Does the heart hurt - worry or not?
And it manifests itself in severe pain. But! Most often, pain is felt in the middle of the chest. The pains are strong, constricting, pressing, they can give in the left shoulder blade, or the left arm, or even under the jaw (also on the left). Alas, not so simple. There are painless forms of angina pectoris. This is a kind of trap. The patient does not feel any pain (maybe true, shortness of breath), and the process goes (ischemia increases, the myocardium suffers), and the final may be unexpected - a heart attack! It would seem out of the blue. Well, this is if the patient is not examined. This happens often. Therefore, my advice: if there is a predisposition to coronary heart disease, it is necessary to be examined.
Predisposition means prerequisites. These include diseases of the cardiovascular system in the family (close relatives) and in the patient himself (arterial hypertension, ischemic heart disease, heart attacks), obesity, diabetes, bad habits (primarily smoking, it is very conducive to intimal damage - the inner shell - vessels and provokes their hardening).In such situations, it is necessary to go to the therapist, cardiologist and be examined, without waiting for serious complications.
And now let's talk about pseudo-cardiology
Two main groups of causes can cause pain in the chest. First of all, it is the spine. More precisely, not the spine itself, but various pathological changes in it. These include posture disorders, curvature (scoliosis, kyphosis), osteochondrosis (changes in the intervertebral discs), intercostal neuralgia of the most diverse origin.
The pains that are caused by diseases of the spine are, as a rule, short-term in nature (they are intermittent, though recurring pains), more often stitching (but there may be burning, irritating, with backache). In general, the nature of pain - this concept is extremely subjective. Who feels like, who describes how (sometimes he paints in a very colorful and verbose manner). Localization of pain is predominantly punctual, in any case, clearly defined (in some cases, the patient can indicate with a finger where it hurts). One more thing. Such pains (associated with the spine, like intercostal neuralgia) are mostly associated with breathing.That is, they can increase with a deep breath.
The next very large group is the pathology of the upper part of the gastrointestinal tract. There are a lot of organs in this part of our body. We list them: the stomach, duodenum, pancreas, gallbladder, lower esophagus. The pathology of any of these organs can give pain in the chest, including the chest.
Why is this possible: a particular organ hurts, and we feel pain elsewhere? And perhaps this is due to the presence of a huge number of nerve branches, which are available in the abdominal cavity, in the abdomen as a whole and in the epigastric region (under the spoon), where the solar plexus is located. Therefore, it often happens that a patient with cholelithiasis in a state of attack can be hospitalized with a diagnosis of "myocardial infarction", so similar is the clinical picture. And only the electrocardiogram will put everything in its place.
The pains in the pathology of the upper part of the gastrointestinal tract can be very different in intensity (weak, strong), and in nature (aching, pressing, sawing, tearing), but they are no longer so limited and the area of these pains is blurred. More often, patients are shown with a palm rather than a finger.And with examination and further examination (at least - ultrasound of the abdominal cavity), changes in the internal organs are inevitably revealed.
Here is a little "guide" for pain in the chest, which most of us associate with pain in the heart. Be healthy and do not engage in self-diagnosis.
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