
Have you ever felt this way? A sudden stinging pain came from the heart, as if it was a needle. I wanted to take a deep breath to relieve it, but the pain became more obvious. I couldn't help but wonder if I had heart disease .

The heart suddenly stings. Is there something wrong with the heart? " Life Times " invites experts to give you a "safe" answer.
interviewed experts
Chief physician of the Department of Cardiology, General Hospital of Aviation, China Medical University Liu Fang
Hibei Provincial People's Hospital Director of the Department of Geriatric Diseases Guo Yifang
Deputy Chief physician of the Department of Cardiovascular Medicine, Wuhan Central Hospital, Wuhan Central Hospital Yang Feiyan
Is heart sting a heart disease?
Bai Chen, the attending physician of the Department of Cardiology of Beijing Anzhen Hospital, explained in the popular science video that if the heart suddenly has a needle-like tingling pain, but there are no other symptoms, you don’t have to worry.
This condition is common in outpatient clinics. Most of them may be intercostal neuralgia or cardiac neurosis , which is related to bad posture and habits and generally does not require treatment.
Intercostal neuralgia
Intercostal neuralgia is mostly tingling or burning pain, and has the characteristics of radiation along the intercostal nerve.
If chest pain is distributed in a band shape, with underlying thoracic vertebrae, thoracic vertebrae , tenderness and protrusion between spinous processes or side spines, or tenderness along the intercostal region, etc., it may be intercostal neuralgia.
cardiac neurosis
cardiac neurosis, also known as cardiac neurosis , is more common in middle-aged and young people, especially women. It is mainly due to autonomic nerve dysfunction, which leads to chest pain, chest tightness, , shortness of breath, palpitations and other symptoms. Patients like
don’t have to worry too much as long as they have been carefully examined by doctors in regular hospitals and have not found cardiovascular and other related diseases. The best treatment method is to learn to reduce the psychological burden, and the symptoms will gradually be reduced or even disappear.
Generally speaking, if the heart pain flashes, is not severe, and does not have any underlying diseases, you don’t have to worry too much.
Some "heart pain" has nothing to do with the heart
In addition to the flashing needle-like pain, some "heart pain" has nothing to do with the heart, which may remind you of respiratory and digestive system problems.

it hurts as soon as you press
If you can point out the clear position when chest pain, and there is a pain when pressing, stopping the pressing will relieve it, and it is not angina pectoris.
Angina is generally a radioactive involvement pain. It is difficult to identify a specific position and has nothing to do with the pressure. It is a conscious chest pain.
3 it hurts as soon as you breathe
Chest pain caused by angina pectoris has no direct relationship with breathing, and all kinds of breathing actions will not cause chest pain attacks or aggravate.
If you don’t have chest pain normally, but you feel pain after exhale and inhale, especially if chest pain appears or worsens after deep breathing, this type of chest pain may be caused by pleurisy .
Post-meal pain
Reflux esophagitis often manifests as post-sternal pain and heartburn, which worsens after meals and during night sleep. gastroscopy can clearly diagnose it.
In addition, the symptoms of esophageal cleft hernia are similar to reflux esophagitis, and the pain can radiate to the neck, back, upper chest and left shoulder. Some patients with hiatal hernia may have precardial pain, which is easily confused with angina pectoris.
can indicate pain points
Some people have a small range of chest pain and have limitations. You can clearly point out the pain area with one finger, which is not angina.
Most angina pectoris is traction pain and radiation pain, mostly in the size of the palm, or even larger, and can radiate to the left shoulder, left arm, back, upper abdomen, etc., which is an area.
5 symptoms may be the heart's "call for help"
pain caused by heart disease, the most common is angina pectoris caused by myocardial ischemia , or pain caused by myocardial infarction. The location, duration of onset and relief methods of the two types of pain are different, and you can refer to the table to distinguish them.
_ Angina myocardial infarction
Pain locations, posterior sternum and pre-cardiac area similar to pain nature squeeze pain or suffocation pain is similar, but it is more intense, triggers activity, emotional excitement, and hard defecation without obvious causes. The attack lasts for more than 1 to 5 minutes and 15 minutes. Even if you take nitroglycerin for several hours, it can significantly relieve it and not relieve it. After rest, it can relieve it and not relieve it.
In addition, if you experience these 5 discomforts in the body, you should also be highly vigilant about heart disease.
Beware of atypical symptoms
Some heart discomfort will show some atypical symptoms, which may be chest tightness, shoulder pain, back pain, stomach pain , toothache, etc.

The number of pain increases and is not easy to relieve
If coronary heart disease and angina patients experience more and more symptoms, they should be highly vigilant against myocardial infarction.
For example, taking 1 pill in the past could relieve symptoms, but now taking 2 pills doesn’t work. In the past, it was enough to take 5 minutes to rest, but now you have to rest for a longer time.
3 chest stuffy, palpitations
People who do not have heart disease suddenly experience chest tightness, palpitations, and unexplained discomfort; they are also stuffy when inactive stuffy and have difficulty breathing; regular chest pain every day, such as after eating, before going to bed, etc., you should also suspect that it may be myocardial ischemia, and you should check and treat it early.
Dirty and fatigue after fatigue, panic
Disia, fatigue, palpitations, etc. after staying up late. Be highly vigilant. It may be that the cardiovascular system, nervous system, are calling for help.
fainting and fainting
Disia in patients with heart disease is an important precursor to sudden death of . Most fainting is caused by the sudden slowdown or stop of heartbeat, which leads to insufficient blood supply to and .
Once there is unexplained fainting, you should go to the hospital as soon as possible to find out the cause of the disease.
It should be noted that a single symptom is of limited help in diagnosing diseases. Therefore, there is no need to worry about the stinging pain in the chest that flashes. If you have other symptoms such as chest tightness and palpitations, it is best to seek medical treatment in time and find out the cause. ▲
Editor of this issue: Yang Meng
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