A 52-year-old middle-aged woman.

That happened during the Spring Festival two years ago. She found me and told me that she was uncomfortable all over, especially she often felt dizzy and chest tightness.

What kind of chest tightness? I asked her.

I just feel uncomfortable in my chest and often feel that I am not angry enough. She is frowning. I haven't participated in the activities of our singing and dancing team (the singing and dancing team in the village) for a long time and I can't keep up with my physical strength.

It can be seen that she is very keen on dancing (square dance), dresses quite fashionablely, and wears lipstick.

Generally, chest tightness and dizziness are the first considerations of heart and lung problems, especially for people with heart disease. Due to heart pumping dysfunction, the heartbeat cannot pump enough blood every time, which will lead to cerebral ischemia and myocardial ischemia. Patients will feel dizzy, and in severe cases, there will be blackness and chest discomfort, which manifests as chest tightness or even chest pain. This is the reason for myocardial ischemia.

I asked her if she had an electrocardiogram or a color ultrasound examination. She said she had never had a color ultrasound, she only had an electrocardiogram. There was no problem with the electrocardiogram, the doctor said.

I happened to have a stethoscope at home, so I took it out and gave her a brief listening experience to her heart and lungs. There was indeed no obvious abnormality. Pay special attention to auscultation of the heart. There is no obvious noise and the rhythm is normal, unlike cardiac insufficiency caused by arrhythmia, severe valvular diseases, etc.

Do you feel weightless when your heart beats very fast and your heart is suspended in the air (some people with arrhythmia complain)? I asked her.

She thought about it for a moment and said that sometimes there seemed to be, but not obvious.

Now I hear that your heart beats very regularly and does not have arrhythmia, but it does not mean that you really have no arrhythmia. Although you have done an electrocardiogram once, it does not mean that you are always normal. It is best to have a 24-hour dynamic electrocardiogram, that is, you can do an electrocardiogram for 24 hours continuously and continuously. If you have an arrhythmia attack within these 24 hours, it will be recorded and the diagnosis will be clear. I explained to her.

What if there is no attack on 24 hours a day? She raised her doubts.

Good question, I smiled and said that many people can’t catch arrhythmia when they do a 24-hour dynamic electrocardiogram, and they can’t diagnose it. They may have to do it twice, 3 times or even more. The more they do it, the greater the probability of being caught. Sometimes doctors will recommend that patients undergo further electrophysiological examinations, which is to stimulate the heart and see if it can induce arrhythmia, so as to diagnose it.

Find an opportunity to go to the hospital for a check-up, see a specialist cardiologist, and see what others think. I suggest her.

By the way, I also had a CT of my breasts. She told me.

What was the result? I asked her.

The doctor said there were a few small nodules, which were very small, would it matter? Will it cause me to feel dizzy and chest tightness now? She was worried about her face. She should have looked radiant after applying makeup, but she didn't. The disease would really destroy a person.

After saying that, she took out a movie to show me that there were indeed a few very small nodules in her lungs. I told her directly that this is not a problem and it will not cause you to feel dizzy or chest tightness.

Generally, it is necessary to have more obvious lung diseases, such as obvious pneumonia, lung cancer, atelectasis, pneumothorax, pleural effusion, etc., which will cause chest tightness and dizziness. These small nodules of yours cannot cause storms at all, but you have to pay attention to the follow-up examination. The doctor will recommend you to have a review once a year to see if the nodules will grow. I said.

Yes, the doctor also asked me to have a follow-up examination.

How is her physical strength? I asked her. She mainly wanted to further evaluate her cardiopulmonary function. If her physical strength is very poor, she is not capable of physical work or even daily life, her cardiopulmonary function is generally poor. If she has good physical strength and can cope with vigorous exercise, then her cardiopulmonary function will definitely be fine.

She said I was from a singing and dancing team. I used to be very physically strong, but I have been significantly weaker in the past two years. Now I feel that I feel that I am not angry enough when climbing a few floors of stairs. Sometimes when I drive a motorcycle, I can't breathe when I am blown by the wind. She looked at me, and there was endless hope in her eyes, hoping that I could solve her problem immediately.

Originally, she was dizzy, and I wanted to see if there were any problems with the peripheral nerves such as central nervous system (such as cerebrovascular disease, brain tumors, etc.) or Meniere's disease. But now she said that she had such poor physical strength, so I basically didn't consider those problems. Generally speaking, even if a tumor in the head is developing, it will cause dizziness and will not cause much physical strength.

I used to be in the middle of the first row (the legendary C position), but now I can only stand by and watch. I have been too lazy to go and see it for half a year, so I really can't keep up. She seemed very disappointed when she said this.

With such poor physical strength, I think it is a heart and lung problem.

It is necessary to recommend her to have further cardiac ultrasound or other related cardiac examinations. My idea is this. If she has cardiomyopathy, coronary heart disease, etc., something will happen if it is misdiagnosed. Don’t think that all coronary heart disease and acute myocardial infarction are mainly chest pain. Many people have chest tightness, dizziness, or even just fatigue, and physical exhaustion.

And my nails, you see, it’s really a disease that comes to you, and all kinds of diseases will pester you and bully you. She said as she stretched out her palm and showed me her nails.

My nails used to be very beautiful and didn't need nail art. In the past six months, my nails are extremely ugly and are very easy to crack. They fall off layer by layer and have no luster at all. Do you think this has something to do with my heart? I have seen some local doctors and said that I lack qi and blood, so my nails are like dry wood branches.

She said while touching her poor nails. The nails on her 10 fingers were very boring, colorless, bumpy, fragile and easy to crack.

Seeing this scene, I finally realized it!

Such poor nails can easily remind me of skin nail diseases, such as onychomycosis, but I am not a dermatologist and I don’t have a deep understanding of this. The first thing I think of is another disease.

Iron deficiency!

I have seen nails of iron deficiency patients, which is too similar. Iron is too important. It is not possible to have iron without iron in the human body. Iron deficiency will cause changes in the functions of many tissues and organs, and iron deficiency will especially cause mucosal tissue lesions.

If children lack iron, it will lead to slow growth and development, mental retardation, and ordinary people will also cause stomatitis, cracked corners of the mouth, etc., hair will become dry and easy to fall off, and the skin will be dry and colorless, especially the nails (including toenails) will lack luster, brittle and thin, and easily cracked. In severe cases, the nails will have no curvature and become very flat, or even concave, just like a spoon, which we call spoon-shaped nails.

The poor nail condition of the woman in front of me reminded me of iron deficiency.

Iron deficiency can lead to iron deficiency anemia!

Hypoxia. This itself may cause fatigue, prone to fatigue, dizziness, headache, tinnitus, palpitations, shortness of breath, and lack of appetite.
Chapter completed!