occurrence of premature beats.
The pain of a different nature from the sharp, burning, to dull, aching, crushing. The length of the pain attack also has a variety of options from the fleeting, to long for a few hours. Localization of pain is a clear link with the supposed, according to the patient, location of the heart: the sternum and (or) on the left part of the chest.
Possible mental discomfort: fear, fear.
The patient is pale, covered with cold sweat, streaming sweat.
Blood pressure during these attacks increases slightly, dizziness.
The attack will stop when long belching air, as well as in self-induced vomiting patients. This symptom is one of the hallmarks of the exclusion originally arose a heart attack, as a manifestation of coronary heart disease.
Gastrocardiac syndrome exhibited at the exclusion of other pathology of the mediastinal organs (heart disease, aneurysms of the thoracic aorta, mediastenity) and digestive system (ulcers and esophageal hernia, ulcers of the stomach and the mouth of the 12 duodenal ulcer, malignant diseases).
On the ECG performed during the attack, determined only by the rhythm disturbance. No signs of oxygen starvation of the heart muscle is not defined.
Important to remember!
If the patient's symptoms are determined gastrocardiac syndrome, it is not highly desirable endoscopic research methods (gastroscopy, EGD), if treatment gastrocardiac syndrome has not yet carried out!
A certain psychological stress, and moreover excessive irritation of the esophagus and stomach receptors sensitive areas, and hence the branches of the vagus nerve can lead to a set of reflex cardiac arrest. Studies in these cases, to avoid esophageal hernias and ulcerative origin of pain is performed using radiopaque techniques. Only after the elimination of the aforesaid mentioned possible pathologies can be treated gastrocardiac syndrome.
Treatment
1.Еxception overeating. It is recommended to eat often, but small portions. Exclusion from the diet products that can cause flatulence (cabbage, beans, apples, fried foods).
2. Reduction of excess body weight.
3. The use of tranquilizers, sedatives.
4.Appointment antispasmodics.
Аntispasmodics administered parenterally (intravenously or intramuscularly). For prevention of attacks, it is recommended their use for 20-30 minutes before a planned meal.
5. Psychotherapy.
To diagnose, gastrocardiac syndrome can be corrected safely.