Gastrocardiac syndrome: causes and treatment

Гастрокардиальный синдром Gastrokardialny syndrome (syndrome Udena-Remkhelda) - the reflex response of the body to stimulation of the receptors of the esophagus, stomach or intestines. Occurs when the stomach is full (after eating), which irritates the mucous membrane of the cardiac section reflexively connected to the heart (symptoms are regarded by patients as a heart attack). This syndrome was first described in 1912 by Remkheld and classified as a special form of neurosis of the heart


In the majority of recorded cases, complaints appear almost immediately after ingestion (in some cases, the attack appears after taking a heavy fatty meal, in others - after consuming liquid food, or a lot of liquid). There are pronounced painful sensations in the heart or behind the breastbone, the heart rate is noticeably quickening, there is a feeling of a "frozen heart", which is then replaced by a galloping rhythm (tachycardia). Typical symptoms are weakness, dizziness, increased blood pressure, pallor, a sense of anxiety, cold sweat. Either belching or vomiting (caused by force) in most cases significantly facilitates this condition.

When diagnosing gastrocardial syndrome, first of all it must be differentiated from the hernia of the esophagus of the diaphragm, ulcer and stomach cancer


Determining the importance in the treatment of this disease has to adhere to the correct food regime: food should be taken in small fractions in a fairly short period of time (completely eliminate overeating or one-time use of large amounts of liquid!), The last daily diet should be no later than three hours before bedtime. From the diet, it is necessary to exclude foods that can cause flatulence. необходимо нормализовать работу кишечника. With constipation, it is necessary to normalize the work of the intestine. Plant sedative preparations are prescribed, and if symptoms of a gastrocardial reflex appear, they are spasmolytic (in the form of an injection). Studies of the stomach with a gastroscope or probe are highly undesirable.