Chest pain with cold sweat

Introduction During the chest pain period, blood pressure will drop, and it will continue to rise after several weeks, and often cannot restore the previous level. If the pain is relieved and the systolic blood pressure is lower than 80mmHg, the patient's irritability, paleness, wet skin, thin and fast pulse, sweating, decreased urine output, slow consciousness, and even fainting are shock performance.

Cause

Causes of chest pain with cold sweat

Can be seen in the hypotension and shock symptoms of myocardial infarction.

an examination

Related inspection

Thoracic chest CT examination

Clinical manifestations of chest pain with cold sweat:

Pale, chest pain, severe pain in the precordial area, accompanied by blood pressure, pale, cold sweat, cold limbs and other shock symptoms.

Differential diagnosis

Differential diagnosis of chest pain with cold sweat:

(1) Chest pain with cough: Chest pain caused by tracheal, bronchial, and pleural diseases is often accompanied by cough.

(2) chest pain with dysphagia: seen in esophageal diseases, such as esophagitis, esophageal hiatal hernia, chest pain caused by esophageal tumors.

(3) chest pain with hemoptysis: tuberculosis, pulmonary infarction, bronchiectasis, chest pain of primary lung cancer often accompanied by hemoptysis.

(4) chest pain with dyspnea: chest pain caused by lobar pneumonia, spontaneous pneumothorax, exudative pleurisy, hyperventilation syndrome, etc. are often accompanied by difficulty breathing.

(5) chest pain with cold sweat, pale, chest pain, severe pain in the precordial area, accompanied by blood pressure drop, pale, cold sweat, cold limbs and other shock symptoms: can be seen in myocardial infarction.

(6) chest pain with fever: chest pain with fever, cough, accompanied by the corresponding chest signs, can be seen in lobar pneumonia, tuberculous pleurisy, empyema and so on. Chest pain, pain in the precordial area, accompanied by fever, cold sweat and fatigue, difficulty breathing and cough, can be seen in pericarditis.

(7) chest pain with chest tightness, palpitations: chest pain accompanied by chest tightness, palpitations, at the same time or before, there are fever, body aches, sore throat, diarrhea and other symptoms, can be seen in acute myocarditis.

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