Causes of heart pain

At the heart pain can be a variety of reasons, but they all require the attention of a doctor.

Heart attack

Myocardial infarction occurs when a blood clot blocks the flow of blood to the heart muscle. This life-threatening condition, the main symptom of which is a very strong pain in my heart. In the absence of timely treatment of necrosis of cardiac muscle tissue, and after that can follow the patient's death.

Angina pectoris

The first step in diagnosis - the study of history. The patient's response to questions about the nature of pain, time and frequency of their occurrence and will provide important information for the doctor. On the basis of information on the nature of the pain is accompanied by symptoms and risk factors for various diseases doctor can make the first suggestion of a possible diagnosis.

People who have a family history of angina, is also quite likely that the disease, especially if there are complaints of chest pains. Angina blood vessels that lead to the heart, narrow, resulting in poor oxygen delivery to the heart. The classic symptoms of this state - the feeling of pressure or tightness in the chest, which is given in the left arm or neck, as well as shortness of breath or sweating.

Unfortunately, many people are no classical symptoms, and the pain is hard to describe, but someone may not be pain. Instead, the symptoms of the disease may be indigestion, shortness of breath, weakness, malaise. The risk of atypical angina is particularly high among women and the elderly.

If one of the blood vessels that connect to the heart (coronary arteries) is completely blocked, the heart will be in mortal danger. It's a heart attack, or myocardial infarction. In most cases, it is accompanied by more severe pain than angina, however, and there may be an exception in the form of various signs and symptoms.

The purpose of further treatment for angina - the restoration of normal blood supply to the heart muscle before a heart attack occurs, the heart that can cause irreversible damage. For this patient is recommended to control blood pressure, cholesterol and blood sugar Blood sugar - a very important indicator   using a special diet, and smoking cessation. Furthermore, the medication is assigned regulating heart rate (e.g., beta-blockers), to dilate blood vessels (e.g., nitroglycerin) or reducing the risk of blood clotting (aspirin).

In acute heart attack of the heart muscle can die and in its place will be scar tissue. This will significantly reduce the ability of the heart to pump blood to meet the needs of the body. In addition, the damaged heart muscle is more susceptible to various disorders, such as ventricular fibrillation, which increases the risk of sudden death from a heart attack.

Aortic dissection

Dissecting aortic aneurysm - a life-threatening condition that affects the main artery connecting the heart - the aorta. If the inner layers of the blood vessel are separated, and the blood starts to flow between them, a person may feel a sudden, tearing pain in the chest Chest pain is one symptom - a lot of diseases   and back. Aortic dissection can occur as a result of a sharp and nasty blow to the chest or develop as a complication of high blood pressure that is not treated for a long time.

Coronary spasm

When coronary spasm, sometimes called Prinzmetal angina Prinzmetal angina - a rare disease with serious consequences In the arteries that provide blood flow to the heart, blood flow is temporarily stopped. Heart pain occurs at rest. This disorder can occur in patients with coronary heart disease. Coronary spasms are rare; In most cases, withdrawal symptoms enough to take nitroglycerin. The prognosis for these patients is favorable enough.

• Pericarditis - an inflammatory disease, often caused by different viruses, may be accompanied by pain in the heart, in most cases mild and moderate.
• Myocarditis - inflammation of the heart muscle. It may develop as a result of infections, allergic reactions, trauma, burns, exposure to radiation; Myocarditis is also a side effect of certain drugs. He is accompanied by pain in the heart, general malaise, shortness of breath. After identifying and eliminating the cause of the myocarditis, in most cases, and are symptoms.

In addition, the pain, like the pain in the heart, can be caused by disorders such as spasms of the esophagus, hiatal hernia, injuries edges, clamp nerves, pulmonary embolism Pulmonary embolism - a dangerous violation   and so on.

Pressing pain in the heart

Almost everyone felt discomfort in the heart associated with the appearance of pain pressing nature. Most often it comes to heart disease, therefore it is necessary to consult a cardiologist at the first signs of the disease. Pressing pain in the heart accompanied by a variety of clinical symptoms, on which to make a diagnosis of a pathological condition.

Pressing pain in the heart, many patients described as tightness in the chest, feeling of pressure on the chest inside and outside. Such a symptom of how frightening those who have already been diagnosed any heart disease and those who had never experienced such pain. However, these crushing cause pain may be not only a disease of the heart, and lung, stomach, esophagus, and the psyche.

The most dangerous potential causes crushing pain in the heart is a heart attack (myocardial infarction), and anaphylactic shock. The latter has many other non-specific symptoms that are similar to the symptoms of a heart attack Symptoms of heart attack in women - do not miss time Shortness of breath, paleness, cold sweats, fainting.

Heart pain is often difficult to distinguish from the pain caused by, for example, severe heartburn. However, if heartburn medical assistance is not necessary, for diseases of the heart it is needed, often on how soon a patient will get it will depend not only his health, but also life. To distinguish from heartburn pain associated exacerbations of heart disease may be on the accompanying signs.

Signs of weak heart

Pain in the heart that are oppressive in nature, is a clinical manifestation of angina. Heart attacks rarely occur with pain, but despite this it is necessary that the doctor examined the patient in a timely manner, as for acute heart disease (myocardial infarction) is characterized by symptoms that are different manifestations erased.

Pressing pain may be accompanied by the following clinical signs:

• dizziness
• fainting
• feeling short of breath, shortness of breath
• irregular heartbeat (arrhythmia), the increase in heart rate (HR)
• pale skin, sometimes with a bluish tint or acrocyanosis
• irradiation of pain in the arm or back

Patients who know they have angina, able to cope with the pain attack which developed. The pain usually goes away alone, so you need to stop and rest if the pain developed during the motion. When at rest the pain persists or gets worse, it is necessary to take a nitroglycerin tablet. The usual duration of an attack does not exceed five minutes. It is important to ensure full access of fresh air to the patient and create a more physiological angina sitting position.

In some cases, patients are compared Pressing pain in angina pectoris with heartburn. There is a chest pain, it is a pressing, burning or contracts may give in the arm or neck. At the time of occurrence of a pain it is important to measure blood pressure Blood pressure - dangerous if his swing? , Pulse count. Changing these core indicators will point to the development of heart disease.

Finally, the cause of crushing pain in my heart to help survey, which should include a physical examination, electrocardiography, ultrasound and determination of the state of blood flow (Doppler mapping), and other methods.

Influence of comorbidities

In most clinical cases, the occurrence of oppressive pain due to the fact that the heart muscle is experiencing increased demand for oxygen. This state develops in terms of exercise, emotional stress How to beat stress? Create an oasis   and other conditions. Often there is no connection of pain with heart disease. Perform in each case the differential diagnosis and to establish the immediate cause may cardiologist on the basis of the survey results.

Experts note that even when describing the complaints of the patient may be more likely to assume the reason for the pain. If the patient describes all the clinical symptoms clearly, in great detail, it is necessary to look for the cause outside of the heart. Cardiac problems often describe sparingly, they do not have a bright expression. It is recommended that the appearance of the slightest pain pressing nature I said to the doctor, as has the importance of the time factor. The sooner the patient will be able to provide expert help, the more favorable outlook for the life of the patient.

It is necessary to pay attention to the nature of the pain in my heart is not at rest and during movement. When you tilt or turn of the body, with a deep breath, inhaling the pain may change, and the administration of drugs such as nitroglycerin does not bring relief. This is due to the pathology of the spine, such as radiculitis or osteochondrosis, scoliosis. You should also eliminate the cause of a neurological nature, that is, the appearance of pain in radicular syndrome Radicular syndrome: the main thing - to find the cause   or pinched nerve.

The negative influence of the nervous system. Pressing pain is often accompanied by a variety of depression, stressful situations. In this state, there is an increased muscle tone, resulting in heart pain will occur frequently.

Marina Solovyov