Chest pain

The chest pain ( synonym chest pain ) is a common symptom in medicine with a variety of different causes of danger. Participating institutions are primarily the heart, lungs, esophagus, muscle and skeletal system of the breast.

  • 8.1 Notes and references

Heart

Real coronary

Complaints caused by a narrowing or blockage of one or more coronary arteries in coronary heart disease

  • Angina pectoris: dull, boring, dragging pain with tightness, which is described as constricting or large load. Mostly behind the breastbone, einstrahlend in the left, rare in both shoulders, arm and jaw.
  • Heart attack: as in angina pectoris, but usually more severe, with no improvement on nitroglycerin

Relative coronary

Blood flow restriction of the coronary arteries without coronary heart disease with symptoms of typical angina pectoris

  • Hypertrophic obstructive cardiomyopathy, decreased blood flow through the left ventricular outflow tract.
  • Severe Acquired aortic stenosis, decreased blood flow through the aortic valve
  • Caerulea angina: pain in chronic pulmonary heart disease, possibly as an expression of a circulatory disorder of the right ventricle
  • Syndrome X: Angina pectoris with abnormal exercise ECG in healthy coronary arteries, ae be regarded as a limitation of coronary reserve with a good prognosis
  • Tachycardic cardiac arrhythmia: präkordiales feeling of pressure
  • False aneurysm of the heart wall after myocardial rupture (tear the heart muscle wall ) after infarction
  • Vasospastic Prinzmetal's angina, pain as in the real angina pectoris

Others

  • Pericarditis: sharp, breath -dependent left-sided pain radiating to neck, back and shoulder. Improvement of the complaints in the crouched sitting. bacterial or viral etiology
  • Uremic or tuberculous cause, rather painless.
  • Dressler 's syndrome, a special case after infarction

Lung and pleura

  • Pulmonary embolism: Destruction pain with accompanying shortness of breath, smaller emboli often without pain
  • Pleurisy: dependent respiratory pain
  • Tumor: slowly increasing pain
  • Spontaneous pneumothorax: acute, accompanied by breath-dependent pain shortness of breath

Esophagus

  • Reflux esophagitis: burning pain behind the breastbone, often in the evening or at night, improvement in sitting or standing and after drinking liquid.
  • Spasm of the esophagus: pain behind the breastbone, independent of food intake or body posture, even at night.
  • Achalasia: food -related retrosternal pain
  • Zenker 's diverticulum: pain after swallowing

Stomach

  • Roemheld syndrome: symptoms after excessive meal especially Flatulent Food
  • Gastritis, upper abdominal discomfort rather

Skeletal system

  • Spine syndrome: movement and attitude -related pain, possibly with posture
  • Intercostal neuralgia: selective or strip-shaped in the course of a rib motion -dependent pain is amplifiable by pressure.
  • Tietze 's syndrome: selective pressure pain of sternal cartilage of the first and second approaches, rarely the third and fourth ribs
  • Chest trauma and rib fracture: pressure and motion- dependent pain of a circumscribed area
  • Bone metastasis: selective pressure pain
  • SAPHO syndrome: usually one-sided pain of the joint between the key and the sternum
  • Eosinophilic granuloma: partly load-dependent, partly nocturnal localized bone pain

Musculature

  • Myogelosis: selective pressure pain of the hardened muscles, often next to the spine
  • Dermatomyositis: symmetrical muscle pain
  • Trichinosis: selective pressure of muscular pain, possibly with palpable calcifications

Others

  • Herpes zoster: sometimes very painful burning sensation in a circumscribed dermatome
  • Pancreatitis, discomfort in the upper abdomen rather
  • Biliary colic, usually radiating to the right shoulder colicky pain
  • Functional chest pain (Da Costa 's syndrome)

Swell

  • Mewis, Riessen, Spyridopoulos (eds): Cardiology compact. 2 edition. Thieme, Stuttgart, New York 2006, ISBN 3-13-130742-0, pp. 1-3.
Cor pulmonale Cardiac syndrome X Cardiac stress test Prinzmetal's angina Dressler's syndrome Aortic dissection Mallory–Weiss syndrome Boerhaave syndrome Chest injury
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