What are the causes and treatment recommendations for heart pain after strenuous exercise

The cause of heart pain after strenuous exercise may be chest wall tissue injury caused by exercise, heart disease, etc. Its treatment includes physical therapy, medication such as nifedipine, digoxin, etc., and surgery if necessary.
1. Causes
(1) Chest wall tissue injury: After strenuous exercise, rib fracture, tissue contusion, muscle strain and other diseases occurring on the left side of the chest wall, radiating pain in the precordial region will occur, similar to heart pain.
(2) Heart disease: including heart valve stenosis or closure insufficiency, cardiomyopathy, coronary artery stenosis and other diseases.
(3) Mediastinal pain: gastroesophageal reflux due to cardia closure insufficiency, etc.
2.Treatment
(1) Chest wall tissue injury: treatment measures need to be based on the specific etiology. Chest wall external fixation, early local cold compresses, hot compresses, ibuprofen and other analgesic drugs and other treatment measures can be taken.
(2) Heart disease: treatment depends on the specific cause. Including nifedipine and other calcium channel blockers, digoxin and other digitalis drugs, furosemide and other diuretics and other medications, serious cases need to be operated.
(3) Mediastinal pain: treatment depends on the specific cause. Acid-suppressing drugs such as omeprazole, gastric motility drugs such as domperidone, and gastric mucous membrane protectors such as bismuth pectin can be taken.
The above drugs need to be used under the guidance of clinicians, do not use drugs without authorization; suspected chest wall tissue damage, heart disease, etc., it is recommended to go to the hospital in a timely manner.