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由于颈椎移位、劳损、退行性改变等病理的改变使颈部的交感神经受到压迫或者刺激,导致植物神经功能紊乱及血管痉挛,引起血压异常、心律异常、胸闷气促、心前区疼痛等类冠心病的表现在颈椎病的患者中也十分常见。我曾经在门诊接诊了这样一位患者——来自某重点高中因病早退的校长老钟。因为胸闷气促、心前区疼痛半年在心内科被诊断为冠心病.经过冠状动脉造影发现冠状动脉有轻度阻塞。吃了不少扩张冠状动脉的药,效果不明显,症状发作更频繁,程度也越来越重,考虑到冠状动脉不断阻塞导致心肌梗塞的可能及由此引发的严重后果,心内科医师建议他尽早做冠状动脉搭桥或扩张术。
As the cervical spine shift, strain, degenerative changes and other pathological changes in the neck of the sympathetic by oppression or stimulation, leading to autonomic dysfunction and vasospasm, causing abnormal blood pressure, heart rate, chest tightness, chest pain, precordial pain Coronary heart disease performance in patients with cervical spondylosis is also very common. I used to have such a patient in the clinic - the old bellmaster from a key senior high school who got out early because of illness. Because chest tightness and shortness of breath, precordial pain six months in the Department of Cardiology was diagnosed with coronary heart disease.After coronary angiography showed a slight obstruction of the coronary artery. Eat a lot of dilated coronary artery medicine, the effect is not obvious, the onset of symptoms more frequently, the degree is also more and more heavy, taking into account the possibility of coronary artery obstruction leading to myocardial infarction and the resulting serious consequences, cardiologists advised him Make coronary artery bypass or dilatation as soon as possible.