Atypical chest pain

Introduction Atypical chest pain, the symptoms of chest pain are not typical, clinical chest pain, chest discomfort is a common symptom, and its clinical manifestations vary. Such as stomach pain, neck pain, toothache, sore throat, etc., this pain has a common feature - it happens during exercise, and it takes a few minutes to rest soon. In addition, the clinical symptoms of chest pain are as follows: Inflammation of the chest wall skin appears red, swollen, hot, painful, etc. in the affected area. Herpes zoster is a large group of small blister, distributed along the nerves, does not cross the midline, and has a significant pain. In the case of epidemic myalgia, severe pain can occur in the chest and abdominal muscles, which can be radiated to the shoulders and neck. Non-suppurative myocarditis often invades the first and second costal cartilage. The affected part is raised and the pain is severe, but the skin is not red and swollen. Pain in angina and acute myocardial infarction is often located in the posterior sternum or in the anterior region. Pain in esophageal disorders, sputum, and mediastinal tumors is also located behind the sternum. Spontaneous pneumothorax, acute pleurisy, pulmonary infarction, etc. are often severe chest pain on the affected side. The primary task in evaluating chest pain is to distinguish between chest pain in the respiratory system or chest pain associated with other systems, which is not always easy. The nature of the pain and the environment in which it occurs can often be used to distinguish between pain with angina or myocardial infarction; it may be difficult to distinguish pain from a wall aneurysm based solely on medical history.

Cause

Caused by major cardiovascular diseases.

an examination

Related inspection

Chest CT examination of angiography

Stomach pain, neck pain, toothache, sore throat, etc., this pain has a common feature - it happens during exercise, and it takes a few minutes to rest soon.

Differential diagnosis

Should be differentiated from various chest pain diagnosis:

1. Left chest pain: Left chest pain is a common symptom in emergency department. It is usually caused by cardiovascular, respiratory and pleural diseases. The severity of chest pain is not necessarily related to the cause of chest pain.

2. Right chest pain: Right chest pain is one of the symptoms of chest wall pain. Chest wall pain is also called musculoskeletal pain.

3. Chest pain after exertion: Coronary heart disease angina pectoris is the most common cause of chest pain, mostly after exertion, full meal, emotional excitement.

4. Chest pain during swallowing: Chest pain caused by esophagitis, hiatal hernia, diffuse esophageal fistula, and esophageal tumor often occurs or worsens when swallowed.

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