Brief chest pain is often a sign of cardiovascular disease – especially myocardial ischemia or necrosis in coronary artery disease – but because of its short duration, it is often overlooked by people and cannot be diagnosed and treated effectively in a timely manner, leading to serious consequences as a result of missed treatment. Transient chest pain can be a symptom of cardiovascular disease or a manifestation of non-cardiovascular disease, so it is extremely important that people learn to screen for it. Three weeks ago, an emergency patient with acute myocardial infarction came to the hospital. He said that he often experienced chest pain and tightness when climbing stairs or walking quickly or lifting heavy objects one week before he came to the hospital, which disappeared after 1-2 minutes or 3-5 minutes of rest or stopping activities, so he did not pay attention to it. In fact, most patients with acute myocardial infarction clinically have aura symptoms for a period of time before the onset of the disease, manifesting as chest pain, chest tightness, chest tightness, etc. This is angina pectoris, but the duration is short and the best time for treatment is missed because they do not go to the hospital. Coronary angina is caused by atherosclerosis of coronary arteries leading to severe narrowing of blood vessels and myocardial ischemia, usually occurring during exertion, emotional excitement, full meals or cold, lasting 1-5 minutes, rarely more than 15 minutes, if the duration exceeds 30 minutes, it is likely that myocardial infarction has occurred. Typical angina pectoris manifests as pressure-like pain in the middle of the chest in the size of the palm of the hand, lasting 1-5 minutes, and can last up to 15 minutes; sometimes it can be accompanied by pain in the back of the shoulder, upper limbs, especially the left upper limb. Atypical angina may manifest as epigastric pain, jaw or toothache, or a feeling of obstruction in the throat, or an indefinable feeling of significant discomfort in the chest or abdomen. Especially in elderly women and diabetic patients, angina is mostly atypical and may also manifest as burning sensation in the epigastrium, palpitations, weakness, sweating, shortness of breath, nausea and vomiting, dizziness and syncope. Chest pain is not necessarily coronary angina, but should be screened, such as pinprick-like pain or burning pain, lasting for several seconds, usually intercostal neuralgia; local elevation of rib cartilage and pressure pain, often chondritis; such as chest pain with local skin blisters, and distributed in the midline side of the chest and back, should be herpes zoster; myalgia is often sore, bone pain is sore or cone pain, both can have local pressure pain; pleurisy, spontaneous pneumothorax chest pain is often chest pain is often aggravated by coughing or deep breathing; chest pain with dysphagia is common in esophageal diseases; chest pain with hemoptysis is common in tuberculosis, pulmonary infarction and lung cancer. Newly appeared transient chest pain (i.e. angina pectoris), or similar episodes in the past, but the recent episodes are frequent or aggravated, should be promptly consulted to the hospital, as long as timely and effective treatment can prevent the occurrence of myocardial infarction and improve clinical symptoms, on the contrary, if the diagnosis and treatment are delayed, myocardial infarction occurs, which can lead to death in serious cases, or cardiac insufficiency in light cases, and obviously affect work and life. When transient chest pain occurs, you should go to the hospital in time. If the chest pain is severe, you should call 120 emergency number, which is the quickest and safest way to go to the hospital, or you can be driven to the hospital by others, but you should not drive yourself to the hospital. In addition, you should choose to go to a larger hospital, because the larger hospitals have more complete related examination equipment and corresponding treatment technology, such as the Provincial Tongde Hospital, which is conducive to making an accurate diagnosis and implementing timely and effective treatment, such as the occurrence of acute myocardial infarction, we can immediately do emergency PCI surgery, which can greatly save the frequently dying heart muscle and maximize the preservation of heart function. To help your doctor make a quick and accurate diagnosis of your disease, you should provide the following information about the onset of your illness: 1. the specific time when the chest pain or discomfort started; 2. what you were doing when the chest pain or discomfort started; 3. whether the chest pain or discomfort worsened quickly or gradually; 4. whether it was accompanied by other symptoms such as nausea, sweating, dizziness or palpitations; 5. how severe the pain was . Coronary heart disease is a major killer of human health. Knowing the importance of timely diagnosis and treatment of chest pain, it is also important to know how to prevent the occurrence of coronary heart disease, so it is important to know the risk factors of coronary heart disease. The main risk factors for coronary heart disease are: 1, smoking, especially those who smoke a lot of people, such as more than 2 packs per day, and smoking for a long time. The World Health Organization (WHO) has been the creation of smoking cessation, our government also responded positively, hoping that we do not smoke. 2, diabetes, the medical profession as a coronary heart disease, such as the risk of diabetes can cause the whole body of the arteries such as coronary arteries, cerebral arteries, lower limb arteries and other arterial stenosis and occlusion, diabetic patients in addition to taking drugs to control blood sugar, but also take some of the drugs related to the prevention and treatment of coronary heart disease, such as anti-platelet drugs, lipid-regulating drugs. 3, high risk family history of coronary heart disease, such as immediate family members (parents, siblings) with early onset of coronary heart disease (myocardial infarction) is a high-risk group, the so-called early onset refers to men 55 years old, women 65 years old before the occurrence of myocardial infarction or death due to coronary heart disease. 4, hypertension, is one of the main factors leading to coronary heart disease, especially those whose blood pressure continues to increase significantly, should be actively controlled. 5, dyslipidemia, refers to increased blood cholesterol, increased LDL, reduced HDL, increased triglycerides. 6, obesity, lack of exercise, like to eat fat, is also the main risk factors of coronary heart disease. To confirm the diagnosis of coronary heart disease, the most direct and clear method is still selective coronary angiography, which is currently the gold standard for the diagnosis of coronary heart disease, and this test is routinely carried out in large hospitals such as Provincial Tongde Hospital. The biggest advantage of coronary angiography is that it can clarify the site and degree of stenosis, and at the same time, it can be used to treat the severely stenosed or occluded vessels with balloon dilatation and stent placement immediately after the angiography. 128-row CT coronary artery imaging is another valuable examination method, which is non-invasive and suitable for those with mild clinical symptoms. Other routine tests include electrocardiogram, exercise panel test, and blood cardiac marker measurement, etc. The treatment of coronary artery disease is both emergency and long-term. The emergency treatment is mainly for acute coronary syndrome, including unstable angina and acute myocardial infarction, which can usually be treated by coronary intervention, thrombolytic therapy or coronary artery bridge surgery according to the condition. The treatment can be supplemented with Chinese medicine and proprietary Chinese medicine, while changing the lifestyle, eating less greasy and fatty food, eating more vegetables and fruits, quitting smoking, exercising moderately and drinking a little alcohol, and making treatment for related diseases such as hypertension and diabetes. If you can do as mentioned above, the long-term prognosis is usually good. Finally, a summary, the occurrence of transient chest pain should be promptly consulted, time is the heart muscle, the heart muscle is life.