Is chest tightness and chest pain a heart attack? A table to understand the special symptoms of 6 major causes

The concept of "chest tightness and chest pain are heart diseases" is deeply rooted in people's hearts. However, sometimes the pain is relieved at once. At this time, it is very hesitant to see a doctor. In fact, there are some preliminary methods to judge the pain. However, Zhou Mingming, chief physician of family medicine of Shutian clinic, said that "many reasons" are often mixed together. Therefore, if chest pain persists, it is suggested that It's safer to see a doctor right away.

Six major causes of chest pain

Zhou Mingwen said that heart disease, lung disease, stomach disease, muscle strain, herpes zoster, anxiety may cause chest pain, but in fact, in clinical, patients may not know exactly what kind of pain they are, increasing the difficulty of diagnosis, so in addition to the feeling of chest pain, they should pay attention to whether there are different symptoms.

1： Heart disease

In brief, the two most serious types of heart disease are myocardial infarction and aortic dissection. The most special pain of myocardial infarction is that you can't point out the "definite point" of pain. Changing different positions will not make it more painful or even less painful. However, chest pain caused by heart disease may include pain in Chin, back shoulder and armpit, which is called "radiation pain".

The most obvious symptom is actually "when you exercise and your heart beats, you will feel dull and painful nearby". This is called "labor type chest discomfort" and "labor type chest pain". These are typical symptoms of angina pectoris. If you always feel chest pain after exercise, you may have to check the related functions of the heart. (reference article: what kind of chest tightness is heart disease? The doctor teaches you how to judge!)

Aortic dissection is a very serious problem, almost to the extent of vascular rupture. Therefore, if there is "sudden" tearing or knife cutting pain in the back and chest, even if it can be tolerated, it should not be delayed. Go to the emergency department or cardiology department as soon as possible. (reference article: this chest pain should not be delayed! 50% of patients died within 48 hours without treatment)

2： Pulmonary diseases

Lung disease in the impact of the pleura, or compression to the nerve when there will be pain, so the symptoms of pain is not very obvious; in addition, such as bacterial infection, fungal infection caused by pneumonia, or tuberculosis, because of the accumulation of sputum in the lung, there will also be a feeling of chest tightness, but most will be accompanied by cough, asthma, dyspnea and other symptoms.

If you find that you are prone to asthma on a flat road, or you have a chronic cough for more than 3 weeks and begin to feel chest pain, you should go to the Department of thoracic medicine for treatment. Maybe it is really a problem of lung disease.

3： Stomach diseases

Gastroesophageal reflux is a common cause of chest pain, and it's easy to confuse this pain with the pain of a heart attack. Because gastroesophageal reflux is gastric acid through the esophagus to the mouth, the process will damage the esophagus, so that the heart, chest, abdomen, a burning feeling, patients often feel heartburn after eating, sitting or lying down will become worse, and even spread to the neck, throat and chin, feeling like a heart attack radiation chest pain.

However, there is a way to distinguish "heartburn" from heart attack pain. If the pain improves quickly after taking antacids, or after burping, or if there is a sour taste in the mouth, it is likely to be caused by burning the heart. People with a heart attack usually have the feeling of squeezing, pressing and shortness of breath. (reference article: burning heart is gastroesophageal reflux? It's not necessarily a heart attack

4： Muscle strain

For example, if we run without warming up, there will be pain around the legs and knees, so as long as we don't grasp the strength and ability of our muscles, we just hold on to finish the exercise, and we may get strained. Although generally speaking, we have more limbs and lower back injuries, but Shutian clinic family medical chief physician Zhou Mingming said that in fact, muscles in all parts of the body may be strained, including the chest.

Therefore, as long as the chest muscles are strained due to postural errors and sports injuries, chest pain may be caused. However, because the pain is "body surface pain", it can be clearly "found the pain point", which is different from the visceral pain in front of you. Moreover, because the muscles are related to the body's posture activities, if you change your posture, such as raising your hand, reaching out and turning over, you will feel pain If the pain is more or less painful, it may be caused by a muscle strain. (reference article: chest pain after exercise is too tired to have a heart attack, or a simple muscle strain

5： Herpes zoster

Herpes zoster is commonly known as skin snake. The earliest symptoms of herpes zoster are "acid, numbness, heat, and pain". Because the virus invades the nerves, the pain will continue, and the pain can't sleep at night. No matter how to change the posture, it's no use. It's different from muscle strain, as long as you adjust the posture, it doesn't hurt. But there are obvious tenderness and pain points.

In addition to pain, there will also be symptoms such as tiredness, headache, fever and other symptoms similar to the cold. After 2-3 days, rashes will appear, and then groups of blisters will form. It is suggested that you should seek medical advice as soon as possible, otherwise it will become chronic inflammation and the skin snake will be difficult to completely recover. (refer to article: skin snake is painful and life-threatening. Doctors remind: Gold 72 hours can inhibit the virus)

6： Anxiety

Anxiety can cause all kinds of physical discomfort, but it is the same and different from the above symptoms. Zhou Mingming said that anxious people are especially vulnerable to hints. When they see a disease, they feel that they are the disease, and the corresponding symptoms are caused by psychological effects. For example, when you see a heart disease, you will feel angina pectoris; when you see gastroesophageal reflux, you will feel it In fact, it's emotional problems that make you burn your heart.

Therefore, if you can't find out the diseases of the organs, but you still feel uncomfortable all the time, you can consider testing the autonomic nerves. Maybe it's because of the imbalance that you feel uncomfortable. Don't take stomach medicine or cold medicine by yourself, so that you can really suit the medicine to the case.