How to distinguish between anxiety disorder and chest tightness and chest pain caused by heart disease?

In clinical work, patients with panic attacks are often encountered in outpatient clinics and treated as heart diseases. Panic attack is a common acute anxiety attack, so anxiety disorder and heart disease really need to be distinguished, because many anxiety patients have almost the same symptoms as heart disease.

First, how to distinguish anxiety and heart disease?

In fact, many patients with anxiety disorder have almost the same symptoms as heart disease, which means that it is difficult to distinguish anxiety disorder from heart disease without the help of auxiliary examination. For patients with similar symptoms and no obvious difference, the best way to distinguish between heart disease and anxiety is to do coronary artery related examination, coronary CT angiography and coronary angiography, which is the best way to distinguish whether it is coronary heart disease or not.

Second, how to find out from the details whether it is an anxiety attack?

But for the vast majority of patients with anxiety attacks, he is still obviously different from coronary heart disease. Anxiety patients and heart attack patients often have clues in attack time, inducing factors, accompanying symptoms, sleep disorders and so on. If we can identify these aspects carefully, we can often find the fox's tail. But even so, sometimes, for example, when the patient really suffers from coronary heart disease or heart disease, accompanied by anxiety attacks, it is difficult for us to tell.

Third, how to avoid symptoms caused by anxiety attacks?

How to avoid heart disease symptoms such as chest tightness and shortness of breath caused by anxiety actually involves the prevention and treatment of anxiety. A good attitude, good interpersonal relationships, family and neighborhood relationships and correct emotional management are the best ways to avoid the symptoms of heart disease caused by anxiety. If you really suffer from severe anxiety, taking necessary medication or psychological intervention is an effective way to improve this state.

Let's talk about chest tightness and chest pain caused by the heart. Heart diseases that can cause discomfort in chest tightness and chest pain are easier to identify. The common cause is coronary heart disease. There are generally some rules to follow.

How to distinguish between anxiety disorder and chest tightness and chest pain caused by heart disease?

Anxiety disorder, mainly hypochondriac patients, is characterized by chest tightness, shortness of breath, palpitation, dyspnea, angina pectoris, headache and dizziness, frequent urination and urgency. All of them are autonomic nervous disorders caused by high anxiety during the attack.

Heart attacks also have these symptoms, such as palpitation, chest tightness, shortness of breath, dyspnea and angina pectoris. This is because the blood vessels are seriously blocked and the blood supply is not enough for the heart.

The method of identification is to go to the hospital to do some tests, such as electrocardiogram and angiography. If abnormality is found and the blood vessel blockage is serious, even exceeding 90%, it will be treated as a heart disease. If not, even if the blood vessel blockage is only 50%(50% will not affect blood flow and people will not feel uncomfortable), or even less, it will be considered as anxiety.

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Heart disease: organic lesions appear, and chest pain is an early symptom of heart disease.

Anxiety: It feels like a heart attack, but all heart-related tests are normal, so the possibility of organic heart disease can almost be ruled out. It is characterized by repeated sudden fear or intense discomfort. In addition to chest pain and chest tightness, there will be symptoms such as dying, fear, palpitation, nausea, sweating, suffocation, chills or fever, dizziness, unreality, numbness or trembling of limbs, and difficulty in defecation, which is called "panic attack". Because after the first attack, I often worry about the second attack. This kind of recurrent panic, as well as the disease of repeated worry, is called panic disorder, which is a kind of anxiety disorder. Formerly known as "cardiac neurosis", it will also be diagnosed as "autonomic nervous disorder" by some doctors.

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