Heart Diseases 2022

Pain in the heartção: 8 main causes (and what to do)

Table of contents:

Pain in the heartção: 8 main causes (and what to do)
Pain in the heartção: 8 main causes (and what to do)

Heart pain is almost always associated with a heart attack. This pain is felt as a tightness, pressure, or heaviness under the chest lasting more than 10 minutes, which can radiate to other regions of the body, such as the back or arms, and is usually associated with tingling in the arms.

However, heart pain does not always mean a heart attack. There are other conditions in which the main symptom is pain in the chest, in the region of the heart, such as costochondritis (inflammation in the region of the ribs), cardiac arrhythmia, intestinal changes generating gases and even psychological disorders, such as anxiety and panic syndrome. Know what chest pain can be.

When heart pain lasts for more than 10 minutes and/or is accompanied by some other symptom such as dizziness, cold sweat, difficulty breathing, tightness or burning sensation in the chest and severe headache, it is important to seek medical help so that diagnosis and treatment can be established as soon as possible.

What can heartache be

To identify the possible cause of heart and chest pain, answer the following questions:

  • Yes, the pain is getting more intense.
  • No, the pain has remained similar.

If your pain is very intense and has worsened over time, we advise you to go to the hospital or call for medical help, as it could be a sign of a heart attack.

Attention: this tool is not a substitute for consultation with the doctor. Any type of chest pain that is very severe, worsens within minutes, or is accompanied by other symptoms should be evaluated by a physician.

  • Stinging or pricking pain.
  • Burning sensation in the chest.
  • I don't know how to define the pain I'm feeling.
  • Yes.
  • No.
  • Yes, when I move my torso.
  • Yes, when I take a deep breath.
  • Yes, when I squeeze my belly.
  • No, I think the pain is always the same.
  • Yes.
  • No.
  • Yes.
  • No.

If the pain you feel is severe, worsens over time or does not improve after 20 minutes, we recommend that you go to the hospital.

In addition to pain, a heart attack can cause other symptoms such as tingling in the arm, general malaise, dizziness, cold sweats and dry cough.

First aid in suspected heart attack

  • 10 main symptoms of heart attack

  • Infarction or anxiety: main differences and what to do


    It is possible that it is just a reaction to stress, caused by anxiety.

    We advise you to try to rest in a quiet place and drink a soothing tea such as lemon balm, chamomile or valerian.

    If the pain has not improved after 20 minutes, or if it worsens during this period, we recommend that you go to the hospital to identify the cause and start the appropriate treatment.

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  • Anxiety crisis: what it is, symptoms, causes and what to do

  • Infarction or anxiety: main differences and what to do


    Since the discomfort you feel gets worse with the movement of the trunk (as happens when looking back, for example) it is possible that it is some inflammation at the muscular level. However, it can also be a sign of inflammation in the cartilages of the sternum, known as "costochondritis".

    This type of discomfort tends to improve with rest, however, you can also consult a general practitioner to confirm the diagnosis and start treatment with medication.

    9 home treatments to relieve muscle pain

  • Costochondritis (sternal pain): symptoms, causes and treatment


    In these cases, other symptoms such as shortness of breath, coughing, wheezing or tiredness are common.

    It is best to make an appointment with a general practitioner or pulmonologist to identify the cause and initiate appropriate treatment.

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  • Respiratory system diseases: what they are, symptoms and what to do


    The accumulation of gas in the intestine can cause a stabbing pain in the region of the heart. This pain usually doesn't get worse over time, but it can be very uncomfortable and come on several times throughout the day.

    Although it can happen to anyone, this type of pain is more common in those who suffer from constipation or have an intestinal condition, such as irritable bowel.

    Giving a belly massage and drinking mint or fennel tea are great ways to relieve discomfort and release gas.

    7 best home remedies for excess gas

  • 5 ways to eliminate intestinal gas quickly


    Pain in the mid-chest area that gets worse after eating is usually a symptom of a gallbladder problem. This is because the fat in the food stimulates the gallbladder to contract, causing pain.

    In these cases, other symptoms such as retching, swollen belly, whitish stools, diarrhea and loss of appetite are also common.

    It is recommended to consult a gastroenterologist to confirm the diagnosis and initiate appropriate treatment.

    6 home remedies for gallstones

  • 6 main symptoms of gallstones (and what to do)

  • Diet in gallbladder crisis: what to eat and what to avoid


    Stomach problems, such as gastric ulcers or gastritis, usually cause pain in the mid-chest area, which tends to get worse if you haven't eaten for a long time. This discomfort is usually relieved after eating.

    Along with the pain, other symptoms may arise, such as a swollen belly, decreased appetite, belching and retching.

    The ideal is to consult a gastroenterologist, to identify if there is really any change in the stomach and start the appropriate treatment.

    4 home remedies for stomach pain

  • 7 main symptoms of gastritis

  • Diet for gastritis and ulcer


    Reflux is a condition that causes gastric contents to rise up into the esophagus, resulting in pain, usually in the middle of the chest, which can be accompanied by other symptoms such as frequent burping, poor digestion and a feeling of a bloated stomach.

    The pain also tends to get worse when you haven't eaten for a long time or when you bend your torso to pick something up off the floor, for example.

    To confirm the diagnosis of reflux, the ideal thing is to make an appointment with a gastroenterologist, as there are medicines and some care that help relieve symptoms.

    Gastroesophageal reflux: what it is, symptoms, causes and treatment

  • 5 home remedies to treat reflux

  • Diet for reflux: what to eat and what to avoid


    Although gastritis most often causes a stabbing pain in the middle of the chest, it can also cause a burning sensation, especially if you haven't eaten for a long time.

    In these cases, other symptoms such as a swollen belly, decreased appetite, belching and retching may also appear.

    The ideal is to consult a gastroenterologist, to identify if there is really any change in the stomach and start the appropriate treatment.

    7 main symptoms of gastritis

  • 7 home remedies for gastritis

  • Diet for gastritis and ulcer


    Unfortunately we don't have enough data to help identify the possible cause for the pain you are experiencing.

    We advise you to consult a general practitioner or go to the hospital for a more detailed assessment.

    Chest pain: 9 main causes and when it could be a heart attack

  • Pain in the middle of the chest: what it can be and what to do

  • Pain in the right side of the chest: 7 common causes (and what to do)

  • Chest pain on the left side: 6 possible causes and what to do


    • Yes, it gets worse after eating.
    • Yes, it gets worse when I don't eat for a long time.
    • No, I don't think it's related.

    The following are the most common causes of heart pain and what to do in each situation:

    1. Excessive gases

    This is usually the most common reason for chest pain and is not related to any heart condition. Accumulation of gas is very common in people who suffer from constipation, in which excess gas pushes against some abdominal organs and causes a sensation of stabbing pain in the chest.

    What to do: to eliminate excess gas, you can massage your belly, with circular movements and from top to bottom, or lie on the floor, flex your knees and press on the abdomen. In addition, you can consume some teas that help improve the functioning of the intestine, prevent the accumulation of gases and promote their elimination, such as fennel and peppermint tea. Check out some home remedies for gas.

    2. Heart attack

    Heart attack is usually the first choice when it comes to heart pain, although it is rarely actually a heart attack only when you feel heart pain. It is more common in people with high blood pressure, over 45 years of age, smokers or people with high cholesterol.

    A heart attack or heart attack is usually felt as a tightness, but can also be felt as a pricking, twinge or burning sensation that can radiate to the back, jaw, and arms, causing a tingling sensation. See how to identify a heart attack.

    A heart attack usually happens when the vessels that supply the heart, known as coronary vessels, become clogged, resulting in difficulty for blood to pass carrying nutrients to the heart muscle to function. In this way, without nutrients and oxygen, the muscle cannot work, decreasing its contraction force, and may even cause death of the affected wall. This clogging of the arteries can occur due to the formation of fatty plaques or blood clots.

    What to do: in case of suspected heart attack, it is essential that the ambulance is called or the person is referred to the nearest hospital or emergency room for first aid can be started. In case of loss of consciousness, in addition to calling the ambulance, it is recommended to start cardiac massage. Check first aid for suspected heart attacks.

    3. Costochondritis

    Costochondritis is characterized by inflammation of the cartilages that connect the ribs to the sternum, which is the bone located in the middle of the chest, which can happen due to poor posture, arthritis, excessive physical activity or deep breathing.Depending on the intensity, the pain of costochondritis can be confused with the pain felt in the heart attack. Learn more about costochondritis.

    What to do: In this case, it is recommended to rest and make a warm compress on the spot, as this will reduce inflammation and symptoms. However, in some cases, especially when the pain is very strong and constant, the doctor may recommend the use of anti-inflammatory drugs.

    4. Pericarditis

    Pericarditis is inflammation in the pericardium, which is the membrane that lines the heart. This inflammation is perceived through very strong pain that can be easily confused with heart attack pain. Pericarditis can be caused by infections or arise from rheumatological diseases, such as lupus, for example. Learn about other causes of pericarditis.

    What to do: It is recommended that the cardiologist be consulted so that the most appropriate treatment can be initiated, which may vary according to the cause, and the use of antibiotics, analgesics and/or non-steroidal anti-inflammatory drugs.

    5. Cardiac ischemia

    Cardiac ischemia, which can lead to a heart attack or angina, is the decrease in blood flow through the arteries due to the presence of plaques that end up obstructing the vessel. This condition is perceived by the strong pain or burning sensation in the chest, which can radiate to the back of the neck, chin, shoulders or arms, in addition to palpitations, malaise, nausea. See how to identify cardiac ischemia.

    What to do: It is important that the cardiologist is consulted so that the cause of cardiac ischemia can be identified and treatment initiated. In general, the doctor may recommend the use of medication to reduce heart rate, dilate blood vessels and/or control blood pressure, in addition to recommending the practice of physical activity and low-fat diet.

    6. Cardiac arrhythmia

    Cardiac arrhythmia is the inadequate rate of heart rhythm, that is, fast or slow heartbeats, in addition to feelings of weakness, dizziness, malaise, paleness, cold sweat and heart pain.

    Arrhythmia can happen both in he althy people and in those who already have heart disease and its main causes are high blood pressure, coronary heart disease, thyroid problems, intense physical exercise, heart failure, anemia and aging. Learn more about cardiac arrhythmia.

    What to do: The treatment for cardiac arrhythmia recommended by the cardiologist may vary according to the severity and cause of the arrhythmia, and the use of medication may be indicated or, in some cases, cases, the use of a pacemaker for cases of bradycardias and ablation in tachycardias.

    7. Panic Syndrome

    Panic syndrome is a psychiatric disorder in which there are sudden attacks of fear that cause symptoms such as shortness of breath, cold sweat, tingling, loss of control over oneself, ringing in the ears, palpitations and chest pain. Usually this syndrome occurs more in women, in late adolescence and early adulthood.

    Pain felt in panic syndrome is often confused with heart attack pain, but there are some characteristics that differentiate them. The pain in panic syndrome is usually continuous, concentrated in the chest, chest and neck and is closely associated with situations of fear, stress, anxiety. The heart attack pain is stronger, can be radiated to other regions of the body and lasts more than 10 minutes, but it does not last for long and can come and go over the hours. Learn how to recognize panic disorder.

    What to do: It is important to follow the psychiatrist's advice, which usually involves the use of antidepressant and anxiolytic drugs, which help to promote symptom relief, in addition to being It is also important to have regular psychotherapy.

    8. Anxiety

    Anxiety can make a person unproductive, that is, unable to perform simple day-to-day tasks. In anxiety attacks, there is an increase in the tension of the rib muscles and an increase in the heartbeat, which causes a feeling of tightness and pain in the heart.

    In addition to chest pain, other symptoms of anxiety are rapid breathing, rapid heartbeat, nausea, changes in bowel function and a lot of sweating. Know other symptoms of anxiety.

    What to do: Depending on the intensity, it is possible to relieve anxiety symptoms through calming teas, such as chamomile or linden tea, for example. However, when anxiety attacks are frequent, the doctor may indicate the use of anxiolytics or antidepressants, follow-up with psychologists and physical activity.

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