Compare ＂heart＂ to heart： the heart knows whether you are in a good mood or not.

More and more people talk about "emo" and often feel "I’m decadent", "I’m depressed", "I’m stupid" and "I’m unhappy" … You know, bad mood can really cause physical discomfort. Burnout is not just an adjective, psychological problems may indeed lead to heart disease. So, what psychological conditions will lead to heart disease and sudden death? How to avoid heart disease caused by psychological problems? Liu Meiyan, director of anzhen hospital Intracardiac Double Heart Medical Center, explained this.

"Broken heart" can really cause heart disease.

I talked about a vigorous love and suddenly fell out of love. Within the next two weeks, a serious heart attack occurred. In anzhen hospital, about 100 cases of young people suffering from heart attacks are treated every year.

This "heartbreak syndrome" is also called stress heart injury in medicine.

In fact, heart disease caused by heartbreak is very common in clinic. Liu Meiyan once attended the golden wedding celebration of an elderly patient, but a few years later, one of the couple died and the other died within the next 48 hours. "After an old man is acute heart failure. This is also a very important case of heartbreak syndrome or stress heart disease. " Liu Meiyan said, "When you are angry and anxious, you will feel uncomfortable in your heart. This situation should also be especially careful. Psychological stress myocardial ischemia may have occurred."

Psychological stress myocardial ischemia means that some myocardium suddenly stops working normally, which leads to poor pumping of blood. At this time, there is no blockage of blood vessels. "But we must not relax our vigilance against this kind of myocardial ischemia, because it means that in the near future, myocardial infarction may suddenly occur." Liu Meiyan said that myocardial infarction means that a certain blood supply artery of the heart is blocked, which leads to the serious situation of ischemia and hypoxia and even necrosis of some myocardial cells.

"Mental stress and negative emotions may also bring a series of other heart problems, such as sudden atrial fibrillation, arrhythmia, heart failure and so on." For example, after the COVID-19 epidemic, Liu Meiyan and her team clearly saw that many people were anxious and restless. Specific performance in the biological indicators, that is, blood pressure fluctuations back and forth.

"In the past, a antihypertensive drug, now one and a half or two tablets don’t work. In the past, a medicine that took care of the heart always hurts." This is also a heart disease caused by emotional stress.

Why do stress and emotions cause heart problems? Liu Meiyan explained that as early as 2000 years ago, during the Spring and Autumn Period and the Warring States Period, the theory of "seven emotions causing diseases" was put forward in the medical masterpiece Huangdi Neijing. It is mentioned in the book that the seven emotions of joy, anger, worry, thinking, sadness, fear and shock are too strong or persistent, which exceeds the physiological and psychological adaptability of the human body, and may lead to disorder of viscera and qi, disorder of qi and blood operation, and eventually induce diseases.

"When a person is in an unstable and irritable emotional state for a long time, his heart will be difficult to calm down." Liu Meiyan explained, "For example, some elderly people tend to think about things at home every day. The child waited at the door ten minutes before coming home from work, and came back later, with all kinds of messy pictures in his head. This restless heart is like a calm water surface, and all the impressions in my heart are often distorted, which actually means changes in neuroendocrine. "

According to the data of China Cardiovascular Health and Disease Report in recent years, the incidence of cardiovascular disease in China has been increasing continuously, and cardiovascular disease ranks first in the cause of death among Chinese residents. The main risk factors of cardiovascular disease are hypertension, hyperlipidemia, obesity, smoking and other biological factors, but the influence of psychological factors on cardiovascular disease should not be underestimated.

During the period of major events and natural disasters, there is indeed a high incidence of cardiovascular events. During the 2006 World Cup in Germany, a team of emergency doctors in Germany recorded the incidence of acute cardiovascular events in Munich during the World Cup in Germany. The results show that the incidence of acute cardiovascular events is 2.66 times higher than that of the same period in previous years on the day of the German team competition, and the most common occurrence time is 2 hours after the start of the competition.

In today’s fast-paced society, everyone needs to face many pressures in life and work, and it is inevitable that negative emotions will come to mind. Therefore, we must not underestimate the threat of negative emotions to health.

"From the imaging point of view, when the human body is at rest, the magnetic resonance imaging of the heart is normal; Once angry, there will be extensive ischemia in the myocardium, and the concept of blood supply and wall motion will change. We call it emergency ischemia. " Liu Meiyan said, "It is destructive in that it directly destroys the link between the nerve and the heart."

Psychocardiac medical evaluation can help early prevention and early treatment.

"I will have a heart attack? Will you die suddenly? What are the symptoms of heart disease? What should I do when I have an attack? How to avoid emergencies leading to illness? " When you understand the relationship between negative emotions and heart disease, you may ask these questions at the first time.

Liu Meiyan said that at present, it is medically possible to evaluate who is prone to heart disease, who is prone to injury and who is prone to atrial fibrillation. This assessment is divided into biological indicators and psychological indicators, which together are called "double heart" and psychological heart disease.

"In fact, we can make an effective judgment from ECG and a clear judgment from imaging." Liu Meiyan said.

For example, let the patient do exercise treadmill test and check his myocardial nuclide, that is, inject radioactive elements. These radioactive elements are quickly absorbed by normal myocardial cells, and the heart is stable at rest, so the distribution of radioactive elements is uniform. However, once he exercises, the cardiac image will show an uneven state, which means myocardial ischemia. Such people should be especially careful when they are active. If they run continuously, acute myocardial infarction will easily occur.

Some people, mental stress will lead to myocardial ischemia, monitoring them will find that using their brains and thinking about something continuously will lead to myocardial ischemia.

"This can explain why some people are not afraid to work, but they can’t get angry. When they get angry, they get sick. Some people say that as long as they don’t let me work, I can stand the injustice. This is because the biological inhibition in each human body is different. "

Because of this, it is very important to deal with it scientifically according to different situations. "We will do scientific treatment according to the different situations of patients. Based on multiple biological indicators in the blood, we can make systematic judgments, establish early contacts, and make timely treatment and adjustment. "

In fact, with the development of science and technology, "small flaws" in the heart can already be found at a very early stage.

Liu Meiyan once met such a patient in clinic. "One day he came to tell me, Dr. Liu, I think I am dying. I have chest pain when I am anxious. I have been hospitalized for 4 months before, and I can’t find out where the problem is!" Liu Mei Yan recalled. For this patient, Liu Meiyan’s team adopted the most advanced optical fiber imaging technology, and put a probe into the heart along with the blood flow, and into the grade 5 blood vessels to see the blood supply of the patient’s whole heart.

Under the probe, Liu Meiyan saw that the patient’s coronary artery was still intact, but surprisingly, the inner wall of his blood vessel had broken. "When we saw this fracture, we knew it was very dangerous. This is a’ time bomb’ in his body." Liu Meiyan explained that if such a fracture forms a cavity that runs through the blood vessel with the muscle crack, it will form a vascular interlayer. If it collapses, an acute thrombus will occur and block the blood vessel. This is acute myocardial infarction.

"This man is very dangerous." Liu Meiyan said, but because it was discovered early, the treatment method was not complicated. "We put it in with a small covered stent, flattened the crack, and he recovered with some medicine. After three days, he was fine when he was discharged from the hospital. It is very good now."

Therefore, for heart diseases, the key early judgment can help early identification and early treatment.

At present, from the perspective of modern medicine, "it is a very primary stage to judge whether it is a heart disease simply by relying on whether the blood vessel is blocked or not and whether there is any problem with the electrocardiogram." Liu Meiyan said, "We hope that we can go from basic imaging and histological indicators to molecular studies, and we can find the changes of biological damage at the earliest stage, because only in the early stage can we gain time to avoid subsequent vascular occlusion and subsequent heart failure, or to avoid subsequent malignant arrhythmia or even sudden death."

Avoiding emotional "earthquake" is an effective "vaccination"

So, can the heart problems caused by this psychological situation be effectively avoided?

Liu Meiyan explained that there are individual differences in the ability to withstand stress attacks, and not everyone will cause heart disease due to emotional changes. "Some people are particularly capable of carrying things, and their basic level of regulating neurotransmitters is very strong. Some people are particularly anxious, and they love to compete with each other in big and small matters. The result of the competition is to destroy the balance of neurotransmitters. So when the stress strikes, it may not work at once. "

Liu Meiyan and her team found in long-term research that people with relatively stable mental state will have a much better prognosis if they suffer from the same heart disease. The more depressed, anxious and insomnia people are, the greater the risk of heart disease and the probability of poor prognosis after heart disease.

For this reason, if we can pay attention to stress and a person’s internal emotional load, we can prevent and control this myocardial ischemia related to psychological emergency in advance, or it is called myocardial ischemia caused by mental stress.

"From our professional point of view, the heart damage caused by these stresses can be predicted and prevented clinically." Liu Meiyan said: "The first thing to prevent heart emergencies is to avoid too much emotional stress."

Moreover, to avoid this kind of premature or unexpected cardiac emergency, we should start by paying attention to the real stress level and the real emotional load. "Some people say that I can pretend not to worry, but this does not mean that your internal control system is normal. When you look calm and calm, but your heart is full of things, measuring your blood pressure and going up, the measured heartbeat is accelerated, which may indicate the problem of endogenous myocardial ischemia. " Liu Meiyan added.

In fact, although more and more people realize that it is very important to avoid mental health and reduce emotional stress for preventing heart disease, in general, this is still a shortcoming in China.

In recent two years, Liu Meiyan made a special survey on the physical and mental health of scientific and technological workers. The results showed that among Chinese scientists, the new incidence of coronary heart disease was over 35% and the incidence of hypertension was 56%. "Even among young scientists, there are more than 35% patients with hypertension." Liu Meiyan said, in fact, this is a very important data, which shows that even in the group with higher education level, the importance from psychology to heart, from sleep to nutrition has not attracted enough attention.

"Hypertension and a series of injuries caused by psychological problems, as a fuse, will detonate a person’s systemic risk. Therefore, we should pay attention to the early warning of heart disease." Liu Meiyan said.

"With the development of society and science and technology to the present level, through the calculation of genes and other test indicators, if a person does not have a heart attack, if there is no tumor, it is no problem to live to 120 years old. Then why don’t many people live? It may be that the following aspects have been neglected. "

Liu Meiyan said that although there are some old tunes, I still hope that everyone can pay more attention to them.

She suggested that everyone should first pay attention to their own biological hard indicators, especially if people are over 50 years old, whether their cholesterol and low-density lipoprotein are below 2.6, whether their blood pressure is below 130/80, and whether their fasting blood sugar is below 6.0. Secondly, 30 minutes of exercise every day, even if you sweat slightly, can play a role. Furthermore, it is also important to ensure that the food is rich in colors and every color is ingested every day, so as to reach the standard of a balanced diet.

She particularly emphasized that emotional "earthquakes" should be avoided. To avoid stress injury caused by mental stress, it is best to keep inner peace deliberately, so as to protect your own regulatory system and nerve transport system. Stable good mood and good attitude towards life are an effective "vaccination" for cardiovascular disease.

"The most expensive thing is not housing, not eating, not transportation, but health." Liu Meiyan said, "Once a person loses his health, he can only lie in a hospital bed and look at the ceiling, which is extremely painful. The most precious thing in life is health, for individuals, for families, and for our country. " (Zhan Yuan)