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  Why does heart ache in the evening? Some features of pain in heart diseases. What if my heart hurts at night?

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My heart aches - probably, every person utters this phrase at least once in his life, mechanically rubbing the region of the sternum or the left side of the chest, where uncomfortable sensations arose. We instinctively protect our most important vital organ, so the pain in the heart, never goes unnoticed and causes serious anxiety - even if it is not too strong. Among the reasons for seeking medical help, pain in the area where the heart is located is in first place in frequency.

What are heart pains? Perhaps, in this case, the symptoms are the most diverse:

  • stitching, aching, pulling, squeezing pains, burning sensation, pressure, piercing colic;
  • localized pain can concentrate on a small area, cover the entire rib cage, radiating to left shoulder  or the whole arm, to give under the scapula, in the neck and even in the lower jaw, to descend into the stomach;
  • for the duration of the pain in the heart can be limited to a few minutes, hours or exhaust a person for several days;
  • the pain can be of a constant nature and intensity, or it can change with the movement of the body, hands, turning of the shoulders, while breathing;
  • pain may occur during physical exertion or emotional stress, at rest, associated with the process of eating.

Why does the heart hurt? The reason may lie in the presence of human heart disease:, myocardial infarction, inflammatory processesaffecting the heart itself and the shell. No less often, discomfort in the heart zone is caused by diseases of other organs; this happens if the spinal column in the thoracic region and the rib, the gastrointestinal tract are affected, there are signs of neurosis, etc.

Heart pain: classification of causes

Heart pain is the most frequent reason to call an ambulance or an immediate visit to the doctor. By genesis, physicians distinguish two large groups of heart pains:

  • angiotic patients who are diagnosed with coronary artery disease on different stages  the course of the disease;
  • cardialgia arising on the background of inflammation, congenital diseases or heart disease, as well as the IRR (vegetative-vascular dystonia).

Angiotic pains in the heart are associated with insufficient blood supply to the myocardium; they are also called ischemic or angina pectoris. They are usually paroxysmal in nature and occur during physical exertion or stress, that is, when there is a need for increased blood flow; to relieve pain, it is usually enough for a person to calm down, relax, and take medicine. Most often, angiotic pain is felt as a burning sensation, pressure, constriction; it occurs in the chest region, radiating to left hand, shoulder, mandibular region. May be accompanied by a disturbed breathing pattern, a feeling of lack of air (shortness of breath). If the patient has a very strong pain in the region of the heart, he complains of burning, tearing, compressing or pressing sensations - it is necessary to suspect a myocardial infarction in acute stage  and provide urgent medical care.

The cause of cardialgia is a heart disease of a rheumatic nature, an affected heart muscle (myocarditis), and inflammation of the pericardium (pericardium). The patient complains that his heart aches for a long time: stabs, aching, painful sensations  spread on the left side of the sternum, aggravated by coughing and simply with deep breathing. Taking painkillers may bring some relief.

"Non-cardiac" causes of heart pain

Another large group of reasons why a person has a heart ache is in no way connected with the heart itself; in these cases, the pain is provoked by damage to other organs.

  • The pain in the heart zone can be caused by chest radiculitis (or intercostal neuralgia), as well as by the pathologies of the costal cartilages. Such pain increases or subsides when a person bends, turns the body, breathes deeply, moves hands. Standard "heart" drugs in this case do not affect the intensity of the pain syndrome.
  • Spreading through the intercostal spaces quite strong pain  may be the first symptom infectious disease  Herpes zoster -.
  • In patients with neuroses, they also often hurt the heart; seizures occur periodically, do not last long, are localized in a small area. Patients define their condition as "stabs in the chest", "aching", or find it difficult to characterize sensations.
  • If a person is in a stressful or depressed state, he may experience pain localized in the neck and shoulder area. The fear that a “heart attack” begins is usually only aggravating the condition; in fact, such pain is associated exclusively with muscle tension, and any cardiologist can explain this to the patient.
  • Swollen intestines can also cause pain in the heart: physical pressure causes certain heart functions to fail.
  • It happens that the pain in the heart area due to diseases of the stomach and pancreas. In this case, a person can trace a clear dependence of pain on the reception of a particular food or from hungry periods.
  • Pain in the heart can occur when the curvature or weakening of the spine in the thoracic region, the infringement of the nerve root (heart nerve), etc.

What if heart hurts?

First of all, contact a specialist (cardiologist, cardiac surgeon) and meticulously undergo a prescribed examination to determine the causes of pain in the heart.

What methods are used today in the study of cardiac activity? There are a lot of them, and the specific diagnostic kit in each case is determined by the attending physician.

  • The well-known ECG - cardiogram removal - is a mandatory method for any suspicion of heart disease. Stress-ECG is also widely used - recording of data during physical exertion (usually it is velometry or treadmill test), as well as Holter ECG (when the electrocardiogram is removed during the day). / li\u003e
  • Often the doctor prescribes a graphic registration of heart tones and noises (phonocardiography), a study of the valves and muscles of the heart, as well as the speed of blood flow in the cardiac cavities using ultrasound waves (echocardiography). Coronary arteries are studied using the radiopaque method (coronary angiography). How well the myocardium is supplied with blood can be determined by radionuclide diagnostics (scintigraphy).
  • To exclude lesions of other organs as the cause of heart pain, patients are prescribed spinal examination (x-ray, computed tomography, MRI), consultations with an orthopedist, neurologist, gastroenterologist, and even a psychotherapist.

Experienced cardiologists know that some (and fairly accurate) conclusions can be made by carefully listening to the patient. When a person paints in detail his feelings, he keeps and shows to the doctor a kind of diary of the origin and nature of pain in the heart area - most likely, the heart itself has nothing to do with it. Also, the “external” source of pain is indicated by the reports of patients about different duration of attacks, a strong and very disturbing heartbeat - of course, if a person has not found heart failure. But if the patient perfectly remembers all his pain, but describes them sparingly and reluctantly - there are great chances to diagnose a serious heart disease.

In any case, remember: the most important thing to do if your heart hurts is to consult a cardiologist and give him the right to make conclusions about your health.

After the diagnosis is established, the cardiologist will prescribe a course of treatment that must be completed in full. This may be a few procedures at the manual therapist (if the pain in the chest is not associated with heart disease), or urgent angioplasty or other surgical intervention necessary to save your life.

Remember, if you experience burning, pulling, stitching, or aching pains in the heart during stress, coughing, movement, or simply periodically, if you have a sore or aching in the heart area, only a specialist can find out the reason.



Heart pain (cardialgia) - a non-specific symptom that manifests itself as sharp or aching pain sensations  in the chest, different in duration and intensity. It should be noted that the manifestation of such a clinical picture does not always indicate cardiac problems. Pain in the heart can be both physiological and psychosomatic in nature. No less important is where the heart hurts. Therefore, treatment should be prescribed only by a doctor, after a comprehensive examination and identification of the etiology of the disease.

Etiology

Cardiological causes of heart pain include the following diseases:

  • injuries;
  • tumors;

Also, pain in the heart can be caused by gastroenterological pathologies. In this case, the following should be highlighted:

  • ulcer perforation;
  • malignant tumors;
  • toxic poisoning;
  • gastric bleeding, which is provoked by trauma or exacerbation of a certain pathological process.

In addition, the causes of heart pain may be in the following pathological processes:

  • effects of toxic substances on the body - chemicals, nicotine, drugs, alcohol;
  • pulmonary pathology;
  • muscle damage;
  • mediastinal pathologies;
  • breast pathology (in both men and women);
  • pathological processes that affect the bones;
  • pathologies of large vessels -,.

Separately, it is necessary to highlight the psychological factor. Stitching or pressing pain in the heart can be psychosomatic in nature, be a consequence of severe stress or prolonged nerve strain. In any case, pain in the region of the heart of a prolonged nature requires consultation. You cannot take pills for heart pain by yourself (without a doctor's prescription). This can lead not only to complications, but also to death.

Symptomatology

In this case, it is impossible to single out a single clinical picture, since each type of pain is a symptom of a certain pathological process.

A stabbing pain in the region of the heart may indicate blood flow disorders,.


The clinical picture, in this case, may have such signs:

  • pain in the heart when you inhale worse;
  •   short nature;
  • breathing is lost even with minimal physical activity;
  •   which intensifies at night or at rest.

The aching pain in the heart often has a psychosomatic etiology. However, only a doctor can determine this factor accurately after an examination. Symptoms, in this case, may be supplemented by the following symptoms:

  •   mood swings;
  •   - a person may suffer from or, on the contrary, feel the need for sleep all the time;
  • headache;
  • periodical aching pain in heart, aggravated after nervous overstrain.

The presence of such a clinical picture, just as in other cases, requires an appeal to a doctor. If the psychological factor is confirmed, the cardiologist will refer the patient to the neuropsychiatrist.

Severe pain in the heart clearly indicates the development of a serious pathological process. In this case, the clinical picture may have the following symptoms:

  • unstable arterial pressure;
  • pain in the heart when inhaling increases and can be felt all over the chest;

The presence of such a clinical picture requires immediate treatment. Delay or neglect of such symptoms can be fatal.

Clinicians say that quite often blunt pain  in the region of the heart is due. In this clinical case, the following symptoms may occur:

  •   and numbness of the upper limbs;
  • pain gives to the left hand;
  • pains are aggravated by turning the head, the body, raising the arm or the load on the spine;
  • the nature of the pain is sharp and gradual.

Pain in the heart with osteochondrosis can develop into chronic, so you should promptly seek medical help for complex treatment.

Diagnostics

Why a heart ache can only be told by a doctor after an examination and an accurate diagnosis. Initially, a detailed physical examination is carried out with clarification of complaints and anamnesis of the disease. During the initial examination, the doctor must find out the following:

  • how the heart hurts - localization, nature of pain, duration;
  • what additional symptoms are present;
  • conditions of pain in the heart (when taking medication, after exercise, after illness, and so on).

For accurate diagnosis, the doctor prescribes laboratory and instrumental methods of examination. The diagnostic program may include the following:

  • general blood and urine tests;
  • biochemical blood examination;
  • fluorography of the chest;
  • Echocardioscopy;
  • bicycle ergometry;


Find out why it hurts in the heart, can only be a doctor, after receiving the results of the survey and etiology. Based on this, treatment is prescribed.

Treatment

Elimination of giving, pressing or stitching pain in the heart area at home or by means of traditional medicine  is impossible. In the event that such a symptom is due to a psychological factor, outpatient treatment is possible. In general, the question of hospitalization of the patient is decided only by the doctor, after an accurate diagnosis.

In this case, there is no single picture of treatment for the disease. Depending on the pathological process that provoked this symptom, basic therapy is selected. However, it should be noted that regardless of the etiology, the patient needs rest and exclusion of nervous overstrain.

Prevention

There are no specific preventive measures. In general, it is necessary to monitor your physical and psychological health, to undergo a preventive medical examination in a timely manner and not to self-medicate.

"Pain in the heart" is observed in diseases:

Withdrawal syndrome is a complex of various disorders (most often on the part of the psyche) arising on the background of a sharp cessation of alcohol, drug or nicotine intake in the body after prolonged use. The main factor that causes this disorder, is the body's attempt to independently achieve the state, which was with the active use of a substance.

Aortic insufficiency is a pathological process in the heart, which is characterized by incomplete overlap of the aortic orifice with mitral valve leaflets. This means that a gap is formed between them, which, in turn, leads to a blood overflow in the left ventricle. It stretches, which makes it worse to perform its functions. This disease is the second most common heart disease and is often accompanied by narrowing of the aorta. Aortic valve insufficiency is more often diagnosed in males than in females. Depending on the factors of occurrence, this disorder can be primary and secondary. That is why developmental factors are congenital pathologies or diseases.

What is hypertension? This is a disease characterized by blood pressure indicators above the mark of 140 mmHg. Art. in this case, the patient is visited by headaches, dizziness and a feeling of nausea. Eliminate all the symptoms can only be specially selected therapy.

Borreliosis, which is also defined as Lyme disease, Lyme borreliosis, tick-borne borreliosis and otherwise, is a natural focal disease of the transmissible type. Borreliosis, the symptoms of which consist in damage to the joints, skin, heart and nervous system, is often characterized by a chronic as well as a recurrent self-current.

Vegetovascular dystonia (VVD) is a disease that involves the entire body in the pathological process. Most often, the peripheral nerves and the cardiovascular system receive a negative effect from the vegetative nervous system. Treat the disease must be mandatory, as in running form  He will give heavy consequences on all organs. In addition, medical assistance will help the patient get rid of unpleasant manifestations of the disease. In the international classification of diseases ICD-10, the IRR has the code G24.

Defect or anatomical abnormalities of the heart and vascular system, which occur predominantly during fetal development or at the birth of a child, are called congenital heart disease or CHD. The name congenital heart disease is a diagnosis that is diagnosed by doctors in almost 1.7% of newborns. Types of CHD Causes Symptomatology Diagnosis Treatment The disease itself is an abnormal development of the heart and the structure of its blood vessels. The danger of the disease lies in the fact that in almost 90% of cases, newborns do not live up to one month. Statistics also show that in 5% of cases, children with CHD die under the age of 15 years. Congenital heart defects have many types of abnormalities of the heart, which lead to changes in intracardiac and systemic hemodynamics. With the development of CHD, disturbances in the large and small circles, as well as blood circulation in the myocardium, are observed. The disease occupies one of the leading positions found in children. Due to the fact that CHD is dangerous and fatal for children, it is worth examining the disease in more detail and finding out all important pointswhat this material will tell about.

Ganglioneuritis is an inflammation of the nervous node of the sympathetic nervous system, accompanied by damage to the nerve processes. The underlying cause of this disease is the occurrence in the body of the infectious process in both acute and chronic form. In addition, there are several predisposing factors.

Gastroptosis is a disease in which the stomach occupies an anatomically abnormal position, much lower compared to the norm and in relation to other internal organs. Clinicians emit a large number of predisposing factors that can lead to the development of this disease, but they will differ depending on its form.

Hypertension is a chronic disease that is characterized by a persistent increase in blood pressure to high numbers due to dysregulation of blood circulation in the human body. Also used to denote this condition are terms such as arterial hypertension and hypertension.

Hypertensive crisis - a syndrome in which there is a significant increase in blood pressure. At the same time, symptoms of damage to the main organs - the heart, lungs, brain, etc. - develop. This condition is very serious and requires emergency care, because otherwise it can develop serious complications.

From this article you will learn: what diseases can be accompanied by pain in the heart area, can we learn from the characteristics of the pain, how the heart hurts, and how other organs hurt. Why do you need to pay attention to additional symptoms. What to do when heart pain has arisen and which specialist to contact.

The heart is a vital organ associated with all organs and tissues through the vascular and nerve plexus system. Therefore, pain in the area of ​​the chest where it is located, is always perceived as a signal of cardiac pathology. But it is only in 60–70% is such a sign. About 30–40% of pains are non-cardiac origin and are associated with the pathology of other systems.

It is possible to completely stop (relieve) heart pain, but this is not enough to get rid of the causative disease of which they are a symptom. In order to solve this problem, you need to contact a specialist who has the most knowledge about the origin of heart pain. This may be a cardiologist, a general practitioner or a family doctor.

Characteristics of pain in cardiac disease

The heart can hurt in different ways - it crushes, stabs, whines, burns, bakes; and with different strengths, from mild discomfort to intense, painful sensations. Localization can also be different, but always corresponds to the location of the heart: the region of the sternum, the left half of the chest and the areas near it (left half of the neck, shoulder, shoulder blade, paravertebral and interscapular region).

If presses

The most common pain that occurs in cardiac disease is pressing (at 95–99%). It indicates a violation of blood circulation in the coronary arteries, coronary artery disease and angina.


Its typical characteristics are:

  • It is provoked and amplified by any physical exertion, experience, or psycho-emotional stress.
  • It is localized clearly behind the sternum or to the left of it.
  • Can give in the left hand and spatula.
  • Accompanied by a feeling of lack of air, shortness of breath and weakness.
  • Passes at rest after the cessation of stress or taking nitroglycerin.

Similar manifestations are possible with inflammatory myocardial damage - myocarditis. To distinguish angina from inflammation will help additional criteria in the table.


  - A reliable sign of heart disease.

If it bakes

The pain behind the sternum or in the left side of the chest can be acute, burning. Patients say that their heart aches, as if it bakes, burns in the chest. Such characteristics of pain syndrome in 95-99% indicate a particularly dangerous cardiac pathology:

1. Myocardial infarction

  • Bakes behind the sternum and gives to the left half of the neck, shoulder blade, shoulder.
  • Occurs suddenly or after a preceding pressing pain, more often during physical or psycho-emotional stress.
  • Accompanied by a drop in pressure, sweating, the fear of death, severe shortness of breath.
  • Symptoms are not relieved by taking painkillers or nitroglycerin.


2. Pulmonary embolism

This is a blockage of the vessels of the lungs with blood clots that enter them from the veins of the lower extremities. According to the characteristics of pain and clinical manifestations  the disease is difficult to distinguish from myocardial infarction (they are almost identical).


3. Dissecting aortic aneurysm

With this pathology, a rupture of the anomalously expanded portion of the largest vessel of the body close to the place of exit from the heart occurs.


Burning pain similar to infarction, but:

  • rarely gives to the left half of the body;
  • accompanied by pain between the shoulder blades in the spine;
  • arises and intensifies after a previous episode of increased pressure.

With acute burning pain  in the heart, first of all, you need to think about the most serious diseases that can end in death if the patient is not provided with emergency care.

If it stabs

Stitching pain is not specific to, but in 20–25% may indicate them. It can be:

If a stitching sensations  associated with these diseases, they are:

  • permanent and do not depend on the position of the body or certain movements (turning or tilting the body, raising the arm);
  • may increase when walking or psycho-emotional stress;
  • accompanied by general weakness or irritability;
  • palpitations are spasmodic or disturbed;
  • may increase at the height of a deep breath.


About 80% stabbing pains  in the region of the heart - a symptom of conditions not associated with cardiological pathology.

If whining or discomfort

The aching pain and discomfort in the heart are the most non-specific types of cardialgia, according to the characteristics of which it is impossible to know what they are connected with and what to do with them. They equally often indicate that the heart hurts, as well as diseases of other organs and systems (muscles and nerves, lungs and pleura, stomach and esophagus). Therefore, only they can not be guided. The main attention should be paid to the general condition, age of the patient, and other manifestations that are characteristic of cardiac pathology:

  • increased rhythm slowing or interruptions;
  • shortness of breath and feeling short of breath;
  • swelling in the legs;
  • pressure drops (increase or decrease).

All these symptoms are combined with aching pain  or discomfort in the heart may indicate any of its diseases: from harmless secondary cardialgia in healthy people against the background of body overload to a painless form of myocardial infarction and. To establish the true cause, it is necessary to do examinations, the volume of which can only be decided by a specialist (cardiologist, general practitioner, family doctor).

If not the heart - what?

In general, pain, localized in the area of ​​the heart - behind the sternum and the front surface of the left half of the chest, 30% indicate the pathology is not of this organ. They may be caused by the lesions described in the table.

Sick organs and tissues Diseases and causes of heart pain Features of pain: when it occurs and how it proceeds
Spine, ribs, intercostal muscles and nerves Osteochondrosis Most often acute, piercing, like lumbago while turning the body, deep breath, or constant aching along the ribs to the left of the spine to the sternum.
Hernia
Myositis
Intercostal neuralgia
Lungs and pleura Left pneumonia Most often aching, heaviness or discomfort constantly, but can be severely acute during each breath, accompanied by shortness of breath, cough, high fever  body.
Left dry and exudative pleurisy
Injuries
Esophagus and stomach Diaphragm hernia Aching pain and discomfort behind the sternum, may be heartburn. Occurs after eating (especially overeating), accompanied by belching, heaviness, bloating.
Peptic ulcer
Reflux esophagitis, erosions and ulcers of the esophagus


Possible reasons  heartache

To understand why it was pain in the heart, pay attention not only to their nature (acute, burning, aching, etc.), but also to other existing symptoms. But remember that they are not always interrelated, since they can be combined manifestations of different diseases in one person (for example, pathology of the esophagus and ischemic disease or pleuropneumonia and intercostal neuralgia).

Diagnosis: the main signs of heart and non-cardiac pain

The table describes the most frequent criteria and signs by which you can determine what is connected with pain in the region of the heart - with its defeat or not. These data will help to understand what to do with a sick person and whether he needs emergency care.

Heartache Non-cardiac pain
Behind the sternum or to the left of it on the front surface Dot in one area of ​​the left half of the chest
Gives in the left hand, neck, scapula Gives along the ribs to the left, in the spine
Pressing, stinging, stitching Piercing, aching, shooting
It is provoked or amplified by the load (walking) It is provoked by sharp turns of the body, a deep breath, eating
Often paroxysmal Paroxysmal or permanent
Decreases at rest Decreases in a certain position of the body (motionless on the left side, half sitting)
Removed (stopped) nitroglycerin Does not decrease after nitroglycerin, is stopped by painkillers
Chest pressure does not increase pain Pressing on the pain point, near the spine and along the ribs painful
Accompanied by symptoms:
  • shortness of breath or shortness of breath;
  • palpitations or interruptions;
  • high or low pressure;
  • sweating and weakness;
  • violation of the general condition.
Possible additional symptoms:
  • spinal curvature and crunch;
  • cough and fever;
  • heartburn, feeling sour in the mouth;
  • belching, abdominal discomfort;
  • general condition is rarely broken.

What to do, how to help

If the cause of the pain is unknown to you

If you can not determine what causes pain in the heart - regardless of the cause of their occurrence, do the following:

  1. Do not panic, calm down, do not be nervous, breathe smoothly and shallowly.
  2. Physical rest - it is better to lie down or sit down so that the torso is slightly raised, as a last resort just stand, if you feel that you will not fall.
  3. Access of fresh air - on the street simply unbutton the top buttons or tie, which can squeeze the neck and chest, in the room additionally open the window, window or door.
  4. If possible, measure the pulse rate and blood pressure. If the pulse rate is above 90–95 or less than 55–60 per minute, and the pressure is above 140/90 mm Hg. Art. or below 100/60 (more or less than the usual numbers for you) - call an ambulance (telephone 103), since the probability of serious heart disease is high.
  5. If in a few minutes the pain does not decrease, take an anesthetic drug (Ketanov, Panadol, Imet, Diclofenac) in combination with Aspirin or chew and place only Aspirin under the tongue.
  6. If after 15–20 minutes the pain in the heart does not go away or worsens, this may indicate a heart attack - call an ambulance. This can be done when it first arose, if the pain is burning, strong, accompanied by shortness of breath, pallor and sweating of the skin, a sense of fear of death, high or low pressure.

In any case of heart or non-cardiac chest pains, in no case should Citramon, Copacil or other drugs containing caffeine be taken!

If you know the cause of the pain

If you know the exact or exact cause of heart pain, in addition to the main events, do the following:

  1. With angina pectoris:
  • take Nitroglycerin under the tongue;
  • chew Cardiomagnyl or another drug containing acetylsalicylic acid;
  • under normal or increased pressure  and pulse, you can take beta-blockers (metoprolol, bisoprolol, nebival);
  • saving pain for more than 30 minutes is a reason to make an ambulance call;
  • if the pain goes away, contact your cardiologist, general practitioner or family doctor.
  1. With myocarditis and pericarditis, all that can be done in the first stage of care is to take painkillers. Be sure to consult your cardiologist and the sooner the better.
  2. For intercostal neuralgia, osteochondrosis, or other problems with the spine, take painkillers (Analgin, Diclofenac, Dolarin, Nimid) and consult a neurologist.
  3. If you have problems with the stomach and esophagus - follow the diet, with pain you can take drugs Omez, Famotidine, Maalox, Motorix, Motilium. For specialized help, contact your gastroenterologist.

No one knows all the features of heart disease. But even small children (well, schoolchildren for sure) know that if the heart hurts, it is very bad, dangerous and scary. This organ is the engine of the body, so it is not surprising that at the first signs of pain in the heart a person begins to worry, thinking about the worst.

In fact, tingling in the region of the heart can be very deceptive, and accordingly, it is not worth experiencing ahead of time. Any other organs in the neighborhood can be ill, and everything will be in perfect order with the heart during diagnosis. In this article we will describe how to recognize heart pain in particular.

The main signs of heart pain

So, do not rush to pain in the chest to call heart problems. Aching discomfort  chest may be the consequences of injury, a sign of problems with the respiratory system or musculoskeletal system. Consult with a specialist in any case. But if the reason is an old injury (pinching of the chest, for example), then the pain will pass by itself, but when the heart really hurts, the alarm must be urgently raised.

It is not so difficult to determine the inherent pains in the heart. Here are some of the main distinguishing features:

  1. Sharp pain that covers the entire chest, is given even in the shoulder blades and jaw. This is a sign. During an attack, he feels hot, there is not enough air, some have a fear of death. The attack can occur after severe stress, emotional overstrain, or abrupt change. temperature conditions  (when leaving the frost from a warm room), but the intensity of the pain from the movements does not change. The attack can last from several seconds to half an hour.
  2. Burning and very severe pain in the heart - the symptoms of myocardial infarction. With a heart attack patient's breathing dramatically increases. It is hard to lie at such a moment, I want to sit down or somehow change the position. The more the patient moves, the worse it becomes. And if an attack of angina can be stopped by Nitroglycerin, then with a heart attack you need to take more serious measures.
  3. Prolonged (lasting several days) pain of the heart - symptoms of problems with the aorta. The pain, in this case arching, is associated with physical exertionSometimes it can even cause fainting.
  4. Very severe pain in the chest (and only, not given to other parts of the body) when inhaling - this may be a thromboembolism. Accompanied by the appearance of cyanosis on the skin and a sharp drop in pressure.
  5. Heart pain can also be symptoms. inflammatory diseasessuch as myocarditis or pericarditis. The pain in this case is aching or stitching, may be given to the neck and shoulder. With pericarditis, echoes of pain appear even in the left side of the abdomen and lower back.

In all the above cases, the most successful way out will be to call an ambulance. Independence is better not to show, after all, it is about heart problems.

False Symptoms for Heart Pain

There are a number of diseases that can sometimes be misleading even a specialist. Recognizing them is easy, knowing a few secrets:

Although these are false signs of heart pain, it also does not hurt to go to a doctor with them.

Pain in the heart in medicine is referred to as cardialgia. This symptom is of concern to both sexes, but the causes and nature of heartache manifests itself in women and men differently. Thus, in men, the cause of cardiac pain is mainly ischemic disease, and in women, stress, hormonal imbalance, or vascular dystonia. Let's find out how cardialgia manifests itself in women and what is the reason for its occurrence.

  Factors that cause heart pain in women

In time to notice problems with the heart or other organs is extremely important for life. In women, various heart diseases, such as heart attack or angina, and a number of other pathologies can cause heart pain, such as:

  • Osteochondrosis. Problems with the spinal column in the thoracic region create conditions for the periodic pinching of nerve endings, which provokes pain syndrome  in the region of the heart.
  • Vegetative dystonia. This condition gives all the signs of heart disease - pain, pressure jumps, rapid pulse, dizziness.
  • Diseases internal organs. Pancreatitis, gallstone disease, and even gastritis can give the same symptoms as cardialgia.
  • Neurotic disorders. They are caused by stress, lack of sleep and psycho-emotional trauma and subsequently disrupt the normal heart rhythm.
  • Neuralgia. Inflammation of the nerve in the area of ​​the ribs is accompanied by severe pain, giving to the area of ​​the heart.
  • Diseases of the thyroid gland. An imbalance of thyroxin and thyroid stimulating hormone of the pituitary gland adversely affects the cardiovascular system.

Heart pain in women often accompanies the restructuring of hormonal levels during menopause, or manifests itself with a strong PMS.

  How does the heart - heart pain in various diseases

Heart pain can be a sign of serious pathologies of the cardiovascular system, or it can occur as a secondary functional disorder. To distinguish a dangerous disease you need to know its main symptoms.

Pain in angina or myocardial infarction is characterized by such indicators:

  • Pain can be described as burning, tearing, squeezing.
  • It appears after physical activity or severe stress.
  • If you calm down - the pain passes.
  • The pain is progressive in nature, that is, gradually increasing.
  • Heart pain is dulled if you take Nitroglycerin.

Pain with neuralgia or dystrophic changes in vertebral cartilage can be described as follows:

  • Dynamics of intensity: it increases and disappears altogether.
  • When you change the position of the body, the pain increases greatly.
  • The pain is sharp, "shooting" character.
  • Taking a painkiller or anti-inflammatory agent helps alleviate the condition.

Pain in vegetative disorders:

  • The pain is like a tingling of varying intensity, which can last from a couple of seconds to several hours.
  • Exercise does not increase pain, but partly helps to relieve.
  • There may be a feeling of a coma in the throat, anxiety, dizziness, hand tremor.
  • Nitroglycerin or analgesics do not help, but taking sedatives  Stops all symptoms.


It is difficult to determine the cause of pain in the heart area on your own, therefore, in order not to miss a serious illness, it is better to contact the therapist right away, and he will decide what kind of specialized doctor you need.

 


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