why does my heart hurt when it beats
Angina is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. The discomfort also can occur in your shoulders, arms, neck, jaw, or back. Angina pain may even feel like indigestion. But, angina is not a disease. It is a symptom of an underlying heart problem, usually
There are many types of angina, including microvascular angina, Prinzmetal's angina, stable angina, unstable angina and variant angina. This usually happens because one or more of the coronary arteries is narrowed or blocked, also called. Angina can also be a symptom of This is heart disease that affects the heart s smallest coronary arteries and is more likely to affect women than men. Coronary MVD also is called cardiac syndrome X and non-obstructive CHD. Learn more about. Depending on the type of angina you have, there are many factors that can trigger angina pain. The symptoms also vary based on the type of angina you have. Types of Angina - Knowing the types of angina and how they differ is important. Understand Your Risk for Angina If you re at risk for heart disease or coronary MVD, you re also at risk for angina. The major risk factors for heart disease and coronary MVD include: Unhealthy Older age (The risk increases for men after 45 years of age and for women after 55 years of age. ) Diagnosis of Angina All chest pain should be checked out by a healthcare provider.
If you have chest pain, your doctor will want to find out whether it's angina and if it is, whether the angina is stable or unstable. If it's unstable, you may need emergency medical treatment to try to prevent a. Your doctor will most likely perform a physical exam, ask about your symptoms, and ask about your risk factors for and your of heart disease and other. Your doctor will probably ask you a series of questions to rule out the most critical or life-threatening possibilities. Think ahead so you can provide as much information as possible. Here are some questions you might be asked: How long have you had this condition? On a scale of 1 (mild) to 10 (critical), what is your level of discomfort? What behavior(s) provoke the pain? Physical activity? Eating? What relieves the discomfort? Treatment of Angina All chest pain should be checked by a doctor. If your doctor thinks that you have unstable angina or that your angina is related to a serious heart condition, they may recommend the following tests and procedures: Coronary Angiography and These treatments will help reduce pain and discomfort and how often the angina pain occurs. They will also prevent or lower your risk for heart attack and death by treating whatever underlying cardiovascular condition you may have.
Not all chest pain is a sign of heart disease. Other conditions also can cause chest pain, such as: Learn more: Print our downloadable sheet: This content was last reviewed July 2015. Some types of chest pain should send you to the emergency room immediately. If you experience pain, pressureб or discomfort in the center of your chest or in your arms, back, jaw, neck or stomach along with shortness of breath, a cold sweat, nausea, fatigue or lightheadedness б for at least five minutes, call 9-1-1. These symptoms may signal a, or Immediate treatment is essential to save heart muscle. But when chest aches and pains are fleeting, itБs often something different. As Cleveland Clinic cardiologistб , writes in his book БThe Cleveland Clinic Guide to Heart Attacks, the following symptoms are unlikely to signal aб Momentary chest discomfort, often characterized as a lightning bolt or electrical shock. б Heart discomfort or pain is unrelenting, typically for several minutes. Momentary chest discomfort is more likely to result from musculoskeletal injury or inflammation, or nerve pain (e. g. , a cracked rib, a pulled muscle in the chest wall or shingles involving the chest. ) Pinpoint chest discomfort that worsens with positional changes in breathing. б Heart pain is usually diffuse, or radiating.
Pinpoint discomfort that changes with breathing is more likely to involve the lungs (e. g. , pleurisy, an inflammation of the lung membranes; ; or ). Chest discomfort that gets better with exercise. б Heart-related pain typically worsens with exercise. Sharp chest pain that improves with movement is more likely to have other causes (e. g. ,. ) б Dr. Rimmerman emphasizes that the symptoms ofб б or б can vary greatly from person to person. Some people experience no symptoms at all. Others experience crushing chest pain. Still others may feel only arm discomfort. БRegardless of the site of the discomfort, people typically canБt find a position that relieves the pain,Б writes Dr. Rimmerman. б БNor do they find relief by ingesting liquids, popping antacids, or taking deep breaths. Б Heart attackб discomfort is unrelenting, typically lasting five minutes or more (up to half an hour or, rarely, two hours). ThatБs when itБs important to call 9-1-1б to get emergency treatment. If chest discomfort is fleeting but severe, make an appointment to see your primary care doctor. But when in doubt, Dr. Rimmerman advises, БErr on the side of caution, and visit a doctor or emergency room. Б
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