Left chest pain with rapid heart rate and normal coronary CTA may be caused by cardiac neurosis, costochondritis or reflux esophagitis, etc. Different treatments are needed for the causes.
1. Cardiac neurosis: it is a kind of clinical syndrome caused by mental and psychological problems and mainly manifested by cardiovascular disease symptoms, which can be manifested as chest pain, rapid heart rate and normal coronary CTA, and can be relieved by psychotherapy.
2. Costochondritis: it refers to the inflammatory reaction of the cartilage at the junction of the sternum and the ribs, which can be manifested as pain in the chest and accelerated heart rate caused by the pain, and the coronary CTA examination is normal, which can be treated by taking non-steroidal anti-inflammatory drugs such as ibuprofen according to the doctor’s prescription.
3. Reflux esophagitis: Reflux esophagitis is a gastrointestinal disease that can also cause pain in the precordial area, which can be treated with oral antacid gastric drugs such as omeprazole.
Patients with recurrent chest pain need to go to the hospital in time, and follow the doctor’s instructions to carry out the appropriate examination such as gastroscopy, psychological scale, etc., to clarify the cause of the disease and then carry out treatment.