Gastrocardial syndrome
Contents:
Description:
Gastrocardial syndrome (греч: gaster a stomach + kardia heart) — a complex of subjective and objective signs of the disturbances of action of the heart (change of speed and a rhythm, a stethalgia, an asthma, changes on an ECG) arising after food, especially at overflow of a stomach and high standing of a diaphragm. It is described in 1912 by L. Roemheld as a special form of so-called neurosis of heart.
Symptoms of the Gastrocardial syndrome:
As a rule, complaints appear after food. At one typical attack of a gastrocardial syndrome appears only after food plentiful, fat, at others — after reception of liquid food or a large amount of liquid, for example, at strongly thirst. Practically at once pains behind a breast or in heart develop, the cordial rhythm becomes frequent, there is a feeling of the "stood" heart which is replaced by the galloping rhythm.
Dizziness, weakness, fright are characteristic. Objective complaints — increase in the ABP, pallor, cold sweat are frequent. Many patients note instant simplification after vomiting (which does not arise randomly, it should be caused) or after an eructation.
Reasons of the Gastrocardial syndrome:
The gastrocardial syndrome or Udena-Ryomkheld's syndrome develops as the reflex answer to irritation of receptors of a stomach and a gullet. The cordial innervation in general is very strongly connected by reflex arcs with many bodies that leads as to masking of heart diseases under extra cardial, and on the contrary — diseases of a number of the located bodies prove as a stenocardia attack.
Here and in this case at the filled stomach it is irritated mucous its cardial department which is reflex connected with heart. It leads to development of symptoms which patients regard as heart attack.
Treatment of the Gastrocardial syndrome:
First of all, in diagnosis of a gastrocardial syndrome data of the anamnesis, namely the instruction that cordial symptoms appear after food and pass without drug intake, nitroglycerine in particular are important. Even at height of an attack changes on an ECG, and here roentgenoscopy are not noted, problems with a stomach, a gullet, a diaphragm can show ultrasonography. If there is a suspicion on a gastrocardial syndrome, then FGS or gastric sounding is not recommended to be used as when carrying out these researches the syndrome is shown very brightly and can significantly worsen a condition of the patient.
In treatment huge value has observance of a feeding schedule. It is fractional meal of small portions through the shortened intervals. In a coma a case patients cannot overeat or drink a lot of liquid for once. It is necessary to avoid locks, a meteorism, and at their emergence immediately to fix a problem. Many patients are helped by purpose of vegetable sedative drugs, and at emergence of symptoms of a gastrocardial reflex — reception of spasmolysants, it is desirable in the form of an injection.
