I was diagnosed with chest pain, but I mightn’t get an accurate diagnosis.
[현대건강신문] #Case 1. Housewife Yoon, who had been vaccinated once morest COVID-19 a week ago, had severe chest pain that seemed to tighten at dawn, and then the symptoms of palpitations were repeated for several days.
#Case 2. After work, while doing a quick walking exercise on the treadmill at the gym following work, Kim felt stiff, pounding, and dizzy. He did a variety of tests, from an electrocardiogram at the hospital, but he had no choice but to return home as he said there was nothing wrong.
Like this, many people experience sudden chest pain once in a while, and some go to the hospital for treatment and examination, but there are cases where they go home following only hearing that there is nothing wrong with the hospital.
According to the European Heart Journal, gastrointestinal diseases such as gastroesophageal reflux disease accounted for 42% of the causes of chest pain. Herpes was found in 1% each.
In fact, most of the patients who visited the hospital for chest pain did not show any abnormalities as a result of the examination, or there were various factors such as neurological abnormalities or psychological factors.
Professor Won Ho-yeon of Cardiovascular and Arrhythmia Center at Chung-Ang University Hospital said, “Chest pain is a pain or discomfort felt in the chest, and the causes are diverse and complex, from psychological reasons to cardiovascular diseases, lung diseases, digestive diseases, and musculoskeletal diseases. “In particular, recently, more and more people are visiting hospitals complaining of chest pain following being vaccinated once morest COVID-19.
“Rather, it is necessary to visit a hospital and conduct an accurate examination because the cause is not clear or there are cases of serious diseases such as angina or tumor that can cause sudden death that is not clear or psychological,” he said.
Among the most common causes of chest pain, cardiovascular diseases include ‘ischemic cardiovascular disease’, ‘cardiomyopathy’, an abnormality in the heart muscle, valvular heart disease, ‘arrhythmia’, an abnormal heartbeat, pericardial disease occurring in the heart membrane, heart failure, and heart tumor. .
Angina pectoris is caused by a narrowing of the coronary arteries due to arteriosclerosis, which results in insufficient blood supply to the heart muscle.
In addition, even if the coronary artery is not narrowed by atherosclerosis, if the coronary artery is blocked due to the rupture of the atherosclerotic plaque due to risk factors, and the coronary artery is blocked, acute myocardial infarction may occur, in which the heart muscle is necrotic.
Professor Won Ho-yeon of the Department of Cardiology at Chung-Ang University Hospital said, “The chest pain caused by angina mainly occurs during exercise, and you feel a stiff pain in the left or central part of the chest, and radiating pain along the chin or left arm. Although it occurs, chest pain occurs even with little exercise, and usually disappears within a few minutes if you are not moving and stable.
Professor Won continued, “In some diabetic patients or the elderly, the nerves become dull and they do not feel pain in the early stages, but they are discovered only following they progress to a serious condition, so early examination is necessary. It occurs suddenly even while sleeping, lasts for more than 10 minutes, and in most cases it is severe, so you come to the emergency room. It is best not to do it, but to consult a doctor.”
