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Hello doctor!
I often have a dull ache in the heart area, when I exercise strongly, I have angina, there is 1 time of 15 minutes of angina and every time I take a deep breath, it hurts, the back of the lungs also dull pain. I went to the doctor, had a chest x-ray, but nothing abnormal was found. After reading it, I feel like the symptoms of coronary heart disease. So the doctor told me the pain in the heart, lungs, and angina are symptoms of what disease? How is the treatment? Thank you doctor!
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Hello.
The doctor would like to answer the question: "What are the symptoms of pain in the heart, lungs, and angina? How is the treatment? ” as follows:
You often have dull pain in the heart area, when you exercise vigorously, you have angina, it is true that the symptoms are quite similar to coronary heart disease, but it is not clear. Pain in the back of the lungs and increased with deep inhalation is a common symptom of pain due to pleural disease. Coronary artery disease occurs when many risk factors are combined and a typical angina attack is as follows:
The risk factors for coronary heart disease are: Smoking. Have high LDL cholesterol, diabetes, high blood pressure, sedentary, obese. People with a family history of coronary heart disease. Typical angina is: A feeling of tightness in the chest like something is squeezing, pressing on the back of the breastbone or on the side of the heart, increasing with exertion and usually decreasing with rest. The pain may spread to both shoulders, up the sides of the lower jaw to the inside of the left hand or to the neck, there are also some cases where the patient may feel pain in the right side, epigastrium, confusing acute stomach pain. Coronary artery disease most commonly occurs in older adults, aged 45 years or older with at least 1 risk factor, most commonly over age 60. There are also very few cases of the disease occurring in young people if many of the above risk factors are present and some other unusual pathology such as congenital disease or Prinzmetal's angina pectoris. To diagnose the disease, it is usually necessary to complete basic tests such as blood, electrocardiogram, echocardiogram, if in doubt, do additional stress tests, Holter electrocardiogram or coronary computed tomography or other indications. other will be considered by the actual physician. It is necessary to make a differential diagnosis with gastric disease or other lung and bronchial diseases.
When you have an accurate diagnosis, you can give medication, so you need to go to a cardiologist for further examination.
If you still have questions about the diagnosis and treatment, you can go to a hospital of Vinmec Health System for an examination. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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Answered by Master, Doctor Dao Kim Phuong - Cardiologist and Echocardiographer - Department of Examination - Vinmec Times City International Hospital