What are the symptoms of heart spasm?

The heart is the most important organ in the human body. If there is a disease in the heart, it will cause great harm to human health. Heart spasm usually manifests as symptoms of hypoxia, and it can also easily lead to breathing difficulties and dizziness. Middle-aged and elderly people are especially more likely to suffer from heart spasm, which can also easily cause myocardial ischemia, leading to temporary shock, and can also easily cause blood vessels to become closed.

What are the symptoms of heart spasm?

Generally speaking, heart spasms are caused by myocardial and vascular conditions, and there are many main causes, such as ischemia, hypoxia, and poisoning, which may cause heart spasms and lead to a series of symptoms such as chest tightness, chest pain, dizziness, etc. Others may be caused by old age, high blood lipids, arteriosclerosis leading to vascular stenosis, etc. It is recommended that you go to the hospital for a thorough examination and undergo coronary angiography if necessary. Cardiac spasm is also called coronary artery spasm. Coronary artery spasm refers to a group of clinical syndromes in which transient contraction of the subepicardial conduction arteries causes partial or complete occlusion of blood vessels, leading to myocardial ischemia. Coronary artery spasm is the basic cause of various ischemic heart diseases, including variant angina, unstable angina, acute myocardial infarction, sudden death, etc. Coronary artery spasm is prone to occur in coronary arteries with atherosclerosis, and occasionally occurs in seemingly "normal" coronary arteries. Any one or more of its branches may be affected.

What is heart spasm?

Mechanical stimulation of blood on blood vessel walls;

Compression from blood clots and vascular nutrition disorders can lead to structural damage to the blood vessel wall;

Damage caused by oxidation of oxyhemoglobin to methemoglobin and release of oxygen free radicals;

Various other vasoactive substances, such as 5-HT, catecholamines, hemoglobin, and vasoconstrictive effects of arachidonic acid metabolites;

Factors such as inflammation and immune response of the skull and blood vessel walls.

How to treat heart spasm

Improve hemodynamic parameters; restore vascular self-regulation mechanism; maintain effective blood volume.

Vasospasm is a delayed constriction of large vessels at the skull base after SAH, often manifested as decreased perfusion in areas distal to the affected vessels on angiography or cerebral blood flow. Vasospasm on angiography has a typical short course - it starts 3 to 5 days after bleeding, narrows to its maximum in 5 to 14 days, and gradually recovers after 2 to 4 weeks. In about half of cases, vasospasm presents as delayed neurological deficits that may resolve or progress to cerebral infarction. 15% to 20% of patients develop a stroke or die from vasospasm after standard treatment.

General treatment measures include blood pressure management and fluid management. Pay more attention to rest and a light diet. Avoid greasy food and eat more fresh fruits and vegetables. Statins are the most powerful cholesterol-lowering drugs known to date, with multi-directional effects, such as improving endothelial function, inhibiting smooth muscle cell proliferation, inhibiting platelet aggregation, anti-inflammatory effects, and stabilizing plaques. Secondary prevention measures for cardiovascular diseases, represented by antihypertensive and antithrombotic treatments, have achieved considerable success. A large number of clinical trials have demonstrated the use of statins in people at high risk of coronary heart disease or cardiovascular disease. Statins have also been shown to significantly reduce the risk of death from coronary heart disease and non-fatal myocardial infarction, delay the progression of atherosclerosis, and have a secondary preventive effect on angina pectoris caused by coronary heart disease.