What causes pain in the middle chest muscles?

Generally, if you experience muscle pain in the middle of your chest, you should go to the hospital for examination as soon as possible, because this situation may be caused by a very serious heart disease, and there are no particularly good specific drugs for the treatment of these diseases. For example, pleurisy and angina pectoris are chronic diseases. Once many patients are diagnosed with these diseases, they must take medication for life.

1. Inflammatory dermatitis, non-suppurative costochondritis, herpes zoster, myositis, epidemic myalgia, pleurisy, pericarditis, mediastinitis, esophagitis, etc.

2. Visceral ischemic angina pectoris, acute myocardial infarction, cardiomyopathy, pulmonary infarction, etc.

3. Compression or infiltration of primary lung cancer, mediastinal tumors, myeloma, leukemia, etc.

4. Other causes include spontaneous pneumothorax, thoracic aortic aneurysm, dissecting aneurysm, hyperventilation syndrome, trauma, etc.

4. Cardiac neurosis.

1. Chest wall disease

Acute dermatitis, subcutaneous cellulitis, herpes zoster, epidemic chest pain, myositis, non-suppurative costochondritis, intercostal neuritis, rib fracture, acute leukemia, multiple myeloma, etc.

2. Cardiovascular disease

Angina pectoris, acute myocardial infarction, myocarditis, acute pericarditis, mitral valve or aortic valve disease, aortic aneurysm, rupture of aortic sinus aneurysm, dissecting aneurysm, pulmonary infarction: pulmonary hypertension and cardiac neurosis, etc.

3. Respiratory diseases

Pleurisy, pleural tumors, spontaneous pneumothorax, pneumonia, acute tracheobronchitis, lung cancer, etc.

4. Mediastinal disease

Mediastinitis, mediastinal abscess, mediastinal tumor, esophagitis, hiatal hernia, esophageal cancer, etc.

5. Others

Subphrenic abscess, liver abscess, splenic infarction, etc.

2. D-Dimer

D-dimer is a soluble degradation product of cross-linked fibrin produced by the fibrinolytic system. It is a specific marker of the fibrinolytic process and can be used as a screening indicator for acute pulmonary embolism. D-dimer <500ug/L can basically rule out acute pulmonary thromboembolism.

3. Electrocardiogram

All patients who seek medical attention for chest pain should undergo an electrocardiogram (ECG), and the first ECG should be completed within 10 minutes of seeing the patient. Electrocardiogram is an important means of diagnosing ischemic chest pain.

4. Echocardiography

Echocardiography is also an important non-invasive examination for diagnosing patients with chest pain. If new paradoxical ventricular wall motion, free intimal valve in the aorta, right heart dilation and leftward shift of the ventricular septum in a "D" shape are found, it can help diagnose acute myocardial infarction, aortic dissection and acute pulmonary embolism. Echocardiography also has important diagnostic value for other non-fatal chest pain, such as stress cardiomyopathy and pericardial effusion.