Vertebroneurological causes of cardialgia
F.A. KHABIROV1,2, E.F. RAKHMATULLINA1, O.S. KOCHERGINA1
1Kazan State Medical Academy – Branch Campus of RMACPE MH Russia, Kazan
2Republican Clinical Neurology Center of the MH of RT, Kazan
Khabirov F.A. ― MD, Professor, Head of the Department of Neurology, Chief Physician of Republican Clinical Neurology Center
Address: 13 Vatutin Str., 420021, Kazan, Russian Federation, tel.: (843) 278-23-17, e-mail: [email protected]
The article summarizes the data of literature review and authors’ observations on the issue of diagnosing the reasons for pain in the heart zone and front chest wall, initially interpreted as the result of cardiovascular or psychovegetative disorders. The most frequent clinical miofascial and vertebral syndromes are described, which have mainly vertebrogenic etiology: pectalgia syndrome, major and minor pectoral muscles syndrome, anterior scalene muscle syndrome, facet syndrome, and some others. The anatomic-physiological features of the musculoskeletal structure in the neck and chest zone are presented, which promote myofascial or tunnel syndromes. The zones of myofascial trigger points are described, irritation of which causes the pain pattern characteristic for cardialgia and toracalgia. The key diagnostic criteria for identifying an extracardial source of pain are presented. The main therapeutic approaches to curing this pathology are briefly listed.
Key words: miofascial syndrome, cardialgia, toracalgia, vertebral pathology.
(For citation: Khabirov F.A., Rakhmatullina E.F., Kochergina O.S. Vertebroneurological causes of cardialgia. Practical medicine. 2020. Vol. 18, №1, P. 43-49)
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