Gastrocardiac Syndrome

　　The cause of this disease is unclear and may be related to dysfunction of the autonomic nervous system. Due to the existence of gastric diseases, it can reflexively cause discomfort or hidden pain in the chest area, and a few cases are similar to angina, presenting as needle-like or squeezing pain, which can last for a long or short time, from a few seconds to several hours. However, the pain often has no obvious cause, and the expansion of coronary drugs is ineffective. All gastric diseases can cause it, but common causes include peptic ulcer, chronic gastritis, gastric mucosal prolapse, gastric cancer, and smoking, etc. Lesions in the esophagus, such as reflux esophagitis and esophageal or pyloric stenosis, can also cause it.

　　1. Gastric ulcer

　　Chronic gastritis is prone to complications of ulcer disease, and ulcers generally occur on the basis of gastritis. The onset of gastric ulcer is related to diet, occupation, smoking, heredity, and other factors. Abnormal function of the pyloric sphincter or bile reflux can cause an increase in gastric acid secretion and destroy the gastric mucosal barrier, which can also further form ulcers on the basis of gastritis.

　　2. Upper gastrointestinal bleeding

　　Upper gastrointestinal bleeding is the most common complication of peptic ulcer. Peptic ulcer is also the most common cause of upper gastrointestinal bleeding. If the treatment of ulcer disease is not timely, or if there is overeating, excessive drinking, overwork, or unreasonable medication, it can cause the ulcer to rupture and bleed.

　　3. Acute perforation

　　Acute perforation refers to the sudden rupture of the gastric wall when the ulcer reaches the muscular layer and serous layer, causing the gastric juice or duodenal juice to flow into the peritoneal cavity, leading to diffuse peritonitis.

　　4. Pyloric obstruction

　　Pyloric stenosis caused by inflammation, edema, pyloric spasm, gastric mucosal prolapse, or scar contraction, which causes obstruction in the passage of food, is called pyloric obstruction.

　　5. Bilirubin reflux gastritis after gastric resection

　　Bilirubin reflux gastritis after gastric resection refers to the gastritis that occurs after gastric resection due to incomplete pyloric function, leading to bile reflux.

　　Due to the existence of gastric diseases, it can reflexively cause discomfort or hidden pain in the chest area, and a few cases are similar to angina, presenting as needle-like or squeezing pain, which can last for a long or short time, from a few seconds to several hours. However, the pain often has no obvious cause, and the expansion of coronary drugs is ineffective. The use of antispasmodic and antacid drugs can alleviate the symptoms, which may be accompanied by symptoms of chest tightness and shortness of breath. Cardiovascular symptoms disappear with the cure of gastric diseases.

　　The prevention of this disease mainly focuses on the prevention of gastric diseases, and attention should be paid to quitting smoking and drinking, and actively engaging in physical exercise.

　　First, eat at regular times and in fixed amounts:Gastric acid secretion has a certain regularity, that is, the secretion peak at three meals a day, often eating snacks, causing the stomach to work in disorder, disrupting the normal rhythm of gastric acid secretion, which can lead to stomach disease over time. Therefore, daily diet should consist of three meals a day, and excessive intake of snacks should be avoided. The amount of food eaten at each meal should be moderate; eating too little or too much, or having unevenly hungry and full meals, can cause the normal operation of the stomach to be disturbed, leading to poor digestion. Therefore, it is necessary to develop the good hygiene habit of eating at regular times and at regular intervals.

　　Second, advocate smoking cessation and moderate drinking:If there are digestive system diseases, smoking and drinking should be given up immediately. Smoking can cause vasoconstriction of the stomach vessels, reduce blood supply to the stomach, and at the same time inhibit the secretion of gastric mucus, aggravating the damage to the gastric mucosa; moderate drinking of low-alcohol wine can increase blood flow to the stomach vessels, but excessive drinking can directly destroy the gastric mucosal barrier, causing congestion, edema, erosion, and even bleeding of the gastric mucosa, so moderate drinking of low-alcohol rice wine, beer, and wine can be done.

　　Third, pay attention to dietary hygiene and control the 'disease from the mouth':Wash hands after defecation and before meals. Wash raw fruits and vegetables clean. Avoid food contamination with pathogenic bacteria. Do not eat deteriorated or moldy food.

　　Cardiac examinations often show no abnormalities, electrocardiograms are usually normal, a few cases show ST-T changes, arrhythmia, arrhythmia, and occasionally misdiagnosed as angina pectoris or acute myocardial infarction. On the basis of chronic stomach disease, cardiovascular system symptoms appear, and the diagnosis of this disease can be made after excluding organic cardiovascular diseases. Sometimes, the symptoms of the stomach are not obvious in the medical history, and the cardiovascular symptoms are the only manifestation, which is easy to misdiagnose. Therefore, the awareness of this disease should be improved. If cardiovascular diseases cannot be explained, relevant gastrointestinal examinations such as X-rays and gastroscopy should be carried out to confirm the diagnosis.

　　1. Eat less cold and spicy foods:Cold and spicy foods have a strong stimulating effect on the mucous membrane of the digestive tract, which can easily cause diarrhea or inflammatory diseases of the digestive tract.

　　2. Eat less fried food:Because these foods are not easy to digest, they will increase the burden on the digestive tract, eating more will cause indigestion, and will also increase blood lipids, which is not good for health.

　　3. Eat less preserved food:These foods contain a lot of salt and certain carcinogens, and should not be eaten in large quantities.

　　The treatment of this disease mainly focuses on the treatment of the primary disease in the stomach. Quit smoking and drinking. Antispasmodic and antacid drugs such as baking soda, cholinergic inhibitors, H2 receptor blockers, or proton pump inhibitors can be used to relieve pain. In traditional Chinese medicine, it can be classified into categories such as stomachache, chest distress, abdominal pain, and vomiting, and the main formula of Chaihu Shugan San can be used for加减treatment of stomach-cardiac syndrome, achieving certain efficacy.