recently Various rumors circulating on the Internet A new round of concerns among "Yang Kang people" "My heart is beating a little fast, should I go to the hospital?" "My heart rate is over 120 beats per minute. Does this mean I have myocarditis?" "It's been four days since I had impotence. Today, my heartbeat suddenly increased and I felt anxious when I moved. Do I need to see a doctor?"... Topic: "Be careful of viral myocarditis after having sex" Once rushed to the top of the hot search list Jin Dongyan, a virologist and professor at the School of Biomedical Sciences of the Li Ka Shing Faculty of Medicine at the University of Hong Kong, told reporters that among the complications of the new coronavirus, acute myocarditis does need attention. What is myocarditis? Myocarditis is an inflammatory disease of the myocardium , which can be caused by infection (such as viruses, bacteria or fungi) or non-infectious factors (such as autoimmune diseases, etc.), among which various viruses that cause intestinal and upper respiratory tract infections are the most common. Clinically, myocarditis is mostly caused by viral infection, and can also be induced by the common cold . Myocarditis can "indiscriminately attack" people of all ages and genders, but young and middle-aged people aged 20 to 40 are more likely to be infected than the elderly and children. After the virus enters the blood, it reaches the heart through blood circulation. If the patient's resistance is weak, it may cause myocarditis. Viral myocarditis refers to localized or diffuse acute or chronic inflammatory lesions of the myocardium caused by viral infection , which is an infectious myocardial disease. Viral myocarditis has the following manifestations depending on the severity: Early myocarditis: Symptoms include fatigue, chest tightness and shortness of breath, palpitations, dizziness, loss of appetite, nausea, vomiting, difficulty breathing, chest pain, etc. Mild viral myocarditis Symptoms such as arrhythmia, tachycardia or bradycardia can usually be detected by electrocardiogram (ECG). Severe viral myocarditis The condition is serious and the mortality rate is extremely high, reaching 70% to 80%. Death occurs within hours or days or occurs suddenly. After "Yang" Is the rapid heartbeat due to myocarditis? Why do many people experience a faster heartbeat after becoming positive? There are eight possible reasons: 1. Fever For every degree increase in body temperature, the heart rate increases by about 10 beats per minute. If accompanied by symptoms such as chills and shivering, the heart rate may increase even more. After the body temperature drops, the heart rate will slowly return to normal. 2. Various medications taken Some ingredients in symptom-relieving drugs may cause an increased heart rate. For example, caffeine and aminophylline in cough medicines, antiasthmatics, and certain nebulized inhalation drugs. These drugs can relieve symptoms but cannot kill the virus. Therefore, you should take the medicine when you have obvious symptoms, otherwise it will not help much. 3. Physical reactions to hypovolemia After infection, insufficient food intake, diarrhea, vomiting, infection or gastrointestinal reactions caused by drugs may cause a certain degree of blood volume deficiency, and the heart rate will increase to compensate. Therefore, during the infection period, it is necessary to increase the blood volume. Drink more water, eat small and frequent meals, and even drink oral rehydration salts. If you are thirsty or have little urine, be alert to dehydration and seek medical attention immediately. 4. Various types of pain may also cause an increase in heart rate Many people have experienced various pains after being infected with the new coronavirus, such as "skull opening, leg sawing, waist cutting, laparotomy, and throat cutting". These pains are enough to stimulate an increase in heart rate. 5. The body’s stress response to viral infection After being infected with the virus, the human immune system is activated, and the immune activation itself may be accompanied by an increase in basal heart rate. 6. Severe hypoxia This is a more serious cause of increased heart rate, usually accompanied by shortness of breath, severe cough, lung imaging changes, etc., commonly known as severe infection. According to national diagnosis and treatment standards, if the respiratory rate exceeds 30 times/minute and the blood oxygen saturation is continuously below 93%, you should be careful of severe infection. 7. Aggravation of underlying diseases can cause a fast heart rate For example, patients with chronic obstructive pulmonary disease (commonly known as emphysema) and patients with underlying heart disease (especially chronic heart failure) should pay attention if they have a persistent increase in heart rate. The more obvious the increase in heart rate, the more dangerous the condition may be, and they should go to the hospital for examination and evaluation as soon as possible. 8. Myocarditis Like other viral infections, there is a certain probability that Omicron infection will induce myocarditis. However, myocarditis usually occurs in the late stage of viral infection or 1 to 2 weeks later, which is related to the virus-related immune response. In addition to the increased heart rate, the electrocardiogram will change, and myocardial markers will increase significantly. What is the situation Should viral myocarditis be suspected? Pan Hongying, director of the infectious disease department at Zhejiang Provincial People's Hospital, said the course of myocarditis could last from a few hours to a few months , with serious complications such as cardiac arrest due to dilated cardiomyopathy or heart failure, Metropolis Express reported. If you have discomfort such as palpitations, chest tightness, and shortness of breath , you need to be vigilant. It is recommended to seek medical attention in time, do an electrocardiogram and blood test. Generally, young people who like to stay up late are more likely to get fulminant myocarditis . If not discovered early, it is easy to cause cardiac arrest, multiple organ failure, etc. It is recommended to pay attention to rest, sleep more, and not do strenuous activities within two weeks after infection. Zhang Lei, deputy director of the respiratory department of Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University School of Medicine, said that it is necessary for those who have recovered from the new crown to rest for 1 to 2 weeks . Zhang Lei said that after experiencing the new coronavirus infection, the human immune function will show more obvious disorder, that is, the value and function of lymphocytes will decrease in the acute stage of infection, and then slowly return to normal as the disease recovers. Most people's "immune disorder period" will last for 1 to 2 weeks. During this period, other viruses, bacteria, etc. are very easy to take advantage of the situation. If you are isolated at home alone, it is best to keep in touch with your relatives and friends around you at any time so that you can go to the hospital in time when you feel unwell. Training intensity Need to recover gradually in stages The doctor said that physical exercise after the test results turn negative can be divided into five weeks, with each week being a stage, and proceeding step by step. In the first week, start with 25% to 50% of your pre-infection exercise intensity and do some stretching exercises as appropriate. In the second week, it recovered to 70%; In the third week, it recovered to 80%; 90% in the fourth week; In the fifth week, things return to normal. The first two stages are the most critical. Rehabilitation therapist Huang Xu suggested that the ratio of exercise to rest time should be 1:4 in the first week, and 1:3 in the second week. Non-continuous exercise should be done 2 to 3 times a week. "This ratio will not make people particularly tired, and it is also good for the recovery of the heart and muscles." After the first two weeks, you can moderately increase the intensity of exercise according to your own feelings. After the test turns negative, you should strengthen your nutrition during the period of resuming exercise. The trace elements and vitamins in fruits and vegetables can help you recover quickly. The intake of protein such as milk and eggs is also very helpful for the body's recovery. At the same time, you must get enough sleep. Sleep itself can promote the self-healing of tissues and organs, enhance the body's production of antibodies , and mobilize the immune system. "Sleep management is a very important way to help recover from illness." Source: Beijing Daily WeChat official account, China National Radio, Metropolitan Express, Beijing Youth Daily, People's Daily Online |
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