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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? |
Image from lori.ru 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:
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 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.
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.
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. EtiologyCardiological causes of heart pain include the following diseases:
Also, pain in the heart can be caused by gastroenterological pathologies. In this case, the following should be highlighted:
In addition, the causes of heart pain may be in the following pathological processes:
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. SymptomatologyIn 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:
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:
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:
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:
Pain in the heart with osteochondrosis can develop into chronic, so you should promptly seek medical help for complex treatment. DiagnosticsWhy 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:
For accurate diagnosis, the doctor prescribes laboratory and instrumental methods of examination. The diagnostic program may include the following:
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. TreatmentElimination 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. PreventionThere 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 diseaseThe 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 pressesThe 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:
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 bakesThe 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
2. Pulmonary embolismThis 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 aneurysmWith 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:
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 stabsStitching 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:
About 80% stabbing pains in the region of the heart - a symptom of conditions not associated with cardiological pathology. If whining or discomfortThe 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:
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.
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 painThe 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.
What to do, how to helpIf the cause of the pain is unknown to youIf you can not determine what causes pain in the heart - regardless of the cause of their occurrence, do the following:
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 painIf you know the exact or exact cause of heart pain, in addition to the main events, do the following:
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 painSo, 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:
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 PainThere 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 womenIn 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:
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 diseasesHeart 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 with neuralgia or dystrophic changes in vertebral cartilage can be described as follows:
Pain in vegetative disorders:
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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