Chest pain

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Classification according to ICD-10
R07.1 Chest pain when breathing
R07.2 Precordial pain
R07.3 Other chest pain
R07.4 Chest pain, unspecified
ICD-10 online (WHO version 2019)

The chest pain (also chest pain and chest pain ) is a common symptom in medicine with a variety of different causes of danger. The organs involved are primarily the heart , lungs , esophagus , and the muscular and skeletal systems of the chest . A dangerous or life-threatening cause can be ruled out promptly in specialized emergency rooms in cardiological departments, the so-called Chest Pain Units .

heart

Possible localizations of pain sensation in angina pectoris
red: frequent and strong
pink: rare or radiating
Legend s. O.

Real coronary insufficiency

Discomfort caused by narrowing or occlusion of one or more coronary arteries in coronary heart disease

  • Angina pectoris : dull, boring, pulling pain with tightness (Latin: angina), which is described as constricting or a great burden. Mostly behind the breastbone (Latin: pectus = chest), radiating into the left shoulder, less often into both shoulders, into the left arm and into the lower jaw. These pains are associated with fear (Latin root: angustus).
  • Heart attack : as with angina pectoris, but usually more severe, with no improvement on nitroglycerin . Fear can turn into fear of death.

Relative coronary insufficiency

Circulation restriction of the coronary vessels without coronary heart disease with symptoms of typical angina pectoris

Others

  • Pericarditis : sharp, breath-dependent pain on the left side radiating to the neck, back and shoulder. Improvement of complaints when sitting bent over.
  • Aortic dissection of the thoracic aorta: therapy-refractory , suddenly shooting annihilation pain radiating to the back, neck , abdomen, possibly also legs

Lungs and pleura

esophagus

stomach

Skeletal system

Musculature

  • Myogelosis : punctual pressure pain in the hardened muscles, often next to the spine
  • Dermatomyositis : symmetrical muscle pain
  • Trichinosis : punctual muscular tenderness, possibly with palpable calcifications

Psychosomatic

Others

Localization of herpes zoster on the chest

swell

  • Christian Mewis, Reimer Riessen, Ioakim Spyridopoulos (eds.): Kardiologie compact . 2nd Edition. Thieme, Stuttgart / New York 2006, ISBN 3-13-130742-0 , pp. 1-3 .

Individual evidence

  1. Joachim Fichter: Langerhans cell histiocytosis in adults - an interdisciplinary challenge . In: Deutsches Ärzteblatt . April 19, 2007 ( aerzteblatt.de [accessed March 25, 2009]).