Many people suffer damage to their organs due to excessive drinking, so a few people may experience symptoms such as palpitations and chest tightness. This is because the trachea is damaged, leading to bronchitis. It is also possible that there is a problem with the patient's esophagus. In normal times, you should pay attention to your personal body's reactions, choose the appropriate method to slowly adjust, and try to avoid these complications. Differential diagnosis of chest pain with chest tightness and palpitations (1) Chest pain with cough: Chest pain caused by tracheal, bronchial, and pleural diseases is often accompanied by cough. (2) Chest pain with dysphagia: seen in esophageal diseases, such as chest pain caused by esophagitis, hiatal hernia, and esophageal tumors. (3) Chest pain accompanied by hemoptysis: Chest pain in patients with pulmonary tuberculosis, pulmonary infarction, bronchiectasis, and primary lung cancer is often accompanied by hemoptysis. (4) Chest pain accompanied by dyspnea: Chest pain caused by lobar pneumonia, spontaneous pneumothorax, exudative pleurisy, hyperventilation syndrome, etc. is often accompanied by dyspnea. (5) Chest pain accompanied by cold sweat, pale complexion, chest pain, severe pain in the precordial area, accompanied by a drop in blood pressure, pale complexion, cold sweat, cold limbs and other symptoms of shock can be seen in myocardial infarction. (6) Chest pain with fever: Chest pain accompanied by fever, cough, and corresponding chest signs can be seen in lobar pneumonia, tuberculous pleurisy, empyema, etc. Chest pain and precordial pain, accompanied by fever, cold sweats, fatigue, difficulty breathing, and cough, may be seen in pericarditis. (7) Chest pain accompanied by chest tightness and palpitations: Chest pain accompanied by chest tightness and palpitations, and at the same time or before this, symptoms such as fever, body aches, sore throat, diarrhea, etc. may occur, which can be seen in acute myocarditis. 1) It often occurs during the active period of rheumatic fever or is secondary to other infectious diseases and chemical drug poisoning. (2) Clinical manifestations include palpitations, shortness of breath, chest tightness and chest pain. (3) Physical examination may reveal an accelerated heart rate, an enlarged heart, a weakened first heart sound, a diastolic gallop rhythm, and systolic murmurs in each valve area. In severe cases, heart failure or cardiogenic shock may occur. (4) Laboratory tests may show: ① increased white blood cell count; ② accelerated erythrocyte sedimentation rate; ③ increased aspartate aminotransferase, lactate dehydrogenase and creatine kinase. (5) X-ray examination may show an enlarged heart, mainly to the left. (6) ECG changes may include various arrhythmias, conduction block and nonspecific ST segment elevation, T wave inversion and QT interval prolongation. Relief method: Prevention of chest pain accompanied by chest tightness and palpitations. The prevention of acute myocarditis lies in avoiding the pathogenic factors and fully treating the primary disease. For example, quantitative antiserum treatment should be given early for diphtheria. Streptococcal infections such as pharyngitis and tonsillitis should be treated with penicillin. Certain infections, such as measles, polio, and diphtheria, can be prevented through vaccination. (1) Absolute bed rest and a diet high in protein, multivitamins and easily digestible foods. (2) In case of heart failure, the patient should sit upright with both lower limbs hanging down or in a semi-recumbent position. The limbs can also be ligated alternately to reduce the amount of blood returning to the heart and relieve the heart load. (3) If the patient is in shock, he/she should lie flat with his/her head slightly lowered, and foreign objects in the mouth should be removed promptly to keep the airway open. (4) If severe heart failure or shock occurs, the patient should be sent to the hospital for treatment immediately. |
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