Pain in the heart - always consult a physician - Standing

Persistent pain in the heart

Severe pain in the heart - this is one of the most common complaints, with which patients present in the emergency room. Immediate access to a doctor when such symptoms can be life saving. Although patients are most afraid of the idea that they can have a heart attack, it is not the only possible cause of pain.

To establish the cause of pain in the heart can be very difficult. Often used for this blood test, X-rays, CT scans and other diagnostic methods. Often, however, all that is required from a physician - a careful study of history.

Cardialgia occur in pathological states and a number of clinical syndromes. Persistent pain in the heart may be the result of heart disease, but this is not always the main reason. First, we should examine the patient to rule out cardiac disorders, as delay in diagnosis can lead to a worsening of the severity of the condition.

Sources of chest pain

Have chest pain that is often mistaken for heart pain, there may be multiple sources, such as:

• Chest wall, including the ribs, muscles and skin
• Spina (spine, the nerves, the muscles of the back)
• Lung, pleura (envelope of the lungs), or windpipe
• The heart and the pericardial sac (pericardium)
• Aorta
• Esophagus
• Aperture, flat muscle that separates the chest from the abdomen

Constant pain in the heart most likely is a symptom of disorders of the heart, but this can be a symptom and other diseases.

Angina pectoris

This disease is one of the most common causes of chronic pain in the heart. In this disease, the inner walls of arteries fatty plaques are formed, resulting in narrowed arteries slowly and eventually the blood flow to the heart is greatly limited. When the heart muscle is not getting enough oxygen, which is supplied with blood, it begins to weaken. The heart pumps blood is getting worse, and patients suffering from angina may feel constant pain in my heart.

Unstable angina is characterized by sudden episodes of intense pain in the heart, which can occur even when the patient is at rest. Such episodes require immediate medical attention. People suffering from chronic pain in the heart caused by angina, are encouraged to maintain healthy lifestyles (especially important to avoid foods that would increase the level of cholesterol in the blood) and be sure to always have on hand a tablet of nitroglycerin. When very severe pain to put under the tongue one tablet. If this does not help, you should call an ambulance.

Pericarditis and myocarditis

Inflammatory diseases of the heart which can be caused by bacteria, fungal organisms, and many other factors. Their symptoms are persistent, mild to moderate pain in the heart. These violations are not as dangerous as angina or a heart attack, but they can cause serious complications, so it is impossible to ignore their symptoms.

Most often, however, heart disease manifested by episodic pain - often very strong, and are accompanied by symptoms such as blurred or loss of consciousness and severe shortness of breath. Constant pain in the chest, sometimes mistaken for heart pain, may have causes such as trauma ribs, lung disease, disorders of the digestive system. This symptom may be some mental disorders such as anxiety disorders and have a panic attack Panic attacks - fear of nowhere . The latter two disturbances in the absence of adequate treatment can lead to the development of various medical disorders, including heart disease.

Effects of coronary disease

The consequence of insufficient blood supply to the myocardium is the development of coronary heart disease (or CAD). The pathological process is mainly formed in the presence of atherosclerotic changes in the coronary vessels. Disease can proceed in the form of acute and chronic process, with possibly a combination of several clinical forms.

In most patients suffering from coronary artery disease, paroxysmal experiencing heart pain. When the pain becomes constant, it should alert the physician, as a sign of a serious complication. This can occur with the progression of cardiosclerosis, as well as in cases of developing myocardial infarction. The changing nature of heart pain in angina requires a control examination of the patient. Electrocardiographic study allows timely identification of pathological changes, so it must be included in the program of clinical diagnosis.

The adverse impact of infection

Many patients suffer an infection or colds on their feet, do not seek qualified help. This can cause the most adverse consequences, as the background of the infection or immediately after it is developed inflammation in the heart muscle, or myocarditis infectious allergic nature. Onset of the disease is different hidden passage, but it is possible to identify the main signs that a doctor must pay attention:

• stubborn, persistent pain in the heart
• weakness, malaise
• breathlessness
• "Interruption" of the heart (heart rhythm disturbances, palpitations)
• a slight increase in body temperature to subfebrile

Clinical symptoms of myocarditis can be expressed in the propagation process in diffuse forms of the disease. What matters is the nature of the onset of the disease process as an acute process will proceed clinically difficult.

Constant pain in the heart of myocarditis can be combined with a variety of cardiac arrhythmias. This feature is not constant, but it is quite important in the evaluation of the clinical picture in the differential diagnosis. The most severe idiopathic myocarditis different nature. It can be malignant and lead to serious rhythm disturbances, severe heart failure. The severity of the condition is caused by enlargement of the heart (the development of severe dilation of the heart).

With the defeat of the myocardium due to viral infections often develop pericarditis. Clinical symptoms of the disease should be evaluated together with the changes in the electrocardiogram. This is especially important when handling older patients complaining of persistent pain in the heart. Ischemic changes in the heart can be confirmed based on the ECG data.

Severe pain is a consequence of endocrine diseases, dishormonal states. It is necessary to eliminate the pathology of the thyroid gland The thyroid gland - is responsible for your hormones   (especially hyperthyroidism), as referred to cardialgia tireiodnoy clinical manifestations of disease. Dishormonal state lies at the heart of disorders of the heart in the climacteric syndrome in women. Pain in heart patients can last for weeks, months, or until set accurate diagnosis and is not assigned to the necessary replacement therapy. Characteristically, the pain occurs even at rest and at night, so you should exclude the presence of angina at rest Angina rest - invisible enemy . Associated symptoms can be called a variety of autonomic manifestations that significantly heavier conduct diagnostic activities.