What causes a slight pain during heartbeat, and what should I do about it?

May 12, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Slight pain during heartbeat may be caused by physiological factors or pathological conditions such as intercostal neuralgia and angina pectoris, which can be improved through general treatment or medication. Additionally, it could also result from conditions like cardiac neurosis, coronary atherosclerotic heart disease, or aortic dissection. In such cases, prompt medical evaluation and treatment at a hospital are necessary.

Heart palpitations accompanied by mild pain may result from physiological factors or pathological conditions such as intercostal neuralgia and angina pectoris. Symptoms can be improved through general management or medication. Specific analyses are as follows:

1. Physiological Factors

In daily life, unhealthy habits such as smoking or staying up late may lead to myocardial ischemia and hypoxia, which can cause a painful sensation during heartbeats. This is considered a normal phenomenon that does not require specific treatment—adequate rest is usually sufficient.

2. Pathological Factors

1) Intercostal Neuralgia

Intercostal neuralgia is often caused by herpes zoster. The main symptom is pain, which typically worsens during deep breathing or sneezing, and may also cause pain on the left side of the heart during running. Under a doctor's guidance, patients may use medications such as acetaminophen tablets, ibuprofen sustained-release capsules, or diclofenac sodium sustained-release tablets for treatment.

2) Angina Pectoris

During an angina attack, coronary artery stenosis reduces blood flow and oxygen supply to the heart, leading to myocardial hypoxia and causing painful heartbeats. Patients should follow medical advice and take medications such as nicorandil tablets, ivabradine hydrochloride tablets, or nitroglycerin sublingual tablets.

Besides the above, similar symptoms may also be caused by conditions such as cardiac neurosis, aortic dissection, or coronary atherosclerotic heart disease. It is important to seek timely medical evaluation and treatment at a hospital.


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