Symptoms of heart and lung in diabetes mellitus

Update Date: 2024-05-21 Source: Network

summary

Diabetic heart disease is one of the main causes of death in patients with diabetes, especially in patients with type 2 diabetes. Generalized diabetic heart disease includes coronary atherosclerotic heart disease (coronary heart disease), diabetic cardiomyopathy and diabetic cardiac autonomic neuropathy? Next, I'd like to share my views with you.

Symptoms of heart and lung in diabetes mellitus

In the early stage of diabetes, the vagus nerve may be involved, while the sympathetic nerve is in a relatively excited state, so the heart rate often tends to increase. If the heart rate exceeds 90 beats / min in the resting state, the autonomic nerve dysfunction should be suspected. This kind of heart rate increase is often fixed, and is not easily affected by various conditioned reflex. Sometimes the heart rate can reach 130 beats / min, which indicates vagus nerve injury.

Because of the autonomic neuropathy and heart pain afferent nerve function, the incidence rate of painless myocardial infarction is higher, which can reach 24% to 42%. Patients only have nausea, vomiting, congestive heart failure, or arrhythmia, cardiogenic shock, some fatigue and dizziness, and no obvious pain in the precardial region, which makes it easy to misdiagnose and misdiagnose. The mortality was 26% - 58%,

Diabetic patients have more acute myocardial infarction than non-diabetic patients. The disease is more serious, the prognosis is poor, and it is easy to have infarction again. At this time, the prognosis is worse, and it is easy to have cardiac arrest. We must be vigilant. Usually, those who do not strictly control diabetes are more likely to have the disease, and some patients have ventricular fibrillation due to oral hypoglycemic drugs.

matters needing attention

Diet should choose light, easy to digest food, eat less meals, no smoking and alcohol, hyperlipidemia, diabetes patients need low-fat, low cholesterol, low sugar diet. We should pay attention to the psychological nursing of the patients, avoid the adverse mental stimulation and eliminate the mental tension of the patients.