Heart Pain
Pains in the heart that occur during activities of persons newly imbued with physical culture, often associated with poor load, but they may be a consequence of pathological phenomena.
Unpleasant sensations in the heart, palpitation and pain with age noted a growing percentage of people. Thus, according to our data, in 25 years, such complaints impose 2% of the athletes, but in 50 years – 15%.
Pain in the heart may be due to angina (angina pectoris). In this case they relate to emerging coronary disease (narrowing of arteries supplying the heart). For angina is characterized by episodic occurrence of transient ischemic chest pain, favoring his left arm, shoulder and shoulder blade. They are provoked to physical or emotional stress, accompanied by fear of death, after taking nitroglycerin quickly pass. Angina can lead to serious consequences (eg, heart attack). Therefore, a doctor examining a patient complaining of pain in my heart, above all, seeks to ascertain whether he had angina or myocardial infarction, and if evidence of these terrible diseases, no, the feeling of pain in the heart are called false angina. It can be a symptom of various diseases, in most cases not associated with pathology of the heart. However, until the diagnosis is not installed, the emergence of a pain in the athlete’s heart should be regarded as a danger signal, which requires immediate medical advice.
Reasons cardiodynia diverse. Basically they can be reduced to 3 groups. The first will include cardiodynia arising in lesions of the heart muscle, the mitral valve prolapse, etc., to the second – the pain arising as a result of violations of neurohumoral system, regulating blood flow (the so-called cardiac neurosis), the third – cardiodynia extracardial origin ( when there is pathology of the heart, and causes of pain are diseases of the peripheral nervous system, muscles, shoulder girdle, ribs pathology, diseases of internal organs such as lung, pleura, abdominal organs, etc.), usually caused by reflex influences from the centers of inflammation.
We shall analyze some of the most common cardiodynia. First of all, it’s a pain in heart-related diseases of the peripheral nervous system. So, quite often imitate cardiodynia nerve damage and nerve roots, associated with osteochondrosis – degenerative changes of the spine, developing with age. It first appeared pathological changes in the intervertebral discs, then sclerosis borderline of sponge vertebrae. Mechanical stress triggers the development of discogenic spinal cord injuries. Later (usually after 40 years) appear osteophytes – bony growths on the spine, which can lead to constriction of the spinal cord and its roots. Degenerative changes affect the joints and spine. All this can lead to constriction vertebral artery, nerves, causing severe pain, mimic, in particular, cardiodynia. Cardiodynia may be a consequence of left-sided pain intercostal nerves – so-called intercostal neuralgia. It is characterized by a skirted pain spreading on intercostal area.
Cardiodynia may be caused by diaphragmatic hernia, and highstand diaphragm observed, for example, swelling of the stomach, intestines or in obesity. Pain in the heart may be associated with exacerbation of gallstone disease may be observed also in diseases of the pleura, heart lung, lung tumors, and many other diseases.
Very often now meets neurosis heart. This disease is characterized by pain or discomfort in the area of cardiac apex (in the fifth intercostal space on the left), palpitations, arrhythmias, may experience vague fears and anxiety. An examination of these patients have frequently been observed phenomenon of vegetative-vascular instability, manifested in fluctuations in blood pressure, sudden flushing, increased sweating, emotional instability.