What causes intermittent stabbing pain in the heart?

Nov 10, 2024 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

In most cases, intermittent chest pain may be related to irregular lifestyle, angina pectoris, myocardial ischemia, myocarditis, or rheumatic heart disease. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under a doctor's guidance. In daily life, avoid consuming spicy and stimulating foods such as Sichuan pepper, chili peppers, and garlic, and engage in regular physical exercise.

Generally, intermittent chest pain may be related to factors such as irregular作息 (daily routines), angina pectoris, myocardial ischemia, myocarditis, or rheumatic heart disease. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under a doctor's guidance. Specific analyses are as follows:

1. Irregular作息: Frequently staying up late or suffering from insomnia can lead to excessive sympathetic nervous system activation, causing episodes of sharp chest pain. Regulating daily routines and reducing late-night activities may help alleviate symptoms.

2. Angina Pectoris: Smoking and obesity may increase cardiac workload, triggering angina, which manifests as fatigue, chest pain, nausea, and other symptoms. Medications such as nitroglycerin tablets, isosorbide mononitrate sustained-release tablets, and verapamil hydrochloride tablets may be used as prescribed by a physician.

3. Myocardial Ischemia: Narrowing or blockage of the coronary arteries may reduce blood and oxygen supply to the heart, leading to episodic chest pain, often accompanied by palpitations, shortness of breath, and chest tightness. Treatment may include aspirin enteric-coated tablets, clopidogrel hydrogen sulfate tablets, and nitroglycerin tablets, as directed by a doctor.

4. Myocarditis: Drug allergies or endocrine disorders may damage myocardial cells, resulting in myocarditis. Symptoms may include chest pain, fever, difficulty breathing, and arrhythmias. Medications such as ganciclovir dispersible tablets, cefixime dispersible tablets, and propafenone tablets may be used under medical supervision.

5. Rheumatic Heart Disease: Streptococcal infection may trigger rheumatic fever, damaging the heart and leading to rheumatic heart disease. Symptoms may include palpitations, shortness of breath, fatigue, cough, and episodic chest pain. Penicillin V potassium tablets, benzathine penicillin injection, and dexamethasone tablets may be prescribed to relieve symptoms.

In daily life, avoid consuming spicy and irritating foods such as Sichuan pepper, chili peppers, and garlic. Regular exercise is also recommended to enhance overall immunity.

View All

Can mild pulmonary hypertension be cured?

In general, whether mild pulmonary hypertension can be cured depends on whether the underlying cause is clear and removable. Cases secondary to left heart disease or lung diseases often improve once the underlying cause is addressed; however, idiopathic pulmonary hypertension is difficult to cure completely and requires long-term management. Patients with mild pulmonary hypertension should avoid smoking and excessive alcohol consumption, refrain from strenuous exercise and high-altitude environments, and reduce stress on the lungs in daily life.