Tight chest

Introduction The sympathetic nerve is a kind of autonomic nerve. The autonomic nerve controls our heartbeat, blood pressure, sucking, heart beat and so on. People with autonomic dysfunction, that is, people with strong sympathetic activity, causing nerve tension or tightness, if they are tight in the chest, they will produce chest tightness, tight chest pain, and poor cardiovascular delivery; if they are tight, then Depressed, anxious, nervous, worried, etc., feel pressure at any time.

Cause

Tightness of the human body or sympathetic activity is too tight. People with habitual tendons tend to make the sympathetic nervous. On the contrary, people with strong sympathetic activity can easily make the head, chest and heart tend to be tight and affect each other.

an examination

Related inspection

ECG dynamic electrocardiogram (Holter monitoring)

Routine examination: tight tendons on the chest, resulting in chest tightness, tight chest pain, poor cardiovascular delivery.

Differential diagnosis

Differential diagnosis of chest tightness:

1. Whole body tightness: The whole body tightness is one of the clinical symptoms caused by diseases caused by organophosphorus pesticide poisoning. Nicotinic-like symptoms in the clinical manifestations of organophosphorus pesticide poisoning: when the condition worsens, the whole body is tight, the speech is unclear, the chest, upper limbs, face and neck and even the whole body muscle tremor, chest pressure, heart rate, blood pressure rise In severe cases, breathing paralysis. Organophosphorus pesticides can enter the body through the digestive tract, respiratory tract and intact skin and mucous membranes. Occupational pesticide poisoning is mainly caused by skin contamination. The absorbed organophosphorus pesticides are distributed in various organs in the body, wherein the liver content is the largest, and the brain content depends on the ability of the pesticide to penetrate the blood-brain barrier. The main mechanism of organophosphorus pesticide poisoning is inhibition of cholinesterase activity. The combination of organophosphate and cholinesterase forms phosphorylcholinesterase, which causes the loss of cholinesterase to catalyze the hydrolysis of acetylcholine. The accumulated acetylcholine has two effects on choline: muscarinic and nicotine Like a role.

2, tension fatigue: long-term stress, resulting in a sub-health state of fatigue, severe formation of tension sleep disorders.

3, chest tightness or belt sensation: the surrounding white blood cell count is normal or slightly higher, can be significantly increased by bacteria or combined with bacterial infection. X-ray examination of lung texture thickening or hilar shadow darkening.

4. Tension: Tension is the strengthening of the human body's reaction to external things in both spiritual and physical aspects. Good changes, such as getting married and having children; bad things like divorce and unemployment will make people nervous. The degree of tension is often proportional to the size of life changes. Stress makes people sleepless, thinking and attention can not concentrate, headache, palpitations, abdominal pain, tired. Ordinary tensions are temporary. Sudden tension is a feeling of fear.

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