Climax in people of any gender is a consequence of the evolution of our body, which means that the process is natural. However, this condition is accompanied by abrupt changes in the hormonal background of a person, which can lead to a number of vegetative disorders. Since it is almost impossible to assess these disorders objectively, the doctors for a long time could not detect the relationship of hormonal changes and the disorder of cardiac activity. And only in 1874 the scientist Kirsch made climacteric cardiomyopathy a separate nosological unit. How does the state manifest and in what is its essence? Let's consider more in detail a dyshormonal cardiomyopathy at a menopause and not only( ICD-10).
Features of the disease
Dyshormonal cardiomyopathy is a pathology accompanied by heart rhythm disturbances and a metabolism in the heart. The main feature of the disease is that it develops against the background of hormonal disorders. Thus, in the diagnosis of dyshormonal cardiomyopathy, an increase in follicle-stimulating hormone( high FSH) is revealed.
It is noteworthy that if the cardiomyopathy in women has a positive prognosis, then in men it is unfavorable, since the condition is usually a sign of a tumor of the prostate gland.
The following video will tell you what a climax is and what its problems are:
Classification and forms of
Since the dyshormonal form refers to secondary cardiomyopathies and myocardial dystrophy, it is not necessary to classify it. However, several general classifications are distinguished, for example, by localization( local or general), and also by the course of the disease.
Causes of
Dyshormonal cardiomyopathy develops on the background of disruptions in the endocrine system. Most often, pathology affects women during menopause, however, there may be men as well as adolescents during puberty.
Imbalance in the hormonal level, which is the cause of cardiomyopathy, can develop because of:
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The opinion of doctors. .. & gt; & gt;
- menopause;
- reduced testosterone production in male patients older than 50;
- of ovarian and testicular diseases;
- adrenal and thyroid gland diseases;
About what climacteric cardiomyopathy has symptoms, read on.
Symptoms of
The main symptom of climacteric cardiomyodystrophy is pain in the heart of a pulling or harsh nature. Pain may occur suddenly or with physical exertion. Also patients complain of:
- dizziness;
- lump in the throat;
- lack of air;
- sensation of cold in the limbs;
- tinnitus;
- weakness;
- rapid fatigue;
- heart palpitations;
- irritability;
- sleep disorders;
- increased sweating;
- arrhythmia;
- mood swings;
On the background of cardiomyopathy, cardialgia often develops, then the pain sensations will be given to the jaw and scapula on the left side.
Diagnosis
Primary diagnosis is the collection of anamnesis of symptoms and family. The patient clarifies the symptoms, whether the relatives were ill with similar diseases. Also the physician conducts physical examination and auscultation. After the initial diagnosis, the patient is assigned:
- General blood and urine tests to determine the general condition of the patient's body and the presence of any irregularities.
- Biochemical an-z of blood, showing the level of sugar, protein, cholesterol and other compounds, the increase of which proves the presence of violations.
- Assays for hormones to determine the hormonal background.
- An-z blood to assess the level of glucose, the lipid spectrum, as well as the possible detection of markers of heart necrosis.
- is an ultrasound of the heart, which detects the enlargement of certain parts of the heart.
- Chest X-ray, determining the size of the heart and the presence of pathologies.
- MRI, which is appointed rarely due to high costs and lack of equipment. The study helps visualize the heart muscle and put a 100% diagnosis.
Because MRI is not infrequent, the ECG is the decisive test. On the results of it there is a decrease in ST, as well as inversion of the T wave. Most often, these indicators are noted in the right and middle leads. It is noteworthy that the tooth T can be negative for a long time, then change the indicator to positive, and then again become negative, without affecting the patient's condition. Also, the study may show arrhythmia, extrasystole, a paroxysmal tachycardia. Very rarely, there may be a violation of intraventricular or atrial-ventricular conduction.
Treatment of dyshormonal cardiomyopathy
It is important to remember that the disease is cured by itself, and all the prescribed drugs have an auxiliary effect on this process, and also eliminate the symptoms.
Therapeutic method
This method aims to prevent and eliminate factors that can complicate the course of the disease. The patient needs:
- Refuse from harmful habits, especially smoking.
- Stick to a diet low in cholesterol and salt.
- Drink more water( not liquids like tea, but water).
- Observe moderate physical activity.
- Normalize sleep mode.
Medication method
When confirming the diagnosis of dyshormonal cardiomyopathy, the patient is prescribed:
- Phytomedication with estrogenic effect.
- Medications that contain valerian, motherwort, peppermint, etc.
- Anti-pain medications, such as verapamil or anaprilin.
- Metabolic corrector like Riboxin, Actovegin, ATP or Mildronate.
- In developing heart failure, cardiac glycosides and diuretics are indicated.
If the above described drugs do not have a positive effect, it is recommended to resort to hormone therapy. In this case, prescribe medicines containing estrogen, gestagen and androgen.
Operation
Operation is extremely rare, in the case of severe heart damage due to developing complications and accompanying conditions. Cardiomyopathy itself is not an indication for surgical intervention. If the heart is damaged significantly, it may be necessary to have a valve prosthesis or organ transplant.
Folk
The most popular folk remedy is a decoction of viburnum. For its preparation it is necessary to take berries of a guelder-rose and honey on 1 table.l.and pour 250 ml of boiling water. The broth should brew for an hour. Take it 2 times a day for half a cup for a month.
It is also recommended to take decoctions of herbs such as: hyssop, hawthorn, sage, mountaineer, calendula and others.
Prevention of disease
No specific preventive measures have been developed, therefore it is important to follow general recommendations:
- Observe the basics of a healthy lifestyle, that is, abandon bad habits and normalize the regime of the day.
- Observe moderate physical activity.
- Protect yourself from stress and emotional stress.
- Take a multivitamin at the rate.
- Balance the nutrition so that the organism receives all the essential trace elements.
In periods when the risk of developing cardiomyopathy is increased, for example, during puberty or menopause, it is important to visit a therapist and an endocrinologist for examinations. About what complications of the disease are possible, as well as about whether such cardiomyopathy can become an unspecified cause of death, read on.
Complications of
Dyshormonal cardiomyopathy very rarely gives any complications. The most likely are arrhythmias and other serious cardiac arrhythmias, as well as chronic heart failure.
Specifically, the disease does not lead to death, however, without supportive treatment and the conduct of a healthy lifestyle, it can give complications that in the future can lead to the death of the patient.
Forecast
The prognosis is generally favorable for the disease. During its course, the capacity for work decreases, but it is restored by cure. More than 90% of patients get rid of negative symptoms of dyshormonal cardiomyopathy.
On how to survive a climax, see the following video: