Cardiology

Pain in region of heart: causes, recommendations and forecast

Written by med

Pain in the heart does not always indicate the disease itself or of myocardial infarction. It is often associated with the spine or chest organs. For proper first aid it is importa nt to know the signs of true pain of heart.

The content of the article

  • Causes of pain in the heart
  • Description of symptoms of pain depending on the diseases
  • Differential diagnosis of chest pain
  • Instrumental studies
  • How can I know that hurt by heart
  • What to do if heart hurts: first aid
  • A complication of diseases associated with pain behind the breastbone
  • Forecast true heart pain

Causes of pain in the heart

The pain in the heart Chest pain can appear in people of any age with absolutely any circumstances. Not always this condition indicates pathology of the heart. Conventionally, all pain occurring in the chest, can be divided into pain of cardiac origin and noncardiac.

To residecny reasons include:

  • Pathology of the digestive system:
    • heartburn;
    • some diseases of the esophagus;
    • diseases of the stomach, pancreas and gall bladder.
  • Diseases of the respiratory system:
    • pleurisy;
    • pneumonia;
    • pneumothorax;
    • severe forms of the bronchial asthma;
    • TB.
  • Vascular pathology:
    • pulmonary embolism;
    • dissecting aneurysm of the aorta.
  • Diseases of the neuromuscular system:
    • osteochondrosis of the cervical spine or thoracic;
    • intercostal neuralgia;
    • various myalgia.
  • Viral diseases:
    • shingles.
  • Diseases of the nervous system:
    • panic attacks and various dystonias.

Cardiac causes of pain:

  • Angina.
  • Myocardial infarction.
  • Chronic ischemic heart disease.

Description of symptoms of pain depending on the disease Quite often many people with chest pain do not pay attention to their character and therefore mistakenly believe that the discomfort associated with heart disease. Characteristics of chest pain depend directly on the cause and degree of disease progression.

For example, often the cause of the burning sensation behind the breastbone is commonplace heartburn. The reason is injected into the esophagus of gastric juice. These pains are often accompanied by belching and a feeling of sour taste in my mouth. Heartburn discomfort is clearly associated with food intake, i.e., occur after meals. Often occur when bending or when the body in a horizontal position. Receiving antacids relieves burning sensation in the chest. Exactly the same discomfort is possible with this disease like GERD (gastroesophageal reflux disease). One of its manifestations is heartburn.

Pain and heartburn can cause a disease such as esophageal spasm. It is a violation of swallowing, the lump of food is not properly moving in the direction of the stomach. This is due to the uncoordinated work of the muscles of the esophagus. Another is the pathology of achalasia. Disease is a malfunction of the valve between the esophagus and the stomach. In this state the food is for a time retained in the lumen of the organ, causing discomfort and chest pain.

Inflammatory disease of the pancreas (pancreatitis) and gall bladder (cholecystitis) can cause pain in the lower chest. In this disease such as cholelithiasis (gallstone disease) also there are painful sensations, which can easily be confused with cardiac pain.

Among pulmonary diseases chest pain may appear when pleurisy (inflammation of the tissue lining the chest cavity) or pneumonia (inflammation of lungs). A characteristic feature of these pathologies is the presence of cough or increased pain when inhaling. These inflammatory diseases almost always lead to increase in body temperature. Pleurisy can be a complication of pneumonia.

Such pain is often appear in such diseases of the pulmonary system as a severe form of bronchial asthma or pneumothorax. The last disease is the appearance of free air in the chest cavity, which collapses the lung.

There are several basic residecny vascular causes of chest pain and related pathology okololegochnykh vessels. These include pulmonary embolism or high blood pressure in the vessels that supply the lungs with blood – pulmonary hypertension. In this case, the pain is pronounced when inhaling, you may receive a cough.

Another defeat of the large vessels, causing discomfort in the chest, is a dissecting aneurysm of the aorta. This condition is extremely dangerous for human life. A characteristic feature is the gradual change in the location of pain. At the beginning of discomfort appear in the heart and gradually descend into the lower abdomen. Very often, the aneurysm is accompanied by a sharp decrease in pressure, tachycardia and loss of consciousness.

A very common cause of chest pain is osteochondrosis of the thoracic, cervical spine. Pain in this pathology are very similar to those in angina: they are radiating (give) to the shoulder or left arm. The only difference is the fact that the pain becomes more intense when the movements of torso, turns of the head or raising of hands.

When intercostal neuralgia and the Tietze”s syndrome stabbing pain localized in the region of the sternum-rib joints or in the course of the intercostal spaces. In this case the pain increases sharply with a deep breath. As a result the person can’t breathe deeply. This condition is eliminated by taking any painkillers anti-inflammatory drugs.

Different inflammation of the muscles of the chest and back often lead to discomfort and unpleasant sensations in the heart area. The nature of pain is about the same as osteochondrosis and intercostal neuralgia.

This viral disease caused by herpes virus as herpes zoster is accompanied by damage to nerve endings causes severe chest pain. It sometimes increases the sensitivity of the skin. May appear rash at the site of the lesion.

Panic attacks, nervous disorders and some dystonia are often the causes of pain in the heart area. Such diseases in the vast majority suffer young persons with the labile nervous system, or after suffering stress. Pain can wear absolutely any character.

In addition to the above mentioned diseases causes pain can be a “true” cardiac pathology. Most often, discomfort in the chest occurs when angina. The disease is often accompanied by pressing pain in the heart, which gradually increase in intensity during physical exertion or stress. The reason is the narrowing of blood vessels supplying the heart muscle as a result of hardening or spasm. Often rest pain stoped independently.

The most dangerous of the common diseases of the cardiovascular system is myocardial infarction. In this disease there is an abrupt power failure of a certain portion of the heart muscle due to clogged arteries. The pain may radiate to the shoulder blade, neck, shoulder, left arm. Accompanying symptoms are cold sweat, shortness of breath, and sometimes nauseam.

Other cardiac pathology, accompanied by pain behind the breastbone, may represent inflammatory changes (myocarditis, endocarditis or pericarditis). This happens after suffering a bacterial or viral infections.

Differential diagnosis of chest pain

The first diagnostic measures that you must follow if you experience discomfort in the chest, calm down and listen to the nature of pain, its dependence on physical activity, body position, possible emotional stress.

Self-diagnosis and self-medication in this case is fraught with dangerous consequences. Because pain can signal about the dangerous disease, consultation of medical specialists is mandatory.

The following steps for the determination of the pathology are to advise physicians. Mandatory consultation for the appointment of a number of instrumental examinations or for referral to more specialist.

It may be necessary to consult doctors such as a pulmonologist, neurologist, surgeon, gastroenterologist, vascular and cardiac surgeon, psychiatrist, infectious disease. In milder forms of nervous disorders is sometimes sufficient counseling.

Instrumental studies

To determine the cause of chest pain is quite often, medical professionals are not enough. In order to clarify the diagnosis is often additionally have to resort to a variety of instrumental and diagnostic tests. Due to the fact that pain in the chest may be caused by pathology of the various systems and organs of the body, most surveys due not only to study the condition of the heart. The main ones:

  • Ultrasound examination of abdominal cavity;
  • Fegds (fibroesophagogastroduodenoscopy) – a study of the condition of the esophagus, stomach and duodenum;
  • fluoroscopy or radiography of the chest;
  • Spirometry (determination of respiratory function);
  • Ultrasound of the heart, aorta and pulmonary vessels;
  • radiography, computed tomography (CT) and magnetic resonance imaging (MRI) of the spine;
  • electrocardiography (ECG), echocardiography (Echo), stress test;
  • Holter monitoring.

How can I know that hurt by heart

If you have pain in the region of the heart to provide proper first aid is extremely important to determine the cause. The most dangerous pathology, leading to discomfort in the chest caused by poor cardiovascular health.

To determine true cardiac pain enough to perform some simple manipulations, which with high probability will indicate whether the discomfort is associated with heart disease.

The first thing to do is to understand the dependence of the pain from the position of the body, whether it increases when bending of the trunk, hoists arms or a deep breath. If so, then most likely reason is disease of the musculoskeletal system (osteochondrosis, intercostal neuralgia, etc.).

Indirectly, even the character of the pain may with considerable probability “to say” about the cause. When heart disease, it is often oppressive, often accompanied by shortness of breath. A lot of stress with the existing discomfort in the chest may also indicate cardiac pathology. If discomfort behind the breastbone increase proportionally performed physical load and stop after execution of such, it is with almost absolute certainty to angina (lack of enrichment of blood to the heart muscle under load).

What to do if heart hurts: first aid

In the case of the above clinical manifestations, it is important as soon as possible to stop all physical activity. You need to take a supine or semi-sitting position. The next step is to calculate heart rate (heart rate) pulse and approximate the BP (blood pressure). High blood pressure can be under the tongue to take Captopril (Capoten) or Clonidine (Clonidine).

If it is impossible to “feel” the pulse in your wrist and the presence of dizziness or nauseam, you should suspect yourself low blood pressure. In this case, it is extremely important in addition to the supine position raise legs above head level. You can put them under any subject.

In virtually all States you can take a soothing drops (Valerian, Corvalol, Motherwort, Hawthorn) or a pill of Validol. The most effective drug for heart pain is Nitroglycerin.

Admission rules for Nitroglycerin:

The most effective drug for heart pain is Nitroglycerin

  • The drug should be taken in the supine position or palpitates.
  • Is accepted only to the relief of pain, ie, if the pain disappeared, the need for it disappears.
  • The maximum number of used tablets – 3 EA.
  • Possible joint simultaneous administration of Validol.
  • Only applied sublingually (under the tongue) every 5 minutes.
  • If you are allergic to Nitroglycerin, it is possible to replace drug from the group of calcium channel blockers (Nifedipine, Fenigidin). Contraindicated in pronounced tachycardia.
  • Nitroglycerin cannot be used with low blood pressure.

If all performed activities have not led to the disappearance of pain, you need to call an ambulance for emergency ECG to exclude angina, ischemia or myocardial infarction. In addition to electrocardiography is important in the shortest possible time to take a blood test to determine the concentration of troponin in the blood protein, the number of which dramatically increases with muscle damage, in this case, the infarction of the heart muscle.

Treatment of all pain in the heart area fully depends on the pathology that caused these feelings. Method and the option of therapy is determined by the expert of the profile, what disease causes discomfort in the chest.

A complication of diseases associated with pain behind the breastbone

Pain in the heart area, caused by any reason, can lead to completely different consequences including death. However, the most common of them are the defeat of the authorities.

Chest pain arising from pathology of the gastrointestinal tract may be complicated by diseases such as:

  • perforated ulcer of the stomach or duodenum;
  • gastrointestinal bleeding;
  • the formation of malignant tumors;
  • B12-anemia defitsitnaya.

Pathology of the lungs, accompanied by painful sensations in the heart area, has the following common complications:

  • abscess of lung;
  • various infectious processes, including sepsis (blood poisoning).

Vascular disease, particularly pulmonary embolism and dissecting aneurysm of the aorta in most cases lead to death. Diseases of the spine can be complicated by intervertebral hernias and, in the worst case, a narrowing of the spinal canal and disability.

True cardiac pain most often end with a myocardial infarction, development of heart failure or a fatal outcome due to heart failure. Can occur refractory heart rhythm disorder that also will eventually lead to heart failure.

Forecast true heart pain

Forecast of chest pain of cardiac origin may be completely different. If sensations of discomfort appear on the background of stress, then in most cases the outcome of such a condition is favorable. This is due to the fact that for nervous disorders there is increased release of adrenaline in the blood, which constricts blood vessels and increases heart rate. As a result, increases the need heart of oxygen. And due to the narrowing of vessels is the deficiency of blood circulation. Taken together, this leads to heart pain.

If the pain appears during physical exertion, then it is likely a question about angina. This disease has a poorer prognosis, since an increased need of myocardium in oxygen, the blood vessels of the heart can not provide full access to such. This may indicate a change in the blood vessels that feed the heart. For this pathology increases the risk of myocardial infarction.

Symptoms, occurs at rest, often indicative of the development of such diseases as unstable angina. This is colloquially called preinfarction condition. This condition is more likely to lead to heart attack or even sudden cardiac death.

If pain in the region of the heart strong and not cropped Nitroglycerin taking, in this case, the prognosis is most unfavorable, because it is likely to develop myocardial infarction. The prognosis of this disease is unpredictable. A person can live for years in a satisfactory condition, with certain restrictions, or die from cardiac arrest and circulatory failure. All depends on the type of infarction and the cardiovascular system of the body.

Thus, the fair only one conclusion that the pain in the heart area can have absolutely any reason. Accordingly, the outcome is also very different. With very intensive pain that cannot be removed with Nitroglycerin, a mandatory emergency consultation of medical specialists. Cause any pain in this area needs to be timely diagnosed to prevent complications and improve quality of life.

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