Small circle triage table
Cardiology and cardiovascular internal medicine
Li Fei
Air Force Military Medical University Xijing Hospital
Chief physician of the Department of Cardiovascular internal medicine
Question
Is chest pain an angina pectoris?
Answer: It is not necessarily
chest pain has many reasons, which may be pain in the skin, soft tissue, or lungs and other parts, but angina often has these 5 elements:
pain behind the sternum, which is released to the left shoulder and arm;
angina is often pressing pain, and even a sense of death or fear;
angina usually lasts for a few minutes, rarely more than half an hour;
contains drugs, or the inducing factors are relieved;
angina often has inducing factors, such as pain during exercise.
What problems may different chest pain indicate?
1
climbing stairs feel chest tightness and chest pain may have arterial stenosis
1climbing stairs feel chest tightness and chest pain
suggests that there may be stenosis of the coronary artery of the heart due to plaque thrombosis. This chest tightness and chest pain caused by coronary artery stenosis is like a plate pressing on the chest.
Note: It is necessary to distinguish whether there is shortness of breath when climbing stairs due to lack of exercise.
2
When you walk faster, chest pain may be caused by blood vessels "hardening".
Coronary heart disease is a typical problem caused by arteriosclerosis. When the coronary artery located in the heart is stenosis, blood flow becomes difficult, and the myocardium will be insufficient for blood supply, and the patient will feel chest pain.
is more likely to have chest pain when it comes to exercise or emotional excitement. The professional name is angina pectoris. If coronary artery undergoes severe stenosis or acute occlusion, it may also cause acute myocardial infarction , and may even threaten life.
3
Chest pain, chest tightness, Pneumonia shortness of breath
It may also be cervical syndrome
Cervical syndrome is a clinical syndrome, the main root cause is cervical spondylosis, such as intervertebral disc herniation or cervical spine involvement, spinal canal thinning, etc., which cause compression of the heart nerves and blood vessels, thus some cardiovascular symptoms, including palpitations, chest tightness, chest pain, and even pre-cardiac discomfort.
Chest tightness and chest pain in cervical heart syndrome is caused by chronic lesions of the cervical spine, so it must have symptoms when the cervical spine is involved. It is obvious when resting, but the symptoms will be relieved after activity.
Moreover, the pain caused by cervical heart syndrome is a chronic stimulation of the cervical spine, so its symptoms last relatively long, most of which last for more than half an hour or even a few hours, and chest tightness and chest pain cannot be relieved for several days.
4
Chest pain accompanied by obstruction of breathing, hoarseness, etc. It is a common manifestation of lung cancer
Early symptoms and insignificant or even asymptomatic, and it is often found in the late stage, but there are also some symptoms that need to be highly vigilant. Cough is the most common symptom, often irritating, violent dry cough, with metallic sounds. If there is no clear infection foci of cough and does not improve after treatment, the possibility of lung cancer should be considered; secondly, coughing up phlegm, where blood vessels often appear in the phlegm (blood in the phlegm), showing intermittent or intermittent appearance; secondly, obstruction of breathing, chest pain and hoarseness are common manifestations of lung cancer. In addition, lung cancer has some less obvious symptoms, such as unexplained fatigue, weight loss, etc., which metastasize to the bones in the late stage, and the head will cause bone pain and and headache.
(CCTV Life Circle)
