With the arrival of cold weather, many people may experience heart discomfort, but they may not be aware that these symptoms may be related to coronary artery spasm. Coronary vasospasm refers to the sudden complete or partial temporary occlusion of the coronary artery. Although it is not common in medicine, its potential risks cannot be ignored. This article will explore how cold weather triggers this phenomenon and the scientific mechanisms involved.
Coronary artery spasm often causes chest pain, a condition known as variant angina (Prinzmetal's angina). This chest pain usually occurs when you are at rest, especially at night or in the early morning. The patient may feel nauseous, break out in cold sweats, or even faint.
Coronary artery spasm causes more than just chest pain; it can occasionally cause palpitations or shortness of breath.
Cold environments affect the human body in many ways, especially in the cardiovascular system. When the body is exposed to cold temperatures, blood vessels naturally contract to protect blood flow to internal organs, a process called vasoconstriction. During this process, the body's sympathetic nervous system will be activated, further causing vasoconstriction.
Cold weather can enhance the activity of the sympathetic nervous system, which in turn can trigger coronary artery spasms.
Traditional cardiovascular disease risk factors have little impact on coronary artery spasm, but smoking is considered a modifiable risk factor. In addition to smoking, other factors that may trigger coronary artery spasm include stress, rapid breathing, and cold weather.
The precise pathophysiology of coronary artery spasm is not fully understood, but it is generally believed that abnormalities within the coronary arteries cause them to be overly responsive to vasoconstrictor factors. Specifically, when the contractile capacity of vascular smooth muscle increases, occlusion of the coronary arteries may occur, leading to ischemic symptoms.
Endothelial dysfunction is considered to be one of the main mechanisms leading to coronary artery spasm.
There is no fixed standard for diagnosing coronary artery spasm, and doctors often need to make a diagnosis based on a detailed medical history, symptoms, and changes in the electrocardiogram. An electrocardiogram may show abnormalities such as ST-segment elevation due to arterial occlusion, although these signs are often transient.
In the face of environmental challenges, especially cold weather, patients can reduce the chance of an attack by keeping their bodies warm, reducing outdoor activities, and avoiding mental stress. In addition, following your doctor's instructions and using appropriate medications is also an important step.
With more people experiencing cardiovascular problems in cold weather, can we find more effective ways to identify and treat coronary artery spasm to reduce the risk it poses?