【用戶】Zoan
【年級】高一上
【評論內容】年齡：年齡大於65歲的患者是心絞痛的高風險群，因為隨著年齡的增加，心血管疾病的發病率也會增加。性別：女性比男性患心絞痛的風險稍高，特別是在更年期後。病史：患有高血壓（hypertension）和糖尿病（DM）的病人，往往有心血管風險因素增加的情況，更容易出現心絞痛症狀。心絞痛是一種由於冠狀動脈供血不足而引起的心臟缺血症狀。當心臟在運動或激烈活動時需要更多的氧氣，但冠狀動脈供血不足時，就會引起胸部不適、壓迫感或劇烈疼痛，通常這些症狀會向左肩、左臂和頸部放射，並伴隨著喘氣感。因此，這名75歲女性患者，合併有高血壓和糖尿病的病史，最可能會以上腹部不適和喘來表現心絞痛症狀。
【用戶】吳富豪
【年級】高三下
【評論內容】It is common for patients with diabetes mellitus, who often have autonomic (sympathetic) dysfunction, to experience "silent ischemia" or best termed "discomfortless ischemia."同時也較可能出現anginal equivalent symptoms→shortness of breath, nausea, or fatigue that is out of proportion to the activity levelHigh blood pressure makes your heart work harder and can damage the lining of your arteries. If you already have angina, high blood pressure could make your symptoms worse and increase the risk of having a heart attack. If you have high blood pressure, it’s essential that you try to reduce it. HTN也是惡化因子→兩者皆加重原本心絞痛的症狀