Are all chest pains angina? What is angina pectoris? How is angina diagnosed?

  Chest pain are angina?  There are several kinds of chest pains that are not angina: 1. Needle-like pain in the chest, this is certainly not angina, so what is it? Needle-like pain is a typical manifestation of neuropathic pain, such as intercostal neuralgia.  2.Pain related to breathing is not angina pectoris. If the patient has chest pain when taking a deep breath or inhaling deeply, this is a typical symptom of pleural disease. 3. Pain in a certain place in the chest, which is aggravated by pressure. This is a typical manifestation of costochondritis or skin soft tissue pain.  4.Persistent chest pain with local rash, which is a typical manifestation of herpes zoster.  What should angina pectoris look like?  1, angina must be paroxysmal, lasting about 1-5 minutes each time, with the longest not exceeding 20 minutes, which is the manifestation of angina pectoris.  2, most of the angina is located behind the sternum, not the heart area, and some patients can’t even say the exact extent of the pain.  3, most of the angina is associated with exertion, angina occurs when the patient is exerted and disappears after rest.  4, angina is not only painful, chest pain is the most common manifestation. There are also chest tightness, shortness of breath, burning sensation in the throat, jaw pain, stomach pain, and for diabetic patients it may simply manifest as sudden sweating. If you meet the points thought, angina is highly suspected.  How to confirm the diagnosis of angina pectoris?  First of all, the patient presents with the above symptoms and abnormal angina during the onset of chest pain, and this is the initial diagnosis of angina. The final diagnosis of angina pectoris requires a coronary angiogram. How is angina pectoris caused? The cause of angina is the presence of thrombotic platelets in the coronary arteries of the heart, resulting in narrowing of the blood vessels. When the heart contraction increases, the heart rate increases, or the coronary artery thrombus ruptures, the heart’s own blood supply becomes insufficient, causing pain.