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各位朋友，大家好，现在是“每天健康三分钟”时间，我是道简-心血管康复医生集团的医生赵方慧，今天我来给大家讲讲-心脏好坏，看脸就知道（一）。

在出现心悸、心前区疼痛之前，心脏病可能会让你的“颜值”发生改变。如果你掌握了察颜观色的本领，就能更好地发现心脏疾病的苗头，在关键时刻救自己一命。

1、脖子变粗

从临床经验看，脖子粗的人，其血压、血脂、血糖等指标都相对较高，这些都与心脏疾病密切相关。一般情况下，如果男性颈围超过39厘米，女性颈围超过35厘米，就说明脖子较粗。可以定期测量颈围：将皮尺水平置于颈后第七颈椎上缘（低头时摸到的颈后最突起处），至前面的喉结下方，完成测量。如果颈围超标，空闲时可做一些颈部操，比如前后左右点头、360度旋转活动脖子等，以减少脖子赘肉堆积。

2、脸面浮肿

正常人睡前喝水较多或晚上吃得过咸，会引起脸部水肿，注意饮食后，多会改善。

但不太正常的浮肿需要重视，例如脸形出现肿胀，脸部肌肉组织松弛，用手指压会出现压痕，压痕部位的皮肤会弹不起来。这些变化可能预示心脏出现问题，应及时去医院就诊。

3、眼睑黄色瘤

对于中老年人来说，眼部周围出现黄色小肿块（一般为米粒或黄豆大小），可能是人体内脂质代谢存在障碍的表现，也是诱发心脏病的重要因素。这种黄色小肿块，也称黄色瘤，常见于四五十岁人群，主要是由低密度脂蛋白（坏胆固醇）偏高导致皮下脂肪堆积所致。

4、疲劳或失眠

很多女性患者在心脏病发作的前一周，会感到异常疲劳乏力，还有一些人心脏病发作之前出现“睡眠紊乱”。

5、上气不接下气

爬一段楼梯就气喘吁吁，而过去从来没有这种现象，应警惕心脏问题。躺下时出现呼吸问题，很可能是心脏瓣膜病的症状。

如果出现上面这些情况，万万不能掉以轻心，及时去医院排查，免得意外突发，要钱又要命！

最后祝大家生活愉快，身体健康！想了解更多心血管科普小知识，请关注我们，咱们下期见。

【英文版】

To see if the heart is healthy by observing the face

Dear friends, nice to meet you!Now it is time for “health talk for three minutes every day”,My name is Zhao Fanghui, a doctor of Daojian Doctor Group of Cardiovascular Rehabilitation.Today, I will mainly introduce “ To see if the heart is healthy by observing the face”.

Heart disease may change your "beauty" before palpitation and precordial pain.If you master the skill of observing the face, you can better find the signs of heart disease and save your life at the critical moment..

First, the neck is thicker.

According to clinical experience, people with thick neck have relatively high blood pressure, blood lipid, blood glucose and other indicators, which are closely related to heart disease.In general, if the male neck circumference is more than 39 cm, and the female neck circumference is more than 35 cm,it indicates that the neck is thicker.You’d better measure the neck circumference regularly.Place the ruler horizontally at the upper edge of the seventh cervical spine behind the neck (the most protruding point you can touch when you lower your head),then pass below the Adam's apple for a circle to complete the measurement.If the neck circumference exceeds the standard, you can do some neck exercises in your spare time,such as nod from side to side, 360 degree rotation of the neck, etc. to reduce the accumulation of neck proud flesh.

Second, swelling face.

Normal people who drink more water before bedtime or eat too salty at night will cause facial edema,and the edema will be generally improved after they pay attention to diet.Abnormal swelling requires attention.For example, swelling of face shape and relaxation of facial muscle tissue,If you press with your fingers, there will be an indentation, and the skin at the indentation will not spring up.These changes may indicate heart problems, and you should go to hospital to see a doctor in time.

Third, xanthoma of eyelid.

For middle-aged and elderly people, if there are small yellow lumps around the eyes (usually the same size as rice grain or soybean), it may be a sign of lipid metabolism disorders in the human body,and it is also an important factor inducing heart disease. This kind of small yellow lump, as also known as xanthoma,is common in people about 40 to 50 years old, and its formation is mainly due to the accumulation of subcutaneous caused by high LDL (bad cholesterol) .

Fourth, fatigue or insomnia.

Many women feel extremely tired and weak in the week before heart attack,and others may experience "sleep disorders ."

Fifth, out of breath.

If you're out of breath after climbing a flight of stairs, and this has never happened before,you should be alert to the heart problems.If you have respiratory problems lying down, it's probably a symptom of valvular heart disease.If you have the above symptoms, you must not take it lightly and go to the hospital for investigation in time, so as to avoid accidents. Otherwise, you will not only spend money, but also lose your life!

Finally, I wish you all a happy life and good health!To learn more knowledge about Cardiovascular disease, please pay attention to us.See you next time.