What is the cause of precordial pain in young people?

It is common in recent years for young people to experience dull pain in the precordial area, especially for those young people who are often overworked and stay up late. If this phenomenon occurs frequently, it can be said to be a relatively dangerous signal, which may be caused by angina pectoris, myocardial infarction and other reasons. In recent years, the younger onset of heart disease in my country is a relatively dangerous trend. Young people must pay attention to this aspect.

1. Stable angina pectoris:

Pressure, burning, or heaviness behind the breastbone. Often stimulated by exercise, cold, and emotional excitement. The duration is generally less than 10 minutes, often radiating to the left shoulder, left arm, and may also radiate to the neck, jaw, and upper abdomen. Rest and sublingual nitroglycerin or quick-acting heart-saving pills can relieve symptoms. The conventional treatment can be represented by the English letters ABCDE: A: aspirin, ACEI drugs. B: Metoprolol-type drugs, C: Smoking cessation, cholesterol control. D: Diabetes control. E: Exercise, education.

2. Myocardial infarction:

Similar to angina but usually more severe and sudden. Often lasts more than 30 minutes. It is often accompanied by nausea, vomiting, shortness of breath, cardiac arrhythmia, hypotension and shock. Rest and sublingual nitroglycerin provide only temporary or incomplete relief of symptoms. Treatment: Take medication sublingually, call emergency services and go to the hospital.

3. Pulmonary embolism:

Patients with no previous heart or lung disease develop dyspnea or patients with previous heart or lung disease have worsening dyspnea. or signs of right heart failure, which are common in patients with deep vein thrombosis.

4. Bronchitis:

Burning discomfort near the midline. It often starts with an upper respiratory tract infection. Worse when coughing.

5. Gastroesophageal reflux disease:

Heartburn below the sternum and in the upper abdomen, with or without reflux of gastric contents, often occurs after meals, especially after a full meal when lying down or bending forward. Symptoms can be relieved by using smooth muscle relaxants such as nitroglycerin and isoflavone.

6. Gastric ulcer:

It usually occurs 0.5 to 1 hour after a meal and is aggravated by eating. Abdominal pain is rhythmic and cyclical.

7. Duodenal ulcer:

The pain occurs during hunger and at night. Eating may relieve abdominal pain. The pain is rhythmic and cyclical.

8. Costochondritis:

Sudden, short-term severe pain. The lesions are usually located at the 2nd and 5th costal cartilages on the chest, with the 3rd costal cartilage being the most common. There is tenderness and swelling. The pain worsens with deep breathing, coughing, or moving the affected arm