Pulses near the heart. Constant discomfort in the heart and strong throbbing

17.05.2020

2016-10-28 09:02:09

Christina asks:

Good afternoon. I am 27 years old, having once again done a fluorography, in the conclusion it is written that the heart is enlarged in all sizes, I did an ultrasound scan - everything is within normal limits, the ecg shows a load on the left ventricle, the tests are all good. also hron.tonsillitis. Please tell me if the heart is enlarged, but not on the ultrasound? And what could this be connected with?

Answers Medical consultant of the portal "site":

Hello Christina! Given the symptoms, most likely changes in the heart are still present. It is necessary to take all the tests and conclusions and go to an in-person appointment with a cardiologist. An examination by an ENT doctor is also indicated to determine whether treatment of chronic tonsillitis, including removal of the tonsils, is indicated. Take care of your health!

2016-02-19 23:06:24

Juliana asks:

Hello! What can the pulsation in the body mean, which occurs periodically in different places ... now in the hand, now in the leg, in the stomach, somewhere near the heart, in the head? It can be difficult to fall asleep at night because of her. In addition to this, my heart rate is almost always around 90-100 ... it worries me. Could it give "female" hormones, which I can not put in order? The last time I did an ultrasound of the heart and a cardiogram 2 years ago. The cardiologist did not say anything intelligible, only that a small prolapse of the metral valve with my build is not dangerous. I did not notice anything special on the cardiogram. He prescribed a small dose of a beta-blocker to slow down his pulse. Now I have almost reduced it to a minimum (Egilok - 15 mg per day) and I drink Panangin, the pulse is still often around 90 ... Do I need to do something about it? And the pulsation in the body can be connected with this? I'm 32 years. Thanks.

2016-02-10 14:01:59

Andrey asks:

Good afternoon, I am 37 years old, man, 21 November 2015 happened hypertensive crisis 200/120 was hospitalized, an examination was carried out, from what I understood my renin was elevated, since that time, with all the prescribed pills, every day the pressure rises to 155/90 and the heart rate increases, presses in the chest, sometimes I cannot sleep , pulsations in the ears, head, body, very bad with appetite, I eat through force, at the moment I take Orifon-Retard 1 tab in the morning, Vasar 80mg in the evening, I took Nebilet before, I occasionally drink Carvalol from the state, when the captopress is very bad, the state it does not normalize day by day, I used to run 3 km and ride a bike 10 km every other day, but now I can not run 20 meters - my heart jumps out, help with advice or personal experience, I’m getting out of this state

Answers Bugaev Mikhail Valentinovich:

Hello. Correspondence selection of antihypertensive drugs is not possible, you should be examined by a cardiologist and advised on an individual set of drugs. I think, in your case, you cannot do without beta blockers.

2015-05-19 14:42:57

Maria asks:

Good day!
On April 29, I was in the shower and bent over to pick up a washcloth. At this moment, in the area of \u200b\u200bthe shoulder blades, a sharp sharp pain... I could not part them to the sides, it was hard to breathe. This lasted 20-25 minutes. Then the pain receded. It was hard for me to bend over during the day. By evening, the pain subsided, and the next day it was almost gone. But after a few days, my scapula began to hurt, under it, the pain was in my left arm. Pain in the left ribs. The pain is felt in the middle and lower chest. Mostly dull, aching. If you put your hand between the shoulder blades in front, there is not much pain. Often becomes cloudy in the head, but passes quickly. At this moment, it seems that breathing stops and the heart stops beating. It passes quickly. Feeling that there is not enough air. Feeling of tightness, heaviness in the chest. Felt in lying, sitting and standing positions. Periodically I feel pulsation in the ribs. Such attacks are almost every day. I went to the doctor, did an EKG. ECG is normal. Pressure 90 / 60-110-70. Pulm 70. Previously, there were no heart problems. The doctors say the heart is okay. But I still worry. 25 years. Height 170. Weight 50kg.

Answers Bugaev Mikhail Valentinovich:

Hello. The pains described are more likely to be related to the spine, it is worth going to a neurologist. For palpitations and seeming cardiac arrest, you need to do daily ECG monitoring by Holter in order to see the work of the heart at these moments.

2015-03-18 05:59:47

Olga asks:

Good day.
Complaints of weakness, flickering of flies in the eyes, periodic pressing pains in the heart during exercise, lack of appetite, dizziness, dry skin.
Medical history: Suffering chronic anemia against the background of ulcerative colitis for about 40 years. She was treated on an outpatient and inpatient basis in October 2014. Periodically takes a totem, sorbifer durules. Deterioration of health during the last 2 weeks, when the above complaints intensified. She turned for medical help at the KDP, was examined, and was sent routinely to a hospital.
Life history: more than 40 years - nonspecific ulcerative colitis, constantly taking salofalk 500 mg, 2 tons. * 2 r. per day, the last hospitalization for this disease - 5 years ago (AMOKB No. 1), blood pressure rises for many years to 190 - 210/100 -110 mm. rt. article, constantly takes egilok 50 mg 2 r / d, arifon 1 t / day, chronic venous insufficiency 2 tbsp. In June 2014 - an accident, subcapsular hematoma of the spleen. Diabetes mellitus type 2. Pensioner. Has no bad habits. Tuberculosis viral hepatitis denies. Drug intolerance: denies. Epidemiological history: Contact with infectious patients denies. All are healthy in the family. No hemotransfusions. Outside the city of Astrakhan for the last 2 months. There were no bites of ticks or other insects. He drinks boiled water and milk. I did not swim in open reservoirs.
Objectively: Temperature 36.3. The condition is unsatisfactory. In consciousness, kontaktna answers questions correctly, in full, her voice is quiet, her speech is correct. The pupils are equal, they react well to light. The gait is sluggish, in the Romberg position - swaying. Correct physique, subcutaneous fat is normal. The constitution is normosthenic. The musculoskeletal system is not changed. The skin is clean, dry, pale in color with a yellowish tinge, the turgor is reduced. Peripheral l / nodes (submandibular, cervical, axillary, inguinal) are not enlarged, painless. The thyroid gland is not enlarged. The isthmus is palpated. Chest of the correct shape. Lungs: NPV - 18 per minute. With lung percussion, the sound is pulmonary, of the same sonority on both sides. Auscultatory vesicular breathing, no wheezing. The region of the heart is not changed, the boundaries of relative cardiac dullness: upper - at the level of 3 m / ribs; right - the right edge of the sternum; left - 1 cm medially from the left midclavicular line. Heart: heart rate 78 per minute. BP on the right hand 170/90 mm Hg Blood pressure on the left hand 160/90 mm Hg. The heart sounds are muffled, the rhythm is correct. Tongue moist, thickly coated with white bloom. The abdomen is soft and painless on palpation. The lower edge of the liver along the edge of the right costal arch. The spleen is not enlarged. There were no peripheral edema. S. Pasternatsky negative on both sides. Vascular pulsation lower limbs preserved, weakened. Urination is painless, free. The chair is intermittent, not always decorated.
PRELIMINARY DIAGNOSIS:
Main: Anemia of mixed genesis (iron and folate deficiency, against the background of systemic disease), moderate severity.
Background: Ulcerative colitis.
Concomitant: Secondary arterial hypertension 2 tbsp. Atherosclerosis of the aorta. Sideropenic cardiomyopathy. Diabetes mellitus type 2, compensated. Planned: - Carrying out antianemic, detoxification therapy,
COLONOFIBROSCOPY from 17.03.2015
Aware of the nature of the study / a /, warned about a possible biopsy / a /. Consent received.
Bookmark: Chronic external and internal hemorrhoids without visible exacerbation. The tone of the anal sphincter is reduced. Catarrhal sigmoiditis? / UC? (the mucous membrane of the entire sigmoid colon is hyperemic, edematous, against the background of general hyperemia there are areas of brighter hyperemia, viscous mucus in places on the mucosa, the lumen of the sigmoid colon is somewhat narrowed, it is a tube, there are no folds). A separate biopsy was performed in the proximal and distal parts of the s-intestine. When performing a biopsy, the mucous membrane is unstructured, fragmented. In the proximal part of the s-intestine, at the place of transition to the descending, wide diverticulum, which is a continuation of the intestinal lumen, the mucous membrane in it is the same as in the entire sigmoid colon. Chronic hypotonic colitis / folds throughout the colon are smoothed / out of visible exacerbation. In the rectum and behind the sigmoid, up to the cecum, without inflammatory and organic changes. The result of histological examination after 7 days.
COLONOFIBROSCOPY from 03.10.2014
Aware of the nature of the research / a /. A possible biopsy was warned / a /. Consent received.
Conclusion: Erosive-catarrhal sigmoiditis / mucous membrane of the sigmoid colon throughout, edematous, eroded around the entire perimeter,
in some areas in the form of a cobblestone pavement /. Biopsy performed. Further to the dome of the cecum and in the rectum without features. The result of histology after 7 days.
Could you give your opinion.
Thanks.

Answers Vazquez Estuardo Eduardovich:

Hello Olga! Any chronic problems, even if controlled, tend to further development, and you have several of them. With age, the body does not fight so actively with such problems, even with all our desire and strict implementation of the recommendations of doctors. My conclusion may simply repeat the main diagnoses that are already familiar to you: NUC, anemic syndrome. Ischemic heart disease with atherosclerosis. Hypertonic disease... Periodic consultations at the place of residence and further implementation of medical recommendations, and in order to get rid of problems, and in order, and to reduce the likelihood of complications and the emergence of new processes.

2015-03-12 10:04:59

Volodya asks:

Good afternoon, my name is Vladimir and I'm 23 years old.
I am writing to you with the following problem: somewhere a little more than 3 weeks ago I hit my head, but there were no obvious symptoms of a brain struma, there was no loss of consciousness or nausea, in short, just pain from a blow, I did not go to the doctor. , I sat at home, spent a lot of time at the computer (now I know that in vain) I tried physical culture a couple of times, but my head immediately started to hurt, I stopped, so nothing bothered me.
2 weeks later I had to leave for the village for 2 days where I was a little physically napregals, after these 2 days my temperature rose a little 37.5 The pressure bent up and, most importantly, my head began to throb and make noise in my left ear. I decided to visit a doctor. we talked to a neurologist with him, he sent him to his father-in-law and to the ophthalmologist (I don’t understand the analysis, but as I understood everything was more or less normal, + slight pulsation on both sides), he returned to the doctor, he looked at the tests and said most likely he was a coward Well, he prescribed a course of treatment: magnesia 25% -5.0 ml 3 days
piracetam 20% -5.0 ml 7 days
thiotriazoline 2.5% -2.0ml 10 days
vinpocetine tablets (20 pcs) 1 piece per day
well, of course, rest, rest, no stress, he said, if it doesn't work, then come for a more thorough examination.
7 days have passed and until everything is the same as before and the pulsation and noise in the ear have not gone anywhere. Temperature 36.9-37.5 .. A little about pulsacea: rhythmic pulsation or beating parallel to the rhythm of the heart contraction, and noise in the left ear (on the left side it was blow) the noise resembles dimming that occur parallel to the pulsaceia pulsation has been going on constantly for about 9-10 days, the whole head pulsates, not excluding the eyes or vision, I don’t know how to correctly say with every pulsation of the eye, well, or at least the screen in front of my eyes, then what I see is a little twitching (very little pleasant sensation) is more acute when I go to bed. It takes about 3 hours to get zansut because of the pulsation and the inconveniences associated with it. Well, in general, I don’t know if you understood anything from what I wrote here, but still, if you understand and have something to advise on how to get rid of this pulsation , I'll be very thankful.

Answers Gusak Andrey Vasilievich:

2015-03-04 16:09:18

Fuad asks:

Hello! I am 35 male. 2 months ago I had an attack panic attack choking checked the thyroid gland then began to hear the heart rate did the ecg everything is normal neuropathologist prescribed tranquilizers drank 5 days stopped decided to overcome it himself, it seems like the condition is improving, but at least a day a sensible pulsation in the body, mainly in the abdomen and heart, and I hear the heart rhythm and the feeling of the remainder of food remains in the throat. Do I need to check the vessels and which doctor should I contact? Thank you in advance

2014-10-11 09:12:01

Olga, 28 years old, asks:

Good afternoon, I ask a doctor's advice. I am 28 years old, diagnosed by MRI - cavernous angioma of the spinal cord at the level of the T8 vertebra, measuring 20x8x8 mm. 1) What method of treatment is better to choose, because symptoms have gone?
2) which hospital and which doctor with experience in the treatment of this pathology can be contacted to get a positive result and avoid disability?
3) Is there a chance that cyber or gamma knife surgery, or embolization or some other method, will help, given the location of the tumor?

Symptoms: reducing pain in the rib area, increasing by 5-6 a.m. + numbness of the fingers on the left leg, pulsation in the chest area of \u200b\u200bthe back, jumps in blood pressure up to 100/60. During the last 3 years, these pains did not bother me, but there were shooting pains in the right or in the left leg, I took anti-inflammatory painkillers + injections. Since 2008 occasionally (2-3 times a year) it brought the chest cell near the heart.

Answers Lirnik Sergey Villenovich:

Good evening Olga. 1. The symptoms that you describe do not quite correlate with the localization of the tumor. 2. You need a consultation with a neuropathologist and neurosurgeon. Vascular surgeon S.V. Lirnik

Answers Lirnik Sergey Villenovich:

Once again, good afternoon, Olga. I think that you do not quite correctly describe the essence of the problem. You can give recommendations only after reading the data of the MRI or CT scan (which you did) and after examining the patient. Vascular surgeon S.V. Lirnik

2014-09-25 13:47:38

Oksana asks:

Hello. I am 29 years old, wives. floor. It all started six months ago. Sometimes hands go numb, dizziness, headaches in the forehead, ears block (as when climbing mountains), while the pressure is 110/70 (for me this is the norm, there are no jumps. Unpleasant whining feeling in the chest, a lump in the throat and chest, sometimes a feeling of compression in the esophagus, sometimes not strong pressure or burning in the heart, a feeling of lack of air (I want to breathe deeply, yawning) Sometimes I feel a heartbeat, throbbing in the neck area A feeling of coldness in my chest spreading throughout my body. , conclusion: 1. Sinus arrhythmia, heart rate 64 beats / min, RR interval (sec) - 1.06-0.84); Heart rate (beats / min) - 57-72);
2.the vertical position of the electrical axis of the heart 76 degrees,
3.EKG voltage reduced
4.Moderate myocardial changes
Exciting results:
1.Rhythm of sinus,
2. Rotation of the heart around the longitudinal axis clockwise (displacement of the transition zone to the left)
E20KS-N, FV -N.
Blood test:
glucose 4.34
hemoglobin 149g / n
erythrocytes 4.6
leukocytes 8.4
SHOE 2 mm / year
neutrophils 2%, 58%, eosinophils 3%, lymphocytes 28%, monocytes 9%, total protein 68.4, thymol test 0.88, total cholesterol 4.95, beta-liboproteins 3.1, total bilirubin 12.7, direct 1.4, ALT 0.21, ASAT 0.28.

FGDS:
Mucous membrane pale pink, hyperemic in the lower third, Z-line 40 cm from the incisors, the cardia is closed.
There is a moderate amount of mucus, fluid in the stomach, peristalsis is satisfactory, Mucous membrane is hyperemic in the antrum, pylorus is rounded, duodenum without deformation,
PH-1.3, Helicobacter pylori test positive
Conclusion: reflux esophagitis LA: A, erythematous gastroduodenopathy (no stomach pain, no swelling, sometimes iron taste in the mouth in the morning, but rarely, sometimes mild nausea)

Ultrasound of the gastrointestinal tract:
Liver: not enlarged, homogeneous, vascular system unchanged, intrahepatic bile ducts are not dilated.
Gallbladder: dimensions V - 80x23, the contours are even, the shape is irregular, with a bend, the wall is 2 mm, bile stagnation.
Pancreas: dimensions 23x17x22, homogeneous echostructure, smooth outline, preserved echogenicity.
Spleen: normal, correct, size 108 mm, smooth contour, echogenicity preserved, vein diameter 5 mm, kidneys not enlarged, homogeneous.
Thyroid:
Analyzes TSH 0.969 T4tot 112.1, T3tot 1.84,. Ultrasound thyroid gland - 16x14x42, left 15x12x43, The thyroid gland is not enlarged, The parathyroid glands are not visualized.
What can be the cause of such symptoms, Reflux, or can the heart, osteochondrosis, but the spine do not bother? How to treat all this and whether such symptoms are life-threatening. Help me please.

PULSATION (lat. pulsatio) - jerky movements of the walls of the heart and blood vessels, as well as the transfer displacements of the soft tissues adjacent to the heart and blood vessels, resulting from the contractions of the heart.

The concept of "pulsation" is broader than "pulse", since the latter refers only to P. walls blood vesselscaused by the passage through the vessel of the pressure pulse wave that forms in the aorta. At the same time, these concepts do not quite coincide due to more in-depth knowledge of the pulse, which is studied not only within the framework of the mechanical movement of the vascular walls (see Pulse, Plethysmography, Sphygmography). The transmission of the movements of the contracting heart and the pulsating walls of blood vessels over a certain distance depends on the elastic properties of the tissues through which this transmission occurs. The displacement is most quickly extinguished by the airborne lung tissue, it is somewhat better transmitted through adipose tissue, even better - through muscles, fascia, cartilage tissue and skin. The displacement force is unable to lead to moment deformation bone tissue (in any case, to a tangible momentary deformation), although a prolonged and strong pulsation of the organ directly adjacent to the bone can cause dystrophic changes, thinning and deformation in the latter (eg, rib usulation, heart hump).

For diagnostic purposes, study both the normal P. of the heart and blood vessels, and observed in P.'s pathology of other organs and tissues. Of the main research methods for studying P., examination and palpation are used, the choice of additional research methods is determined by its tasks, the localization of the pulsating object and the reasons that cause pulsation.

P. hearts are studied in many ways.

In particular, a wedge, the study of pulsating beats of the heart in the chest wall is important. Because the most of the surface of the heart is surrounded by a layer of air lung tissue, its pulsation in healthy people can usually be detected only in the apex area, where the amplitude of heart movements is greatest, and the layer of lung tissue is insignificant. The moment of visible protrusion of the chest wall or palpation determined impulse, localized in the fifth intercostal space (approximately 1.5 cm medial to the left midclavicular line), corresponds to the systole of the ventricles of the heart. P. in the area of \u200b\u200bthe apical impulse is well detected visually in thin people, especially in children and young people. In the presence of even a moderate P.'s fatty layer in the area of \u200b\u200bthe apical impulse, it is not always possible to determine by eye. In these cases, it can usually be detected by palpation, especially when the patient is standing, sitting with the torso tilted forward or lying on the left side. In the position of the patient lying on the left side, the area of \u200b\u200bP.'s detection shifts by 3-4 cm lateral than in the supine position. The apical impulse is more difficult to determine in obese persons, with a decrease in the stroke volume of the heart, the presence of pleuropericardial adhesions, exudate in the pleural or pericardial cavity; in healthy individuals, it is not found in cases where it is localized behind the rib. Exploring the apical impulse, pay attention to the location and nature of the pulsation. When the heart is displaced as a result of the formation of adhesions, it is displaced by the fluid located in the pleural cavities, by massive masses located in the lungs or mediastinum, or by an elevated diaphragm (with severe flatulence or ascites), the localization of the apical impulse changes in the direction of the displacement force. An increase in the left ventricle of the heart leads to a displacement of the apical impulse to the left and down (sometimes up to the seventh intercostal space); with an increase in the right ventricle, the apical impulse is also pushed to the left (but not down) due to the pushing back of the left ventricle.

The pulsation in the apical impulse is characterized by area, height and strength. The height of the apical impulse is called the amplitude of the displacement of the chest wall, and the force is the pressure exerted by the apical impulse on the fingers or palm applied to the area P. The area and height of the apical impulse is estimated taking into account the structure of the chest: with narrow intercostal spaces, they are smaller, with thin-walled chest more. At the height of inspiration, due to an increase in the airiness of the lung tissue separating the apex of the heart from the chest wall, apical P. is determined on a smaller surface and has a smaller amplitude; sometimes with a deep breath, and also with emphysema of the lungs, apical P. is not determined. The main and most common cause of an increase in the area and height of the apical impulse is an increase in the left ventricle. A strong (lifting) apical impulse is the only sign of left ventricular hypertrophy available to direct medical research, although P. of a similar nature is possible with severe hyperkinesia of the heart. A very high and strong (domed) apical impulse is characteristic of significant eccentric hypertrophy of the left ventricular myocardium, observed, for example, with aortic valve insufficiency. A weakened and diffuse (enlarged in area) apical impulse is noted with dilatation of the dystrophically altered left ventricle of the heart. To undoubtedly patol, P. belongs to signs of intercostal spaces in the precordial region, observed with aneurysms of the anterior wall of the left ventricle (see. Heart aneurysm). With obliteration of the pericardial cavity or massive adhesions of the pericardium with P.'s pleura in the area of \u200b\u200bthe apical impulse, it can be paradoxical (negative apical impulse) due to the fact that such changes impede the movement of the apex of the heart forward and upward during systole, and the contracting heart draws in the tissues soldered to it chest wall.

Objective and profound P.'s characteristic in the area of \u200b\u200ban apical impulse is carried out by means of apexcardiography (see. Cardiography). To assess the activity of the heart in terms of displacement of various pericardial environments or the whole body associated with its P., ballistocardiography (see), dynamo-cardiography (see), pulmocardiography (see) and other methods of special studies are also used. For P.'s study of contours of the heart use rentgenol. research methods, especially roentgenokymography (see) and electrokimography (see). Get an idea of \u200b\u200bP. various structures the working heart allows echo-cardiography (see).

In healthy people, especially young and thin people, pulsation in the epigastric region is often visually and palpable, sometimes extending to the lower third of the sternum and adjacent sections of the anterior chest wall - a cardiac impulse. This P. is mainly caused by contractions of the right ventricle of the heart. After significant physical exertion, a cardiac impulse can also be detected in healthy individuals of older age groups prone to obesity. However, a sharp and strong P. in the epigastric region at rest, accompanied by a concussion of the lower third of the sternum and the adjacent region of the anterior chest wall, serves as a reliable sign of pronounced hypertrophy of the right ventricle. P. in the epigastric region can also be associated with the passage of a pulse wave through the aorta (such P. is better visible when the patient is lying on his back) and with pulsating changes in the volume of the liver caused by retrograde passage of the pulse wave through the veins and pulse changes in the liver's blood filling. In the first case, deep palpation of the abdominal cavity reveals an intensely pulsating aorta. To differentiate P. of a liver with its displacements caused by a heart impulse, use two methods. The first is that the edge of the liver is captured between the thumb and the rest of the fingers of the palpating hand (the palm is brought under the lower edge of the liver) and, in the presence of hepatic P., changes in the volume of the liver area captured by the hand are felt. The second method is that the index and middle fingers of the palpating hand are placed on the front surface of the liver: if at the time of P.'s sensation the fingers move apart, then this indicates pulse changes in the volume of the liver, and not its displacement. An auxiliary role in P.'s identification revealed in the epigastric region is played by reohepatography (see Rheography), as well as the detection of a positive venous pulse (see Sphygmography), which, together with P. of the liver, is observed with tricuspid insufficiency (see Acquired heart defects). With simultaneous palpation of the liver and apical impulse, it is possible to determine the temporal relationship between P. of the liver and the systole of the heart only with significant skill. Synchronous recording of ECG and reohepatogram allows to distinguish between P. of the liver associated with ventricular systole (systolic P.) and with atrial systole (presystolic P.).

In persons of asthenic constitution, P. is sometimes visible in the jugular fossa (retrosternal P.), caused by the passage of a pulse wave along the aortic arch. In patol, conditions, retrosternal P. visible to the eye is observed with pronounced lengthening or expansion of the aorta, especially with its aneurysm (see. Aortic aneurysm). With syphilitic aortic aneurysm, the tissues of the anterior chest wall can become thinner, and in this case P. is determined on a large area adjacent to the handle of the sternum. In practically healthy persons with a short chest, retrosternal P. is often determined by palpation (with a finger wound by the handle of the sternum). At the same time, actually retrosternal P. is characterized by upward shocks; in healthy people, the lateral surfaces of the finger often simultaneously palpate the pulse of the brachiocephalic trunk and the left common carotid artery. In most cases, retrosternal P. is patol, the character being associated with lengthening of the aorta, its expansion or a combination of these changes.

With aortic insufficiency (see. Acquired heart defects), thyrotoxicosis, severe hyperkinesia of the heart, superficial arrangement of arteries or their aneurysms, the presence of arteriovenous shunts, P. can be visually determined over different vascular areas. So, the expressed P. is characteristic of aortic insufficiency - the so-called. dance carotid arteries, P. of pupils, P. spots of hyperemic skin (precapillary pulse) is sometimes observed.

In some cases P. of large superficial veins of the neck is visually determined. P. veins can be presystolic (with tricuspid stenosis) and systolic (with tricuspid insufficiency). An exact idea of \u200b\u200bthe nature of P. of veins allows you to obtain a synchronous recording of a phlebosphygmogram and an ECG.

V. A. Bogoslovsky.

Good day.
Complaints of weakness, flickering of flies in the eyes, periodic pressing pains in the region of the heart during exercise, lack of appetite, dizziness, dry skin.
Medical history: Suffers from chronic anemia against the background of ulcerative colitis for about 40 years. She was treated on an outpatient and inpatient basis in October 2014. Periodically takes a totem, sorbifer durules. Deterioration of health during the last 2 weeks, when the above complaints intensified. She turned for medical help at the KDP, was examined, and was sent routinely to a hospital.
Life history: more than 40 years - nonspecific ulcerative colitis, constantly taking salofalk 500 mg, 2 tons. * 2 r. per day, the last hospitalization for this disease - 5 years ago (AMOKB No. 1), blood pressure rises for many years to 190 - 210/100 -110 mm. rt. article, constantly takes egilok 50 mg 2 rd, arifon 1 tsut, chronic venous insufficiency 2 tbsp. In June 2014 - an accident, subcapsular hematoma of the spleen.

type 2 diabetes mellitus. Pensioner. Has no bad habits. Tuberculosis denies viral hepatitis. Drug intolerance: denies. Epidemiological history: Contact with infectious patients denies. Everyone is healthy in the family. There were no hemotransfusions. I have not traveled outside the city of Astrakhan for the last 2 months. There were no bites of ticks or other insects. He drinks boiled water and milk. I did not swim in open reservoirs.
Objectively: Temperature 36.3. The condition is unsatisfactory. In consciousness, kontaktna answers questions correctly, in full, her voice is quiet, her speech is correct. The pupils are equal, they react well to light. The gait is sluggish, in the Romberg position - swaying. Correct physique, subcutaneous fat is normal. The constitution is normosthenic. The musculoskeletal system is not changed. The skin is clean, dry, pale in color with a yellowish tinge, the turgor is reduced. Peripheral l / nodes (submandibular, cervical, axillary, inguinal) are not enlarged, painless. The thyroid gland is not enlarged. The isthmus is palpated. Chest of the correct shape. Lungs: NPV - 18 per minute. With lung percussion, the sound is pulmonary, of the same sonority on both sides. Auscultatory vesicular breathing, no wheezing. The region of the heart is not changed, the boundaries of relative cardiac dullness: upper - at the level of 3 m / ribs; right - the right edge of the sternum; left - 1 cm medially from the left midclavicular line. Heart: heart rate 78 per minute. BP on the right hand 170/90 mm Hg
on the left hand 160/90 mm Hg. The heart sounds are muffled, the rhythm is correct. Tongue moist, thickly coated with white bloom. The abdomen is soft and painless on palpation. The lower edge of the liver along the edge of the right costal arch. The spleen is not enlarged. There were no peripheral edema. S. Pasternatsky negative on both sides. The pulsation of the vessels of the lower extremities is preserved, weakened. Urination is painless, free. The chair is intermittent, not always decorated.
PRELIMINARY DIAGNOSIS:
Main: Anemia of mixed genesis (iron and folate deficiency, against the background of systemic disease), moderate severity.
Background: Ulcerative colitis.
Concomitant: Secondary arterial hypertension 2 tbsp. Atherosclerosis of the aorta. Sideropenic cardiomyopathy. Diabetes mellitus type 2, compensated. Planned: - Carrying out antianemic, detoxification therapy,
COLONOFIBROSCOPY from 17.03.2015
I am aware of the nature of the study / a /, warned about a possible biopsy / a /. Consent received.
Bookmark: Chronic external and internal hemorrhoids without visible exacerbation. The tone of the anal sphincter is reduced. Catarrhal sigmoiditis? / UC? (the mucous membrane of the entire sigmoid colon is hyperemic, edematous, against the background of general hyperemia there are areas of brighter hyperemia, viscous mucus in places on the mucosa, the lumen of the sigmoid colon is somewhat narrowed, it is a tube, there are no folds). A separate biopsy was performed in the proximal and distal parts of the s-intestine.
and performing a biopsy, the mucous membrane is unstructured, fragmented. In the proximal part of the s-intestine, at the place of transition to the descending, wide diverticulum, which is a continuation of the intestinal lumen, the mucous membrane in it is the same as in the entire sigmoid colon. Chronic hypotonic colitis / folds throughout the colon are smoothed / out of visible exacerbation. In the rectum and behind the sigmoid, up to the cecum, without inflammatory and organic changes. The result of histological examination after 7 days.
COLONOFIBROSCOPY from 03.10.2014
Aware of the nature of the research / a /. A possible biopsy was warned / a /. Consent received.
Conclusion: Erosive-catarrhal sigmoiditis / mucous membrane of the sigmoid colon throughout, edematous, eroded around the entire perimeter,
in some areas in the form of a cobblestone pavement /. Biopsy performed. Further to the dome of the cecum and in the rectum without features. The result of histology after 7 days.
Could you give your opinion.
Thanks.

www.health-ua.org

For those who love lighting effects, I suggest assembling a simple device that resembles a pulsating heart when turned on. The device contains 58 colored LEDs arranged in the form of three hearts.
The circuitry driving the LEDs gives the impression of "pulsing".

Each of the three hearts has LEDs connected in series. The LEDs in the big heart are red, the average is green, and the smallest is yellow. It is very important to install the LEDs correctly. If installed incorrectly, the circuit will not work and additional installation verification will be required. Therefore, on the board, to facilitate the installation of the LEDs, the places where the anode should be and where the cathode should be are indicated. In the new LED, the anode leg is longer than the cathode lead. If the leads have already been shortened, you need to look at the LED in good lighting and it will be seen that one lead with the cup is the cathode, the second is the anode.

Device PCB:

All parts are installed on the side of the printed conductors, except for the microcircuit and LEDs. The LEDs are fully inserted into the board.

Soldering the LEDs must be done quickly (2-3 seconds) so as not to damage the LEDs. When correct installation no configuration required. The device is powered by a voltage of 12..14V. If the voltage is less than 12V, the circuit does not work.

Appearance of the assembled device:

List of radio components for assembling a pulsating heart:

Microcircuit - CD4093 (analogue of KR1561TL1)
Resistors:
R1, R2 - 68 kOhm
R3 - 150 kOhm
R4, R5, R6 - 3.3 kOhm
R7, R8, R9, R10, R11 - 270 Ohm
R12, R13, R14, R15 - 100 Ohm
R16, R17 - 47..56 Ohm
Transistors - BC547 (KT3107).
Capacitors:
C1, C2, C3 - 1 μF, 25V
C4 - 100 uF, 25V

Download PCB file: Pulsir.-serdce.lay6 (Downloads: 203)

In conclusion, a video of the work of a pulsating heart:

radioaktiv.ru

The concept of "pulsation" is broader than "pulse", since the latter refers only to P. of the walls of blood vessels, due to the passage of a pulse pressure wave that forms in the aorta through the vessel. At the same time, these concepts do not quite coincide due to more in-depth knowledge of the pulse, which is studied not only within the framework of the mechanical movement of the vascular walls (see Pulse, Plethysmography, Sphygmography). The transmission of the movements of the contracting heart and the pulsating walls of blood vessels at a certain distance depends on the elastic properties of the tissues through which this transmission occurs. The displacement is most quickly extinguished by the airborne lung tissue, it is transmitted somewhat better through adipose tissue, even better - through muscles, fascia, cartilage tissue and skin. The displacement force is unable to lead to a momentary deformation of the bone tissue (in any case, to a tangible momentary deformation), although a prolonged and strong pulsation of an organ directly adjacent to the bone can cause dystrophic changes, thinning and deformation in the latter (e.g., rib usulation, cardiac hump).

P. hearts are studied in many ways.

the position of the patient lying on the left side, the area of \u200b\u200bP.'s detection shifts by 3-4 cm lateral than in the supine position. The apical impulse is more difficult to determine in obese persons, with a decrease in the stroke volume of the heart, the presence of pleuropericardial adhesions, exudate in the pleural or pericardial cavity; in healthy individuals, it is not found in those cases when it is localized behind the rib. Exploring the apical impulse, pay attention to the location and nature of the pulsation. When the heart is displaced as a result of the formation of adhesions, it is displaced by the fluid located in the pleural cavities, by massive masses located in the lungs or mediastinum, or by an elevated diaphragm (with severe flatulence or ascites), the localization of the apical impulse changes in the direction of the displacement force. An increase in the left ventricle of the heart leads to a displacement of the apical impulse to the left and down (sometimes up to the seventh intercostal space); with an increase in the right ventricle, the apical impulse is also pushed to the left (but not down) due to the pushing back of the left ventricle.

the height of inspiration due to an increase in the airiness of the lung tissue separating the apex of the heart from the chest wall, apical P. is determined on a smaller surface and has a smaller amplitude; sometimes with a deep breath, and also with emphysema of the lungs, apical P. is not determined. The main and most common cause of an increase in the area and height of the apical impulse is an increase in the left ventricle. A strong (lifting) apical impulse is the only sign of left ventricular hypertrophy available to direct medical research, although P. of a similar nature is possible with pronounced hyperkinesia of the heart. A very high and strong (domed) apical impulse is characteristic of significant eccentric hypertrophy of the left ventricular myocardium, observed, for example, with aortic valve insufficiency. A weakened and diffuse (enlarged in area) apical impulse is noted with dilatation of the dystrophically altered left ventricle of the heart. To undoubtedly patol, P. of intercostal spaces in the precordial region, observed at aneurysms of the anterior wall of the left ventricle, belongs to signs (see. Heart aneurysm). With obliteration of the pericardial cavity or massive adhesions of the pericardium with P.'s pleura in the area of \u200b\u200bthe apical impulse, it can be paradoxical (negative apical impulse) due to the fact that such changes impede the movement of the apex of the heart during systole forward and upward, and the contracting heart draws in the tissues soldered to it chest wall.

Objective and profound P.'s characteristic in the area of \u200b\u200ban apical impulse is carried out by means of apexcardiography (see. Cardiography). To assess the activity of the heart in terms of the displacement of various pericardial environments or the whole body associated with its P., ballistocardiography (see), dynamo-cardiography (see), pulmocardiography (see) and other methods of special studies are also used. For P.'s study of contours of the heart use rentgenol. research methods, especially roentgenokymography (see) and electrokimography (see). Echo-cardiography allows to get an idea of \u200b\u200bP. of various structures of a working heart (see).

it is more visible when the patient is lying on his back) and with pulsating changes in the volume of the liver, caused by the retrograde passage of the pulse wave through the veins and pulse changes in the blood filling of the liver. In the first case, deep palpation of the abdominal cavity reveals an intensely pulsating aorta. To differentiate P. of a liver with its displacements caused by a heart impulse, use two methods. The first is that the edge of the liver is captured between the thumb and the rest of the fingers of the palpating hand (the palm is brought under the lower edge of the liver) and, in the presence of hepatic P., changes in the volume of the liver area captured by the hand are felt. The second method is that the index and middle fingers of the palpating hand are placed on the front surface of the liver: if at the time of P.'s sensation the fingers move apart, then this indicates pulse changes in the volume of the liver, and not its displacement. An auxiliary role in P.'s identification revealed in the epigastric region is played by reohepatography (see Rheography), as well as detection of a positive venous pulse (see Sphygmography), which, together with P. of the liver, is observed with tricuspid insufficiency (see Acquired heart defects). With simultaneous palpation of the liver and apical impulse, it is possible to determine the temporal relationship between P. of the liver and the systole of the heart only with significant skill. Synchronous recording of ECG and reohepatogram allows to distinguish between P. of the liver, associated with ventricular systole (systolic P.) and atrial systole (presystolic P.).

With aortic insufficiency (see. Acquired heart defects), thyrotoxicosis, severe hyperkinesia of the heart, superficial arrangement of arteries or their aneurysms, the presence of arteriovenous shunts, P. can be visually determined over different vascular areas. So, the expressed P. is characteristic of aortic insufficiency - the so-called. dance of the carotid arteries, P. pupils, P. spots of hyperemic skin (precapillary pulse) are sometimes observed.

V. A. Bogoslovsky.

bme.org

Heart rate indicators

The pulse is characterized by several values.

Frequency is the number of beats per minute. It must be measured correctly. Heart rate while sitting and lying down may differ. Therefore, when measuring, use the same posture, otherwise the obtained data may be misinterpreted. Also, the frequency increases in the evening. Therefore, do not be alarmed if its value is 75 in the morning and 85 in the evening is a normal phenomenon.

Rhythm - if the time interval between adjacent beats is different, then arrhythmia is present.

Filling - characterizes the difficulty of detecting a pulse, depends on the volume of blood distilled by the heart at a time. If it is difficult to palpate, this indicates heart failure.

Tension - characterized by the effort that must be made to feel the pulse. Depends on the blood pressure indicator.

Height - characterized by the amplitude of oscillation of the arterial walls, rather complex medical term... It is important not to confuse altitude and heart rate, these are completely different concepts. The cause of a high pulse (not rapid, but high!) In most cases is the malfunction of the aortic valve.

Rapid pulse: causes

The first and main reason, as in the case of many other diseases, is a sedentary lifestyle. The second is a weak heart muscle, which is unable to maintain normal blood circulation even with small physical exertion.

In some cases, a fast heart rate may be normal. This happens in old age and during the first years of life. So, in newborn babies, the heart rate is 120-150 beats per minute, which is not a deviation, but is associated with rapid growth.

Often, a rapid pulse is a symptom of tachycardia, if it manifests itself in a calm state of the human body.

Tachycardia can result from:

Fevers;
Improper functioning of the nervous system;
Violations endocrine system;
Poisoning of the body with toxins or alcohol;
Stress, nervousness;
Oncological diseases;
Cachexia;
Anemia;
Myocardial damage;
Infectious diseases.

Factors that can cause a rapid heart rate:

Insomnia or nightmares;
Use of drugs and aphrodisiacs;
The use of antidepressants;
The use of drugs that stimulate sexual activity;
Constant stress;
Alcohol abuse;
Overwork;
Excess weight;
High blood pressure;
Colds, SARS or flu.

When is a fast heart rate normal?

There are several conditions of the body when a high heart rate may not be an alarming signal, but a normal phenomenon:

Age - as they grow older, the frequency decreases, in children it can be 90-120 beats per minute;
Physical development - in people whose body is trained, the heart rate is higher than in those who lead a less active lifestyle;
Late pregnancy.

Tachycardia

Identifying the causes of a frequent pulse, one cannot but tell in detail about tachycardia. Rapid pulse is one of its main symptoms. But the tachycardia itself does not arise out of the blue, you need to look for the disease that caused it. There are two large groups of these:

Cardiovascular diseases;
Endocrine system diseases and hormonal disorders.

Whatever the cause of tachycardia lies, it must be identified and treated immediately. Currently, unfortunately, cases of paroxysmal tachycardia, which is accompanied by:

Dizziness;
Acute chest pain in the region of the heart;
Fainting;
Shortness of breath.

The main group of people susceptible to this disease are alcoholics, heavy smokers, people who take drugs for a long time or strong medications.

There is a separate type of tachycardia that healthy people can suffer from, it is called neurogenic, associated with disorders of the peripheral and central nervous system, which leads to a deterioration in the function of the cardiac conduction system, and, as a consequence, a rapid pulse.

Rapid pulse with normal blood pressure

If the pressure does not disturb, but the pulse is off scale, this is an alarming signal and a good reason to visit a doctor. In this case, the doctor will order an examination to identify the cause of the rapid heartbeat. Typically, the cause is thyroid disease or hormonal imbalance.

Rapid pulse attack with normal pressure can be negated, for this you need:

Cough;
Pinch yourself;
Blow out your nose;
Wash with ice water.

Heart palpitations treatment

If the heartbeat is frequent due to high temperature, then antipyretic drugs and methods will help.

In case the heart is ready to jump out of the chest due to excessive physical exertion, it is worth stopping and resting a little.

Acupressure massage in the neck area is a very effective remedy. But it should be done by an experienced person, massaging the area of \u200b\u200bpulsation of the carotid artery from right to left. By breaking the sequence, you can bring a person to a fainting state.

There are medications that can lower your heart rate:

Corvalol;
Vaocordin;
Hawthorn tincture.

Folk remedies in the fight against a rapid heart rate

1 teaspoon of celandine and 10 grams of dried hawthorn, pour a glass of boiling water, insist well.
Mix 1 part of black chokeberry juice, 3 parts of cranberry juice, 2 parts of carrot juice and 2 parts of alcohol. Squeeze 1 lemon into the mixture.
An incredibly effective mixture of lemon and honey. You need to take 1 kg of lemons, 1 kg of honey, 40 apricot pits. Grate lemons, peel and crush the seeds. Mix everything with honey.

A fast pulse can be the cause of many diseases. A timely detected ailment is the key to its successful treatment!

Heart pain may indicate the development of diseases

For primary diagnosis the following factors must be considered:

duration of pain;
the nature of the discomfort (stabbing, cutting, squeezing, aching, intermittent or constant);
conditions for the occurrence of discomfort (at what time and under what circumstances the pain appeared).

There is a misconception that any pain in the left side of the chest is cardiac. In fact, the typical zone of localization of heart discomfort is the sternum (the area behind it and to the left of it). Unpleasant sensations reach the armpit.

To make the correct diagnosis, you must definitely see a doctor. Pain in the sternum is a symptom of many pathologies associated not only with the heart, but also with the lungs, mammary gland, stomach, muscles, bones and blood vessels.

Causes of pain in the heart

The discomfort that occurs in the region of the heart can be of varying intensity. Some patients feel a slight tingling sensation, others a sharp pain that paralyzes the entire body.

At home, you can only roughly determine the cause of the discomfort. First you need to study everything possible diseases and abnormalities that can cause a similar symptom.

Unpleasant sensations can appear due to damage to muscles, bones, nerve trunks and even skin. Heart overload, which occurs due to increased physical activity, arterial and portal hypertension, is also dangerous.

Chest pain does not always indicate the development of heart disease. Discomfort, aggravated by tilting the body, deep inhalation or exhalation, may be due to pathologies of the costal cartilage or radiculitis (chest).

Short-term and periodic cardiac discomfort of an uncertain nature often speaks of the development of neurosis. In patients with this diagnosis pain localized in one place, for example, under the heart.

If a person is nervous, then he may also experience cardiac pain. Discomfort, which seems to press on the heart, appears due to intestinal distention. The unpleasant sensations that occur after eating a certain food or fasting indicate diseases of the pancreas or the stomach itself.

What does the nature of the pain indicate?

The nature of the pain is a decisive factor in helping to accurately determine the type of disease.

Squeezing

Pain, typical with oxygen deficiency of the muscle of the heart. It often occurs with ischemic diseases.

With angina pectoris, an unpleasant sensation appears behind the sternum, radiates to the scapula. Also, the patient's left arm becomes numb. The pain comes on suddenly, usually due to excessive stress on the heart. Compressive discomfort can occur in a person after stress, physical activity, or eating a large amount of food.

The pain is atypical if it is localized under the left shoulder blade and occurs in the early hours when the person is at rest. Such discomfort appears due to a rare type of angina pectoris - Prinzmetal's disease.

Pain under the left shoulder blade may indicate Prinzmetal's disease

Oppressive

Pain can occur in a perfectly healthy person due to alcohol or drug intoxication, as well as due to physical stress.

Pressing discomfort under the heart is characteristic of diseases such as: arterial hypertension, breast or stomach cancer. If discomfort is accompanied by rhythm disturbances and shortness of breath, then this indicates myocarditis (allergic or infectious). Pressing heart pain can also arise from experiences.

If the pain is accompanied by shortness of breath, then this indicates myocarditis.

Stabbing

No need to worry if the heart colitis is inconsistent and without accompanying symptoms (speech problems, dizziness, fainting). The most common cause of stabbing discomfort is neurocirculatory dystonia. It occurs during physical exertion, when the vessels do not have time to expand or narrow with changes in the rhythm.

Pain, which is constant and interferes with breathing, speaks of diseases of the lungs and bronchi (pneumonia, cancer, tuberculosis). A sharp stabbing pain in the left side of the chest is a symptom of myositis. The disease occurs due to muscle sprains, infection, hypothermia and helminthic invasion.

Neurocirculatory dystonia can occur due to physical exertion

Aching

Aching discomfort in the region of the heart is a typical symptom for patients suffering from regular psycho-emotional overload. In this case, the pain can be strongly felt and occur periodically. As a rule, patients with aching cardiac discomfort do not have any serious diseases or abnormalities. A person should think about going to a neurologist or psychotherapist if he has the following symptoms:

depression;
apathy or, on the contrary, increased irritability;
suspiciousness, anxiety;
somatisation disorder.

If in the area of \u200b\u200bthe heart it hurts and hurts for no specific reason, then this may indicate cardioneurosis. Aching-compressive discomfort also occurs against the background of ischemic stroke, but in this case, other characteristic symptoms are observed: dizziness, loss of consciousness, a sharp deterioration in vision, numbness of the limbs.

Sharp

The occurrence of severe and sudden cardiac discomfort in most cases requires further hospitalization of the patient. Sharp and sharp pain is a characteristic symptom of many serious pathologies. Such discomfort may indicate such diseases as:

Myocardial infarction. The pathology is characterized by lingering pain that occurs suddenly and is not amenable to pain medications. It becomes difficult for the patient to breathe, he has a fear of imminent death. Unpleasant sensations can be given to the stomach, spread throughout the chest. With myocardial infarction, the patient may start vomiting or involuntary urination.
Aortic aneurysm dissection. Often occurs in older people who have had aorta or heart surgery. Patients have a sensation of sudden cutting pain, rapidly gaining intensity. At first, you may feel like something is stabbed inside. Discomfort often radiates to the shoulder blade. At the same time, the patient's blood pressure constantly rises and falls.
Broken ribs. With fractures, burning pain is observed, which subsequently transforms into aching. The patient requires immediate hospitalization, as internal bleeding may begin.
PE (pulmonary embolism). The disease leads to blockage of the pulmonary artery by a thrombus that has come from varicose veins or pelvic organs. This pathology is characterized by sharp cardiac discomfort, which gains intensity over time. The patient may have a feeling that he is pressing or baking inside. The main symptoms of PE are palpitations, coughing up blood clots, dizziness, and loss of consciousness. Patients often have difficulty breathing and have severe shortness of breath.
Pathology of the stomach and esophagus. The most dangerous phenomenon is the perforation of the cardiac or stomach ulcer. With such a complication, a sharp stabbing pain occurs, transforming into lightheadedness. The patient has black dots in front of his eyes, he may lose consciousness. Any diseases of the stomach and esophagus, accompanied by vomiting or loss of consciousness, require hospitalization.

Sudden and sharp pain indicates myocardial infarction

In some cases, severe cardiac discomfort occurs against the background of prolonged angina pectoris. In addition to pain, the patient may feel dizzy.

How to distinguish between symptoms of cardiac ischemia and signs of cardiac ulcers? With ischemia, discomfort occurs during physical activity, more often in the daytime or evening. The pain has a constricting, less often aching character, lasts up to half an hour. With an ulcer, discomfort occurs in the morning when the stomach is empty. The discomfort is sucking or oppressive character, last for several hours or a whole day.

What to do with heart pain?

A person who has a heart attack needs to be given first aid. For minor illnesses, you can try medication and alternative methods of treatment. Any therapy should be agreed with your doctor.

First aid

If the heart suddenly aches, then you should immediately stop physical activity and calm down. The person should sit down, loosen or remove outer clothing and squeezing accessories (belt, tie, necklace). It is advisable to sit in a comfortable chair or lie down on the bed. Such methods are suitable if the heart aches due to overload.

The patient must have blood pressure measured. With values \u200b\u200babove 100 mm Hg, one nitroglycerin tablet should be placed under the tongue and wait until it is completely absorbed. First aid is especially effective for angina pectoris. If such methods do not help, then you need to call an ambulance.

With ischemic stroke, you can also provide first aid... To do this, gently turn the victim to one side, cover with a warm blanket and apply ice or a cold object to his forehead. You can not use ammonia to bring a person to their senses. If you suspect clinical death it is necessary to give the patient a heart massage.

In case of sharp pains in the heart, a person must be provided with peace

Pharmacy preparations

Over-the-counter drugs can help with minor pain. It should be understood that all serious illness are treated under the close supervision of a physician. The following medications help to get rid of pain in the heart:

Corvalol (drops). A sedative used for congestion and nervous conditions. Available in the form of drops. Not approved for use by lactating women. Take 15 to 50 drops at a time. The drug should be dripped into a small amount of water and drunk after meals. Recommended dose for tachycardia: 45 drops. Corvalol cost: around ruble.
Validol (tablets). Another sedative that dilates blood vessels. The drug is used for angina pectoris, cardialgia, neuroses. Daily dose: 1 tablet no more than 3 times a day. The positive effect should occur within 5-10 minutes after using the medicine. In the absence of a pronounced effect on the second day of using the medication, therapy should be discontinued. The cost of the drug: from 50 rubles per package.
Aspirin cardio (tablets). A medicine that helps with angina pectoris (in particular, unstable), cerebral circulation disorders. It is used more often for the prevention of various heart diseases. The remedy relieves cardiac pain of varying severity. The drug should be used once a day. The tablets should not be taken by pregnant or lactating women. The cost of the medication: from 80 rubles.
Piracetam (ampoules). Injections can be given with this drug. The remedy is effective for coronary heart disease. It has a nootropic effect. The drug must be used carefully, since at the very beginning of treatment, injections are administered both intravenously and intramuscularly. You should do 2-3 injections per day, the daily dose of the drug is mg. Treatment course: at least 7 days. Cost of funds: from 45 rubles.

Folk remedies

For pain in the heart, various methods of therapy should be used. It is worth giving up smoking, alcohol, junk and fatty foods. Patients need to be outdoors often, preferably going outdoors. It is also worth isolating yourself from psycho-emotional stress. Otherwise, serious problems cannot be avoided, since all negative factors affect the heart.

Valerian, hawthorn and motherwort

A soothing blend to help with aching and pressing pain caused by stress. To prepare the solution, you need to pour a glass of warm water and add a few drops of valerian, motherwort and hawthorn to it. The tincture can be drunk 2 times a day. It helps relieve stress and relieve cardiac discomfort.

Valerian tincture will help relieve pain

Motherwort, hawthorn and rose hips

The mixture will help strengthen blood vessels and stabilize the work of the heart. You will need to take 1.5 liters of boiled water, 1 tablespoon of rose hips, 2 tablespoons of motherwort and 5 tablespoons of hawthorn. As a result, you will get a solution that will last for several days. It should be taken 1-2 times a day for half a glass. The mixture does not help treat serious heart disease, but it does provide powerful prophylaxis and pain relief.

Motherwort will help stabilize heart function

Pumpkin juice and honey

Pumpkin juice with honey should be taken in case of cardiovascular pathologies. The ingredients must be mixed in proportions of 3: 1. In order for the mixture to work well, it must be drunk at night. You can also take a nut mixture with raisins, as it helps to strengthen the walls of blood vessels and has a beneficial effect on the nervous system.

Pumpkin juice has a good effect on the cardiovascular system

Can I drink coffee when my heart hurts?

There is a list of factors in the presence of which it is strongly not recommended to drink coffee. It should not be consumed by pensioners and children. Teens also need to limit their intake of coffee and coffee beverages. This drink is strictly prohibited for people with hypertension.

It is forbidden to drink coffee for people with hypertension

Various studies have proven that nothing happens to a person suffering from heart disease after coffee. At the same time, you can drink no more than 1-2 cups a day, depending on age and condition. The coffee should be sugar-free and too strong. It is also worth noting that regular consumption of this drink reduces immunity.

Related materials:

If you have problems with blood pressure, we recommend that you pay attention to the natural preparation for normalizing pressure Normalife. We wrote about it in detail in this article.

Is it dangerous - for three months in the region of the heart the muscle in the region of the heart has been pulsating?

1 osteochondrosis caused by irritation of the nerve root and its vessels by herniated disc of the spine;

2 magnesium deficiency in the body. Magnesium blocks the excessive influx of calcium into cells, thereby preventing excessive tension of skeletal muscles and smooth muscles, and promotes their natural relaxation;

3 neurosis due to lack of sleep and overwork;

4 professional physical activity on this muscle area.

Pulsating in the region of the heart - is it normal?

Hello! I'm a 17 year old boy. Pulsation in the region of the heart worries, especially when lying on the left side. This is not like a heart beat, but rather like a vein on the arm pulsating like this. ECG, ultrasound, Holter - normal. I am not thin, I have some extra pounds, especially in the chest. It seems that the ribs do not move and this ripple is already on top. What could it be? Is this normal? Patient age: 17 years

Doctor's consultation on the topic "Pulsing in the region of the heart"

Hello Ilya! The presented XM ECG protocol does not cause any concerns, these changes are permissible.

What you feel "like a pulsation" may be due to convulsive contractions of muscle fibers in the muscles of the chest. It can even be called a "nervous tic". These twitching can occur with emotional instability, physical exertion (on the back), with an uncomfortable position of the body, with scoliosis, osteochondrosis of the thoracic spine.

Depending on the cause of such tics, the therapy regimens may be different - if emotional instability prevails - sedatives (herbal series) can be used, if the pathology of the thoracic region is antispastic drugs, NSAIDs, B vitamins.

Ask a clarifying question in the special form below if you think the answer is incomplete. We will answer your question as soon as possible.

Pulsation in the region of the heart

Normal aortic pulsation is not detected. Aortic pulsation is a sign of pathology (eg, aortic aneurysm, hypertension, aortic valve insufficiency). This pulsation is called retrosternal (retrosternal).

Trembling of the chest (cat's purr) is noted above the apex of the heart during diastole (with mitral stenosis) and above the aorta during systole (with stenosis of the aortic ostium).

Epigastric pulsation is determined by hypertrophy and dilatation of the right ventricle, aneurysm, or atherosclerosis abdominal aorta, aortic valve insufficiency).

Pulsation of the liver can be true (with tricuspid valve insufficiency) or transmission (with pulsation of the aorta).

heartbeat

Questions and answers for: heartbeat

On April 29, I was in the shower and bent over to pick up a washcloth. At this moment, a sharp sharp pain arose in the area of \u200b\u200bthe shoulder blades. I could not part them, it was hard to breathe. This lasted for min. Then the pain receded. It was hard for me to bend over during the day. By evening, the pain subsided, and the next day it was almost gone. But after a few days my scapula began to hurt, under it, the pain was in my left arm. Pain in the left ribs. The pain is felt in the middle and lower chest. Mostly dull, aching. If you put your hand between the shoulder blades in front, there is not much pain. Often becomes cloudy in the head, but passes quickly. At this moment, it seems that breathing stops and the heart stops beating. It passes quickly. Feeling that there is not enough air. Feeling of tightness, heaviness in the chest. Felt in lying, sitting and standing positions. Periodically feel pulsation in the ribs. Such attacks are almost every day. I went to the doctor, did an EKG. ECG is normal. Pressure 90 /. Pulm 70. Previously, there were no heart problems. The doctors say the heart is okay. But I'm still worried. 25 years. Height 170. Weight 50kg.

Complaints of weakness, flickering of flies in the eyes, periodic pressing pains in the region of the heart during exercise, lack of appetite, dizziness, dry skin.

Medical history: Suffers from chronic anemia against the background of ulcerative colitis for about 40 years. She was treated on an outpatient and inpatient basis in October 2014. Periodically takes a totem, sorbifer durules. Deterioration of health during the last 2 weeks, when the above complaints intensified. She turned for medical help at the KDP, was examined, and was sent routinely to a hospital.

Life history: more than 40 years - nonspecific ulcerative colitis, constantly taking salofalk 500 mg, 2 tons. * 2 r. per day, the last hospitalization for this disease - 5 years ago (AMOKB No. 1), blood pressure rises for many years to / mm. rt. article, constantly takes egilok 50 mg 2 r / d, arifon 1 t / day, chronic venous insufficiency 2 tbsp. In June 2014 - an accident, subcapsular hematoma of the spleen. Diabetes mellitus type 2. Pensioner. Has no bad habits. Tuberculosis denies viral hepatitis. Drug intolerance: denies. Epidemiological history: Contact with infectious patients denies. Everyone is healthy in the family. There were no hemotransfusions. I have not traveled outside the city of Astrakhan for the last 2 months. There were no bites of ticks or other insects. He drinks boiled water and milk. I did not swim in open reservoirs.

Objectively: Temperature 36.3. The condition is unsatisfactory. In consciousness, kontaktna answers questions correctly, in full, her voice is quiet, her speech is correct. The pupils are equal, they react well to light. The gait is sluggish, in the Romberg position - swaying. Correct physique, subcutaneous fat is normal. The constitution is normosthenic. The musculoskeletal system is not changed. The skin is clean, dry, pale in color with a yellowish tinge, the turgor is reduced. Peripheral l / nodes (submandibular, cervical, axillary, inguinal) are not enlarged, painless. The thyroid gland is not enlarged. The isthmus is palpated. Chest of the correct shape. Lungs: NPV - 18 per minute. With lung percussion, the sound is pulmonary, of the same sonority on both sides. Auscultatory vesicular breathing, no wheezing. The region of the heart is not changed, the boundaries of relative cardiac dullness: upper - at the level of 3 m / ribs; right - the right edge of the sternum; left - 1 cm medially from the left midclavicular line. Heart: heart rate 78 per minute. BP on the right hand 170/90 mm Hg Blood pressure on the left hand 160/90 mm Hg. The heart sounds are muffled, the rhythm is correct. Tongue moist, thickly coated with white bloom. The abdomen is soft and painless on palpation. The lower edge of the liver along the edge of the right costal arch. The spleen is not enlarged. There were no peripheral edema. S. Pasternatsky negative on both sides. The pulsation of the vessels of the lower extremities is preserved, weakened. Urination is painless, free. The chair is intermittent, not always decorated.

Main: Anemia of mixed genesis (iron and folate deficiency, against the background of systemic disease), moderate severity.

Background: Ulcerative colitis.

Concomitant: Secondary arterial hypertension 2 tbsp. Atherosclerosis of the aorta. Sideropenic cardiomyopathy. Diabetes mellitus type 2, compensated. Planned: - Carrying out antianemic, detoxification therapy,

COLONOFIBROSCOPY from 17.03.2015

I am aware of the nature of the study / a /, warned about a possible biopsy / a /. Consent received.

Bookmark: Chronic external and internal hemorrhoids without visible exacerbation. The tone of the anal sphincter is reduced. Catarrhal sigmoiditis? / UC? (the mucous membrane of the entire sigmoid colon is hyperemic, edematous, against the background of general hyperemia there are areas of brighter hyperemia, viscous mucus in places on the mucosa, the lumen of the sigmoid colon is somewhat narrowed, it is a tube, there are no folds). A separate biopsy was performed in the proximal and distal parts of the s-intestine. When performing a biopsy, the mucous membrane is unstructured, fragmented. In the proximal part of the s-intestine, at the place of transition to the descending, wide diverticulum, which is a continuation of the intestinal lumen, the mucous membrane in it is the same as in the entire sigmoid colon. Chronic hypotonic colitis / folds throughout the colon are smoothed / out of visible exacerbation. In the rectum and behind the sigmoid, up to the cecum, without inflammatory and organic changes. The result of histological examination after 7 days.

COLONOFIBROSCOPY from 03.10.2014

Aware of the nature of the research / a /. A possible biopsy was warned / a /. Consent received.

Conclusion: Erosive-catarrhal sigmoiditis / mucous membrane of the sigmoid colon throughout, edematous, eroded around the entire perimeter,

in some areas in the form of a cobblestone pavement /. Biopsy performed. Further to the dome of the cecum and in the rectum without features. The result of histology after 7 days.

Pulses in the heart area

When examining the heart area, the doctor should tilt his head, and sometimes even kneel by the patient's bed, so that the examiner's eyes are at the level of the patient's chest. The patient should be slightly turned to the left side so that the pulsation is better visible.

It is important that in the anamnesis of most patients there are indications of a previous myocardial infarction, in particular of repeated heart attacks.

Electrocardiogram changes in aneurysm are characteristic of extensive transmural myocardial infarction with a deep Q or QS wave and dome-shaped elevation interval S-T with coronary T in chest leads... In standard leads, a decrease in the amplitude of the R waves and deep SII-III waves are noted.

In the presence of a pronounced pulsation of the apical impulse, a task often arises in front of the doctor: an aneurysm or a hypertrophied apex of the heart pulsates. With hypertrophy of the apex muscles, changes characteristic of a levogram and a large RI wave are found on the electrocardiogram. With an aneurysm of the anterior wall, due to the disappearance of electrically active muscle tissue and its replacement with scar tissue, the appearance of deep Q or QS is observed above the site of pulsation (the Ri wave is absent or sharply reduced).

According to N. A. Dolgoplosk's observations, the presence of deep QII-III coronary TII-III "giant" and high T and a decrease in the S-T interval in the chest leads is characteristic of the posterior wall aneurysm.

All changes in the electrocardiogram in most cases of aneurysms persist for a long time, in such cases they speak of “frozen electrocardiograms”.

X-ray examination rarely "opens" an aneurysm of the heart; in most cases, it only reinforces the clinical diagnosis. Fluoroscopy sometimes detects a large pulsating left ventricular aneurysm, but such aneurysms are rare. In most cases, X-ray examination reveals a protrusion of the left ventricular arch, a paradoxical pulsation of the aneurysm that does not coincide with the pulsation of the apex. In some patients with aneurysm, we could ascertain peculiar changes in the cardiac shadow, creating the impression of a rectangular shape of the left contour of the heart. During roentgenokymography, paradoxical pulsation was noted, the teeth of the left ventricular contour became as thin as the teeth of the vessels - vascular teeth. In the presence of an apex aneurysm, it is better detected during inhalation.

In most cases, clinical, electrocardiographic and x-ray examination (if the latter is possible) allow the recognition of an aneurysm of the heart.

Rarely, pulsation in the region of the heart can be observed without the presence of an aneurysm; This pulsation is possible, and we observed it with a pronounced myocardial dystrophy, in some rare cases of myocardial infarction (OM Kjlobutin), when an extensive necrotic altered part of the myocardium that has lost its tone bulges out under the influence of a push of blood flowing into the left ventricle during diastole. The possibility of such a paradoxical pulsation of the infarction zone, studied using an electro-roentgeno-kymograph, was demonstrated by S. Dack et al and Schwedel et al. However, this does not deprive the value of the symptom of paradoxical pulsation, because in most cases the presence of pulsation is a sign of an aneurysm.

16.Pathological pulsations in the region of the heart, epigastrium, neck.

The cardiac impulse is palpable near the sternum, in 3-4 intercostal spaces on the left, in the position of the patient lying on his back with an elevated headboard. It is associated with hypertrophy of the right ventricle (the left ventricle is pushed back by the right and does not juggle the apical impulse). Normally, no, it is difficult to determine in asthenics with wide intercostal spaces. There is no chest pulsation in healthy people. It is determined by palpation in the jugular fossa with an enlarged or elongated aorta, insufficiency of the semilunar valve of the aorta. Epigastric pulsation - with hypertrophy of the right ventricle, wall oscillation abdominal aorta and liver pulsation. With hypertrophy of the right ventricle, under the xiphoid process, it becomes clearer with a deep breath. With an abdominal aortic aneurysm, it is detected somewhat lower and directed from back to front. Pulsation of the abdominal aorta occurs in healthy people with a thin abdominal wall. Liver pulsation, felt in epigastrium, can be transmissive and true. Transmissive is caused by contractions of the hypertrophied right ventricle. True, in patients with tricuspid valve insufficiency, when there is a reverse flow of blood from the right atrium into the inferior vena cava and hepatic veins (positive venous pulse). In this case, each heart contraction causes its swelling. Feline purr - trembling of the chest wall in a limited area corresponding to auscultation of the valve. Occurs when blood movement through the atrioventricular and aortic openings is difficult during systole or diastole. Diastolic - at the apex of the heart with mitral stenosis simultaneously with diastolic murmur. Systolic murmur - with insufficiency of the mitral valve and stenosis of the aortic orifice simultaneously with systole. Pulsation of the cervical veins - with insufficiency of the aortic valve - the pulsation of the carotid arteries sharply increases - the dance of carotids. patients with right ventricular heart failure, with damage to the tricuspid valve, with compressive pericarditis, swelling of the cervical veins. Insufficiency of the tricuspid valve is manifested by a positive venous pulse (pulsation of the veins that coincides with the pulsation of the arteries), which is associated with the return flow of blood through the atrioventricular opening into the atrium and vena cava during right ventricular systole.

17 Percussion of the heart. Contours of the heart. Configuration.

Contours. The contours of relative dullness are determined in the 3,4 intercostal spaces on the right, in the 2,3,4,5 intercostal spaces on the left. The right one is formed (starting from the 2nd intercostal space) by the upper-superior vena cava, the lower-right atrium. The left one is formed by the aortic arch, below-pulmonary artery, at the level of 3 rib-auricle of the left atrium and a narrow strip of the left ventricle. The anterior surface in the area of \u200b\u200babsolute dullness is formed by the right ventricle. Configuration. 1. Normal 2. Mitral (left atrial hypertrophy, expansion of the pulmonary trunk, boot shape) 3.aortic (pronounced waist due to left ventricular hypertrophy and aortic enlargement) 4.trapezoidal (with diffuse myocardial lesions and pericardial effusion - a uniform increase in all sections, loss of clear separation of the contours into arcs) 5.pulmonary heart (hypertrophy of the right sections) 6.cor bovinum (with thyrotoxicosis)

Ripple

Pulsation (lat. Pulsatio, from pulsus - push) is a jerky vibration of the walls of blood vessels, the heart and adjacent tissues. Distinguish between physiological and pathological pulsation. Pathological pulsation of the heart and blood vessels in the chest area, epigastric and hepatic pulsation are of diagnostic value.

Severe pulsation of the aorta can be found in the I or II intercostal space to the right of the sternum with scarring of the right lung or due to a sharp expansion of the ascending part of the aorta (see Aortic aneurysm). Aortic pulsation can also be detected in the jugular fossa with sclerotic lengthening of the aorta and with expansion or aneurysm of its arch. With an aneurysm of the unnamed artery, there is a "pulsating tumor" in the region of the sternoclavicular joint. The pulsation of the pulmonary artery is determined in the second intercostal space on the left in the case of wrinkling of the left lung or when the pulmonary artery expands (hypertension in the pulmonary circulation).

Tumors in contact with the heart or large vessels can cause abnormal pulsation in the chest area. A sharp displacement of the heart in diseases of the respiratory system and a change in the location of the diaphragm leads, due to the displacement of the cardiac and apical impulse, to the appearance of unusual pulsation in the chest area: in the III, IV intercostal spaces on the left with significant wrinkling of the left lung and high standing of the diaphragm, in the III-V intercostal spaces behind the left midclavicular line with accumulation of liquid or gas in the right pleural cavity, on the right in the IV-V intercostal spaces along the edge of the sternum with wrinkling of the right lung, with left-sided pneumo- or hydrothorax or dextrocardia. The omission of the diaphragm with emphysema can lead to a displacement of the apical impulse down and to the right.

Arterial and venous pulsation is distinguished on the neck. Increased pulsation of the carotid arteries is observed with insufficiency of the aortic valves, aortic aneurysm, diffuse thyrotoxic goiter, and arterial hypertension. One-wave pulsation of the jugular veins in pathological conditions can be both presystolic and systolic (positive venous pulse). The exact nature of the pathological pulsation of the veins is determined on the phlebogram (see). On examination, you can usually see pronounced pulsation in the form of one wave, less often two, after contraction of the atria (presystolic) or synchronously with the systole of the ventricles (systolic). The most characteristic is systolic pulsation of the jugular veins with simultaneous systolic pulsation of an enlarged liver with tricuspid valve insufficiency. Presystolic pulsation occurs with complete heart block, stenosis of the right venous orifice, sometimes with atrioventricular rhythm and paroxysmal tachycardia.

Epigastric pulsation can be caused by contractions of the heart, abdominal aorta, and liver. Pulsation of the heart in this area is visible with a low standing of the diaphragm and a significant increase in the right heart. Pulsation of the abdominal aorta can be seen in healthy, thin people with a flaccid abdominal wall; more often, however, it occurs in the presence of abdominal tumors in contact with the abdominal aorta, and sclerosis or aneurysm of the abdominal aorta. Hepatic pulsation is better defined by palpation of the right lobe of the liver. True pulsation of the liver is extensive in nature and is manifested by a rhythmic increase and decrease in the volume of the liver due to the changing filling of its vessels with blood (see. Heart defects). The pulsation of the liver visible to the eye is determined with hemangioma.

Pathological pulsation of the arteries is observed with the compaction of the walls of blood vessels and increased cardiac activity in various pathological conditions of the body.

Graphical recording of pulsations using multichannel devices allows you to more accurately determine its nature.

Pulses in the heart area

PULSATION (lat. pulsatio) - jerky movements of the walls of the heart and blood vessels, as well as the transfer displacements of the soft tissues adjacent to the heart and blood vessels, resulting from the contractions of the heart.

P. hearts are studied in many ways.

In particular, a wedge, the study of pulsating beats of the heart in the chest wall is important. Since most of the surface of the heart is surrounded by a layer of airy lung tissue, its pulsation in healthy people can usually be detected only in the apex, where the amplitude of heart movements is greatest, and the layer of lung tissue is insignificant. The moment of visible protrusion of the chest wall or palpation determined impulse, localized in the fifth intercostal space (approximately 1.5 cm medial to the left midclavicular line), corresponds to the systole of the ventricles of the heart. P. in the area of \u200b\u200bthe apical impulse is well detected visually in thin people, especially in children and young people. In the presence of even a moderate P.'s fatty layer in the area of \u200b\u200bthe apical impulse, it is not always possible to determine by eye. In these cases, it can usually be detected by palpation, especially when the patient is standing, sitting with the torso tilted forward or lying on the left side. In the position of the patient lying on the left side, the area of \u200b\u200bP.'s detection is displaced by 3-4 cm lateral than in the supine position. The apical impulse is more difficult to determine in obese persons, with a decrease in the stroke volume of the heart, the presence of pleuropericardial adhesions, exudate in the pleural or pericardial cavity; in healthy individuals, it is not found in those cases when it is localized behind the rib. Exploring the apical impulse, pay attention to the location and nature of the pulsation. When the heart is displaced as a result of the formation of adhesions, it is displaced by the fluid located in the pleural cavities, by massive masses located in the lungs or mediastinum, or by an elevated diaphragm (with severe flatulence or ascites), the localization of the apical impulse changes in the direction of the displacement force. An increase in the left ventricle of the heart leads to a displacement of the apical impulse to the left and down (sometimes up to the seventh intercostal space); with an increase in the right ventricle, the apical impulse is also pushed to the left (but not down) due to the pushing back of the left ventricle.

The pulsation in the apical impulse is characterized by area, height and strength. The height of the apical impulse is called the amplitude of the displacement of the chest wall, and the force is the pressure exerted by the apical impulse on the fingers or palm applied to the area P. The area and height of the apical impulse is estimated taking into account the structure of the chest: with narrow intercostal spaces, they are smaller, with a thin-walled chest more. At the height of inspiration, due to an increase in the airiness of the lung tissue separating the apex of the heart from the chest wall, apical P. is determined on a smaller surface and has a smaller amplitude; sometimes with a deep breath, and also with emphysema of the lungs, apical P. is not determined. The main and most common cause of an increase in the area and height of the apical impulse is an increase in the left ventricle. A strong (lifting) apical impulse is the only sign of left ventricular hypertrophy available to direct medical research, although P. of a similar nature is possible with pronounced hyperkinesia of the heart. A very high and strong (domed) apical impulse is characteristic of significant eccentric hypertrophy of the left ventricular myocardium, observed, for example, with aortic valve insufficiency. A weakened and diffuse (enlarged in area) apical impulse is noted with dilatation of the dystrophically altered left ventricle of the heart. To undoubtedly patol, P. of intercostal spaces in the precordial region, observed at aneurysms of the anterior wall of the left ventricle, belongs to signs (see. Heart aneurysm). With obliteration of the pericardial cavity or massive adhesions of the pericardium with P.'s pleura in the area of \u200b\u200bthe apical impulse, it can be paradoxical (negative apical impulse) due to the fact that such changes impede the movement of the apex of the heart during systole forward and upward, and the contracting heart draws in the tissues soldered to it chest wall.

Objective and profound P.'s characteristic in the area of \u200b\u200ban apical impulse is carried out by means of apexcardiography (see. Cardiography). To assess the activity of the heart in terms of the displacement of various pericardial environments or the whole body associated with its P., ballistocardiography (see), dynamo-cardiography (see), pulmocardiography (see) and other methods of special studies are also used. For P.'s study of contours of the heart use rentgenol. research methods, especially roentgenokymography (see) and electrokimography (see). Echo-cardiography allows to get an idea of \u200b\u200bP. of various structures of a working heart (see).

With aortic insufficiency (see. Acquired heart defects), thyrotoxicosis, severe hyperkinesia of the heart, superficial arrangement of arteries or their aneurysms, the presence of arteriovenous shunts, P. can be visually determined over different vascular areas. So, the expressed P. is characteristic of aortic insufficiency - the so-called. dance of the carotid arteries, P. pupils, P. spots of hyperemic skin (precapillary pulse) are sometimes observed.

Presses in the region of the heart: what can such a symptom indicate?

IT'S IMPORTANT TO KNOW! Heart and headaches, pressure surges are symptoms of an early onset. Add to your diet.

Pressing pain in the heart is a dangerous symptom that scares a person and always takes him by surprise. The first thing that comes to mind is thoughts of sudden death. The intensity of the pressure may be weak, but sometimes the heart squeezes so much that a person is forced to hold his breath and wait until he lets go.

Patients describe pressing pain in different ways. Some say that suddenly during physical work or active sports, it feels like the heart is being squeezed into a vise or fist. Other people feel like an elephant is sitting on their chest.

Causes of pressing chest pain not related to heart ailments

There are a number of diseases in which there is pressure in the area of \u200b\u200bthe heart. And these ailments are not necessarily cardiological. This type of pain can be a symptom of gastrointestinal diseases, problems with the spine, pulmonary diseases, problems with the nervous system.

Cardioneurosis. With cardioneurosis, severe compressive chest pains are similar to angina pectoris. However, the disease is provoked by problems with the central nervous system, therefore, no changes occur in the heart muscle. Pressing pains are given to the scapula, lower jaw, they are permanent, but are not stopped with nitroglycerin. Sedatives and elimination of factors provoking a stressful state help.
Diseases of the gastrointestinal tract. Pain in the region of the heart, having a pressing character, accompanied by heartburn, is a symptom of such unpleasant diseases of the gastrointestinal tract as stomach ulcers and esophagitis. In this case, painful sensations are more often manifested in the lying position or when bending forward.
Pleurisy. If the feeling of squeezing the heart appears when inhaling and during coughing, chills join it, excessive sweating, general malaise, then we are talking about pleurisy.
Intervertebral hernia. If it presses in the area of \u200b\u200bthe heart and is hard to breathe, this may indicate a herniated disc. Patients often confuse such heart pain with angina pectoris. But with an intervertebral hernia, due to pinching of the nerve roots between the vertebrae, a person has weakness in the muscles of the hands, numbness in the chest and a feeling of creeping creeps on the back.
Intercostal neuralgia. The disease is manifested by pressing pains in the chest and between the ribs of a paroxysmal or permanent nature. Distinctive feature neuralgia is that pain spreads from the spine to the entire space of the anterior chest. Aggravated by sneezing, coughing, trying to touch the chest or ribs.
Cervicothoracic osteochondrosis. In such a case, the pain is described as pressing and constricting, as if the ribs were pressing on the heart. Increased chest discomfort when trying to tilt or turn your head. In addition, there is limited neck movement, dizziness, flies before the eyes, pain in the neck and back of the head.
Pulmonary embolism. As a result of blockage of the pulmonary artery by a thrombus, a person feels that he is pressing hard in the region of the heart and it is difficult to breathe, since oxygen cannot be transported to tissues and organs. In addition to pressing pains, a person experiences weakness, the pressure decreases, the pulse is poorly felt. The situation requires immediate hospitalization of the person, otherwise death may occur.
Cerebral atherosclerosis. This is a blockage of cerebral vessels with atherosclerotic plaques. Pressing chest pain is accompanied by tinnitus, tachycardia or bradycardia, increased blood pressure.
Acute gastritis. With gastritis, pressing pain in the heart is complemented by stomach colic, worsening of the general condition, and a feeling of fullness in the stomach.

Pressing pain indicating cardiac problems

There are many heart diseases that cause pressing chest pain.

The following table describes the most common ones.

Diagnostics and treatment.

Pain in the area of \u200b\u200bthe heart of an aching character can be a sign of cardiac, psychological, gastroenterological problems, as well as lung diseases.

The reasons can be very diverse: from trivial stress to serious lesions of internal organs, which, without treatment, lead to life-threatening complications.

If you notice such pain in yourself, contact a therapist. After examination, he can refer you to a cardiologist, gastroenterologist, angiologist, pulmonologist, rheumatologist, neuropathologist, psychotherapist.

Possible causes (possible diseases)

"Heart" reasons

Aching chest pains can occur with such cardiovascular diseases:

Myocarditis is an inflammation of the heart muscle.
Rheumatic heart disease is an inflammation of the heart caused by rheumatism.
Mitral valve prolapse - retraction of its cusps into the left atrium. This leads to its failure and the reverse outflow of some of the blood into the left atrium from the left ventricle.
Hypertension.
A thoracic aortic aneurysm is an enlargement of its area, which can lead to dissection and rupture of this important vessel.
Angina pectoris - occurs due to atherosclerosis of the coronary vessels and insufficient blood supply to the heart muscle. It may be accompanied by bouts of aching or pressing pain that appears during physical exertion, and over time - at rest.

"Non-heart" reasons

Also, pain in the heart is characteristic of disorders of nervous regulation. psychological nature: vegetative-vascular dystonia (VVD).

Cardialgia (pain in the heart) can also appear with neuroses: asthenic, hypochondriacal, hysterical and others. In this case, the pain can be of a varied nature: aching, stabbing, pressing.

Diseases of the internal organs, in which the heart aches:

In case of lung diseases, the pain is constant, it can be aching and stitching, and is aggravated by coughing. With gastric pathologies, the pain can be either aching, or burning or pressing.

Accompanying symptoms

Aching pain in the heart area is accompanied by other symptoms. Their set depends on the underlying disease.

Symptoms of cardiovascular disease, in which the heart aches

Pain usually appears no longer at the initial, but at a later stage of cardiovascular disease. For example, with an aortic aneurysm - when it begins to exfoliate, which can soon lead to rupture of the vessel.

Click on the photo to enlarge

Therefore, if you notice aching heart pains or other symptoms that are listed in the table, contact your therapist, and then go to the cardiologist for a complete examination.

Symptoms of neuroses and VSD

Symptoms that accompany neuroses leading to chest pains can be very diverse. The most common ones are:

chronic fatigue;
depression;
mood swings, emotional instability;
irritability;
tearfulness;
increased, excessive attention to one's health.

Vegetovascular dystonia can occur in different forms. Symptoms can be persistent or manifest as vegetative crises. Any type of VSD can give pain in the heart, aching, stabbing and of another nature.

Two types of manifestation of vegetative vascular dystonia:

Sympathoadrenaline crises are possible, which are accompanied by severe heartache, headache, fever up to 38.5 degrees, numbness of the extremities, a strong increase in blood pressure, and slight dilation of the pupils.

With vagoinsular crises, which can periodically occur with this type of VSD, blood pressure significantly decreases, heart rate slows down, pupils may narrow, heaviness in the head, fever in the face and body, dizziness, less often suffocation, nausea appears.

Symptoms of different types of vegetative-vascular dystonia can be combined. In this case, they speak of a mixed type of IRR. Also, attacks of one type can be replaced by paroxysms of another type.

Any type of VSD is characterized by rapid fatigue from physical and psychological stress, sensitivity to weather changes.

VSD symptoms. Click on the photo to enlarge

Symptoms of lung disease (other than aching chest pain)

Manifestations of gastrointestinal disorders that may be confused with heart pain

Diagnostics

After collecting disturbing symptoms, your doctor will send you for tests such as:

Blood test.
Ultrasound of the heart.
X-ray of the chest cavity.
Duplex scanning of the aorta.

To diagnose gastrointestinal diseases, you may need fibrogastroduodenoscopy (FGDS) - swallowing the probe.

Treatment

To eliminate the pain themselves, apply:

With angina pectoris - nitrates.
With neuroses, VSD - sedatives with a "heart" bias (Corvalol, valerian).
For other diseases, pain relievers of varying strength, as well as non-steroidal anti-inflammatory drugs with an analgesic effect.

But the completely aching pain in the heart will only disappear when the underlying disease is cured.

Treatment of cardiovascular pain causes

Treatment of neuroses and VSD

With neuroses, psychotherapy and medications are effective (antidepressants, nootropics, sedatives - depending on the disease).

As for the VSD, the causes of this pathology are still not fully understood, therefore, the treatment is symptomatic (drugs to reduce or increase pressure, eliminate rhythm disorders, relieve psychological manifestations).

It has also been found that a proper lifestyle helps to minimize and even negate the signs of VSD. To do this, temper, lead an active lifestyle, give up bad habits, fully rest, strictly observe the daily regimen.

Treatment of diseases of internal organs

How to identify heart pain?

Symptoms of many diseases are associated with chest pain, and they do not have to be signs of heart pain. Very often, diseases of the digestive and respiratory organs, problems of the musculoskeletal system, injuries and neurological disorders are manifested in this way.

Therefore, it is very important to know how to identify pain in the heart, distinguishing it from the rest, since in this case immediate help is needed. This is especially true for signs of such dangerous exacerbations as the development of myocardial infarction. Although the final diagnosis is made only by a doctor, its specific symptoms will help to classify pain as a heart patient.

Signs of pain associated with cardiology

Angina attack

It is always a dull pain: squeezing, squeezing or cutting, but not sharp. Pain with angina pectoris occurs at the location of the heart. The patient does not know exactly how to identify pain in the heart and may point to any part of the chest. Often the pain radiates to the neck, jaw, left arm or between the shoulder blades. Its causes can be physical exertion, emotional stress, food intake, going out of heat to cold, even night sleep... This pain in the region of the heart can last for seconds or up to 20 minutes. The patient often freezes in place, feels short of breath, shortness of breath and a specific feeling of fear of death. Taking nitroglycerin immediately relieves the attack and brings significant relief. This pain continues with inhalation and exhalation and does not depend on the position of the body.

If, during various physical activities (lifting weights or playing sports), a spasm occurs in the lower jaw or left arm and a burning sensation is felt, then you should see a cardiologist. He will send for a routine or stress ECG, as this may be the first hint of angina pectoris.

Myocardial infarction

Behind the breastbone with myocardial infarction, there is a sharp, sudden pain of a burning character or pressing, radiating to the back and left side of the chest. The patient feels that there is a heavy load on his chest that does not allow breathing, as well as a distinct fear of death. Breathing with a heart attack becomes more frequent, and the patient sometimes tries to sit up because he cannot lie down. Pain with a heart attack is sharper than with angina pectoris, and their movements intensify. In this case, nitro drugs do not help.

Inflammatory heart disease (including myocarditis and pericarditis)

With myocarditis, there is a relatively mild pain in the region of the heart, similar to angina pectoris: aching or stabbing, with a feeling of pressure behind the sternum and return to the neck and left shoulder. The pain is constant and continuous, increases with physical exertion and is not stopped by nitroglycerin. During work or sleep, the patient experiences shortness of breath and attacks of suffocation, swelling of the limbs and pain in the joints.

With pericarditis, monotonous dull pains are observed at elevated temperatures. The pain can be localized over the heart, in the left chest, left shoulder blade, or left and top of the abdomen. When coughing, deep breathing, in a horizontal position and when changing positions, the pain increases.

If the appearance of heart pain was associated with the moment of a cold, then this may indicate either the heart that has been affected inflammatory process, or be a sign of osteochondrosis. An accurate diagnosis can be made here by the joint efforts of a rheumatologist and a cardiologist. Moreover, in addition to passing the usual ECG study, you will also need to do an ultrasound of the heart and pass all blood tests.

Diseases of the aorta

In this case, pain appears at the top of the chest. It is associated with physical activity and lasts for several days, is not given to other parts of the body and is not stopped by nitroglycerin. For dissecting aortic aneurysm, bursting severe pain behind the breastbone, which can lead to loss of consciousness. Emergency help is needed here.

Pulmonary embolism

At an early stage, it manifests itself as severe chest pain, aggravated by inhalation, resembling angina pectoris, but without recoil to other places. It cannot be removed with pain relievers. The patient has a strong heartbeat and shortness of breath, a rapid decrease in pressure and cyanosis of the skin. An urgent hospitalization is required.

Pains of non-cardiac origin

Intercostal neuralgia

It is very often confused with heart pain. Although it resembles angina pectoris, it has significant differences. With neuralgia, the pain is sharp, shooting, aggravated by movement, laughter, coughing and just inhaling. Most often, this pain quickly passes, but sometimes it can drag on for a day, intensifying with sudden movements. Pain is localized between the ribs on the right or left, but can radiate to the heart, back, lower back or spine. The patient usually indicates the exact location of the pain.

Osteochondrosis

A person experiences heart pain with osteochondrosis (chest), radiating to the back, scapula, upper abdomen and intensifying with deep breaths and movement. Sometimes the left arm and the area between the shoulder blades become numb. Patients often confuse this pain with angina pectoris, especially if it comes at night and causes a feeling of fear. But these periodic pains in the heart area are not relieved by nitroglycerin.

Diseases of the digestive organs

Spasms of the muscles of the stomach walls very often cause pain in the chest. But they are distinguished from the heart by concomitant nausea, vomiting and heartburn. These pains last longer than heart pains and have their own characteristics, for example, they are associated with meals - they appear on an empty stomach, but disappear after eating. Nitro drugs are powerless here, in contrast to antispasmodics.

In the acute form of pancreatitis, there are very severe pains that can be confused with heart pains. The condition is very similar to a heart attack, in which vomiting and nausea are sometimes observed. It is almost impossible to relieve such pain at home. Pulsating heart pain can also be caused by cramping bile ducts or gallbladder. Although he and the liver are located on the right, nevertheless, pain radiates to the left side of the chest. Antispasmodics can help.

With a hernia of the esophagus in the area of \u200b\u200bthe diaphragm, severe pain occurs, resembling angina pectoris. Such pain often appears during sleep, when a person is in a horizontal state, and as soon as he gets up, his condition immediately improves.

Central nervous system disorders

With this disease, there are prolonged and frequent heart pains on a nervous basis, which are localized in the lower left side of the chest, where the apex of the heart is located. Patients describe their symptoms in different ways: most often as permanent aching pain, but sometimes they can be short-lived, but more acute. Pain in the heart after stress almost always causes sleep disturbances, a state of anxiety, irritability and other phenomena characteristic of vegetative disorders... For these pains, sleeping pills and sedatives help.

A very similar picture is observed during menopause. Sometimes cardioneuroses are difficult to distinguish from coronary artery disease even after an ECG is taken, since there may be no changes in it in both cases.

If a person periodically feels a slight pain in the region of the heart of an aching character at rest with bad moodthen it can be caused by autonomic dysfunction or depression. In this case, the neuropsychologist will help prevent emotional problems from escalating into physical ailments.

Diseases of the musculoskeletal system

If young people have pain in the left side of the chest, then this does not mean that there must be heart disease... If it appears when holding your breath, sudden movements, lifting weights, then most likely the reason lies in the musculoskeletal system. Scoliosis, the most common spinal defect, can often be the culprit for pain. Inflammation of the intercostal muscles can affect the same way. Therefore, it is better for young people to go first to an orthopedist or neurologist, rather than a cardiologist. Manual therapy and gymnastics will help to cope with such problems, and the use of a corset is often recommended for office employees. The latter must be chosen in consultation with a specialist, since this professional fixative, used without recommendations, can be harmful.

Viral diseases

A sharp pain in the ribs, accompanied by a rash, in children may indicate chickenpox, and in adults, herpes zoster. In this case, you should contact a therapist and a dermatologist, since such pain is unlikely to be related to cardiology.

Simple attempts to identify heart pain

Take corvalol or place validol under your tongue. If the pain subsides quickly, then most likely it has to do with the heart.
Hold your breath for a while. If this does not relieve the pain, then this may also indicate heart problems, and if it subsides, it may be neuralgia or muscle problems.
Often, heart pain is accompanied by aches, bone pain, and numbness in the muscles of the forearms. Gradually it rises to the muscles of the shoulder, everything starts to "burn" behind the sternum, sweat appears, breathing becomes difficult, and the limbs become disobedient.

No matter how expressed the pain in the chest, it is better to contact a doctor with it. Indeed, even an experienced doctor cannot accurately determine its origin without the results of instrumental studies. In addition, many diseases have atypical symptoms.

Your opinion: Cancel reply

Now read:

The information is provided on the site for informational purposes only. Self-medication and self-diagnosis of diseases are dangerous to your health.

Pain in the region of the heart

Pain in the heart is an unpleasant phenomenon that often indicates the development of serious diseases. Also, painful sensations may appear against the background of physical overstrain or severe stress.

Heart pain may indicate the development of diseases

For the initial diagnosis, the following factors must be considered:

duration of pain;
the nature of the discomfort (stabbing, cutting, squeezing, aching, intermittent or constant);
conditions for the occurrence of discomfort (at what time and under what circumstances the pain appeared).

Causes of pain in the heart

The discomfort that occurs in the region of the heart can be of varying intensity. Some patients feel a slight tingling sensation, others a sharp pain that paralyzes the entire body.

At home, you can only roughly determine the cause of the discomfort. First you need to study all possible diseases and abnormalities that can cause a similar symptom.

Short-term and periodic cardiac discomfort of an uncertain nature often speaks of the development of neurosis. In patients with this diagnosis, pain is localized in one place, for example, under the heart.

What does the nature of the pain indicate?

The nature of the pain is a decisive factor in helping to accurately determine the type of disease.

Squeezing

Pain, typical with oxygen deficiency of the muscle of the heart. It often occurs with ischemic diseases.

Pain under the left shoulder blade may indicate Prinzmetal's disease

Oppressive

Pain can occur in a perfectly healthy person due to alcohol or drug intoxication, as well as due to physical stress.

If the pain is accompanied by shortness of breath, then this indicates myocarditis.

Stabbing

Neurocirculatory dystonia can occur due to physical exertion

Aching

depression;
apathy or, on the contrary, increased irritability;
suspiciousness, anxiety;
somatisation disorder.

Sharp

Myocardial infarction. The pathology is characterized by lingering pain that occurs suddenly and is not amenable to pain medications. It becomes difficult for the patient to breathe, he has a fear of imminent death. Unpleasant sensations can be given to the stomach, spread throughout the chest. With myocardial infarction, the patient may start vomiting or involuntary urination.
Aortic aneurysm dissection. Often occurs in older people who have had aorta or heart surgery. Patients have a sensation of sudden cutting pain, rapidly gaining intensity. At first, you may feel like something is stabbed inside. Discomfort often radiates to the shoulder blade. At the same time, the patient's blood pressure constantly rises and falls.
Broken ribs. With fractures, burning pain is observed, which subsequently transforms into aching. The patient requires immediate hospitalization, as internal bleeding may begin.
PE (pulmonary embolism). The disease leads to blockage of the pulmonary artery by a thrombus that has come from varicose veins or pelvic organs. This pathology is characterized by sharp cardiac discomfort, which gains intensity over time. The patient may have a feeling that he is pressing or baking inside. The main symptoms of PE are palpitations, coughing up blood clots, dizziness, and loss of consciousness. Patients often have difficulty breathing and have severe shortness of breath.
Pathology of the stomach and esophagus. The most dangerous phenomenon is the perforation of the cardiac or stomach ulcer. With such a complication, a sharp stabbing pain occurs, transforming into lightheadedness. The patient has black dots in front of his eyes, he may lose consciousness. Any diseases of the stomach and esophagus, accompanied by vomiting or loss of consciousness, require hospitalization.

Sudden and sharp pain indicates myocardial infarction

In some cases, severe cardiac discomfort occurs against the background of prolonged angina pectoris. In addition to pain, the patient may feel dizzy.

How to distinguish between symptoms of cardiac ischemia and signs of cardiac ulcers? With ischemia, discomfort occurs during physical activity, more often in the daytime or evening. The pain has a constricting, less often aching character, lasts up to half an hour. With an ulcer, discomfort occurs in the morning when the stomach is empty. The discomfort is sucking or pressing in nature, lasting for several hours or a whole day.

What to do with heart pain?

A person who has a heart attack needs to be given first aid. For minor illnesses, you can try medication and alternative methods of treatment. Any therapy should be agreed with your doctor.

First aid

With ischemic stroke, you can also provide first aid. To do this, gently turn the victim to one side, cover with a warm blanket and apply ice or a cold object to his forehead. You can not use ammonia to bring a person to their senses. If there is a suspicion of clinical death, it is necessary to give the patient a heart massage.

In case of sharp pains in the heart, a person must be provided with peace

Pharmacy preparations

Over-the-counter drugs can help with minor pain. It should be understood that all serious diseases are treated under the close supervision of a physician. The following medications help to get rid of pain in the heart:

Corvalol (drops). A sedative used for congestion and nervous conditions. Available in the form of drops. Not approved for use by lactating women. Take 15 to 50 drops at a time. The drug should be dripped into a small amount of water and drunk after meals. Recommended dose for tachycardia: 45 drops. Corvalol cost: around ruble.
Validol (tablets). Another sedative that dilates blood vessels. The drug is used for angina pectoris, cardialgia, neuroses. Daily dose: 1 tablet no more than 3 times a day. The positive effect should occur within 5-10 minutes after using the medicine. In the absence of a pronounced effect on the second day of using the medication, therapy should be discontinued. The cost of the drug: from 50 rubles per package.
Aspirin cardio (tablets). A medicine that helps with angina pectoris (in particular, unstable), cerebral circulation disorders. It is used more often for the prevention of various heart diseases. The remedy relieves cardiac pain of varying severity. The drug should be used once a day. The tablets should not be taken by pregnant or lactating women. The cost of the medication: from 80 rubles.
Piracetam (ampoules). Injections can be given with this drug. The remedy is effective for coronary heart disease. It has a nootropic effect. The drug must be used carefully, since at the very beginning of treatment, injections are administered both intravenously and intramuscularly. You should do 2-3 injections per day, the daily dose of the drug is mg. Treatment course: at least 7 days. Cost of funds: from 45 rubles.

Folk remedies

Valerian, hawthorn and motherwort

Valerian tincture will help relieve pain

Motherwort, hawthorn and rose hips

Motherwort will help stabilize heart function

Pumpkin juice and honey

Pumpkin juice has a good effect on the cardiovascular system

Can I drink coffee when my heart hurts?

It is forbidden to drink coffee for people with hypertension

Heart rate indicators

Rapid pulse: causes

When is a fast heart rate normal?

Tachycardia

Rapid pulse with normal blood pressure

Heart palpitations treatment

Folk remedies in the fight against a rapid heart rate

Causes of pain in the heart

What does the nature of the pain indicate?

Squeezing

Oppressive

Stabbing

Aching

Sharp

What to do with heart pain?

First aid

Pharmacy preparations

Folk remedies

Valerian, hawthorn and motherwort

Motherwort, hawthorn and rose hips

Pumpkin juice and honey

Can I drink coffee when my heart hurts?

Related materials:

Is it dangerous - for three months in the region of the heart the muscle in the region of the heart has been pulsating?

Pulsating in the region of the heart - is it normal?

Doctor's consultation on the topic "Pulsing in the region of the heart"

Pulsation in the region of the heart

heartbeat

Popular articles on the topic: heartbeat

Questions and answers for: heartbeat

Pulses in the heart area

16.Pathological pulsations in the region of the heart, epigastrium, neck.

17 Percussion of the heart. Contours of the heart. Configuration.

Ripple

Pulses in the heart area

Presses in the region of the heart: what can such a symptom indicate?

Causes of pressing chest pain not related to heart ailments

Pressing pain indicating cardiac problems

Possible causes (possible diseases)

"Heart" reasons

"Non-heart" reasons

Accompanying symptoms

Symptoms of cardiovascular disease, in which the heart aches

Symptoms of neuroses and VSD

Symptoms of lung disease (other than aching chest pain)

Manifestations of gastrointestinal disorders that may be confused with heart pain

Diagnostics

Treatment

Treatment of cardiovascular pain causes

Treatment of neuroses and VSD

Treatment of diseases of internal organs

How to identify heart pain?

Signs of pain associated with cardiology

Angina attack

Myocardial infarction

Inflammatory heart disease (including myocarditis and pericarditis)

Diseases of the aorta

Pulmonary embolism

Pains of non-cardiac origin

Intercostal neuralgia

Osteochondrosis

Diseases of the digestive organs

Central nervous system disorders

Diseases of the musculoskeletal system

Viral diseases

Simple attempts to identify heart pain

Your opinion: Cancel reply

Now read:

Pain in the region of the heart

Causes of pain in the heart

What does the nature of the pain indicate?

Squeezing

Oppressive

Stabbing

Aching

Sharp

What to do with heart pain?

First aid

Pharmacy preparations

Folk remedies