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People who are struggling for the heart
Popular science will have a counter-effect: chest pain is not a heart attack? Do I have to go to the hospital to check my heart every time it hurts?
Wang Yanfu, deputy chief physician of the Heart Center of Beijing Chest Hospital Affiliated to Capital Medical University, said that since he was an undergraduate student, the teacher told them about all kinds of "chest pain". There are many reasons for chest pain. The original ones are more dangerous and require special attention.
So what common chest pains are not necessarily angina? Dr. Wang Yanfu selected several common chest pain and chest pain caused by myocardial ischemia to make a simple distinction.
asked: Many people feel that their heart is suddenly pierced by a needle, or it hurts for a while, is it angina? Have a heart attack? What are the common chest pains, not necessarily angina?
Answer: The diagnosis and identification of chest pain is a big issue. We talked about chest pain when we were undergraduate. There are many systemic points. Not every chest pain is angina. We pick a few of the more common ones.
Counting from the outside to the inside, the first skin shingles. Shingles is more common, and the pain is severe, and it will be aggravated when it is touched or rubbed locally. Shingles may not have a rash in the early stage, and it may not be because it is not visible on the surface. It needs to be identified.
The second is a fracture, especially in the elderly with osteoporosis. It is common to go downstairs with an elderly person on his back. A little bit of effort and a bump will cause pain if the rib is broken. This kind of pain may not hurt. A deep breath and a cough may cause pain, and identification is also needed.
Q: Is angina pectoris not aggravated by deep breathing?
Answer: Yes, angina has nothing to do with breathing. The third one further down is intercostal nerve pain, which also manifests as tingling pain for a few seconds.
asked: Does this kind of tingling flash with the kind, one second, seems to be quite common?
Answer: The patient simply describes "one second", "one click", the kind of pain, we generally have to think about it this way.
The fourth is costochondritis. The cartilage between the ribs and the sternum is a kind of aseptic inflammation. This kind of pain will also appear with breathing or the squeezing of the rib cage. A more common type of chest pain.
asked: In other words, angina does not "press" pain?
Answer: Can't press for angina. Our heart is protected by a rib cage. It is a bony structure that cannot be pressed with bare hands.
The fifth type of chest pain is pleural pain. Pneumonia and pleurisy can also cause pain, which is characterized by breathing and pleural friction. The sixth type of
is lung disease, including pulmonary embolism, which we attach great importance to, because it is fatal.
Q: Does pulmonary embolism also hurt?
Answer: The typical manifestations of pulmonary embolism are chest pain, dyspnea and hemoptysis.
Q: What is the difference between pulmonary embolism and angina pain?
Answer: The pain of angina is episodic, and the pain of pulmonary embolism is continuous. Of course, the manifestations of pulmonary embolism are not 100% painful, and there are symptoms that are not painful. Some are similar to angina pectoris and need to be identified.
Others include aortic dissection and pneumothorax that are more clinically important. Pneumothorax, chest and lung tissues are compressed, and the breath will be held back. Chest pain is particularly obvious, especially the tension pneumothorax, which requires emergency treatment.
