What are the symptoms of cardiogenic asthma?

summary

Cardiogenic asthma is a kind of paroxysmal asthma caused by left heart failure and acute pulmonary edema. Its clinical manifestations are similar to bronchial asthma. Patients with cardiogenic asthma had history of hypertension or heart disease, accompanied by frequent cough, cough, foam like, bloody sputum, heart enlargement, arrhythmia and abnormal heart sounds. Cardiogenic asthma syndrome (Ridley syndrome) refers to a group of syndromes characterized by paroxysmal nocturnal dyspnea and left heart failure caused by various reasons. What are the symptoms of cardiogenic asthma? Let's talk about it

What are the symptoms of cardiogenic asthma?

Cardiogenic asthma is paroxysmal nocturnal dyspnea. The disease mostly occurs in the elderly, usually due to hypertension, coronary heart disease and other causes of chronic heart failure. The most prominent clinical manifestations were paroxysmal nocturnal dyspnea and cardiogenic asthma. Typical seizures often occur at night after 1~2 hours of sleep. The patient suddenly woke up with a sense of urgency and urgency. He was forced to sit up and open the window immediately, to relieve asphyxia, accompanied by cough, asthma breath sounds or cough like foam like sputum. The light person takes the seat for more than 10 minutes to about 1 hour, the dyspnea can automatically subside, and the patient can fall asleep again.

Severe cases of sustained attack, frequent cough, shortness of breath, cyanosis, sweating, cold hands and feet, cough up pink foam sputum, and can develop into acute pulmonary edema. In addition to the signs of the primary disease, such as the enlargement of the heart murmur boundary to the left and down, apical lifting pulsation, S4 and valve murmur, there are also signs of left heart failure, such as heart rate acceleration, early diastolic galloping rhythm, moist rales in both lungs (especially the fine moist rales in the base of the left lung), wheezing, pleural effusion (especially the right pleural effusion) Blood pressure can be temporarily increased due to the contraction of arterioles caused by the increase of compensatory sympathetic nerve tension. In the absence of respiratory tract infection, there were cough, asthma, cyanosis of lips, edema of lower limbs, and aggravation during supine sleep,

The effect of antibacterials and anti-inflammatory drugs is not obvious, but the effect of cardiotonics is very good; When slight activity or slight labor, there is a lack of breath, but after lying down, there is a cough, asthma, shortness of breath, you need to raise the pillow to feel more comfortable; Apathy or irritability, often wake up in sleep, asked to open the doors and windows, only consciously comfortable; Urine volume is less in the day and more in the night.

matters needing attention

We should try our best to find out the cause of the syndrome and carry out etiological treatment, such as paroxysmal dyspnea caused by mitral stenosis, mitral valve separation can make the symptoms disappear completely. The treatment of paroxysmal nocturnal dyspnea is the same as that of other acute heart failure, such as sedation, oxygen infusion, sitting position, legs drooping, reducing venous reflux; Cardiotonic, diuretic and vasodilator were used to improve cardiac function.