It is important to clearly distinguish between pain in the heart due to coronary pathology of pain caused by reflex kardialgiya.
In the first stage of the diagnostic search is necessary to study the dynamics of ECG data, indicators of X-ray cervical-thoracic pozvonochnshka to exclude or confirm the pathology of the spine (osteochondrosis, spondylarthritis, ankylosing spondylitis, etc.).
If you do not have the pain of the typical angina brief, paroxysmal pain in predserdechnoy and retrosternal area, the presence of normal values established electrocardiogram diagnosis kardialgiya caused by extracardiac influences.
GIri a history of dysphagia, heartburn, belching, local tenderness ( "oppressive", "Expander") in the epigastric region and in the xiphoid process of the sternum, the increasing trend in polOZhegshi lszha, radiating to the back and upper chest, also provoked by eating, Mozhga suspect hiatal hernia, highly located gastric ulcer, pepticheskugo ulcer of the esophagus.
To clarify the diagnosis should be X-ray examination of the esophagus and stomach in the normal position and the patient in the prone position, with a lowered head end.
Lri complaints of pain (continued> kitelnye time) in the sternum should pay particular attention to the data auscultation, because such symptoms may occur if the pericarditis. Order to clarify the alleged pathology should be implemented and electrocardiography echocardiography. In the presence of noise friction pericardium, concordant segment elevation S - T in I and III of the standard leads can confirm the diagnosis of pericarditis. Cheap Viagra
GAWLEY In the stomach
Abdominal pain may occur in diseases of the abdominal cavity and retroperitoneal space, genital organs, spine, abdominal muscles, nervous system and irradiate the stomach in diseases of the chest (naprimsr, pleurisy, myocardial infarction, posterior wall, pericarditis). Pain originating from the hollow organs of the abdominal cavity, can be caused by spasm of smooth muscles of internal organs and stretching of the walls of hollow organs as a result of violations of blood flow and inflammatory changes in the organs and tissues. Generic Cialis