Heart pain is the most common cause of referring to general practitioners, especially elderly patients. Asked about possible reasons  heart pain, the doctor focuses on the following: their appearance is influenced by an abnormal lifestyle with low physical exertion, frequent stress and body weight exceeding the norm. But discomfort  in the chest area does not always mean heart disease. It is necessary to differentiate diseases in which there is one and the same symptom - pain in the heart.

Causes of heart pain

The main causes of pain in the heart can be various diseases. Let's take a closer look at each case.

With this disease, the pain in the heart can be caused by an imbalance in the supply of oxygen to the heart muscle. It does not do enough because of the occurring disorders of the functions in the heart. The vascular occlusion in this muscle causes hypoxemia and a deficiency of substances necessary for the production of ATP. Here accumulate waste cellular metabolism. The vessels supplying the heart with blood are constricted due to the growth of smooth muscles and the accumulation of cholesterol crystals. In the future, this leads to injury of cardiac vessels. The higher the blood cholesterol level, the higher the risk of this disease.

Important! In order to prevent the occurrence of coronary heart disease is very important - maintaining a sparing diet, fighting obesity, performing physical exercises and using popular natural remedies to maintain normal metabolism.

People over 40 need to regularly monitor their pressure. Because high blood pressure  also predisposes to the occurrence of this disease, as well as high cholesterol. To reduce blood pressure  measures are taken, similar to those in reducing cholesterol in the blood.

The risk of ischemia among smokers is increased by 50%. They have elevated levels of carbon monoxide in the blood, and this contributes to damage to the blood vessels. Women at risk are also at risk diabetes mellitus.

Important! Unfortunately, the disease is irreversible. All therapeutic measures can only alleviate the condition and prevent its progression.

Coronary artery disease is divided into two types of diseases - angina and myocardial infarction.

Heart pain with angina occurs in two cases:

The last pains are more insidious. If the pain in the heart does not disappear after taking nitroglycerin, it is imperative that you call an ambulance team.

More severe form of angina pectoris is myocardial infarction. Pain associated with the fact that the blood vessels constrict and do not allow blood to circulate normally in the heart muscle.

This is a chronic disease characterized by high blood pressure. Although there are no strict parameters of normal pressure, but international studies have found that normal systolic pressure is not higher than 139, while diastolic pressure does not exceed 89 mm. At higher values ​​of these indicators can be understood as a tendency to hypertension.

Although it is sometimes asymptomatic, it can be a cause of serious complications if it is not treated. It may manifest as a pressing pain in the region of the heart. This is a very complex disease that can cause death. Hypertension causes the development of diseases of the heart and blood vessels. Including damage to the blood vessels of the brain and kidneys, causing pain in these organs.

Men are more likely to get hypertension, however, women at menopause also have a predisposition to increase blood pressure, because at this time they lose the hormone that affects the normalization of pressure.

In 90% of cases, the cause cannot be established. Therefore, it is believed that this disease has a hereditary predisposition. Only from 5 to 10% the occurrence of hypertension comes from psycho-emotional stress.

Remember! When treating hypertension, there is less chance that it will cause complications.

Myocarditis

Myocarditis is medical term, which indicates inflammation of the myocardium, which is part of the muscles of the heart. This is usually due to a viral or bacterial infection, and is characterized by:

• chest pain in the heart;
• sudden signs of heart failure;
• sudden death.

In this disease there is discomfort in the retrosternal part.

Usually the disease manifests itself chest painwhich is difficult to distinguish from sensations in other heart diseases. Sometimes heart rhythm is disturbed and heart failure is felt. But some patients do not show specific symptoms of the disease. There is only fatigue, malaise, heart palpitations, shortness of breath.

In 60 percent of the occurrence of myocarditis precede colds  upper respiratory tract. Myocarditis is established, primarily during the electrocardiogram.

Heart disease

This term is used to describe the changes in the large vessels of the heart that form before birth. Most of these processes occur as a result of a defective embryo, during the formation of the cardiovascular structure. When the changes are very serious they are not compatible with intrauterine life. But many irregularities in the development of the heart become apparent only after birth. Heart pain can be caused by this disease and manifest as pulling pain.

According to experts, this pathology manifests itself in 8-10 cases per 1000 births. Such deviations are not always hereditary. Scientists have found that some heart defects are characteristic of men, others for women.

Important! Sometimes pathological changes can be detected immediately after birth, but in some cases they are detected only in adulthood, when patients treat with pain in the chest. It has been established that some defects of the heart do not bother the person at all.

Modern methods of treatment of heart disease allowed to extend the life of many children. Most of them are surgical interventions that are accompanied by good results.

The disease is more often diagnosed in young women. At the same time, the relationship between the activity of the respiratory system and the nervous and cardiovascular systems is disrupted.

The problem of the cardiovascular system, along with swelling of the face in the morning and pulsation of blood vessels in the neck and head, causes pain in the heart. They can be described as stabbing and aching.

The respiratory system in this disease has symptoms such as the inability to stay in an un ventilated room, a feeling of a lump in the throat with fear of suffocation, and a feeling of being unable to take a deep breath. Nervous system problems are expressed by this type of fainting and dizziness.

Note!Such diseases are treated with the help of restorative methods with the rejection of bad habits that adversely affect the body.

Arrhythmia

At the same time, the heart rhythm can be disturbed both in the direction of increase and decrease. By reducing the rhythm, improper production of pulses occurs, which can lead to loss of consciousness. A fast rhythm can cause more serious disturbances and even be fatal.

With more than 100 heartbeats per minute, it is believed that this is tachycardia, and if less than 60, bradycardia. Heart palpitations may occur with the abuse of some drugs. Bradycardia occurs with conduction disorders, the so-called heart block, causing pain. There is also an irregular heartbeat for arrhythmias.

Important! Arrhythmia can also cause heart pain!

Osteochondrosis

The disease belongs to orthopedic diseases. This stops the flow of blood to the bone. This can ultimately lead to necrosis. bone tissue  and even disability. Arthrosis may also occur. As a result, the cartilage tissue forms a thick abnormal layer, and since it does not have its own blood vessels, it penetrates into the deeper layers and then disintegrates, destroying the joints.

Important! At subsequent stages of the development of the disease may appear pressing pain in the chest.

Neurosis

This disease causes neurotic imbalance, but does not interfere with rational thinking and the existence of individuals in society. The disease does not belong to the mental. But in some cases it is referred to as a combination of mental disorders resulting in anxiety. This can be expressed in low ability to adapt to the environment, inability to change their models of life.

Do not forget! With this disease, pain in the chest area can occur. If these pains will be prolonged in nature, then you need to consult a doctor.

As you can see the cause of pain in the heart can be a variety of diseases. Therefore, do not panic, be examined and establish a diagnosis.

Heart pain is associated with a lesion. internal organs, bone and cartilage structures of the chest, myofascial syndrome, diseases of the spine and peripheral nervous system or psychogenic diseases. Torakalgiya can be a manifestation of angina pectoris, myocardial infarction, mitral valve prolapse, dissecting aortic aneurysms, pulmonary embolism, pleurisy, pneumonia, malignant neoplasm  lung, diseases of the gastrointestinal tract (stomach ulcers or duodenal ulcer, pancreatitis or pancreatic cancer, cholecystitis), diaphragmatic abscess.

Between the severity of pain in the heart and the seriousness of the cause that caused it, only a slight dependence was noted.

Coronary heart disease.

Myocardial ischemia (angina pectoris). Feeling of pressure behind the sternum with typical irradiation in left hand; usually with physical exertion, often after eating or due to emotional stress. The effect of nitroglycerin and rest is diagnostically significant.
  - Acute myocardial infarction. Feelings are close to those described for myocardial ischemia, but more intense and longer (approximately 30 minutes), rest or nitroglycerin do not eliminate them. Often there are III and IV heart tones.

Non-coronary heart disease.

Myocarditis.
  Heart pain occurs in 75-90% of patients with myocarditis. As a rule, it is a pressing, aching or stabbing pain, most often in the region of the heart. Relationship with physical activity is not observed, sometimes there is an increase in pain in the days following the load. Nitrates do not stop pain. There is no clear connection between ECG changes and pain.

Pericarditis.
  Heart pain with pericarditis is one of the leading signs of the disease, but pain has certain features. Most often, the pain in pericarditis occurs only at the onset of the disease, when pericardial leaf friction occurs. With the appearance of a significant amount of fluid in the pericardial cavity or adhesion of the cavity, the pain disappears, and therefore the pain syndrome is short.

In acute dry pericarditis, pain is most often localized in the area of ​​the apical impulse, but it can also extend to the entire precardiac region. Less commonly, pain is noted in the epigastrium or in the hypochondrium. Irradiation of pain in the left arm, shoulder, shoulder blade is not typical for pericarditis. At the same time, irradiation to the right half of the chest and right shoulder. By the nature of the pain can be dull, aching, or, conversely, acute, cutting. A characteristic feature of pericardial pain is dependence on breathing and body position. Breathing is often shallow due to increased pain during deep breathing. Sometimes patients are forced to take a forced position (sit, leaning forward).

Cardiomyopathy.
  Pain syndrome is found in all patients with cardiomyopathy, but it is most characteristic of hypertrophic cardiomyopathy.

The nature of pain in cardiomyopathy undergoes certain changes as the disease progresses. Most often, atypical pain initially occurs (not associated with physical exertion, prolonged, not relieved by taking nitroglycerin). The nature and localization of this pain can vary widely enough. Typical strokes, as a rule, is not observed. Often there are episodic painful attacks, provoked by the load (more often - walking), at the same time the main background or the most typical is spontaneous pain, to some extent stopped by nitroglycerin, but not as clearly as with typical angina.

Acquired heart defects.
  Severe myocardial hypertrophy contributes to the development of relative insufficiency of the coronary circulation and metabolic disorders in the myocardium. Due to the fact that acquired heart defects are the most common cause  myocardial hypertrophy, pain in the precardiac region is characteristic of this pathology.
  Most often, pain in the heart is noted in aortic defects.

Mitral valve prolapse.
  The pain in the heart in this pathology is prolonged, aching, oppressive or pressing, not stopped by nitroglycerin.

Myocardial dystrophy.
Clinical manifestations  myocardial dystrophy are few and at the same time quite diverse. Pain in the precardiac area is often observed and is diverse.

Arterial hypertension.
Hypertension and symptomatic hypertension are often accompanied by a variety of pain in the precardiac region. There are several options for pain. First of all, it is pain with an increase in blood pressure caused by excessive tension in the walls of the aorta and stimulation of the mechanoreceptors of the left ventricular myocardium. Usually it is long it's a dull pain  or a feeling of heaviness in the heart.

Neurocirculatory dystonia (NDC).
  Heart pain is a fairly common symptom of NDC. There are 4 types of pain:

1. Simple cardialgia - aching or aching pain in the apical or precardiac region, mild or moderate, lasting from several minutes to several hours, is detected in 95% of patients. Angioedema cardialgia (in 25% of patients) is a paroxysmal, relatively short-term, but often repeated during the day, compressing or pressing pain of different localization, passing mainly independently, but often relieved by Votchala drops, validol, nitroglycerin. May be accompanied by anxiety, a feeling of lack of air, quickened by the pulse. Not accompanied by ischemic ECG changes. At its core is probably a disorder of the tone of the coronary arteries and hyperventilation.

2. Pristupoobraznyy protracted cardialgia (cardialgia vegetative crisis) - intense pressing or aching pain in the heart, not relieved by the use of validol and nitroglycerin, accompanied by fear, tremors, palpitations, shortness of breath, increased blood pressure. It is usually stopped by sedatives in combination with ß-blockers. It happens in 32% of patients with severe NDC. In the pathogenesis of hypercatecholaminemia caused by psychogenic crises or dysfunction of the hypothalamus.

3. Sympathetic cardialgia - burning or burning pain  in the precordial or parasternal area, hyperalgesia is almost always accompanied by intercostal space palpation. The pain is not stopped by taking nitroglycerin, validol and valocordin. The best results are given by mustard plasters on the heart area, irrigation with chloroethyl, acupuncture. It happens in 19% of patients. The cause is probably irritation of the heart sympathetic plexus.

4. Pseudostenocardia of tension (false angina) - a pressing, aching, compressive pain in the heart or behind the sternum, arising or increasing during walking, physical exertion. Detected in 20% of patients. Probably, its cause is inadequate hypertension in physical stress with its inherent disorder of myocardial metabolism.

What diseases cause heart pain:

Heart pain associated with neurological diseases.

Pain syndrome in the heart is caused by various neurological diseases. First of all, these are diseases of the spine, anterior chest wall and muscles of the shoulder girdle (osteochondrosis of the spine and various musculo-fascial syndromes), in addition, cardialgia is distinguished in the structure of psycho-vegetative syndrome.

Characteristics of various pain syndromes in diseases of the spine and muscles:

Muscle-fascial or costal-vertebral pain (not visceral) syndrome:
  1. Quite a constant localization of pain.
  2. The unconditional connection of pain with the tension of the corresponding muscle groups and the position of the body.
  3. Low intensity of pain, absence of concomitant common symptoms in a chronic course or a clear onset of onset in acute injury.
  4. Clear data of palpation, allowing to identify the pathology: local pain (limited) on palpation of the corresponding muscle groups, muscle hypertonus, the presence of trigger points.
  5. Reduction or disappearance of pain at various local influences (mustard plaster, pepper plaster, electro-or acupuncture, massage or electrophysiological procedures, infiltration of the trigger zones with novocaine or hydrocortisone).

Radicular pain syndrome (including intercostal neuralgia):
  1. Acute onset of the disease or a clear exacerbation in chronic course.
  2. Preferential localization of pain in the area of ​​the corresponding nerve root.
  3. A clear connection with the movements of the spine (with radicular pain) or the body (with neuralgia).
  4. Neurological symptoms of the cervical or thoracic sciatica.
  5. Sharp local pain in places of intercostal nerve exit.

Osteocondritis of the spine.
  This is a degenerative-dystrophic lesion of the intervertebral disk, in which the process, starting more often in the pulpal nucleus, progressively spreads to all elements of the disk with subsequent involvement of the entire segment (the bodies of adjacent vertebrae, intervertebral joints, ligaments). Degenerative changes in the spine lead to a secondary lesion of the nerve roots, which causes pain in rib cage. The mechanism of pain is associated with compression of the spine by a displaced intervertebral disc with symptomatology of the cervicothoracic sciatica, inflammatory changes in the nerve roots, irritation of the border sympathetic chain, accompanied by vegetative disturbances along with pain.

Character pain syndrome in osteochondrosis of the cervical spine may be different and depends on the location of the lesion, the degree of compression of the roots. Radicular pain can be cutting, sharp, shooting. It is enhanced by straining, coughing, bending and turning the head. With the defeat of the root C6 worried about the pain in the arm, extending from the shoulder girdle on the outer surface of the shoulder and forearm to the I-II fingers, hyperesthesia in these areas, hypotrophy and reduced reflexes from the biceps of the shoulder. In case of compression of the root of C7, the pain spreads over the outer and back surfaces of the shoulder and forearm to the third finger. The spread of pain along the inner surface of the shoulder and forearm to the IV-V fingers is characteristic for the lesion of the root of C8. In osteochondrosis of the thoracic spine, pain, as a rule, is first localized in the spine and only then develop symptoms of thoracic sciatica. Pain syndrome is associated with movement, triggered by the rotation of the body.

Muscle-fascial syndrome occurs in 7-35% of cases. Its occurrence is provoked by soft tissue injury with hemorrhage and serous-fibrous extravasates, pathological impulses with visceral lesions, and vertebral factors. As a result of exposure to several etiological factors, a muscular-tonic reaction in the form of hypertonicity of the affected muscles develops. The pain is caused by muscle spasm and impaired microcirculation in the muscle. Characterized by the emergence or increase in pain with a reduction in muscle groups, the movement of arms and torso. The intensity of the pain syndrome can vary from discomfort to severe pain.

Anterior chest wall syndrome is observed in patients after myocardial infarction, as well as in non-coronary heart disease. Perhaps it is associated with the flow of pathological impulses from the heart along segments of the vegetative chain, leading to dystrophic changes in the corresponding formations. In some cases, the syndrome may be due to traumatic myositis. Palpation revealed diffuse soreness of the anterior chest wall, trigger points at the level of the 2nd-5th sterno-costal articulation. In case of scapulohumeral periarthritis, pain is associated with movements in the shoulder joint, trophic changes of the hand are noted. Scapular-rib syndrome is characterized by pain in the area of ​​the scapula with subsequent spread to the shoulder girdle and neck, the lateral and anterior surface of the chest. In case of interscapular pain syndrome, pain is localized in the interscapular region, and static and dynamic overload contributes to its occurrence. The syndrome of the pectoralis major muscle is characterized by pain in the region of the III-V rib along the sternoclavicular line with possible irradiation to the shoulder.

With Tietze syndrome, there is a sharp pain at the junction of the sternum with the cartilage of the II-IV rib. The genesis of the syndrome is possibly associated with aseptic inflammation of the costal cartilage. Xyphoidia is manifested by a sharp pain in the lower part of the sternum, aggravated by pressure on the xiphoid process. When manubriosternal syndrome revealed a sharp pain over upper part  sternum or lateral. Scalenus syndrome due to compression of the neurovascular bundle upper limb  between the front and middle scalene muscles, as well as the normal I or additional rib. At the same time, pain in the anterior chest region is combined with pain in the neck, shoulder joints. At the same time vegetative disturbances in the form of chills and pallor of the skin can be observed.

Psychogenic cardialgia is a frequently occurring variant of pain in the heart, which consists in the fact that the pain phenomenon itself, being leading in the clinical picture at some stage of the disease, is simultaneously in the structure of various affective and autonomic disorders pathogenetically associated with heart pain. The pain is most often localized in the apex of the heart, the precardial region and the region of the left nipple. Possible "migration" of pain. There is a variability in the nature of pain. It may be aching, stabbing, pressing, squeezing, burning or throbbing pain, more often it is wavy, not stopped by nitroglycerin, at the same time it may decrease after validol and sedatives. The pain is usually long lasting, but short-term pain is also possible, which requires the exclusion of angina.

It will be a question of such a fairly common problem in society as pains arising somewhere in the region, the intended location, the heart, the diagnosis of such problems and their treatment. In general, the pain felt in the area of ​​the location of our heart today is the most common symptom in society, both in terms of the frequency of its occurrence and in the degree discussed among people.

Unpleasant discomfort in the heart and pain in this area usually cause the greatest anxiety among people and pay more attention to themselves, if only because this symptom concerns almost the most important organ in the human body.

At the same time, the heart (or its location) always hurts in completely different ways, while many people may experience sharp punctures, severely pressing, simply aching, pulling, or of a different nature. pain sensationswhich besides other also strongly frighten the patient. Note that the localization of such pain can also be different.

For example, sometimes heart or seemingly heart pain can be felt on relatively small, modest areas of the body, sometimes they can spread over almost the entire chest area, sometimes pain can be given (irradiate) to the left arm or shoulder, directly to the neck. under the scapula and in some cases even in the abdominal area.

Most often, the duration of this kind of heart pain "attacks" can vary from a minimum of a few minutes to two or even three hours. In some cases, patients may experience heart pain for several days. Unfortunately, even a banal change in body posture, a change or restructuring of breathing, simple hand movements can sometimes, as initially provoke heart pain, help to get rid of it completely.

However, it should be understood that not every pain that patients themselves can describe to doctors as a heart pain, in reality will be such. It is important to say that our rib cage has a mass of nerve fibers or endings, several large nerve plexuses, which means that when they are irritated, pain may well appear that are very similar to heart pain. And nevertheless, in reality, it is the pain felt in the heart region that often causes the patient to turn to doctors and sometimes becomes the main or even the only complaint in a variety of diseases.

There are a lot of real reasons why the heart region or the heart itself can hurt. For example, acute (and even emergency, requiring resuscitation) conditions that require the most rapid response and urgent treatment can become the causes of such pains felt in the heart region.

But, along with this, less dangerous chronic diseases and syndromes that can last in the body for years can become the causes of pain in the heart area. Moreover, it is not at all necessary that diseases or pathologies of this vital organ be the cause of pain or discomfort in the heart area.

It is probably in this connection that the pain in the region of the heart (often called simply chest pains of varying intensity) is conventionally divided into:

• pain in the heart of the true nature.
• And the so-called cardialgia, which can be considered symptomatic of completely different diseases that have nothing to do with the heart.

In addition, one can not say that the most accurate (correct) diagnosis of the real root causes of certain unpleasant or painful sensations in the heart area (chest) usually helps a lot to find the best treatment for a particular patient. It is timely accurate diagnosis will help as soon as possible to begin to conduct effective treatmentAfter all, many of the cardiac pathologies may even require emergency assistance.

Symptoms of pain in the heart

Suspect heart problems and understand that in a particular case, it hurts the heart, you can notice the following most obvious signs:

• The development of shortness of breath.
• The occurrence of severe dyspnea even with minimal exertion.
• The feeling of either partial or even complete lack of oxygen, the appearance of a feeling that there is not enough air.

It should also be noted that when receiving physical or psychological stress, all the above symptoms of pain in the heart region can manifest themselves most clearly. Conversely, in a state of complete rest, such sensations can usually diminish.

For example, in people with stress, shortness of breath may increase, since blood in the lungs stagnates somewhat, and the indicator of pressure in the pulmonary capillaries always increases. In the same case, when the human body is completely calm, painful or just uncomfortable sensations in the heart area always weaken, since the need for a sharp increase in blood circulation (as is the case with emotional or strong physical exertion) simply disappears.

Causes of pain felt in the cardiac area of ​​the heart

It should be understood that in almost half of all cases, the occurrence of burning or aching, sharp or stabbing pain in the heart, is associated with their own heart diseases, which in turn could be divided into two separate groups:

• The group of coronarogenic lesions of the heart, with the occurrence of anginal pain, which is commonly referred to diseases such as myocardial infarction, acute angina and acute or chronic ischemic heart disease. Pain in such ailments can often occur in direct connection with physical exertion. Such painful sensations are also due to the fact that certain parts of the myocardium (one of the membranes of the heart) begin to be supplied much worse with arterial blood saturated with oxygen. This condition is often called ischemia, and it occurs most often due to the development of atherosclerosis of the large coronary arteries. With a similar pathology, a person begins to feel an unpleasant pressing, sometimes burning, often constricting pain with a paroxysmal character, pain that, among other things, can give somewhere in the area of ​​the shoulder blades or in the left hand. There are also seizures, when one or another heart disease and, in particular, pain in the heart, is accompanied by a strong sense of fear. As a rule, such attacks can last from a minimum of two or four and up to a quarter of one hour.
• The group of non-coronarogenic lesions, to which it is customary to attribute such diseases as pericarditis of different etiologies, such as cardiomyopathy, as the same myocarditis or the defects associated with the mitral and aortic valves. In such situations, a person may feel much longer aching or pressing pain in the heart area. In particular, such pains can be aggravated by coughing, with a simple deep breath, as well as with an elementary sharp change in body posture. In these diseases, pain relief can bring medicationwith a good analgesic and sedative effect.

In the case of pain in the chest, resembling the heart more, it is important to remember that to determine as accurately as possible for what reason the heart or its area hurts, only a qualified doctor can. Moreover, it may be a doctor who will rely solely on the facts: on the data of the collected history, on the information obtained in the course of certain diagnostic studies, such as, say, ECG or echocardiography.

Chest pain in the chest of non-cardiac origin

It’s impossible not to say that quite often the pain felt somewhere in the heart region can be in no way associated with almost any heart disease. Such pains can be caused by a completely different nature of problems, emergency conditions or diseases. So this type of non-cardiac causes of pain in the chest can be:

• Banal heartburn. As a rule, in the case of heartburn, the occurrence of burning sensations in the chest is associated with the next meal. These conditions can occur when the acidic environment of the gastric juice spontaneously falls directly into the esophagus, which ultimately leads to rather unpleasant consequences. Most often, this symptom associated with heartburn may occur if, after eating, the patient is in a prone position or is performing a series of tilts that squeeze the stomach.
• Certain panic attacks. These states represent no more than one form of acute disorders of the full functioning of our autonomic nervous system. With this pathology, attacks of completely irrational fear can be combined with respiratory disorders (it can increase), palpitations (arrhythmias, etc.), the development of profuse sweating, and of course chest pains very similar to heart pain.
• The state of acute or chronic pleurisy. It is believed that due to the development acute inflammation  membranes lining our chest from the inside and covering our lungs, as a result, you may feel that it is the heart that hurts. In this case, the pain is quite acute, sharply aggravated by coughing, or simply with a strong, sharp exhalation.
• A disease like Tietze Syndrome. This disease is directly associated with the development of inflammation of the cartilaginous parts of our ribs, which attach directly to the sternum. Intense painful sensations  imitating heart pain may well develop suddenly. The intensity of such pains can be so significant that the condition often imitates a standard acute attack of angina. This is a condition in which pressing on the sternum, as well as on the ribs near it, leads to a sharp increase in pain, which can never occur in any heart disease.
• The state of osteochondrosis with the location of the problem in the thoracic and cervical spine. This disease often leads to the development of acute vertebral cardialgia, which in turn is characterized by feelings of heart pain, which actually manifests itself quite intense and often very long pains directly behind the sternum, and more often in the left side of the chest. In some cases, there may be an irradiation of such pain somewhere in the interscapular region or even in the hands;
• The development of embolism in the pulmonary artery. Just want to note that this condition is very dangerous for the life of the victim. This condition can be characterized not only by a pain syndrome with localization in the heart region. Usually with the development of an embolus, sudden dyspnea and a sharply increased heart rate may appear. Quite often, this condition is accompanied by the emergence of feelings of strong anxiety, often a person loses consciousness in a short period of time.
• Some diseases of the muscular tissues of the chest. With such a pathology, pain can often begin to be disturbed rather with an elementary raising of the arms upwards, with careless corners of the body when bending, etc. However, after confirming the diagnosis of fibromyalgia (the so-called chronic pain syndrome), sharp painful sensations localized in the chest (heart area) can be worn and permanent.
• Various kinds of infringements of nerve endings and mechanical damage  ribs. Among practitioners, it is believed that if certain nerve roots that are responsible for the work of our chest are pinched, as well as bruises, fractures and other injuries to the bones of our chest, pain occurs. imitating heart pain. Note that given the state of pain can often be very strong.
• Shingles disease. This is an infection that is caused by an extremely unpleasant and unpredictable herpes virus. The disease, among other things, is capable of affecting certain nerve endings, and as a result, this leads to a sudden appearance of rather sharp pains  directly in the chest. In this case, a sick person may feel that his heart is openly sore, sometimes these patients feel uncomfortable discomfort and pain with a so-called shingles.
• Certain diseases affecting the pancreas or gallbladder. For example, acute forms of pancreatitis or cholecystitis may well, in certain situations, cause pain that is localized closer to the upper abdomen, which can be given to the heart or other chest organs.

If you have a heart area and, in particular, if pains are felt over a rather long period of time, the first thing that really needs to be done is to seek advice from specialists in your business, to physicians.