Pain in the heart.  Photos from Satya

Perhaps the most people at least once in a lifetime experience pain or other discomfort in the chest or left of the chest, right where the heart is located. These pains attract attention and cause anxiety stronger than many others — so we instinctively react to the "problem" at the location of this important organ. No wonder the pain in the heart is the most frequent reason for seeking medical attention.

Pain in this area are diverse. They kolyat, crush, compress, baking, burning, aching, pulling, pierce. They can be felt in a small area or spill across the chest, to give to the shoulder, arm, neck, jaw, abdomen, under the shoulder blade. They may appear for a few minutes or last for hours, even days on end, may change when breathing, moving his arms and shoulder girdle or change of posture … They sometimes occur when physical or emotional stress, and sometimes — alone or in connection with food intake.

Causes of pain in the hearts of many. They can be a disease such as angina pectoris, myocardial infarction, inflammation of the heart and its membranes, rheumatic. But often the source of pain is out of the heart, such as in neurosis, diseases of the ribs and thoracic spine, problems with the gastrointestinal tract and many other diseases.

Why heartache

Pain inthe heart— One of the most frequent causes of treatment for people by ambulance. Pain in my heart by their origin can be divided into two main groups:

  • anginal pain, occur at various stages of ischemic disease;
  • cardialgiae, caused by inflammatory diseases of the heart, congenital diseases and defects of the heart or vegetative-vascular dystonia.

Anginal (Ischemic, anginal) pain appear when the need for increased blood flow that occurs during physical exertion or emotional stress. Therefore, for these bouts of pain characterized by the appearance of walking, emotional disorders, and stop at rest, the rapid removal of nitroglycerin. By the nature of ischemic pain usually-burning, pressing, squeezing, felt, usually in the chest and can give away to the left shoulder, arm, under the shoulder blade to the lower jaw. They are often accompanied by shortness of breath. Very strong, pressing, squeezing, tearing, burning pain in the chest or left of it — one of the symptoms of acute myocardial infarction, and this pain nitroglycerin is not removed.

Cardialgia, arising from rheumatic heart disease, myocarditis and inflammatory diseases of the outer lining of the heart — the pericardium, usually long, aching or stabbing character, spilled, there are to the left of the sternum, worse when breathing, coughing. They are not removed nitroglycerin, but may subside after the appointment obebolivayuschih drugs.

Often chest pain is not associated with diseases of the heart.

If the chest pain is changed by tilting and turning the body, taking a deep breath exhale sludge, moving the arms and nitroglycerin or validola virtually no effect on the rate, then it is probably due to sciatica or breast diseases rib cartilage.

Severe pain in the intercostal spaces is sometimes the first sign of shingles, and short-term or intermittent pain in the heart, often concentrated in a small area, aching, stabbing or unspecified nature — a common complaint of patients with neurosis.

Stress and depression can be manifested by pain in thecervicobrachial area. Those who are in fear of running to the doctor, believing that he had "a heart" and return home comforted: pain associated only with the muscles. Often, shortness of breath, squeezing or stabbing pain in my heart often caused by swelling of the intestine, which puts pressure on the heart and thereby violates its function. If you can associate the pain in the heart area with reception some specific food or starvation, then it could be a disease of the stomach or pancreas. Also the cause of the pain can be a nerve pinching the spine heart, weakened by the thoracic spine, its curvature, low back pain, etc.

How to find the cause of the pain and what to do about it?

To clarify the causes of pain in the heart, a thorough appointed by the cardiologist and cardiac surgeon.

When the study of the heart is required by an electrocardiogram (ECG), Stress ECG (treadmill test, veloergometry) — record the electrocardiogram during exercise andHolter-ECG monitoring — is the ECG recording, which takes place during the day.

To study the cardiac murmurs Phonocardiography method is used, and the method allows echocardiography with ultrasound examine the condition of the heart muscles and valves, to estimate the rate of blood flow in the cavities of the heart. The method of coronary angiography is used to examine the state of the coronary arteries. To determine the lack of blood supply to the heart muscle also use the method of myocardial scintigraphy.

To avoid a "non-cardiac causes" painheart it is necessary to radiography, computer andMagnetic resonance imaging of the spine may need consultation neurologist or orthopedist. You may have to visit a gastroenterologist or medikopsihologa.

By the way, according to the observations of Cardiology, — if the person in detail and vividly describes her pain in the heart, it often takes observations about their painful feelings "on the pencil" and read their doctor probably is not heartaches. If, moreover, a person believes that every time the pain is different, lasts a long time (in this case — with no signs of heart failure), accompanied by frequent beating of the heart, sometimes disturbing greater than the pain, the cause of the disease cardiologists tend to look outside of the heart.

If the description of a mean pain, without further ado, if the patient is well remembered the nature of pain, it is often said of a serious heart disease. However, with any complaints of pain in the heart to go to the doctor.

The cardiologist will prescribe treatment depending on the specific diagnosis. It is possible that the course of manual therapy will be enough to rid you of the pain in my heart, caused by "non-cardiac" disease. Is it possible that the only salvation for the surgery you will be directed to plastic vessels or creating a workaround for blood flow.

Remember — our hearts are made for love, but we must learn to love and cherish it.

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