What causes sharp chest pain during exertion, and what should be done about it?

Exertional cardiac pain may be caused by psychological factors, pleurisy, pericarditis, or other reasons. It can be improved through general treatments, medication, and other methods. The specific analysis is as follows:

1. Psychological factors

Chronic anxiety or depression may trigger the body's stress response, leading to increased heart rate and elevated blood pressure, thereby increasing the burden on the heart. During physical exertion, the heart requires more blood and oxygen, which intensifies myocardial contraction and may result in chest pain. Regular outdoor activities or developing personal hobbies may help relieve stress in daily life.

2. Pleurisy

Pleurisy causes chest pain and breathing difficulties due to inflammatory secretions irritating the pleura. Patients may take antibiotic medications such as cefuroxime axetil tablets or antituberculosis drugs like rifampicin tablets under medical guidance.

3. Pericarditis

Pericarditis is a relatively common condition in which damage to myocardial cells affects normal heart function, causing chest pain. Patients may be treated with medications such as ethambutol hydrochloride tablets or enteric-coated aspirin tablets under a doctor's supervision.

Besides the above causes, exertional cardiac pain may also result from infective endocarditis, dilated cardiomyopathy, or pulmonary heart disease. During illness, it is important to maintain a healthy lifestyle, engage in appropriate physical exercise, and enhance the body's resistance to disease.