precordial pain
Introduction
Introduction Pain in the precordial area refers to the pain in this part of the anterior region. The anterior region of the heart is located in the front chest and the left breast, with no clear boundaries. Because it has special medical significance, we need to know it. Pain in the precordial area is chest pain and is the main manifestation of angina pectoris.
Cause
Cause
There are many diseases that cause pain in the precordial area. The nature, intensity, and accompanying symptoms of pain in the precordial area are different. Pain in the precordial area is a common symptom, and its clinical significance can be large or small. Inflammation, muscle hypoxia, visceral swelling, mechanical compression, foreign body irritation, chemical stimulation, and trauma can all cause acute chest pain. To comprehensively consider the patient's medical history, physical examination and auxiliary examination, and comprehensively consider the diagnosis.
Examine
an examination
Related inspection
ECG chest flat blood pressure
1, chest flat film.
2, ECG.
3, blood pressure.
Diagnosis
Differential diagnosis
Differential diagnosis
Pain in the precordial area is often caused by changes in body position, deep breathing, coughing, swallowing, and lying position, especially when lifting the leg or the left lateral position, and reducing it when sitting or leaning forward. Pain is usually limited to the substernal or anterior region of the chest, often radiating to the left shoulder, back, neck or upper abdomen, even to the lower jaw, left forearm and hand radiation.
1. High risk of precordial pain:
Angina pectoris, myocardial infarction, pericarditis, myocarditis, pulmonary embolism, spontaneous pneumothorax, aortic dissection.
Angina pectoris: Angina pectoris is a clinical syndrome caused by insufficient blood supply to the coronary arteries, acute myocardial ischemia, and hypoxia. It is characterized by paroxysmal chest compression pain, which can be accompanied by other symptoms. The pain is mainly located in the back of the sternum and can be radiated to the anterior and left upper limbs. It often occurs during labor or emotional excitement for several minutes. It disappeared after rest or with a nitrate ester preparation. The disease is more common in men, most patients are over 40 years old, tired, emotional, full of food, cold, rainy weather, acute circulatory failure are common causes.
Myocardial infarction: similar to angina, but usually more severe and sudden. It usually lasts for more than 30 minutes. Often accompanied by nausea, vomiting, shortness of breath, arrhythmia, hypotension and shock. Rest and sublingual nitroglycerin can only relieve symptoms temporarily or incompletely. Treatment: Take medication, call emergency phone to the hospital.
Pulmonary embolism: Patients with previous unintentional or pulmonary disease have difficulty breathing or have difficulty breathing in patients with previous heart or lung disease. Or signs of right heart failure, common in patients with deep vein thrombosis.
2. Oral precordial pain:
Ectopic pulsation, hyperventilation, pleurisy, rib osteochondritis, herpes zoster, reflux esophagitis, esophageal fistula, peptic ulcer, cholecystitis, pancreatitis, depression.
Mainly depends on the cause, such as complicated by acute myocardial infarction, malignant tumor or systemic lupus erythematosus, the prognosis is serious. Such as tuberculous or suppurative pericarditis, timely and effective treatment, including the necessary pericardial puncture or pericardial incision, it is expected to be cured. Part of it can leave myocardial damage and develop into constrictive pericarditis.
