Chest pain with chest tightness, palpitations

Introduction Chest pain accompanied by chest tightness, palpitations, at the same time or before, fever, body aches, sore throat, diarrhea and other symptoms, can be seen in acute myocarditis. More congestive heart failure, more acute onset, children refused to eat, pale, vomiting, difficulty breathing, dry cough.

Cause

Cause:

Found in acute myocarditis. Acute myocarditis (acute myocarditis) is a myocardial injury disease that often occurs during rheumatic fever or secondary to certain infectious diseases such as diphtheria, sepsis, pneumonia, scarlet fever and typhoid fever. May be accompanied by moderate fever, sore throat, diarrhea, rash and other symptoms, followed by heart symptoms. The main symptoms are fatigue, loss of appetite, discomfort in the precordial area, palpitations, dizziness, abdominal pain, and myalgia.

an examination

Related inspection

Cerebrospinal fluid, sodium, hemoglobin, qualitative red blood cell alkali particle agglutination test, thyroglobulin sugar chain antigen 242

(1) often occurs during rheumatic fever or secondary to other infectious diseases and chemical poisoning.

(2) Clinical manifestations such as heart palpitations, shortness of breath, chest tightness and chest pain.

(3) Physical examination may have an increased heart rate, a heart enlargement, a weakened first heart sound, diastolic galloping and systolic murmurs in each valve area, and severe heart failure or cardiogenic shock.

(4) There may be: 1 white blood cell count can be increased; 2 erythrocyte sedimentation rate is accelerated; 3 aspartate aminotransferase, lactate dehydrogenase and phosphocreatine kinase are increased.

(5) X-ray examination may have a heart enlargement to expand to the left.

(6) ECG changes can have a variety of arrhythmia, conduction obstruction and non-specific ST segment elevation, T wave inversion and QT interval extension.

Differential diagnosis

Differential diagnosis of chest pain with chest tightness and palpitations:

(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, 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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