Diagnosis: how to distinguish between angina and Biliary Colic

Cholecystitis and coronary heart disease are common diseases in the elderly and frequently-occurring disease. Cholelithiasis cholecystitis attack caused Biliary Colic, coronary heart disease caused by angina attack. At the same time many patients have these two diseases, both cholelithiasis, have coronary heart disease, but these two diseases cause colic in clinical performance and almost. So easy to confuse them. It was done to statistics, over the age of 45 patients with coronary heart disease in about 1 / 4 a gallbladder disease. But not coronary heart disease patients only 1 / 16 with gallbladder disease; over the age of 45 gallbladder disease patients about 1 / 2 a coronary heart disease, gallbladder disease not only 1 / 6 with coronary heart disease. Help patients with coronary heart disease patients with coronary heart disease than not easy in the gallbladder disease, gallbladder disease and patients with gallbladder disease than patients not easy for coronary heart disease. In human anatomy, since the heart of the thoracic spinal nerve 2 to 6 dominated by the gallbladder 4 to 9 thoracic spinal nerve dominance, both in the chest four or five spinal nerve cross the phenomenon, when the gallbladder and Biliary Colic , by Reflective of the spinal cord nerves, cause coronary artery contraction, a narrow, reduced blood flow response, leading to myocardial ischemia, lack of oxygen, in angina. Biliary obstruction and infection can cause endotoxemia, toxins On the one hand, damage to vascular endothelial cells and platelets, on the other hand can activate clotting system, a clotting disorder, resulting in not completely blocked coronary artery and trigger angina. In addition, gallbladder disease of the bile in the blood can be increased role in the cardiac conduction system, a variety of arrhythmias, may also cause angina. Biliary Colic because of the attack and angina performance almost, and in the treatment of diseases of the two methods is not the same, so in a colic attack patients, whether Biliary Colic, or angina, is not only Patients eager to find out, doctors should also be differentiated. Generally speaking, most of Biliary Colic in large fatty food to eat after the attack, angina, in more emotional, Guoduopilao or after the attack meal. Biliary Colic Attack of the longer time, and angina attack while the shorter, mostly in a few minutes to about a quarter of an hour. Biliary Colic attack, the right upper quadrant gallbladder site has obvious tenderness, and angina were not. If so ECG can be relatively easy to distinguish, Biliary Colic patient's electrocardiogram change is very small, to reduce or ease the cramps after the resumption of normal ECG, electrocardiogram and angina patients have a longer period of time is not normal. Cholelithiasis or chronic cholecystitis with the elderly, especially acute, we should guard against the occurrence of myocardial infarction. In particular the manner in the spirit of change, chest tightness, coughing, decreased blood pressure, arrhythmia, should be promptly sent to hospital for treatment.