Heart pain

Often heartache is associated with damage to the osteochondral structures in the chest, internal organs, diseases of the peripheral nervous system and spine. Heart pain can be a manifestation of pulmonary embolism, myocardial infarction, malignant neoplasm of the lung, exfoliating aortic aneurysm, diseases of the gastrointestinal tract, diaphragmatic abscess, and so on.

[1], [2], [3], [4]

Heart pain with muscle and spine disease

Syndrome of costal-vertebral or muscular-fascial pain

• the localization of pain is fairly constant;
• disappearance or significant reduction in pain with all possible local effects: acupuncture, massage, mustard and so on;
• by the method of palpation, pathology can be clearly identified. It is expressed in the form of local painful sensations in the zone of palpation of certain muscle groups, muscle hypertension and the presence of trigger zones;
• unambiguous connection of pain with the position of the body and the tension of the corresponding muscles.

Osteocondritis of the spine

It manifests as a lesion of intervertebral discs. Localized in the pulpous nucleus, the disease gradually spreads to the entire disk with the subsequent involvement of the ligamentous apparatus, the bodies of adjacent vertebrae, intervertebral joints. The so-called degenerative transformations of the spine can lead to secondary damage to the roots of the nerves, which can cause heart pain.

Heart pain of coronary origin

Acute myocardial infarction

Acute myocardial infarction is expressed in more intense and prolonged sensations than with myocardial ischemia (about 30 minutes), and nitroglycerin or rest do not prevent them. Often accompanied by the appearance of third and fourth heart tones.

[5], [6], [7], [8], [9], [10], [11],

Myocardial ischemia

Myocardial ischemia is expressed by a feeling of certain pressure behind the sternum with a characteristic irradiation on the left arm. It manifests itself after eating, with exercise, or is associated with emotional stress. The effect of rest and nitroglycerin is considered to be diagnostically significant.

Heart pain of non-coronary origin

Pericarditis

Pericarditis is a disease that is mostly accompanied by heart pain. However, it should be noted that the pain syndrome has its own characteristics. Painful symptoms with pericarditis often occur during the initial stages of the disease due to the friction of the pericardial sheets. The pain syndrome is rather short-lived, which is associated with the fusion of the pericardial cavity or the formation of a large amount of fluid in it. By nature, heart pain can be aching, blunt or, conversely, sharp, sharp. Dependence of pain on the position of the body and respiration is a characteristic feature of the symptomatology of pericarditis. Because of the increased pain in the implementation of deep breaths, the patient's breathing is characterized as superficial. Sometimes patients with pericarditis are forced to take a pose forward or sit.

Myocarditis

Myocarditis is a heart disease accompanied by aching, pressing or stitching pain, often in the area of the heart muscle. Up to 90% of cases, patients feel heart pain of varying intensity. With this disease, there is no connection with physical activity. In some patients, there is an increase in pain several days after the load. Nitrates do not perform pain relief.

Arterial hypertension

Symptomatic arterial hypertension and hypertension often progress with pain in the pericardial region. One of the pain variants can be called pain with increasing blood pressure, caused by strong stimulation in the myocardium of the left ventricle of the mechanoreceptors, as well as by the stress of the aortic walls. It appears as a kind of heaviness in the heart zone or as a prolonged aching pain.

[12], [13], [14]

Acquired heart diseases

Disturbance in the myocardium of metabolic processes, as well as some deficiency of coronary circulation are provoked by severe myocardial hypertrophy. For this pathology is characterized by the manifestation of pain in the pericardium.

[15], [16], [17], [18], [19]

Cardiomyopathy

With this heart condition, all patients have pain syndrome, but it should be noted that it often accompanies hypertrophic cardiomyopathy. As the disease progresses, the nature of pain undergoes some changes. Often, initially there is atypical pain, which is not associated with physical exertion and is not stopped by nitroglycerin. Locality and the nature of pain are variable enough. Typical attacks of angina in cardiomyopathy are often not observed. With this disease, episodic heart pains occur in the form of seizures, which can be provoked by a certain load, for example, walking.

[20], [21], [22], [23], [24], [25], [26]

Mitral valve prolapse

With this pathololia, prolonged heart pain does not stop with nitroglycerin, it is characterized as aching, pinching or pressing.

Heart pain can also speak of neurological diseases. Such diseases include diseases of the anterior thoracic wall, the spine and a group of muscles belonging to the shoulder girdle.