Some people often have inexplicable "heart pain", the so-called "heart pain", which is pain near the left chest, and people will think that the heart is hurting, it is a heart attack. So they began to go to the hospital to do various examinations, electrocardiogram, cardiac color ultrasound, 24-hour electrocardiogram, exercise plate, coronary CTA, coronary angiography, cardiac MRI, myocardial nuclide scan, etc., the results of these examinations are fine, and there is no explanation for why the "heart" hurts.
In fact, true heart pain is not very precise and is usually located in the precordial area, the size of a palm, or a vertical bar behind the lower sternum. Some people also experience symptoms such as armpit pain, arm pain, back pain, etc. The pain caused by the heart has a characteristic: 1. The nature of the pain is dull, compressive, and cramping; 2. It mostly occurs during activities and is relieved after rest; 3. It lasts for a few minutes at a time, and those that last only a few seconds, or the pain that lasts all at once, or the pain related to the position, are often not heart pain.
Common noncardiac pain includes the following:
First, intercostal neuralgia. This is a particularly common minor disease, which is an aseptic inflammation of the muscles, tendons, fascia, and cartilage tissues between the costals, which is caused by decreased body resistance, lack of exercise, and sub-health status, and can usually heal on its own.
Second, cervical disc herniation. Cervical spondylosis is a particularly common disease among modern young people, which is related to a sedentary lifestyle and looking down at the phone. The physiological curvature of the cervical spine disappears, forcing the interdiscs of the cervical spine to protrude outward, resulting in nerve compression, resulting in a series of uncomfortable symptoms such as dizziness, vertigo, tinnitus, chest pain, arm pain, etc. Improving sitting posture, looking less at mobile phones, and swimming consistently are the best ways to treat cervical spondylosis.
Third, cardiac neurosis. This disease is actually a somatization symptom of anxiety on the heart. In other words, there is no organic disease of the heart, but the patient can really feel the particularly typical symptoms of heart disease, which leads to increased anxiety, frequent hospital visits, and even panic attacks. In these patients, symptoms are significantly relieved or disappear after taking anti-anxiety medications.
Fourth, hiatal hernia. The esophagus runs normally through the chest, and some of the esophagus is close to the heart, and the nerves innervating them are also in contact with each other, and diseases of the esophagus are sometimes confused with heart disease. In particular, in the case of hiatal hernia, part of the abdominal organs enters the chest cavity through the diaphragmatic hiatus, causing symptoms similar to "heart pain". This disease is also intermittent, sometimes good and sometimes bad, which makes it easy to think that there is a heart problem.
Fifth, myocardial ischemia caused by coronary artery spasm: myocardial ischemia caused by coronary artery spasm may be painful, but when electrocardiogram and coronary angiography are examined, the spasmodic coronary arteries have returned to normal, so the examination may be normal. In this case, the examination should continue to be improved to determine whether it is myocardial ischemia caused by coronary artery spasm, and drugs that promote qi and blood circulation can be given, such as compound Danshen tablets, Xuefu Zhuyu pills, and coronary heart Suhe capsules to improve symptoms.
Sixth, gastritis, gastric ulcer, gastroesophageal reflux, etc.: some gastritis, gastric ulcers, gastroesophageal reflux and other diseases also have chest pain symptoms, but the cardiac examination is normal, which can improve the relevant examinations of the digestive system, such as gastroscopy. If it is caused by such diseases, you can take omeprazole, qi stagnation and stomach pain granules and other treatments according to the doctor's instructions.
In fact, the so-called "heart pain" is just a feeling or illusion, the cause of pain may not be the heart, can not rely on auxiliary examinations alone to rule out the disease one by one, you need to explain to the doctor in detail the nature of the pain, the specific location, the predisposing factors and the way to relieve it, etc., the more detailed the doctor understands, the more helpful it is to judge the condition. If the heart examination is normal but the pain is frequent, please seek medical attention in time and conduct a comprehensive examination under the guidance of a doctor to find the specific cause and avoid delaying treatment.