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These types of chest pain are not necessarily myocardial infarction
These types of chest pain are not necessarily myocardial infarction. As heart disease gets younger and younger, more young people are beginning to care about their heart health, and even a turbulent movement of the body can trigger sensitive nerves-“Am I not far away from eccentricity?” Chest pain is the heart Terrified? In fact, there are many reasons for chest pain.
As heart disease gets younger and younger, more young people are beginning to care about their heart health, and even a turbulent movement of the body can trigger sensitive nerves-“Am I not far away?”
A chest pain is a myocardial infarction? In fact, there are many reasons for chest pain. Many people feel that their heart is suddenly pierced with a needle, or it hurts for a while. Is it angina or myocardial infarction? What are the common chest pains that are not necessarily angina? Today, I have selected a few common chest pains and chest pains caused by myocardial ischemia to make a simple distinction.
The first is shingles on the skin. Shingles is more common, and the pain is severe, and it will be aggravated when 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 bone fractures, especially in the elderly with osteoporosis. It is common to go downstairs with the elderly on their backs, a little bit harder, a bump, a rib fracture, it will cause pain, this kind of pain may not hurt, one Taking a deep breath and coughing may cause pain, and identification is also needed.
Angina pectoris has nothing to do with breathing, and it will not aggravate the pain with deep breathing.
The third is intercostal neuralgia. Intercostal neuralgia also manifests as tingling, which lasts for a few seconds. This kind of tingling flashed past, and the patient simply described the pain “one second” or “one click”.
The fourth is costochondritis. There is cartilage between the ribs and the sternum. Costochondritis is an aseptic inflammatory reaction. This kind of pain can also occur with breathing or the squeeze of the chest, which is also relatively common. A chest pain. However, angina cannot be pressed, and there will be no “pressing” pain. 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 is lung disease, including pulmonary embolism, which we attach great importance to, because it is fatal. The typical manifestations of pulmonary embolism are chest pain, difficulty breathing, and hemoptysis. The difference between the pain of pulmonary embolism and angina is that the pain of angina is episodic, and the pain of pulmonary embolism is continuous. Of course, the manifestations of pulmonary embolism are not all painful, and there are symptoms that are not painful. Some are similar to angina pectoris and need to be differentiated.
Others include aortic dissection and pneumothorax that are more important clinically. Pneumothorax, the lung tissue is compressed, it will hold the breath, chest pain is particularly obvious, especially the kind of tension pneumothorax, which requires emergency treatment.
Tips: Watch out for myocardial infarction when these symptoms occur
Myocardial infarction is also called acute myocardial infarction. It has an acute onset and high mortality. The main risk factors include middle-aged or older, smoking, hypertension, hyperlipidemia, diabetes, etc. Rejuvenation of myocardial infarction is a significant trend in recent years. According to doctors from 120 Beijing Emergency Center, once a young person has a myocardial infarction, the condition is often more serious, and they are prone to sudden death due to arrhythmia. There are 600,000 new cases of myocardial infarction every year in China, and the mortality rate is over 30%. Autumn and winter are the seasons for the high incidence of myocardial infarction, and awareness of prevention needs to be strengthened.
According to reports, patients have some precursors before the occurrence of acute myocardial infarction, such as conscious fatigue, increased fatigue, chest discomfort, suffocation, shortness of breath, palpitations, irritability and other symptoms after activities such as intermittent chest pain. Occurrence, that is, an attack of angina.
Generally, attacks frequently occur 24 hours before myocardial infarction. The duration of each chest pain is not long, and may have recurring attacks, often accompanied by profuse sweating, nausea and vomiting, chest tightness, wheezing, and difficulty breathing. Once the aura symptoms of myocardial infarction are found, the following intervention measures should be taken:
Stop activity, stabilize mood, inhale oxygen and chew 2-3 aspirin (200-300 mg), if there is no hypotension, take 1 nitroglycerin under the tongue. If the condition does not get better, you can take another 1 tablet of nitroglycerin every 3-5 minutes, up to 3 tablets. Therefore, patients with relevant medical history should carry emergency medicine with them.
When encountering a patient with cardiovascular disease, sudden severe heart and mouth pain accompanied by cold sweats all over the body, the first thing to think about is the possibility of acute myocardial infarction. At this time, you must not be busy with moving, but should let the patient lie down on the spot, do not turn over, do not let him move, do not let the patient talk, and the people around do not speak loudly, so that the patient maintains a stable mood.
Maintain air circulation to facilitate the patient’s breathing; if possible, oxygen can be taken immediately; if the patient has emergency medicine nearby, he should be taken in time, and the emergency number should be called for professional medical personnel to handle it. When the patient’s condition is under control, the patient should be sent steadily Hospital treatment.
(sourceinternet, reference only)