Sudden onset of pain in the center of the chest and the corresponding area of the back, with persistent pain thereafter.
Jun 05, 2023
Source: Cainiu Health
Dr. Tian Hongbo
Introduction
Sudden and persistent pain in the center of the chest and the corresponding area of the back may be caused by intense physical activity, fungal pleuritis, or coronary atherosclerotic heart disease. Patients can improve symptoms through general treatments and medication. It could also be due to acute cholecystitis, pneumonia, myocardial infarction, or other causes. It is recommended that patients go to the hospital for a thorough examination to determine the exact cause and receive appropriate, targeted treatment.
Under normal circumstances, sudden and persistent pain in the center of the chest and the corresponding area of the back may be caused by intense physical exercise, fungal pleurisy, or coronary atherosclerotic heart disease. Patients can improve symptoms through general treatments, medications, and other approaches. Specific analyses are as follows:
1. Intense Physical Exercise
Intense physical activity may cause vibrations in the thoracic cavity, potentially increasing myocardial oxygen consumption and leading to insufficient blood supply to the heart muscle, resulting in chest pain that radiates to the back and persists. This is a normal physiological phenomenon; symptoms usually subside after adequate rest and when heart rate returns to normal.
2. Fungal Pleurisy
When a patient's immune system is weakened, fungal infection of the thoracic cavity may spread to the pleura, causing symptoms such as chest pain, coughing, and fatigue. Patients should follow medical advice and may be treated with medications such as enteric-coated aspirin tablets or cefixime capsules.
3. Coronary Atherosclerotic Heart Disease
This condition typically involves atherosclerosis of the coronary arteries, leading to narrowing or blockage of the vessel lumen. When triggered by factors such as emotional stress, physical exertion, or cold exposure, it may result in myocardial ischemia and hypoxia, causing symptoms like chest pain and shortness of breath. For patients experiencing severe pain, analgesic medications such as metoprolol tartrate tablets or bisoprolol fumarate tablets may be taken under medical supervision.
Besides the above causes, similar symptoms could also result from acute cholecystitis, pneumonia, myocardial infarction, or other conditions. To determine the exact cause, patients are advised to visit a hospital for a thorough examination, confirm the underlying diagnosis, and receive targeted treatment accordingly.
