Is chest pain a myocardial infarction?There must be chest pain in myocardial infarction?Don’t be deceived anymore

Friends of the Department of Platform Plane Tumor told me that a few days ago, he had a clinic and a patient in his 40s. He said that his chest pain must be myocardial infarction. Because he checked the Internet, it was almost the same.

Let the doctor take the medicine quickly, you can’t breathe, otherwise you will die.

After I asked the medical records simple, my friend said to the patient: This disease can not be completely diagnosed at the present stage. Because there was no basic myocardial infarction, when the disease was resting, it was still resting at the time.The chest pain that appears later, indicating that the body is thin, after listening to the sound of breathing, and the body is thin, it will be a lung disease, such as pneumothorax.

However, the patient has to be hospitalized and take medicine immediately.

My friend said: Inpatient treatment is okay, but step -by -step diagnosis, otherwise it is not right to the department, delay time, delay the condition, so that there is a threat of life.

Immediately, an ECG examination and chest was taken for the patient.

The data shows that the cardiovascular is normal, and the pneumothorax appears, and the lungs have long been oppressed.

Immediately returned the patient to the general surgery, and the patient immediately breathed smoothly, and never cured the heart anymore.

Chest pain is a common disease of outpatient clinics. It is generally caused by breast disease. The more serious level of chest pain is not necessarily accurate with the cause of chest pain. For example, the chest shingles can cause strong chest pain.Not very serious.

Therefore, patients with chest pain are checked and try to find the causes of chest pain as much as possible.

1. Active arteries

When most patients have chest pain during strong theme activity, chest pain is very strong at the beginning, which can be accompanied by a lot of sweating.

If the centrifuge of centrifugal blood vessels generated by the partition layer is very close, after a strong chest pain occurs, the blood vessels quickly crack the blood vessels and cause the patient to die immediately after the chest pain; if the centrifugal blood vessels generated by the partition layer are far away, the chest pain will become short, and the abdominal pain and abdominal distension will occur after strong chest pain.Waiting for the condition, it shows that the compartment is widened down again, which is very risky.

2. Myocardial infarction

There are usually safety risks: high blood pressure, high blood lipids, uremia, smoking, obesity, family genetic diseases with myocardial infarction, women around 35 years old, and men around 30.

Except for the age of this security risk, with about 3, it is very easy to suffer from myocardial infarction.

Because chest pain is onset, it is very easy to be ignored by patients.

Most of them are pain in the scapula, and they are scattered on the left shoulder arm. Generally, when the theme activity encounters air -conditioning at that time or in the morning, the angina is continued for a few minutes. After resting or clearing the cause of the onset, the chest pain is reduced without pain.

If the chest pain is strong and the delay time exceeds 30 minutes, it is accompanied by sweating, short chest tightness, and shortness of room, indicating that the development trend has become acute myocardial infarction.

Even if chest pain is reduced, there is no pain in pain, and you should see a doctor as soon as possible. At least the ECG examination is performed to clarify whether it is an acute myocardial infarction.

3. Pulmonary embolism

Most patients have the following causes: deep venous thrombosis, long -term beds that are not lazy, shameful cardiopulmonary dysfunction, postoperative, trauma (including soft tissue injury), bone fracture, malignant tumors, obesity diseases, pregnancy and oral contraceptionMedicine, etc., are very few reasons without establishing onset.

Chest pain disorders are not significant. Some patients have chest pain when they are deeply inhaled or dry cough. Some patients occur during theme activities. Most patients are accompanied by diseases such as chest tightness, short chest tightness, shortness of cough, and cough.

Some patients also cause blood cough and even fainting.

Most patients have clinical symptoms such as high blood pressure, as well as their inhalation and increased heartbeat.

Because the blocking of the sub -acute pulmonary arterial pole can cause death, the pulmonary venous fistula will be turned into a long pulmonary infarction.

4. Spontaneous trail

Patients who are common in physical and mental health and people who suffer from man -sex lung diseases often occur in heavy objects, screen gas, strong theme activities or dry cough, and suddenly feel that chest tightness and shortness of breath, short chest tightness, and continuity.

One side pain is not strong. When it exceeds the theme activity or when it is dry, it can bear it, there are dry cough, but there is less sputum.

When you go to the hospital’s outpatient, you can diagnose it.

5. Liver cancer

Patients may have chest pain, which exacerbates inhaling and dry cough.

In addition to chest pain, in the early days, patients will cause stimulating dry cough, shortness of breath, and shortness of breath, so that they will cough, and they will slowly lose weight, body weakness, and poor appetite.

Pulmonary infection of pleurisy

There is a medical record with respiratory tract infection. The chest pain is dry or deep inhaling. It is mostly accompanied by hotness, dry cough, cough with sputum, so that panic is short.

The disease was reduced by the use of anti -infection drugs.

7. Acute pericarditis

Chest pain and hot hair appear otherwise. The chest pain is mostly located in the front area of the heart or behind the scapula.The pain is exacerbated, and sometimes it appears or intensifies when the conversion position or swallow.

When the pericardium leaks, the breathing is not smooth, and the chest pain can be relieved at this time.

8. Rebate esophagitis

Chest pain is mainly manifested in the hot -like pain behind the scapula. It often appears when lying or lowering the head after being full. It can be accompanied by diseases such as heart burning, stomach burning, nausea and vomiting.

9. Intercostal neuralgia

There are more causes such as tension and anxiety, unstable mentality, and poor sleep quality. It is mainly manifested in breasts or back -shaped pain, fleeting instantly, but constantly onset, constant for several seconds or minutes, can be relieved by autonomous, painful categories of pain, painful and painful categories of pain.It is part of a point or no fixed part.

10. Non -viral rib chondrititis

The painful parts are mostly caused by the 2-4 ribs next to the scapula. The second ribs are the most common, and they can be invaded on one or one side.Significantly faint pain, the skin has no swelling changes, and the situation can be severely caused by the upper arm theme activity or dry cough. The chest pain delay time for a long time, reaching several hours.

11, shingles

It has cold or respiratory infection medical records, breasts or abdominal skin feel skin allergic or neurotic pain, with acupuncture, some skin has significant faint pain, and then clustering millet size bright red spotted machining population can quickly become small blisters.

Generally, the pain site is on one side, such as very little chest pain exceeds the scapula, and the back pain is very small than the spine.

12, symptoms

When the mentality is strong, the breathing occurs when the mentality is strong, and there will be strong chest pain, numbness, twitching, and shortness of breath.

Chestting the breathing frequency and the chest pain can be significantly relieved after making a deep inhalation position.

Angina pectoris is a patient’s active condition, with a typical medical record diagnosis rate of 90%.

Therefore, careful understanding of the disease calendar is the key way to diagnose angina pectoris, and all laboratory inspections cannot be replaced.

1. The typical part of the pain site is located in the back of the scapula or the left front chest area. The relativeness of each disease is fixed.

A radioactivity to the left arm, the two thumbs and the little thumb on the right side of the right arm, or radioactive to pharyngeal, teeth, jaw, cheeks.

2. The painful characteristics are a kind of pain, often pain such as compression, dwelling, tightening, burning, and other pains. The incidence of critical condition is often accompanied by sweating, and occasionally there can be dying.

3. Causes of disease Fatigue angina pectoris occurred in fatigue or excited mentality, which can be caused by full fullness and stools; flat -bed angina pectoris is often within L to 3h after lying flat, and the situation can be generated for dozens of minutes. Self -occurring can be generated; spontaneous occurrence; spontaneous occurrence;Sexual anginary often has no cause of disease; genetic mutation angina pectoris often occurs regularly in noon or morning sleep quality.

4. The time is generally 3 to 5 minutes, and the medium weight reaches 10 to 15 minutes. It is extremely> 30 minutes. The person who exceeds needs to be distinguished from the myocardial infarction.

5. Reduce method fatigue Angieva to force the termination position or end the theme activity when the onset of the onset, which can be completely relieved in a few minutes.

It can be completely relieved by 1 to 3 minutes under the tongue, and it usually does not exceed 5 minutes.

Flat lying angina pectoris needs to get up or stand up immediately before it can be reduced slowly.

6. Clinical symptoms are generally positive.

Some patients have high blood pressure rising when the onset of onset, increased heartbeat, the atrocular housing can be heard and the contracted period of the vocal period can reduce the ischemia and fade back.

If this kind of chest pain contains nitroglycerin, it will not be reduced, it will be myocardial infarction, or it is not caused by cardiovascular.

1. Chest pain is not necessarily the cause of myocardial infarction that can cause chest pain. There are also other diseases in addition to myocardial infarction, such as: shingles, intercostal neuralgia, rib fracture, lung infection, pleurisy, liver cancer, pulmonary embolism, master of the main, masterArterial mezzanine, esophagitis.

In clinical medicine, patients who often use chest pain as the key or the only disease can be encountered. Although this patient is paying attention, it should be different.

(1) For example, a patient is a young man who has no basic illness, so the focus is not myocardial infarction.

(2) For example, patients are young people with high body shape, especially chest pain that occurs after fitness.

(3) If the patient also has significant dry cough and hot diseases in addition to chest pain, then you should fully consider pleurisy and lung infection.

(4) If the patient is a patient with a long -term bed, it should be highly suspected of the pulmonary artery embolism.

(5) If the patient is a patient with a middle -aged and elderly people, he is very dysfunctional with high blood pressure and uremia, or has a bad habit of alcoholic tobacco, then you should consider dangerous and critical severe severe criticalhood such as myocardial infarction, aortic seminars and other dangerous and critical illnesses.Essence

2. Myocardial infarction does not necessarily have symptoms of chest pain

Although most patients with acute myocardial infarction have symptoms of chest pain, it is obvious that patients with acute myocardial infarction with many unique symptoms in fact in fact, they do not have chest pain!

(1) The blurred chest and back pain, shoulder -length arm pain.

The painfulness characteristics of pain are often pain in the neck today, and the next day changed the chin pain; or today it hurts, and the next day it does not hurt.If this kind of pain migration occurs, you must pay attention to see a doctor to see the doctor.

(2) Stomach pain.

Patients with obesity diseases, three highs, and usually have no upper abdomen discomfort. If stomach pain should be alert to high width ratio, myocardial infarction, myocardial infarction or acute myocardial infarction sometimes mainly shows burning sensation in the stomach.

(3) Toothache.

Dental pain in a short period of time, usually up to 3 minutes, and continue to become ill after 1 week. It must be paid attention.In addition, when the bicycle’s teeth are painful, it hurts, and it does not hurt after stopping. At that time, it just started to hurt, and such things do not have to be ignored.

(4) Insomnia of anxiety.

There is almost no stimulating or anxious emotions without insomnia, or there is no reason for anxiety and emotions.This kind of insomnia is not asleep as ordinary insomnia, but it suddenly wakes up in the middle of the night, and feels that the mood is like a fighting horse that can’t be manipulated, or the incredible fear of fear is constantly emerging.

(5) Heart rate increase.

If there is no reason for the cause of the onset, the inexplicable heart rate is accelerating, and the delay time is between 1 to 10 minutes and often appears after the physical value theme activity, the mentality of excitement or too much.Reminder of myocardial infarction.

(6) If you feel tired and dizziness, you must not be alleviated after rest, and be vigilant.

These symptoms must be careful, try not to neglect.

Therefore, people must create such cognitive abilities: myocardial infarction may not have chest pain!

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