Emergencies >>>> Climacteric myocardiopathy in men and women
Climacteric myocardiopathy in men and women.
Climacteric myocardiopathy (synonym "Climacteric cardialgia") is a phenomenon that is not fully understood, but it has quite tangible signs, similar to many heart diseases, which complicates the diagnosis of this disorder.
Climacteric myocardiopathy in men and women begins to make itself felt during periods of dysfunction of sex hormones (usually age-related).
Signs of climacteric myocardiopathy often resemble attacks of angina pectoris, pre-infarction state, manifestations of ischemia of the heart muscle, heart rhythm disturbances, heart neuroses, autonomic disorders. Age-related changes associated with vascular atherosclerosis also interfere with the correct diagnosis of the disease.
Climacteric myocardiopathy is felt as pain in the left side of the chest, often radiating to the left arm, developing against the background of night and daytime rushes of blood to the face, neck and neckline, night sweats, chills, paresthesia, increased heart rate, fluctuations in blood pressure, shortness of breath, not related to physical activity. Symptoms of irritability, unstable mood, insomnia, memory impairment, unmotivated anxiety are present. In men, signs of extinction of potency, hypertrophied changes in the size of the prostate gland, and frequent urge to urinate are increasing. Women may show signs of menstrual irregularities, unreasonable headaches, tearfulness, and a general decrease in physical endurance.
The diagnostic criteria for the diagnosis of climacteric myocardiopathy are:
- Study of ECG indications - in contrast to coronary heart disease, negative dynamics of ECG indications persists for a long time.
- The study of the results of hormonal studies - the excretion of corticosteroids, catecholamines, sex hormones is disrupted.
- Carrying out a potassium test.
- Conducting stress tests to study the dynamics of the ECG.
- Conducting inderal test to study ECG changes.
For chest pain associated with climacteric myocardiopathy, nitroglycerin does not work, but sedatives and beta-blocking drugs help. Hormone therapy is prescribed only when it is necessary to correct hormonal metabolism, and not for the treatment of climacteric myocardiopathy, despite the positive cases of ECG dynamics after the use of sex hormone treatment.
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