However, electrocardiography does not always answer all their questions. Can a person’s heart hurt if the cardiogram is good? Why does my heart hurt for more than one month?

Pain with a normal ECG

It happens that a person’s heart hurts, but the ECG is normal. The question arises, why does a healthy heart produce such symptoms?

If the tests show good results, most likely we are talking about extracardiac pain. Patients feel severe discomfort, but the heart has nothing to do with the problem.

However, if the doctor is not sure that everything is in order with the heart and blood vessels, he will recommend an additional study: a stress ECG (under physical activity) and a Holter ECG, when the work of the heart is monitored over a 24-hour period.

If the heart aches in people suffering from cardiovascular diseases, and this lasts for more than one month, the attending physician may recommend an ultrasound and echocardiography rather than an ECG. These studies show a more complete picture of the state of the organ, and not just the frequency and nature of heart contractions.

Attention! Painful sensations sometimes occur against the background of strong emotional experiences. Severe stress provokes spasm of blood vessels, including coronary vessels, which causes chest discomfort. However, true pain can be distinguished from symptoms of depression or post-stress disorder.

If the causes of discomfort really lie in the pathology of this organ, the pain is compressive or acute piercing in nature, accompanied by shortness of breath, paleness or a bluish tint to the skin.

When pain appears simply due to emotional experiences, it is characterized by aching sensations, constancy, absence of attacks, and tingling sensations. Patients with extracardiac pain cannot indicate the exact location, the sensations are vague, sometimes tingling. But if the heart itself is ill, patients are usually able to accurately indicate the location of the pain and correctly describe its nature.

Non-cardiac causes of pain

Important! When an ultrasound examination and electrocardiogram do not show any abnormalities in the organ, but it still hurts, you should think about it and undergo a full examination. The reasons may be hidden in completely different organs and systems, and the discomfort has persisted for months.

Causes of pain in the chest area:

• intercostal neuralgia;
• osteochondrosis;
• stomach ulcer;
• pancreatic diseases;
• aortic dissection;
• food hernia;
• gallstones.

Even if the ECG is good, but your heart hurts, you shouldn’t give up and give up. It may simply be a different disease. To accurately determine the cause, you should consult a therapist and get a referral for additional examinations. It is better to identify the pathology at the initial stage of the disease and get rid of the problem. This way you can maintain the health of all internal organs!

But what should we do if our doctors are clueless? You need to ask them for an examination

Yes, yes, my sister, she has been suffering for half a year, she did not get a referral for an ultrasound of the heart, they said that the ECG was good, which means there was no indication for an ultrasound of the heart, and they did not give a referral. When asked why it hurts on the left side, the therapist said that you are tired, because you have two children. The excuses are really fucked up, Mila has been sleeping for two weeks now, because she can’t lie down, she says that when she lies down, it’s like they put a brick on her left side of her chest, she went to the ambulance twice, and they sent her from there, tomorrow she’ll go for an ultrasound scan for money make hearts

Hello! The doctor acts according to the regulations. Examinations are required if a disease is suspected. See another specialist if you think you are seriously ill. If the doctor does not consider it necessary to conduct further examinations, most likely he is right.

What to do if your HEART HURTS, but the ECG is normal and the therapist says that everything is fine?

Perhaps from this.

If not. This is a muscle spasm that can be mistaken for heart pain.

Another option is that you turned poorly, there was a draft somewhere, and you sleep uncomfortably. Play sports, improve your breathing and stretch your pectoral muscles and you will feel better.

Maybe we need to worry about everything less?

maybe you keep a lot inside yourself.

It could also just be neuralgia.

This could be intercostal neuralgia.

Sometimes chest pain can be caused not only by compression/irritation of the intercostal nerves, but also by excessive tone of one or more muscles.

Chest pain on the left with a good cardiogram

Hello! Since the cardiogram is good, but there is scoliosis, we can assume that in your case there is pain in the area chest associated specifically with the spine. Chest pain on the left is characteristic primarily of diseases of the spine, anterior chest wall and muscles of the shoulder girdle (osteochondrosis of the spine and various musculofascial syndromes).

Read the characteristics of various pain syndromes in diseases of the spine and muscles in more detail at the following link: http://www.eurolab.ua/symptoms/pain/39/ (somewhere in the middle of the page under the heading, which for some reason is not highlighted in bold font: “Chest pain on the left side associated with neurological diseases”).

Also, intercostal neuralgia is often disguised as pain in the heart. It is also associated with the spine, namely with the incorrect physiological position in the costovertebral joints. Intercostal neuralgia (neuron - "nerve" and algos - "pain") is compression or irritation of the intercostal nerves.

Symptoms accompanying intercostal neuralgia:

Pain of a constant or paroxysmal nature along the intercostal spaces, aggravated by coughing, sneezing, taking a deep breath, moving the body,

Pain accompanied by burning, tingling, numbness along the trunk of the nerve or its branches (therefore, sometimes intercostal neuralgia can cause pain in the heart, in the back, under the scapula, in the lower back).

Sometimes chest pain can be caused not only by compression/irritation of the intercostal nerves, but also by excessive tone of one or more muscles. Usually these muscles are the extensors of the back or the muscles of the shoulder and scapula. Muscle pain is characterized by an increase in pain when the affected muscle is stretched (bending forward, moving the shoulder or shoulder blade).

I think you should consult an otropedist to prescribe the correct treatment. To prescribe it, additional medical tests may be needed, such as an MRI of the spine.

In addition, you should probably be more health conscious in your daily life. For example, watch your posture, do special exercises for the spine, go swimming, get massages, etc. Also choose the right shoes for yourself, dress warmly and don’t get too cold.

I wish you to find a good doctor and be healthy!

expert who answered the question

To establish the correct diagnosis, you need a face-to-face consultation with a doctor!

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Why does my heart hurt, but there is nothing on the ECG and ultrasound of the heart?

Statistics show that more than half of the patients who go to the doctor with heart pain actually do not have any heart problems. Pain can be caused by cervical or thoracic osteochondrosis or intervertebral hernia, for example. Nerve endings are pinched and pain radiates to the neck, back or heart area. Check your spine.

If the pain intensifies with movement, then it is most likely osteochondrosis. It is easy to check in another way: taking nitroglycerin quickly relieves pain from real angina, while it will not relieve false heart pain, in this case anti-inflammatory ointments on the neck or thoracic spine will help.

I'm not a doctor at all. But suddenly it will help - my relative had a heart ache (in the sense that it seemed like pain in the heart) due to stomach problems. Gas accumulated in the stomach and pressed on the heart. Health to you!

Because coronary heart disease at the very beginning can only manifest itself as pain. There may be no changes in instrumental research methods. Unless, of course, it's a heart problem. You still need to be checked by endcrinology and neurology.

Are you sure your heart hurts? If there is pain in the sternum area, then this is not necessarily a diseased heart. Contact a neurologist and you will be prescribed the correct treatment. Most likely you have some kind of neurological disease

Why does my heart hurt, but the ECG is normal? How can you tell if a person has used drugs?

One of my friends asked me to find out whether it is possible to determine by appearance, by behavior there, by face and appearance, by behavior, that a person is using something illegal?

Your friend is in good hands. Therefore, let him sit comfortably, but not fall asleep, and you pass it on. Yes, you can. Basically, that's the complete answer in its short version, and you're both good to go. If you don’t want to go anymore or have forgotten where, listen to therapist Gleb Kuzminov from the Semeynaya clinic. He says that under the influence of drugs a person behaves unusually, which, incidentally, was the main goal of this person. Sometimes substances cause lethargy and dullness. Sometimes, on the contrary, the subject may not sleep for days, is constantly doing something, talking, and is unusually excited. The skin becomes pale, sometimes dry, sometimes painfully oily, and there are circles under the eyes. Sudden mood swings, outbursts of hostility, irritability for no reason, even panic attacks appear. Strictly speaking, this is an accurate description of any employee of a glossy magazine two days before the deadline. But this also happens from drugs, alas.

I have pain in the heart area, but the ECG is normal. I will die soon? And what is this anyway?

Whether you will die soon or not is a question for the cuckoo. And cardiologist Olga Yazovskaya from the Semeynaya clinic advises starting with stress tests and daily Holter heart monitoring. It happens that a regular ECG does not reveal problems, but they exist. And remember if you have had any traumatic situations recently. Have a tower crane fallen on you or been tortured on the rack by the Jesuits? Neuralgia, which occurs from pinched nerve roots as a result of osteochondrosis, physical overload, hypothermia, stress, infections, injuries, and a dozen other reasons, is often confused with heart pain. If the cause of the pain is in the heart, then it quickly goes away with rest. But neuralgia doesn’t go away. At the same time, it intensifies when changing body position, coughing and taking a deep breath. Heart-like pain can also be caused by gastritis, esophagitis, muscle spasms and tumors. That means you have something to do in the near future.

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Can your heart hurt if your blood pressure and pulse are ideal?

Chondrosis is confirmed by an image. It’s just that when these pains come, fear comes over you. Although I'm sure that's the problem.

When this started, I was examined by a cardiologist. The doctor also said that the heart does not hurt for so long. Usually, when pain occurs, the attack is quick and the pain is paralyzing, making it impossible to live with it. And in addition to other other symptoms. Exercise and massage are my everything. But when I start to feel pain, I think anyone who has experienced this will understand me.

I also thought that my heart hurt so much, my blood pressure and pulse were normal, my ECG and Holter were normal. The heart was examined up and down - everything was fine.

It turned out to be a serious problem in the esophagus. I have been undergoing treatment for 5 years now, for the rest of my life I now have to take medications and an FGDS every six months with three morphological tests from different parts of the gastrointestinal tract.

And if it's not a secret, what is the problem?

I drank 30 drops of Corvalol. It didn't get any better.

cardia does not close, acid reflux into the esophagus, extensive burn with modification of esophageal cells, Barrett's esophagus, precancer

Treat your blues and you will be happy.

I took Corvalol - it didn’t help.

Well, if you use the method of elimination, then take Maalox or Gaviscon (in liquid form) and if it helps, go straight to a gastroenterologist, and if that doesn’t help, go to a neurologist

Thanks for answers. The cardia does not close in 80 percent of those who gave birth. She may not show herself. Heartburn is the main symptom when there are problems with the esophagus. And on FGS you can see what color the mucous membrane is. Do you have reflux-esaphogitis?

I have pain on the contrary if I lie on the left side or when I feel like I’m squeezing this place. And you can feel it when you move. The exacerbation is going well. I visited two cardiologists and found nothing, so they sent me to a neurologist. There is scoliosis and thoracic chondrosis on the left, confirmed by x-rays.

Besides pain, what other symptoms do you have? How do vascular problems manifest themselves? What diagnosis does the cardiologist make, what could be causing this? Did you do Holter?

With significant vascular pathology, most people will develop a number of serious diseases:

phlebitis and thrombophlebitis;

myocardial and cerebral infarction;

migraine and migraine attacks;

cardiac ischemia.

Do you have any of the above? It makes sense to do a CT scan if nothing is revealed. Maybe, as it was written above, these are manifestations of chondrosis or neuralgia.

FGS made a diagnosis of gastritis in the spring and the cardia is not completely closed. Marchenko had it 2 weeks ago, but for a different reason. I have stagnation of bile after hepatitis. I think she won’t miss any problems because she’s very attentive. By the way, she even listened to me.

you do not have a cardiac problem. Neurologist and psychotherapist are your friends

But aren’t the heart vessels visible on an ultrasound, why is it necessary to prescribe such an expensive procedure?

The pain seems to be under my chest on the left, closer to the armpits. Nise or medications from a neurologist help for a while. Then again. I need to do gymnastics regularly, but I can’t do it. Where does it hurt? Do you have scoliosis?

Nise does not help with heart pain. If you want to recover, do gymnastics, what do you mean it doesn’t work? Is it possible to run to doctors?

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What does a good cardiogram look like?

Why choose us?

An electrocardiogram is a curve drawn on paper with peaks and smoother lines. It reflects the electrical activity of the heart muscle during excitation and its subsequent cessation. Many patients are interested in what a good cardiogram looks like.

It is better to entrust the interpretation and analysis of the cardiogram to a qualified experienced specialist. The ECG curve consists of waves, segments and intervals. If all its indicators are normal: height, width, length of the main elements, then it represents a set of positive and negative peaks with calmer sections of the line at certain intervals. The photo shows a good cardiogram of a healthy adult with the correct rhythm.

Why is the cardiogram good, but the heart hurts?

Many patients of the Healthy People medical center complain that during a normal ECG they are often bothered by pain in the left side of the chest. In such cases, experts recommend undergoing a more complete examination, for example, stress ECG, Holter ECG, echocardiography, coronary angiography, phonocardiography, etc. It is also advisable to additionally consult an orthopedist, neurologist or psychotherapist. This is important because pain may indicate the presence of pathologies of the spine (osteochondrosis, scoliosis, etc.), the development of intercostal neuralgia, the tone of one or more muscles of the thoracic region, neurosis, some diseases of the stomach, pancreas, intestines, etc. In any case, pain is a signal of a disruption in the normal functioning of the body and it is important to promptly determine its cause.

Reviews from our patients

The staff of this clinic deservedly enjoys respect and gratitude, since such attentive attitude from doctors is difficult to find in your own clinic. I came for an examination and received a complete and detailed answer. And the cause of the disease was determined, and the necessary procedures were carried out. Thanks a lot.

I came to this clinic to see a therapist for a certificate for my son. Everything was processed quickly and without queues. Very convenient online registration. Thanks to all the staff for the quality and conscientious service.

I am very pleased with the level of professionalism of the doctors in this clinic. I can leave only the best reviews about their treatment methods and the atmosphere in the clinic as a whole. I came here for the first time about a year ago, the problem was terrible hypertension. The doctors and medical staff treated me very carefully and with understanding, carried out all the necessary tests, and prescribed a relatively inexpensive but very effective treatment. They also advised me to get a certificate for the gym and perform exercises that are suitable for my health. Treatment and a little exercise helped me a lot. Now my whole family seeks medical help only at this clinic, it’s worth it. I recommend to all!

First pregnancy. At 36 weeks, I became very ill. My husband called a doctor, a doctor came to me with a machine and gave me an ultrasound. Thank God, nothing serious was discovered, she prescribed me medications, which by the way are very good! It's a pity that you didn't remember the doctor's name. Thank her very much!

I sent my mother to a sanatorium and here she received a fully issued sanatorium-resort card - the sanatorium immediately prescribed treatment and there was no loss of time allotted for treatment. It’s great that there is no line at the clinic and the elderly are treated with special attention.

When I needed a statement of my health status for the insurance company, I went to the clinic. Oh, what a difference compared to a regular hospital. I won’t bore you too much with laudatory reviews. Try it yourself and you will understand everything. All the staff of the clinic have great respect and respect. Keep it up!

I needed a certificate to travel abroad. The trip was urgent and forced, a business trip. And the question arose about a medical certificate. I don’t like to choose for a long time, so I started looking for clinics through friends. And so, luck smiled on me and an old friend recommended this medical center. I was amazed at how quickly and efficiently the team of specialists worked. Everything was checked, everything was marked. I am amazed at the professionalism and speed of the staff. And everyone is very polite and friendly. I am thinking of undergoing all procedures and examinations at this center, to the best of my ability and necessity. Thanks to all the staff, I will be back and bring friends!

Thank you very much to this medical center. At one time they helped me get a certificate and exemption from physical education. In a regular hospital they refused to do this, even though there were indeed health problems, it was clear from the way I felt. Here I was examined by a pediatrician and still found contraindications. Although not complete liberation, I still received it. Thank you.

I underwent a medical examination at the clinic to obtain a certificate to carry a weapon. I went through all the specialists quite quickly, without queues or nerves. I can recommend this establishment for significant time savings!

I have long dreamed of becoming a hunter, but guns are very expensive, and having saved up the required amount, I went to apply for a license to carry a weapon. A certificate from the hospital was required there. I don’t like going to city clinics, there are always huge queues, doctors like to be rude to people, but I think everyone understands me. I went to the Healthy People medical center, went through the medical examination very quickly, no queues, the doctors were nice people, they gave advice on health. Now I will only be examined there.

I liked the clinic, they do everything very quickly and efficiently. They don’t freeload just to get rid of it. When my wife and I made inquiries to visit the pool, we immediately liked this clinic. The staff is friendly. Everyone is happy. We will keep it in mind, in case something happens.

I urgently needed a pregnancy certificate for the registry office; it would have taken a lot of time at the antenatal clinic, so I turned to this medical center. I really liked the atmosphere, the fast and high-quality reception, the examination by a gynecologist and the reasonable prices. I will contact you again! Thanks for helping out!

The best thing I encountered in this clinic was the ECG at home. I couldn’t even think that this was even possible. I was very tired at work, and I didn’t have the strength to go to the clinic. Yes, and there were complaints in my heart. It has become very difficult to breathe lately. Then my neighbor told me that in this clinic they also do ECGs at home. I was very happy about this. Fortunately, they didn’t find anything serious, but their treatment went smoothly. And I didn’t regret it. So I recommend it.

When our grandmother was in a very serious condition, we went to the clinic and called a specialist to the house, and he very efficiently installed IVs for my grandmother. We were satisfied with the quality of services. Amazing clinic and very helpful staff

There was no physical opportunity to get tested at the clinic, so I called a laboratory assistant to my home. I was a little worried about the hygiene and sterility of taking blood, but after taking the test, all doubts went away, everything went at the highest level and sterile. The nurse was attentive, arrived on time, the blood was drawn sterile, and explained that the transportation of the test would be successful.

I called a doctor to my house because my blood pressure had risen and the medications I usually take didn’t help. My head ached, I was dizzy, fear appeared, and my heart began to ache. The doctor arrived very quickly. A woman of about 35 did not inspire confidence at first, since I believe that experience is gained with age. She listened to me, changed my blood pressure, did an ECG, and took blood tests. She gave me medicine, observed me for about twenty minutes, then measured my blood pressure again. The pressure has dropped. She gave me her recommendations, wrote out prescriptions for medications, did everything quickly, carefully, without unnecessary movements. She acted like a true professional. I was very pleased, I think that you should trust the doctors of this medical center.

I had a terrible scar from appendicitis surgery. I was embarrassed to wear a two-piece swimsuit. The clinic performed a miracle and the scar became almost invisible. I wear tiny bikinis now. Thank you.

I started having pain in the area of ​​my thumbnail, and after three days the pain became so intense that I couldn’t sleep at night. I contacted the Healthy People medical center. The diagnosis is felon. I was examined and prescribed a comprehensive treatment - tablets and local treatment in the form of baths and bandages with medications. On the second day of treatment I felt better, and after 10 days everything went away. Thanks to the doctors and nurses of this center for helping me get rid of the problem without surgery. Now I will contact this clinic, because it is better to pay for quality services than to expect a miracle from free medicine!

I have been suffering from furunculosis since school. I came to the Healthy People medical center in June when my entire right arm from hand to elbow became covered with ulcers. Neither Vishnevsky's ointment nor aloe helped. The center doctor examined my hand and opened the boils. I took tests and found out the reason - decreased immunity. Now I’m taking medication and I hope the boils won’t bother me anymore.

Nice clinic. The pain was relieved in three visits. The staff is kind and helpful. It’s a pity that there are few such clinics where the treatment is good and inexpensive. If I feel like it, I will come to your clinic.

While relaxing in the village, I accidentally stepped on a rusty nail. My foot was significantly punctured. They were scared. I washed the wound with peroxide and anointed it around with brilliant green. But we decided not to risk it and additionally turn to specialists. Since it was Sunday, I didn’t even bother going to government medical institutions. I went to the Healthy People medical center, which I visited several times. The wound was examined, washed additionally, bandaged and bandaged, and antibiotics were prescribed. They sent me for a tetanus vaccination, which I have not had in the last ten years. In general, they provided full assistance. I am very grateful to the doctors. I'm not worried about the wound.

A wen appeared on my face closer to my cheekbone. I didn’t immediately understand what it was, but aesthetically it looked terrible. Moreover, it rapidly increased in size. At the Healthy People Medical Center, qualified doctors removed the tumor quickly and without scars. Thank you very much!

I had a benign atheroma above the eyebrow removed in this clinic. As the clinic doctors explained to me, there seems to be no harm from it, but aesthetically such a neoplasm looks unsightly. Although doctors noted that there is always the possibility of such tumors becoming malignant! Removing the atheroma did not take long; in half a day they prepared it, removed it, and told me how to care for the scar. By the way, the scar almost disappeared after two weeks. I am very pleased with my visit to this clinic. Thanks to the doctors!

I would like to thank all the staff of the medical center for their professionalism and responsiveness, as well as for their good attitude before and after the operation. My acquaintance began when my big toe on my right foot hurt. The finger swelled and began to fester. I contacted surgeons and it turned out that it was an ingrown toenail. The doctor said that it was necessary to perform an operation. After lengthy preparation for the operation, half of my nail was removed and further treatment and recovery were prescribed. After half a year, the nail was fully grown and began to grow normally. This disease no longer bothers me thanks to you.

I contacted the Healthy People medical center on suspicion of thyroiditis. Initially, we consulted with an endocrinologist. I really liked the doctor, I feel experienced and confident in his work. An ultrasound and blood test were ordered. I passed the tests in 1 day and quickly. But after tests it turned out that there was no thyroiditis, but just a slight inflammation. But they prescribed treatment anyway and within a few days I was already healthy. Thank you to the Healthy People medical center for the treatment and professionalism of the doctors.

My neighbor, a close friend, had a sharp deterioration in his health; he began to experience cardiac dysfunction, diarrhea, and nausea. After going to the hospital, the emu was allegedly diagnosed with diffuse toxic goiter and advised to go to the Healthy People medical center. At this center, the friend’s diagnosis was confirmed and treatment was prescribed. My friend was very pleased after visiting this center, he liked the qualifications of the doctors, modern diagnostic equipment, which is very important, there was a queue for appointments by appointment, no one was ahead of the curve. Through him, almost the entire courtyard already knows that this center is one of the best medical institutions.

A month ago, I began to sweat often, became thirsty frequently, and noticed how my neck became a little larger. I decided to visit the clinic near my house on Teply Stan. I came, made an appointment for a consultation, and it was scheduled for the next day. I had an ultrasound and was diagnosed with hypothyroidism. Now I am undergoing treatment at the center. It’s too early to give thanks, but it’s already gotten better and it’s clear that the treatment is making a difference.

My cousin is suffering from illness diabetes mellitus. Treatment is carried out at the Healthy People medical center. The medicine is administered to him by subcutaneous injections. After treatment at this center, his condition improved and stabilized. Based on his reviews, we can conclude that this center is one of the best medical centers that he has encountered in his life.

I visited this clinic to see a doctor. The therapist prescribed treatment, and along with it, IVs. A dropper has a better effect on the body than a regular injection, since the medicine is gradually delivered into the vein. The nurses of this clinic carefully and attentively treat patients and painlessly, with knowledge of their work, make IVs, which pleases the patient.

I was treated here when I couldn’t get pregnant for a long time. The doctors were wonderful, they immediately found the cause: inflammation of the appendages and prescribed me treatment, including intravenous injections. I was very afraid of injections, but the nurses made everything painless.

I have already contacted this clinic several times, when doctors prescribe injections, I come here, the quality of service is at the level, special thanks to the doctors, over the course of several years I have changed different private clinics, but I settled on this one. In addition, I was pleased that you can sign up for an injection in advance by phone, and the cost of the injections is very affordable.

I would like to thank the endocrinologist. In April 2014, she discovered diffuse toxic goiter in me, although another clinic did not find it. This is further confirmation that you need to go to this clinic. She correctly diagnosed it, explaining to me that it was due to hormone poisoning, which caused an excess of the thyroid gland. So you can safely contact this clinic, I recommend it!

For a whole year I was tormented by pain in the sacral area. I went to the clinic, but you know what kind of doctors there are. They have one question: “Did you have any injuries as a child?” Who didn't have them? I went to the clinic. After an ultrasound, the doctor diagnosed osteochondrosis and prescribed treatment. Treatment included drug therapy and physical therapy. A week after starting treatment, I felt relief.

I went to the clinic with severe pain in the thoracic region after sedentary work, and did not particularly hope for a complete recovery. I went to the doctor Alexey Ivanovich, who simply put me back on my feet! I am eternally grateful for the high-quality assistance provided, I got rid of pain in the thoracic region completely and for 2 months now it has not bothered me at all. In addition, Alexey Ivanovich, like the entire staff of the clinic, turned out to be a very friendly and good-natured person.

I want to write words of gratitude for healing me from an illness. After a car accident, my chest hurt a lot. The doctors at the clinic made me a healthy person. I feel great now.

Dr. Victoria Aleksandrovna cured half of my mouth, the fillings are high-quality, nothing causes discomfort, nothing falls off. The treatment is relatively painless compared to some of my clinics in the past, and the prices are lower, so I'm very happy with the visit

Mom has practically no teeth left. I had to order a removable denture from this clinic. Thank you for your attentive and patient attitude towards the elderly man and the high-quality prosthesis.

Lately I have been a frequent visitor to the clinic, because apparently due to stress I have had a lot of problems with my teeth: either they crumble or my gums flake off. In general, thanks to the staff for always helping to quickly and efficiently deal with problems and heal everything on time.

My daughter had an incorrect bite and this made even the shape of her face unnatural. The clinic offered a ceramic brace system to correct the bite. Thank you for the result.

I would like to say a huge thank you to Dr. Victoria Aleksandrovna for the quality work. My teeth have not bothered me or caused any discomfort for 4.5 months now, I recommend it to all my friends and relatives.

There was a terrible toothache that was simply impossible to endure. I went to this clinic, where they quickly took a picture and it was discovered that I had periodontitis. The tooth was treated and that’s it, I simply forgot about the pain. Thank you to the staff and doctors of the clinic for your attention and your qualified work. I will contact you again.

Good afternoon. I would like to express my deep gratitude to the doctors and the clinic itself! One day I woke up from a strong throbbing pain in my tooth, which turned out to be pulpitis. I just didn’t know what to do, not a single painkiller helped, fortunately a colleague recommended you. You are doing wonders!

This was my first time treating a tooth with a laser. Since childhood I have been afraid of the drill, so I liked this method of treatment. They didn’t give me an anesthetic injection, they just applied gel. I didn't feel any pain. I am absolutely satisfied with the result and treatment. Thanks to the doctors of the Healthy People clinic!

I would like to express my deep gratitude to the clinic doctors who simply saved my teeth. Brown spots appeared on my teeth. It looked terrible and I thought I would have to wear crowns. Everything was done for me in the best possible way and my teeth began to look great. Special thanks for your caring and gentle attitude towards patients.

To begin with, I would like to express my deep gratitude to the doctors of the Healthy People medical center. I understand perfectly well that the services they provide are not free and politeness and attention are, in theory, the same product, but in comparison with other clinics, both human and professional qualities, especially many thanks to the dentist Victoria Alexandrovna, a classy specialist and beautiful woman for her professional and human qualities. The situation is this: the teeth on the lower jaw hurt, the gums are swollen, and in general it is impossible to sleep or eat. I turned to our local hospital for help, there was only one answer - pull it out, that’s all. On the advice of good people, I turned to the “Healthy People” center, they examined me, reassured me that I could get by with a little blood, the most important thing was that they did everything with high quality, and also explained why this happened. Overall, thank you very much again.

On the advice of friends, I went to this clinic and did not regret it. There were certain problems with the tooth. Conducted a qualitative examination. The staff is responsive, experienced doctors, they provided a high-quality consultation, and the treatment was truly almost painless. Thank you for the quality treatment. The clinic is open seven days a week, which is very convenient with my busy schedule.

Good day everyone! I’ve been to this clinic more than once, sometimes my back hurts, sometimes I’m tormented by bronchitis. This time I had to turn to the dentist Victoria Aleksandrovna. I would like to express my deep gratitude to all the clinic’s medical workers! I recommend!

Since childhood, I have been allergic to certain fruits. Rash, swelling, all this is familiar to me. After the last such manifestation, I decided to consult a specialist. I chose this particular clinic because there were good recommendations everywhere. I visited a nutritionist who first prescribed all the necessary tests, after which he made a diagnosis and advised me on how to eat properly. As a result, I am now taking medication and following a diet that a specialist prescribed for me. Now the problem does not bother me so much, it has become much easier. Therefore, I want to express my deep gratitude to the doctors who helped me in treating allergies. Now, if I have any problems, I will go to this clinic.

I am a fashion victim: I always dreamed of being like a model. I've tried so many diets! Ultimately, instead of compliments, I began to hear more and more often: “How skinny you are!” Such words offend no less than “compliments” to excess weight. In addition, I decided to become a mother, and the gynecologist, who was supposed to help me prepare for pregnancy, said that it was impossible to get pregnant with such weight. My friend, who was overweight, recommended me the Healthy People medical center, where they successfully helped her lose weight. It turns out that skinny people are also treated there. The first thing I liked was the individual approach. After the consultation, I was prescribed tests and examinations, based on the results of which an individual program was selected. The nutritionist prescribed me a diet according to my health condition. Now I know exactly what is possible and how much, and what is categorically forbidden. I also really like the reasonable prices in the center, the friendly service from all the staff and the pleasant design of the premises. In a couple of weeks I have already gained several kilograms and am very grateful to the doctors that my treatment was successful.

I received an individually designed diet. Thank you - I feel great.

I tried several diets on my own, but either there was no result, or it quickly disappeared and the weight returned. I went to the clinic, they didn’t give me ready-made diets, but first they examined my body, and only then prescribed a diet. I tried to follow everything as prescribed by the doctor, but there were still sins, and despite this I was able to lose 10 kg that I didn’t need. The weight is maintained. This is what a competent approach means

Many thanks to all the clinic specialists who worked so hard with me and helped me overcome obesity. I am not an easy patient and it was difficult for me to follow a diet, well, very difficult. I especially want to thank the psychotherapist for his patience and professionalism. Only thanks to her efforts I was able to overcome everything, survive and win.

I began to suffer from the problem of obesity about a year ago. I am a young man, not yet 30, but I have already begun to notice that I am gaining weight very quickly. I went to the clinic, but the terrible queue, in which there were still young girls, made me embarrassed, and I decided to find it. Then I saw a clinic near the house of healthy people. I found them on the Internet, saw that they had good nutritionists and signed up for a consultation through the website. At the consultation, the doctor convinced and supported me, explaining that everything was not so bad with me and said that she would help me. The very next day I stood at the door to her office. There were no queues, everything was strictly on time. She prescribed me a diet and some medications. I've been treated for a week now. I feel much better, I haven’t gotten on the scale yet.

I would like to express my deep gratitude to the entire team of the Healthy People medical center. My appeal there was because excess weight, which began to annoy me. For some reason I couldn’t lose weight on my own, so I decided to see a nutritionist. A very attentive doctor listened to me, asked me to describe my lifestyle and nutrition system, I kept a food diary for several days and at the same time underwent a series of examinations at the clinic. I think one of the most important things was that they also sent me to an endocrinologist, although at first I was outraged and thought that they just wanted to rip off more money. So, after donating blood for hormones and an ultrasound scan of the thyroid gland, the endocrinologist discovered that I had hypothyroidism and sugar at the borderline of the normal range. This sore was the main reason for my weight gain. After prescribing medications for correction and treatment, the nutritionist began his work and suggested strictly following a specific menu adjusted just for me. Six months have passed and today I have lost 11 kg of weight. Thank you, doctors, for being you, for your attention and care for our health.

A year ago, arterial hypertension of the second degree appeared. It all started with a promotion blood pressure. My mother advised me to go to the Healthy People Medical Center. First, I went to see a general practitioner, where we found out the cause of arterial hypertension, and then I was referred to a cardiologist, who gave me an ECG, ABPM, checked my pulse and, based on these indicators, prescribed treatment. I express my deep gratitude to this Medical Center!

I discovered atherosclerosis a year ago. They began to forget the events that happened recently. I contacted this Medical Center on the advice of my mother. The doctors here are wonderful. They quickly and accurately made a diagnosis, conducted a full examination, did all the necessary tests and an ECG, and prescribed treatment. I would like to thank my cardiologist and the Medical Center itself! Thank you very much!

I was diagnosed with angina pectoris during a medical examination, and decided to treat it in this clinic. I really liked the doctor, he diagnosed everything professionally and prescribed treatment, so now I forgot that I was sick. And the price for the receptions was small.

She came to the Healthy People medical center for an examination because she began to experience headaches, fatigue, and began to have trouble sleeping at night. A diagnosis of hypertension was made. Now I am taking treatment according to the regimen, seeing a cardiologist at the center, as well as a neurologist and an endocrinologist in parallel. If you find the cause of the increase in pressure, the disease will recede. My health has improved significantly.

I went to the medical center half a year ago with a diagnosis of cardiac ischemia, and before that I was treated at the clinic, but my condition remained poor. Here, I felt an improvement by the end of the first week, and after 2 months I even took up race walking. I thank the doctors of the clinic for their attentive attitude towards patients.

I have been going to this medical center for about six months now. I recently felt heart pain. I immediately went to this medical center. There they examined me and said that I had myocarditis. After treatment, I left with a clear understanding of my illness, what needs to be done, when and how. There are almost no queues. I am grateful to the medical staff who looked after me. Very kind people

Everyone knows how effective “free” care in a clinic can be. Sheer rudeness, lack of experience and a desire to rip off more. In our case, the sick person is a mother, she is 64. We contacted different organizations, it is difficult to call them medical institutions. And only here there were no doctors who did not refuse us, citing age. Of course, there is no golden pill, but there are golden people and specialists! Correct and quickly diagnosed, necessary prescriptions, all 5+. I really liked everything, it felt like something from home. Mom is very happy, and most importantly healthy, thank you, good luck and peace. and don’t get sick yet!

I am very pleased with the work of the clinic in general and doctor Alexander in particular. I came with problems and left a healthy person! The doctor listened carefully, ordered a couple of tests and a cardiogram. No additional paid services were imposed, the staff was polite and friendly, more than a month has passed since the moment of treatment, all my heart problems have disappeared. Thanks to the clinic.

Recently I went to the clinic to see a cardiologist. A diagnosis of arrhythmia was made. The doctor is courteous, I really liked the appointment - both in terms of duration and cost. At the reception they explained everything and helped. Great clinic.

I have been feeling very bad for a long time. I was examined at the Healthy People medical center by a cardiologist and am glad that I stopped at this center. I was given a full examination and diagnosed with hypertension. They measured daily blood pressure and did a lot of examinations so as not to make a mistake with the diagnosis. I was seen by a very experienced cardiologist and prescribed effective treatment, after which I began to feel much better. I also liked the fact that everything was really organized for people - if I was feeling unwell, I arrived at the appointed time and was not forced to sit in line. I recommend!

Thank you very much to the doctors of this clinic. I passed the examination here at the highest level! So attentive, so responsive, so positive, and most importantly, qualified specialists helped solve all my problems)

I experience severe pain during menstruation, I suffer with it, and there are frequent failures. Not long ago, it got even worse, my lower abdomen hurt like hell, my period didn’t start, I was very scared. I made an appointment with a gynecologist. I was examined by Irina Mikhailovna Yasinskaya, she examined me and prescribed treatment. Now I am undergoing treatment, my cycle is stabilizing, there is practically no pain. I am very pleased!

Suddenly, unpleasant sensations arose in the intimate area. As I thought, it turned out to be a sexually transmitted infection. A friend advised me to go to this clinic. They helped me here quickly, relieved the inflammation in 2 visits and did all the necessary tests. Thank you very much to the doctors.

I am very glad that I visited (and will continue to visit) this clinic. The problem I have is a “female” one - a follicular ovarian cyst. At first I went to a free clinic, the attitude there, unfortunately, was terrible, in the end they didn’t cure me anything, constantly prescribing Duphaston. I drank for a month - the cyst disappeared, the next month it appeared again, again “well, drink for another month, maybe it will pass.” In general, complete ignorance. At “Healthy People”, the doctor, firstly, was very polite, and secondly, she answered all the questions that they could not answer in the free clinic (for example, WHY a cyst occurs), but most importantly, they helped me recover. Namely, I was completely examined and, based on the test results, I was prescribed birth control for 3 months. There is no cyst. Hooray! Thank you very much for the warm welcome and good treatment. I was also given absolutely free consultation on all the issues that worried me (about sex life, about the menstrual cycle and about planning a pregnancy).

It just so happened that in our small village there was no competent urologist, we visited your center with some fears, it turned out that our fears were in vain! They consulted and prescribed tests, on the basis of which they refuted the incorrect diagnosis made by the previous doctor. I take pills and every day I feel better and better! Thank you!

I had inflammation, I went to this clinic, and in two visits everything was cured. I'm glad, thank you very much to the doctor! And I spent a little money, and everything went by quickly, so if something hurts, it’s better not to delay it and contact this clinic.

In this clinic I had an examination and, based on the test results, the doctor prescribed me the optimal contraceptive for my health - birth control suppositories. Patient care comes first here.

After unsuccessful treatment of cervical endometriosis with homeopathy, I contacted this clinic. I was thoroughly examined and prescribed a course of medication, which resulted in a complete recovery. I am grateful to the professionals working in this clinic for effective treatment.

I suffered for a long time with such a delicate problem. As a result, a friend took me to this clinic; I’m not a fan of going to hospitals and doctors because it takes a lot of time, but she convinced me that the examination would be done efficiently and quickly. Now if anything I only go to this clinic and have already brought all my girlfriends. The medical staff and doctors are wonderful masters of their craft, examinations are carried out quickly and without difficulty.

I experienced a feeling of discomfort in the vagina during sexual intercourse. I decided to contact this Medical Center and did not regret it. I had an ultrasound and was examined and prescribed treatment. The pain went away after the second visit to the clinic. Many thanks to the experienced and good specialists!

All my life I have suffered from PMS, the symptoms of which are observed in all its glory every month. These include mood swings, headaches, swelling, and increased heart rate. Having turned to the clinic for help, I received a full qualified examination of my problem, professional consultations and competent treatment. I was pleasantly surprised by the atmosphere of the clinic - the clarity in the work of the doctors, the cleanliness and, what is important for me, the absence of queues, nervousness and convenient distribution of appointment hours. Thank you!

Anyone who has encountered neuritis will now understand me perfectly. For me it started after a professional injury received in sports. This illness bothered me for several years, and the pain had already become background, and I stopped paying attention to it. Recently, my friend made a remark to me that every time I go down the stairs I involuntarily grimace in pain. After asking what happened, she advised me to go to the Healthy People medical center. It was there that I was given the correct diagnosis - neuritis. We carried out competent treatment, as a result of which the pain decreased, and over time completely disappeared. Thank you for making my life easier!

Due to the hard physical work, I repaid myself with a bulging disc. I decided to go to the clinic, and here I was right. Excruciating pain was relieved after three visits, a full examination was carried out, moreover, I could receive consultation about my condition completely free of charge. The prices here are very attractive and affordable for everyone. I would like to express my deep gratitude to all the doctors and the entire clinic who got me back on my feet in a week.

For a long time I carried heavy weights at work. Now, apparently, the time has come and I got a hernia. Traditional methods Treatments did not help, so I decided to turn to specialists. Friends recommended the Healthy People medical center. They received me there nicely. We communicated politely. They immediately carried out an examination and after just a few trips to the clinic, the pain decreased. I would like to express my deep gratitude to the doctors for the work done.

Aching and sometimes sharp pains appeared regularly in the chest and ribs. At first I didn’t pay attention, but they interfered with my swimming. They advised me to go to this clinic. I passed general tests and had an x-ray and computed tomography scan. I liked the comprehensive approach of the doctors: physical therapy, acupuncture, vacuum therapy. In just a week, the pain has already decreased, and now it still continues, but rarely, since the treatment has not yet finished.

I was diagnosed with spinal curvature as a child. But then I had no pain and I neglected special exercises. And after fifty, and even with constant work at a desk, pain in the spine began to bother me more and more often. Here I was prescribed traction. Several procedures got me back on my feet. I am grateful that I can now work fully.

I was bothered by lower back pain. I couldn’t even think that I might have radiculitis. At the registration hospital they didn’t really say anything, but it turned out to be such a typical illness. He began to be treated with tablets, rubbing, and grandma’s remedies, which gave minimal results. A good friend praised this clinic, and as it turned out, it was not in vain. I was given individual treatment. I liked the fact that the doctor asked a lot of questions, was attentive and really interested in my recovery, and not just to rip off money for treatment. I am very grateful to the doctor for helping me, because now the pain does not bother me, and I can bend over whenever I want.

A year ago I encountered such a problem as a hump on my neck. This area hurt quite badly. I decided to go to this medical center and did not regret it at all. Doctors are professionals in their field! The pain was relieved in one session. They treated me and my problem with great attention. I had my adrenal glands examined and prescribed treatment. I would like to express my gratitude to both the doctors and the entire medical center as a whole!

I am grateful to the traumatologist of this medical center for his help in treating transverse flatfoot. I was fitted with orthopedic shoes and underwent comprehensive conservative treatment, after which my condition noticeably improved and the pain in my legs no longer bothered me.

Since I regularly train, pain in the shoulder joint has become something of a horror for me, especially since it began before the competitive season, when it was simply necessary to be healthy. I turned to the clinic for help, to my happiness, real experts in their field work here, they quickly diagnosed me and prescribed treatment, I am very grateful to them, I don’t even know what I would do without them.

I went to the clinic with severe neck pain. It turned out that frequent stress loads provoked myositis. I would like to say a huge thank you to all the doctors who took care of me throughout the entire treatment and advised me on various issues completely free of charge. By the way, the prices here are very affordable, which turned out to be a pleasant surprise for me.

For a long time there was pain in hip joint. No ointments or creams helped me, so I decided to go to the clinic to solve this problem. There was a lot of choice, but friends recommended this particular medical center. And indeed, they helped. The doctors are real professionals. First we had a consultation, then I did an ultrasound and examination. In just 2 visits, the pain decreased and walking became much easier. I hope the effect will last for a very long time. I would like to express my deep gratitude to the doctors and all the staff of the clinic for the assistance provided. I will definitely recommend my friends to come here.

It is true what they say that prevention is always better than treatment itself - especially when it comes to the musculoskeletal system. But, of course, we don’t pay attention to it until it bites us properly. I was struck by severe pain in my legs already in Moscow, when I was passing through there. The nearest medical center turned out to be the Healthy People Center - they say the truth, the best doctors work in Moscow clinics and hospitals! I didn’t have to wait in any queues, I went into one office, they examined me there and came to the conclusion that the instability of the ankle was caused by excess weight and sudden movement - yes, that’s how it was, I tripped and fell, I was carrying bags and therefore didn’t understand right away , What's happened. The leg was fixed, ointment was prescribed, and all this in 15 minutes. An excellent center - we don’t have anything like it in Surgut.

My husband’s leg suddenly began to hurt. At first we couldn’t even understand what happened - there was no injury. Then he began to complain that the pain was localized specifically in the heel area. I went to the local clinic, first to a regular surgeon, then to an orthopedic surgeon. But both of them just moved their shoulders and said that nothing could be done about the heel spur. But the pain interfered with his work. On the advice of friends we went to this clinic. He was offered to undergo shock wave therapy. The procedure is more unpleasant than painful. But the result is excellent. The pain is gone and he is completely healthy. Thanks to the specialists.

I never thought that at 28 years old I would experience pain in my elbows; I always thought it was a disease of old people. But I experienced all the delights of epipincodylitis at such a young age, perhaps my sports life in the past made itself felt. The pain was simply unbearable, so something had to be done urgently. From one friend I learned about the Healthy People medical center, for which I thank her very much. I made an appointment and began to wait for a miracle, in the literal sense, because I was already tired of this pain in my elbows. They gave me an ultrasound, carried out all the examinations and diagnosed me with Epicondylitis, before that I didn’t even know what kind of disease this was. Well, then they began to plan my treatment, prescribing me pills, ointments and shock wave therapy. So, already on the third day of treatment I received significant relief, and now, six months after treatment, I am not bothered by pain in my elbows at all. I hope she doesn't come back to me. I would like to say a huge thank you to the clinic staff for their responsiveness, attentiveness and carefully selected treatment.

Pain in the muscles of the legs has been haunting me for many years, it started at a young age, somewhere after 20 years, it did not manifest itself much, I thought that this could happen from physical activity, I was fond of sports. Now I’m over 40, the pain is not frequent, but it does appear, and I decided to get examined. I asked for a consultation at the Healthy People clinic because it is convenient to get there after work, the clinic has been open for a long time. The consultation is paid, but I was given a fair amount of time for the appointment, the orthopedic doctor carefully examined me and prescribed a course of massage, advised more walking and eliminating physical activity. After the course of treatment I felt better, my legs stopped bothering me.

Because of promiscuity, I got what I deserved. For a very long time I was looking for a medical center where I could be diagnosed and treated for a normal fee, but they demanded fabulous money for it. I decided to contact the center for healthy people, and it was definitely the right decision! The examination and treatment were carried out anonymously; during the rehabilitation period, I could consult my doctor for free. And of course the prices are affordable for everyone. Many thanks to the clinic and doctors who were able to get me back on my feet in a short time!

We came to this clinic with an already advanced case. My husband caught a cold while ice fishing and after that he developed an inflammatory process. As is usually the case, it is very difficult to drag men to the doctor only when a truly critical moment comes. The doctors at the Healthy People clinic helped stop the inflammation, and after a short treatment, my husband experienced significant relief. We are now continuing the course of treatment and the infection is almost gone. We are very grateful to the specialists of this medical center!

I contacted your clinic with symptoms of a constantly aching lower back and a frequent urge to urinate. I thought I just had a cold. A diagnosis of urolithiasis was made. I couldn’t even think that this would ever affect me. Thank you very much to my doctor for ridding me of these ailments. And also a big thank you to the clinic itself for its conscientious attitude towards its patients.

I once visited this clinic to treat cystitis. I really liked the service from the doctors, everything was prompt and fast. They examined me and immediately prescribed the necessary antibacterial drugs for treatment, after which I immediately went home and began treatment. I recovered very quickly and am now grateful to this clinic and all the doctors who treated me.

I came to the clinic with abdominal pain and a temperature of about 39, after tests I was diagnosed with pyelonephritis. I was prescribed treatment, after which I began to feel noticeably better, thank you very much to the doctors for their qualified assistance.

This is not the first time I have visited this clinic. Two weeks ago I came here regarding the treatment of prostatitis. The doctor who consulted me prescribed treatment. Good medical staff work here, they take their work with great responsibility. The clinic itself is impeccably clean, and it is also conveniently located next to the metro station.

I had constant problems associated with cystitis, but like basically all people, I self-medicated and didn’t even think about going to the doctor, and as it turned out, it was in vain. The pain became simply unbearable, and I ran to the clinic; it’s good that there are such wonderful specialists who easily cured me. Many thanks to them for this.

What I haven’t tried to at least walk without severe pain. Having heard about the plasma resurfacing method carried out at the Healthy People medical center, I made an appointment with a specialist. What I liked about the clinic was that if I had already made an appointment, when I arrived on time I was not kept waiting and this is a huge plus for this center. Next, my blood was taken and sent for processing. After that, I was injected with isolated plasma from my blood into my sore knee to quickly produce the necessary material. After the procedure, I noticed a significant rapid improvement in my health and am grateful to the doctors for their responsible attitude to their work.

Magnetic therapy is a very effective method and this method is practiced in this clinic. Doctors are helping with it, I applied and am still taking the course, I feel better and I hope for a complete cure.

Since childhood I have suffered from chronic gastritis, periodically there are exacerbations, I am a regular patient of the gastroenterologist. During the period of exacerbation, the pain is unbearable. The doctor advised me to try ozone therapy. I went to this clinic for it. First, I was examined by a physiotherapist, and he gave the go-ahead for the procedure. And this procedure really helped! The pain has decreased significantly, the tests have improved. Thank you very much to the doctors of your clinic who treated me with kindness during treatment!

I have had a problem since childhood - dark circles under my eyes. Having spent several hours searching and choosing a clinic, I settled on the Healthy People MC; I was attracted by the availability of a promotion for a free initial appointment. After the procedure, the bruises became significantly less noticeable. I'm glad that for little money I got rid of a cosmetic problem that I had all my life. Thank you!

My wife had an accident. The damage was very dangerous, multiple fractures and displacements. Since the whole body was in a cast and movement was contraindicated, the muscles did not receive the proper load for a long time and thereby atrophied. And we turned to this clinic. We were received well and took several tests. After several courses of electrical neurostimulation, my wife’s condition improved dramatically, which could not but please me. Thank you very much!

My husband had chronic sinusitis. Where have we not treated him? Having contacted this clinic, based on the results of the examination, the doctor prescribed electrophoresis. Finally he breathes freely through his nose.

I have been suffering from varicose veins for quite some time. The load took its toll. My course of treatment has always taken a long time, but this time I was recommended to go to the Healthy People medical center. I was satisfied with the appointment and the doctor recommended that I take a course of myostimulation to speed up the treatment process. He prescribed me 7 sessions of myostimulation. The main thing is that the electrodes that are placed on the body do not fall on diseased areas, because they can only be placed in healthy places. The doctor told me that for varicose veins, myostimulation is an excellent solution to the problem. Engages the right muscles and improves blood circulation. It helped me and I feel much better.

We often play football with friends, I’m already over 30, and then one day I received a very serious injury in my knee joint. I underwent treatment in one of the city clinics, but the pain only went away temporarily. Then I read in one resource that in your clinic they treat joints using one of the effective methods, namely shockwave therapy. I found many satisfied people who recommended you. I signed up for a consultation on your website. We set an appointment, it was very nice that we greeted him politely and hospitably and took us to see a specialist. The doctor prescribed shockwave therapy for 2 weeks. By the 2nd day, severe pain when walking had completely stopped appearing; there was still a week of procedures left. But it has already become much better. Thank you.

My son was diagnosed with retinoblastoma in the early stages. We underwent a course of treatment - cryotherapy in this clinic. His condition improved significantly, the tumor decreased to a minimum, and his eye was saved.

I have left-sided thoracic scoliosis. At the doctor’s appointment, I was prescribed a segmental massage of the thoracic spine. I decided that I would undergo treatment at the Healthy People medical center because I had previously gone to this center for dental treatment. And I was very pleased. After visiting the massage room I noticed significant improvements.

And I could not think that ordinary ultrasound would help me solve my back problem. Painless, no surgery, awesome! The clinic itself is also impressive, the doctors are polite, everything is new, there are no queues.

I had a problem with scoliosis for a long time. Due to the fact that I spent a lot of time at the computer, my back became curved. Therefore, after searching for treatment methods and clinics on the Internet, I found the “Healthy People” clinic and went there. I was given manual therapy and over time my back became normal. Thank you very much.

At the beginning of spring, I began to suffer from severe headaches in the back of my head. I turned to Healthy People for help. Here I was given a comprehensive examination and diagnosed with hypertension. Now I am undergoing treatment and feel better. I liked the professional approach of the doctors, who, based only on my description of the problem and the initial examination, were able to make a preliminary diagnosis, and the diagnosis only confirmed their confidence. The center is very modern. Here you feel the care of the doctors and the desire to help.

I finally found a clinic where they performed all the necessary examinations and gave me the correct diagnosis. The cause of my problems with my head turned out to be a banal VSD. I follow all the recommendations and feel much lighter. I no longer take medications from which I did not feel any particular effect, since the diagnosis was incorrect.

Previously, I had headaches very often, and I practically took painkillers. Until I realized that it was unbearable to live like this! I went to the clinic and was offered to undergo a full examination. It’s good that the result of the examination was not as scary as I feared. They prescribed me a diet and vitamins, and for half a year now I don’t know what the heaviness in my head is. By the way, by Moscow standards, the prices completely satisfied me!

My father was treated in this clinic and was given IV drips after suffering a heart attack. I spoke very highly of the staff and the cleanliness of the wards and treatment rooms.

I had a very severe headache on one side at night, every once in a week. I went to a neurologist at a healthy people clinic. The doctor listened to all my complaints and made a preliminary diagnosis - cluster headaches. Additionally, he prescribed diagnostics: MRI and X-ray of the cervical spine. Both examinations did not reveal any abnormalities. Thus, discarding all other options, my original diagnosis was confirmed. Preventive treatment was prescribed. I liked the professional work of the doctor and all the clinic staff, starting with the reception department. It’s nice that they are trying to help you restore your health and bring back joy to life, and not just make money. Thank you that the clinic employees are not indifferent to the fate of their patients.

Not long ago I began to notice frequent headaches and weakness in myself, I contacted your clinic for a consultation, and I was diagnosed with hypertension. Treatment was immediately prescribed and I completed it right in the clinic. Thank you to the specialists for helping me and forcing me to reconsider my attitude towards health.

I constantly go to the Healthy People medical center and am always satisfied. Intelligent specialists are always ready to consult and prescribe treatment. Many thanks to them!

I brought my husband to the Healthy People medical center in April of this year. Blood pressure surges began to bother him. After several days spent in a regular clinic, standing in queues for many hours, our visit here was simply a fairy tale. A competent therapist, listened carefully and prescribed a complete diagnosis. This included not only general tests, but also daily monitoring of blood pressure and ECG, even a visit to the endocrinologist. Then, based on the data obtained, we were diagnosed with stage II hypertension and selected the necessary medications. I thank all the medical staff of this clinic for bringing joy and health back to our family!

Healthy people came to the medical center at the beginning of June. Underwent procedures for treatment high pressure. I have known about the clinic for a very long time, since I live not far from their location. Many neighbors are frequent customers and often praise the local doctors. And I decided to undergo the procedure with you. I signed up through the online window on the website. They called me back and invited me for a free consultation. I came the next day, received a consultation, and was immediately prescribed treatment; I had to go on IV drips. The clinic nurses performed all the procedures very carefully, painlessly, and most importantly treated me with great understanding and care. Thanks to all the clinic specialists, and especially to the kindness of the nurses.

I am 30 years old and recently my chest began to hurt very badly. At first I didn’t pay attention to it, but then it started to hurt so much that I couldn’t pay attention anymore. Then I went to the clinic, because it could be a symptom of some terrible disease. But thank God everything worked out, they identified me in literally 2 or 3 visits. They prescribed medications for prevention, and now I’m doing great. Very grateful!

I arrived from a business trip and went on sick leave for quite a long time. The fact is that, no matter how trivial it may seem, I just got a serious cold due to constant air conditioning and moving. It’s good that my friends advised me to go to this particular clinic, and not go to our local police officer. Here I can say for sure - they are treated as they should be. Firstly, the doctors are very polite and competent. Secondly, already at the first visit I passed all the necessary tests, which were done almost immediately and the results were passed on to the doctor. Moreover, what I especially liked was that I handed over everything right away here - on the spot and without any running around. The prescribed treatment helped me quite quickly. In general, I have already decided for myself that I will only be treated in this clinic.

A couple of weeks ago I got sick - cough, runny nose, everything. And this is in the middle of summer! In general, I didn’t want to stay at home for a long time with a fever. I made an appointment with your therapist. The approach is individual, the treatment is adequate. I was treated for 3-4 days and got back on my feet like new, the cough quickly went away, the temperature became normal. I say thank you to the smart doctor for the treatment he prescribed for me! Everything helped!

From the age of fourteen, I was plagued by attacks from time to time: my vision deteriorated, I felt sick, vomited, and had a very bad headache. I went to a government clinic - the doctors didn’t say anything intelligible, they blamed the problem on VSD and stress. I decided to go to another hospital. And here I was diagnosed with migraine. This disease cannot be completely cured, but at this medical center I was prescribed maintenance treatment that reduces the number of attacks and their severity. I am very grateful to the doctors who worked with me! If it weren’t for their professionalism, I would have suffered for a long time with incomprehensible attacks.

I often use the services of this medical center. The staff here is polite and always smiling, the center is clean. Doctors are specialists in their field, attentive, and always answer questions. They always delve into the essence of the problem and find the maximum the best option treatment. It’s convenient that you can immediately take the necessary tests. We are also pleased with the constant promotions. The quality of the services provided is excellent.

I had problems with menstrual cycle. I was examined at the district clinic, but the doctor could not clearly make a diagnosis. A friend recommended going to this clinic. Here I underwent a full examination and, after that, a course of treatment. It is convenient that all tests and examinations can be completed in one place and immediately receive doctor’s recommendations.

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Heart pain or cardialgia is the most common complaint in cardiology. Any heart pain requires close attention, and often immediate medical attention. How to recognize cardiac and non-cardiac causes of pain in the heart area?

First, a little anatomy. The heart is located in the central part of the chest, exactly behind the sternum with a slight shift to the left. That's why the epicenter of heart pain is in the projection of the heart, and only in some cases does the pain radiate beyond its geography.

It is customary to divide pain in the heart area into cardiac and extracardiac. For different diseases, pain has its own characteristics and is accompanied by other symptoms. Depending on the cause, a strategy and tactics for treating and preventing pain is developed. The greatest danger is coronary heart disease.

Heart pain due to coronary heart disease (CHD)

Coronary heart disease is a disease characterized by impaired blood supply to the myocardium due to damage to the coronary arteries

The most well-known forms of ischemic disease are angina pectoris and myocardial infarction. When blood flow in the coronary arteries is disrupted, the supply of oxygen to the heart muscle is reduced, metabolic disorders occur, which are accompanied by an attack of pain in the chest. The duration of the attack ranges from several minutes with angina pectoris to tens of minutes with a heart attack. Heartache pressing, squeezing, burning or cuttingand can radiate to the left (less often right) arm, to the neck, under the shoulder blade or to the lower jaw. Usually an attack is provoked by physical or emotional stress and is accompanied by severe weakness, shortness of breath, and arrhythmias. ECG changes are characteristic and pathognomonic.

Important! There are no changes in the ECG during the interictal period! Therefore, even yesterday’s “good” cardiogram does not exclude the diagnosis of IHD today

Atypical localization of pain in ischemic disease is much less common. Therefore, an essential sign of this disease is a rapid and pronounced effect when taking nitroglycerin.

Important! Nitroglycerin can be taken again at intervals of 5-10 minutes!

Heart pain in other heart diseases

Heart diseases of an infectious or rheumatic nature, such as myocarditis, endocarditis and pericarditis, develop over a long period of time, often after infectious diseases. During the acute period, the temperature rises. The pain is diffuse, prolonged, dull or stabbing in nature. Along with heart pain, there are signs of intoxication, damage to joints and other organs. The pain is not relieved by nitroglycerin, but weakens after the administration of anti-inflammatory and antibacterial drugs.

Extracardiac pain in the heart area

The most common causes of pain in the heart area, not associated with heart disease, are: thoracic spine, herpes zoster, intercostal neuralgia,. They are characterized by atypical localization, dependence on body position (with osteochondrosis), the presence of skin manifestations (with herpes zoster), increased pain when pressing on the intercostal muscles (with intercostal neuralgia or myositis), various symptoms of impaired neurohumoral regulation (with vegetative-vascular dystonia)

What to do if you have an attack of angina or suspected myocardial infarction?

1. Call a doctor
2. Unfasten clothing that restricts breathing and allow fresh air to flow
3. Place the patient on a flat surface. If there is excitement, shortness of breath, cough, then raise your head. If the pressure is reduced and the pulse is weak, the patient is pale, lethargic or close to loss of consciousness, then place the head in a low position.
4. Take nitroglycerin under the tongue. If the attack of pain continues, then take it again after 5-10 minutes.
5. Take an aspirin tablet 500 mg
   

   Important! No validols or corvalols! Leave them to grandmothers and sensitive young ladies. In case of angina pectoris, they will only do harm, since precious time will be lost to relieve the attack.

Pain in the chest area is familiar to almost every person. This condition causes anxiety when there is frequent or constant feeling of discomfort. In such cases, you should contact a specialist. Patients and doctors consider a couple of values ​​- pressure and heart - as a priority, since pain often occurs due to changes in the blood load on organs and vessels. But can the heart hurt at normal pressure or is the cause always in blood pressure?

Causes

Pressure deviation can affect the entire body and provoke pathological changes. Depending on the degree of influence of blood pressure, the mode of action and the location of the lesion, the type of pain syndrome changes. Most patients characterize it as paroxysmal, which intensifies or appears in the morning. It is characteristic that pain in the heart with low pressure does not radiate to the left side of the body and jaw. With hypertension, there is pressure in the region of the heart with an aching character of manifestation.

It is difficult to determine the duration of pain in the sternum, because the pain regularly appears and disappears. The pain syndrome intensifies after psycho-emotional or physical stress. The condition is especially dangerous when the pathology appears at night or during complete calm. If the pain is localized on the left side of the chest and is characterized by increased pressure, there is a high risk of myocardial infarction, coronary artery spasm, angina pectoris, etc.

If your blood pressure is normal, but your heart hurts, it’s worth figuring out why the unpleasant sensation occurs. In this condition, the reasons may be:

• severe exhaustion of the body due to physical or psychological stress;
• stress;
• prolonged depression;
• sudden change in weather conditions;
• prolonged lack of sleep or sleep deprivation of less than 6 hours;
• deficiency of nutrients;
• bad habits.

The list contains only the main reasons why the heart hurts at normal pressure. A diagnosis from a cardiologist will allow you to reliably determine the true cause. If during the diagnostic procedures a severe pathology is not identified, the doctor prescribes basic symptomatic treatment and recommends restoring lifestyle: proper nutrition, rest, walks, avoiding stress. If both heart pain and low or high blood pressure are detected, the doctor will prescribe treatment for the underlying cause.

Symptoms

If your heart hurts due to high blood pressure or other blood pressure pathologies, the severity of the condition is unclear. When a pain syndrome occurs due to other conditions, the pain is clearly expressed and does not allow one to continue life normally, since patients experience a high intensity of sensations.

If the cause of the condition lies in the pathology of the heart muscle, as a rule, the following symptoms are observed:

• cardiopalmus;
• dyspnea;
• the skin becomes pale or red (depending on the blood pressure level);
• pain radiates to the left arm and shoulder;
• nausea accompanied by vomiting;
• fainting.

The nature of the pain may differ depending on the disease and the cause of its occurrence, this allows for a preliminary diagnosis of the disease. Based on the survey, only an assumption is established; the final conclusion is made after diagnosis.

Angina pectoris

The heart hurts and the pressure is low - this is the cause of angina pectoris, since the heart muscle experiences a lack of oxygen. The pain syndrome appears periodically and is not clearly expressed. An attack can be triggered by stress or physical tension. In addition to the feeling of squeezing, a burning sensation occurs. Patients tend to confuse the characteristic symptom of angina with heartburn, since the type of sensation is similar, but differs only in location. Such pain radiates to the arm, neck, left side of the back and jaw.

Painful sensations are eliminated when a person comes to rest. 1 tablet of Nitroglycerin treats angina well. When the condition is restored, the pressure temporarily drops and the symptoms disappear.

Myocarditis

With the development of inflammation due to damage to the body by toxins or systemic spread of infection, squeezing, cutting, stabbing or aching pain may appear. It will not be possible to eliminate painful sensations with the help of painkillers for myocarditis.

If left untreated, the pain intensifies and the inflammation grows.

Initially, the symptoms are practically not disturbing, but as the pathology develops, the pain increases and other symptoms of inflammation begin to appear:

• malaise;
• general weakness;
• increase in system temperature;
• fast fatiguability;
• heart rhythm disturbance;
• dyspnea;
• manifestations of intoxication of the body.

Cardioneurosis

The disease only partially comes into contact with the heart, since it primarily affects nervous system. Due to disruption of the central nervous system, pain in the chest area may occur. Normal or abnormal blood pressure does not play a role in this case, since the brain does not correctly perceive signals from the receptors.

The symptoms of the condition are very similar to angina pectoris, only Nitroglycerin does not relieve the pain. Elimination of pain occurs with sedation or taking sedatives. A stressful condition provokes an attack.

In addition to pain, characteristic signs of cardioneurosis include:

• increased nervousness;
• deterioration in sleep quality;
• sweating;
• fainting;
• migraine;
• fatigue;
• difficulty breathing;
• it becomes difficult for the patient to swallow;
• spasmodic disturbances of the stomach or intestines when eating food.

Increased symptoms are preceded by physical, psychological or emotional stress. Even bad habits aggravate the course of cardioneurosis.

Does pressure affect pain in the heart area?

Changes in blood pressure are a potential cause of pain. The reason lies in changes in the volume of pumped blood, blood circulation and vascular tone. With a large cardiac output, the heart needs to contract more strongly and increase in volume to receive blood.

With low blood pressure, the patient often notes:

• severe weakness;
• constant fatigue;
• congestion or noise in the ears;
• shortness of breath;
• pain in the head;
• heart pain. More often, patients report a condition similar to a sharp compression of the heart or pressure in the left side of the sternum.

Pain in the heart with increased pressure often radiates to other parts of the body located on the left, but irradiation to the shoulder, arm and shoulder blade is almost never noted. More often the pain spreads throughout the entire chest. The use of Nitroglycerin does not lead to normalization of well-being, and sometimes worsens the condition. There is a high probability that a person with abnormal blood pressure will experience angina pectoris or myocardial infarction.

Diagnostics

As a result of changes in well-being, psycho-emotional experiences occur. The condition is useful in that it forces the patient to consult a specialist. Much more dangerous is the condition of pain with high blood pressure, when a person does not seek help due to its mild severity.

A timely examination allows you to determine the real cause of the disorder and develop a further rehabilitation method.

To identify the source of the disorder, clinical examinations are indicated:

• blood analysis;
• echocardiogram (can be replaced by an electrocardiogram);

When diagnosing a heart attack key analysis is donating blood, since when the myocardium is damaged, special enzymes are released into the bloodstream. During the analysis, their presence is easily established and a heart attack is diagnosed.

If the analysis does not allow a complete conclusion to be drawn about the condition, ECHO-CG and ECG can be used. The techniques allow us to identify the condition of the heart muscle and valves. Additionally, the quality of the heart rhythm and its contractions is determined.

When pathologies outside the heart are detected, the use of MRI and CT is indicated, and information is also supplemented using ultrasound of the sternum. X-rays also help determine the presence of pathologies in the musculoskeletal system.

During diagnosis, a neurologist, rheumatologist, cardiologist and gastroenterologist are often involved. With their cooperation, it is possible to eliminate all potential heart problems.

Treatment

Cardiologists note the importance of the following measures:

• restoration of proper sleep and wakefulness patterns;
• cardio loads;
• spend more time outside while walking;
• in the absence of contraindications, physical therapy is prescribed;
• review of the diet;
• eliminating the risk of stress;
• use of vitamin preparations.

For healthy people, the cardiologist recommends taking pressure measurements only when their health worsens and to monitor their condition at intervals of 3 months. This makes it possible to determine a person’s health and maintain it. In case of hypertension or hypotension, measurements should be taken 2 times a day.

Based on the indications, sedatives are prescribed to eliminate unwanted effects from nervous tension.

More often, symptomatic treatment is carried out to eliminate pain with Nitroglycerin; Heparin can be additionally used. To prevent the formation of blood clots, Aspirin may be prescribed.

Rapid heartbeat with high blood pressure: what to do and take

The heart is the leading organ in the human circulatory system. The health of the latter depends on its uninterrupted and coordinated work.

This organ works throughout life. It can contract and expand 50 to 150 times per minute. During contraction, blood flows in and out. A healthy organ contracts exactly the same number of times per minute.

During contraction, enriched nutrients and oxygen supplies the blood to other organs. The contraction process is the heart rate.

If a malfunction occurs in the heart, this will indicate that there are some problems in the organ. Therefore, it is important to prevent such failures. Identify and treat them in a timely manner.

The heart of a healthy person can beat 60 to 80 times per minute. If the contraction frequency is more than 90 times per minute, this will indicate tachycardia.

In this case, contractions and heart function will be normal, but the rhythm will be rapid. Tachycardia can come and go suddenly. Attacks can last from several minutes to several hours or days.

Typically, heart problems occur in the fairer sex, as they are more emotional and temperamental. Also, such symptoms can appear in those who often have mood changes, are active, and are prone to anxiety and depression.

Experts note that palpitations are not a disease in themselves. It only indicates that a person has some kind of disease.

There can be many of them. It is important here to learn to separate tachycardia, which may appear from physical activity on the body, fear or stress from pathology.

The first is considered a normal reaction of the body to stress. The second can also manifest itself when a person is in a calm state.

The last manifestation already indicates that the body has a disease of some systems or organs. Also, a rapid heartbeat can appear when a person leads an unhealthy lifestyle and does not give the heart regular exercise for a long time. The latter can cause heart failure.

Internal and external factors of tachycardia:

1. Using drugs that stimulate the nervous system.
2. Abuse of coffee.
3. Insomnia.
4. Constant stress.
5. Drinking alcohol in large quantities.
6. Overwork of the body.
7. Heavy weight.
8. Indiscriminate use of certain types of medications.
9. Large overloads of the body physically.
10. High blood pressure.
11. Diseases, for example, ARVI.

If there is an insufficient amount of magnesium or calcium in the body, this can also cause tachycardia.

When you are sick and have a high body temperature, a rapid heartbeat may also occur. Each degree above normal increases the heart rate by 10 beats per minute.

The mechanism of cardiac activity is also negatively affected by those professions where you have to work hard physically, where there are emotional problems, frequent stress and other typical situations.

Eating large amounts of chocolate will also have a negative effect on the body.

Experts identify the following causes of tachycardia:

1. Appeared as a result of the presence of other diseases (coronary heart disease, heart disease, myocarditis, cardiomyopathy).
2. Hormonal and endocrine disorders in the body (thyroid diseases, menopause in women, benign and malignant tumors).

The heartbeat may become faster when there is high blood pressure. We must also remember that the body reacts in this way to various disorders. In this case, only a specialist can determine the disease after an examination.

If attacks are accompanied by:

• chest pain
• darkening in the eyes,
• dizziness,
• loss of consciousness
• weakness,
• shortness of breath,

this indicates that paroxysmal tachycardia is occurring. Such symptoms are explained by the lifestyle that a person leads (drinking alcohol, smoking, taking drugs, etc.).

Another cause of tachycardia is arrhythmia. There are many types of it. The most common is atrial fibrillation. In this case, the heart will contract frequently, but irregularly.

This disease occurs more often in elderly people with coronary heart disease. But if there is a congenital predisposition to arrhythmia, then it can occur in anyone and at any age.

In order to accurately make a diagnosis in a particular case, it is necessary to conduct many additional examinations of the person, as well as to be constantly observed by a doctor.

If there is tachycardia:

• dizziness,
• weakness,
• dry and pale skin,
• fast fatiguability,

Anemia may be the cause. This is characterized by a decrease in the level of hemoglobin in the blood. This can often be found during pregnancy or after childbirth.

Another cause of anemia can be leukemia. In this case, you need to do a blood test, which will immediately confirm the diagnosis.

The cause of a rapid heartbeat may be a decrease in the amount of blood in the body or dehydration. In the second case, this occurs due to severe diarrhea, vomiting, blood loss due to injury, etc.

Types of tachycardia and signs

Before making a residual diagnosis, it is necessary to determine what type of tachycardia the patient has. She may be:

1. Chronic.
2. Paroxysmal.

In the first case, characteristic symptoms in a person will be observed constantly or appear after a certain, uniform period of time. The second type can appear only once, unexpectedly.

When tachycardia appears, the patient will either have a strong heartbeat, when it will seem that the heart is audible, or it will beat very quietly. At this time, the person will find it difficult to breathe, he will panic, his vision will darken, he will become scared and hot.

You may feel a tingling sensation in your body, heart pain, trembling in the body, it will be painful to strain and laugh. Your head will start to hurt and feel dizzy. Insomnia will occur. All these are signs of tachycardia.

Chronic tachycardia

Signs:

1. Cramps.
2. Loss of consciousness.
3. Pain in the chest area.
4. Low pressure.
5. Shortness of breath and suffocation.

During treatment, an important role will be played by the environment in which the person is located, the absence of stress, loud sounds, stress on the body, a certain daily routine and nutrition.

Diagnostics

Basic methods:

• Holter ECG monitoring.
• Electrophysiological study.
• Echocardiography.

Sometimes your doctor may prescribe bicycle ergometry. At this time, the patient is observed while on an exercise bike.

Additionally, blood pressure may be measured, the thyroid gland will be examined for hormones, and general urine and blood tests may be taken.

In the event that a person feels that his heart is beating too strongly or weakly, he should observe himself and the behavior of his body. This must be done in order to collect the maximum amount of information required by the doctor to make a diagnosis.

Attention must be paid to:

• Frequency of attacks.
• Their duration.
• Time of manifestation.

During an attack, you should measure your pulse. You also need to think about what could lead to the symptoms. Perhaps it was some situation in life or taking certain foods/drinks or medications.

When you need to urgently call a doctor for help:

1. The heart suddenly began to beat strongly, the blood pressure rose, there was fear, a headache, etc.
2. The attack happened for the first time.
3. There are heart diseases, thyroid diseases, diabetes, chronic diseases, during pregnancy, if close relatives have had such problems, during recovery from some illness.

After the diagnosis, the specialist will be able to make the correct diagnosis and prescribe treatment.

It happens that neither tests nor other examinations can show any signs of disruption of the heart, but palpitations are still present.

In this case, you need to pay close attention to your previous lifestyle and change it, try to avoid stress, and not eat foods that can provoke the appearance of tachycardia.

Increased heart rate: what to do?

The question of what to do with rapid heartbeat and high blood pressure is of interest to many who suffer from these symptoms. To determine the most optimal treatment method, you need to consult a specialist, take tests and undergo all the required procedures. If the tests are negative, this indicates that the rapid heartbeat and high blood pressure are due to secondary tachycardia.

In this case, rapid heartbeat and high blood pressure must be treated with medications. You need to take antidepressants and herbs (mint, valerian, lemon balm, rosehip). This must be done over several months.

Another cause of the disease is constant stress on the body. In this case, you need to change your lifestyle, start doing exercises in the morning, putting little stress on your heart, and take special medications to lower your blood pressure and bring your heart function back to normal.

The doctor should prescribe medications after the examination.

Treatment

Before you start doing something and treating palpitations, you need to determine the reason why it appeared in order to know how to lower your blood pressure. High blood pressure will always be accompanied by the following symptoms:

1. Nausea.
2. Vomit.
3. Dizziness.
4. Dyspnea.
5. Fainting.

To cure this disease, there are certain methods. There are several of them. One of them is drug therapy. In this case, you need to take pills, get injections and drips for hypertension.

The second method to reduce blood pressure is ethnoscience. You can treat this with herbs and decoctions. This method will be most effective when the disease is caused by insomnia, stress or anxiety.

You can take infusions from:

1. Fennel seeds.
2. Motherwort.
3. Caraway.
4. Valerian.

This should be done for a certain period of time. Usually several months. This is determined by the attending doctor.

But, as experts note, the most effective method is a correct lifestyle and less stress.

They may be different. For some, the doctor prescribes pills or injections, for others it will be enough to change their usual way of life, for others you can get rid of the disease with the help of herbal decoctions.

In any case, before starting treatment, you should seek help from a doctor. He will prescribe a set of measures for examination, make a diagnosis and begin treatment. A specialist will tell you how to calm your heartbeat in the video in this article.

on

When there is pain in the heart area, most people are wary, because a person’s full life depends on the work of this organ. Many people go to the hospital to see a cardiologist.

However, electrocardiography does not always answer all their questions. Can a person’s heart hurt if the cardiogram is good? Why does my heart hurt for more than one month?

Pain with a normal ECG

It happens that a person’s heart hurts, but the ECG is normal. The question arises, why does a healthy heart produce such symptoms?

If the tests show good results, most likely we are talking about extracardiac pain. Patients feel severe discomfort, but the heart has nothing to do with the problem.

However, if the doctor is not sure that everything is in order with the heart and blood vessels, he will recommend an additional study: a stress ECG (under physical activity) and a Holter ECG, when the work of the heart is monitored over a 24-hour period.

If the heart aches in people suffering from cardiovascular diseases, and this lasts for more than one month, the attending physician may recommend an ultrasound and echocardiography rather than an ECG. These studies show a more complete picture of the state of the organ, and not just the frequency and nature of heart contractions.

Attention! Painful sensations sometimes occur against the background of strong emotional experiences. Severe stress provokes spasm of blood vessels, including coronary vessels, which causes chest discomfort. However, true pain can be distinguished from symptoms of depression or post-stress disorder.

If the causes of discomfort really lie in the pathology of this organ, the pain is compressive or acute piercing in nature, accompanied by shortness of breath, paleness or a bluish tint to the skin.

When pain appears simply due to emotional experiences, it is characterized by aching sensations, constancy, absence of attacks, and tingling sensations. Patients with extracardiac pain cannot indicate the exact location, the sensations are vague, sometimes tingling. But if the heart itself is ill, patients are usually able to accurately indicate the location of the pain and correctly describe its nature.

Non-cardiac causes of pain

Important! When an ultrasound examination and electrocardiogram do not show any abnormalities in the organ, but it still hurts, you should think about it and undergo a full examination. The reasons may be hidden in completely different organs and systems, and the discomfort has persisted for months.

Causes of pain in the chest area:

• intercostal neuralgia;
• osteochondrosis;
• stomach ulcer;
• pancreatic diseases;
• aortic dissection;
• food hernia;
• gallstones.

Even if the ECG is good, but your heart hurts, you shouldn’t give up and give up. It may simply be a different disease. To accurately determine the cause, you should consult a therapist and get a referral for additional examinations. It is better to identify the pathology at the initial stage of the disease and get rid of the problem. This way you can maintain the health of all internal organs!

Why does my heart hurt, but there is nothing on the ECG and ultrasound of the heart?

Statistics show that more than half of the patients who go to the doctor with heart pain actually do not have any heart problems. Pain can be caused by cervical or thoracic osteochondrosis or intervertebral hernia, for example. Nerve endings are pinched and pain radiates to the neck, back or heart area. Check your spine.

If the pain intensifies with movement, then it is most likely osteochondrosis. It is easy to check in another way: taking nitroglycerin quickly relieves pain from real angina, while it will not relieve false heart pain, in this case anti-inflammatory ointments on the neck or thoracic spine will help.

What to do if your HEART HURTS, but the ECG is normal and the therapist says that everything is fine?

Perhaps from this.

If not. This is a muscle spasm that can be mistaken for heart pain.

Another option is that you turned poorly, there was a draft somewhere, and you sleep uncomfortably. Play sports, improve your breathing and stretch your pectoral muscles and you will feel better.

Maybe we need to worry about everything less?

maybe you keep a lot inside yourself.

It could also just be neuralgia.

This could be intercostal neuralgia.

Sometimes chest pain can be caused not only by compression/irritation of the intercostal nerves, but also by excessive tone of one or more muscles.

Hello everyone who has heart pain but the cardiogram shows that everything is fine

Hello everyone, who has heart pain but the cardiogram shows that everything is fine?

• recovery
• January 20, 2014
• 12:19

• terrapin
• January 20, 2014
• 12:29

judd, first, undergo an ultrasound or ECHO, if you haven’t. And read Kurpatov’s Panic attack or cardiac neurosis (formerly a remedy for VSD), there is an answer to your question.

• proximity
• January 20, 2014
• 12:54

judd, you need to distinguish pain in the heart from pain in the heart area

• January 20, 2014
• 13:35

proximity, but how to distinguish them?

• proximity
• January 20, 2014
• 13:41

judd, if the cardiogram and ultrasound showed that everything is fine, then what is the question?

• January 20, 2014
• 13:52

proximity, it’s still scary when it hurts, although it seems good

• pinion
• January 20, 2014
• 16:31

I've had it for almost 2 years now, and more than once every day.

• January 20, 2014
• 16:32

pinion, how are you coping?

• pinion
• January 20, 2014
• 16:33

To be honest, nothing helps me

• pinion
• January 20, 2014
• 16:34

How long have you been sick? I still have these pains that go down to the bones of my left hand, but not always

• pinion
• January 20, 2014
• 16:35

And a bunch of other symptoms - although they only lasted 4 months - but this is all constant!!

• pinion
• January 20, 2014
• 16:36

When your heart hurts, it hurts in the middle - in the sternum.

• January 20, 2014
• 16:36

pinion, I haven’t done any tests for about 3 months, all are good and my heart hurts every day

• pinion
• January 20, 2014
• 16:40

• January 20, 2014
• 16:40

pinion, and it hurts and grumbles, sometimes I can’t hear the knocking, it’s pressing, everyone says that the tests are good, that means everything is fine, but it’s still scary when it’s like this every day

• January 20, 2014
• 16:42

pinion, yes, well, my thyroid gland is also enlarged, but the doctor said that it is not very enlarged and it does not affect the heart

• pinion
• January 20, 2014
• 16:42

Don't worry, everything is fine with you. How old are you?

• January 20, 2014
• 16:44

I’m 18 years old. And the main thing is that it hurts even more when I’m lying down

• pinion
• January 20, 2014
• 16:45

I also think that the thyroid gland does not affect the heart, there are some other symptoms besides the heart.

• pinion
• January 20, 2014
• 16:46

And I still have pain in my stomach and stomach, besides my heart, and I have a bad appetite! I can’t eat at all all day.

• January 20, 2014
• 16:47

pinion, no, nothing bothers me anymore, that’s what scares me, because with all kinds of headaches you should have a headache and a bunch of other things, but I only have a heart

• January 20, 2014
• 16:48

pinion, the doctor said that I only think about my heart, that’s what hurts me

• pinion
• January 20, 2014
• 17:00

It’s different for everyone, but I think it’s all - after what did you get sick?

• chapati5399
• January 20, 2014
• 17:03

Perhaps another organ hurts, but it radiates to the heart area. With osteochondrosis, this happens or the pancreas.

• January 20, 2014
• 17:10

pinion, I was very nervous and stressed. I had never had heart problems before. There was also a case where a guy was making fun of me, he took me and hugged me and pressed me hard, you could say squeezed me, but after that I felt bad and felt plus my nerves

• January 20, 2014
• 17:11

chapati5399, they also told me that maybe a nerve is pinched somewhere

• chapati5399
• January 20, 2014
• 17:37

You need to do a back massage once, it may help, better than Thai.

• pinion
• January 20, 2014
• 17:38

It could be osteochondrosis, it could be intercostal neuralgia - don’t be afraid. although I am very afraid for myself!!

• chapati5399
• January 20, 2014
• 18:13

Real Thai masters do simply miracles. People are put on their feet, pinched nerves are removed, salts are broken. They "see" with their hands.

• ^stipulate
• January 21, 2014
• 07:29

pinion, you need to eat! Otherwise it will be worse, I went through it (

• interpol5118
• January 23, 2014
• 08:57

Yulchik, At 18 years old nothing can happen to your heart. You already have cardioneurosis, you’re fixated on your heart, that’s why it hurts! A year ago, my forehead was diagnosed with cardiac arrhythmia, I got scared, I also became fixated, and every day my heart hurt, and my left arm went into my shoulder blade, and when I stopped paying attention, the pain went away , but my arrhythmia has not gone away;(

• January 23, 2014
• 14:52

interpol5118, so I understand that there can be no problems, but when it hurts I start to be afraid

• interpol5118
• January 23, 2014
• 16:51

judd, What exactly are you afraid of? And it doesn’t necessarily mean that your heart hurts, it can hurt anything, but it can be felt in your heart, and I’m more than sure that nothing hurts you, you’ve just set yourself up in such a way that it should it hurts, that's what it hurts!

• incompletion5599
• January 24, 2014
• 02:35

all this is bullshit, don’t think about it, live as you lived and don’t notice the pain, ignore them!)

What does a good cardiogram look like?

Why choose us?

An electrocardiogram is a curve drawn on paper with peaks and smoother lines. It reflects the electrical activity of the heart muscle during excitation and its subsequent cessation. Many patients are interested in what a good cardiogram looks like.

It is better to entrust the interpretation and analysis of the cardiogram to a qualified experienced specialist. The ECG curve consists of waves, segments and intervals. If all its indicators are normal: height, width, length of the main elements, then it represents a set of positive and negative peaks with calmer sections of the line at certain intervals. The photo shows a good cardiogram of a healthy adult with the correct rhythm.

Why is the cardiogram good, but the heart hurts?

Many patients of the Healthy People medical center complain that during a normal ECG they are often bothered by pain in the left side of the chest. In such cases, experts recommend undergoing a more complete examination, for example, stress ECG, Holter ECG, echocardiography, coronary angiography, phonocardiography, etc. It is also advisable to additionally consult an orthopedist, neurologist or psychotherapist. This is important because pain may indicate the presence of pathologies of the spine (osteochondrosis, scoliosis, etc.), the development of intercostal neuralgia, the tone of one or more muscles of the thoracic region, neurosis, some diseases of the stomach, pancreas, intestines, etc. In any case, pain is a signal of a disruption in the normal functioning of the body and it is important to promptly determine its cause.

Reviews from our patients

The staff of this clinic deservedly enjoys respect and gratitude, since such attentive attitude from doctors is difficult to find in your own clinic. I came for an examination and received a complete and detailed answer. And the cause of the disease was determined, and the necessary procedures were carried out. Thanks a lot.

I came to this clinic to see a therapist for a certificate for my son. Everything was processed quickly and without queues. Very convenient online registration. Thanks to all the staff for the quality and conscientious service.

I am very pleased with the level of professionalism of the doctors in this clinic. I can leave only the best reviews about their treatment methods and the atmosphere in the clinic as a whole. I came here for the first time about a year ago, the problem was terrible hypertension. The doctors and medical staff treated me very carefully and with understanding, carried out all the necessary tests, and prescribed a relatively inexpensive but very effective treatment. They also advised me to get a certificate for the gym and perform exercises that are suitable for my health. Treatment and a little exercise helped me a lot. Now my whole family seeks medical help only at this clinic, it’s worth it. I recommend to all!

First pregnancy. At 36 weeks, I became very ill. My husband called a doctor, a doctor came to me with a machine and gave me an ultrasound. Thank God, nothing serious was discovered, she prescribed me medications, which by the way are very good! It's a pity that you didn't remember the doctor's name. Thank her very much!

I sent my mother to a sanatorium and here she received a fully issued sanatorium-resort card - the sanatorium immediately prescribed treatment and there was no loss of time allotted for treatment. It’s great that there is no line at the clinic and the elderly are treated with special attention.

When I needed a statement of my health status for the insurance company, I went to the clinic. Oh, what a difference compared to a regular hospital. I won’t bore you too much with laudatory reviews. Try it yourself and you will understand everything. All the staff of the clinic have great respect and respect. Keep it up!

I needed a certificate to travel abroad. The trip was urgent and forced, a business trip. And the question arose about a medical certificate. I don’t like to choose for a long time, so I started looking for clinics through friends. And so, luck smiled on me and an old friend recommended this medical center. I was amazed at how quickly and efficiently the team of specialists worked. Everything was checked, everything was marked. I am amazed at the professionalism and speed of the staff. And everyone is very polite and friendly. I am thinking of undergoing all procedures and examinations at this center, to the best of my ability and necessity. Thanks to all the staff, I will be back and bring friends!

Thank you very much to this medical center. At one time they helped me get a certificate and exemption from physical education. In a regular hospital they refused to do this, even though there were indeed health problems, it was clear from the way I felt. Here I was examined by a pediatrician and still found contraindications. Although not complete liberation, I still received it. Thank you.

I underwent a medical examination at the clinic to obtain a certificate to carry a weapon. I went through all the specialists quite quickly, without queues or nerves. I can recommend this establishment for significant time savings!

I have long dreamed of becoming a hunter, but guns are very expensive, and having saved up the required amount, I went to apply for a license to carry a weapon. A certificate from the hospital was required there. I don’t like going to city clinics, there are always huge queues, doctors like to be rude to people, but I think everyone understands me. I went to the Healthy People medical center, went through the medical examination very quickly, no queues, the doctors were nice people, they gave advice on health. Now I will only be examined there.

I liked the clinic, they do everything very quickly and efficiently. They don’t freeload just to get rid of it. When my wife and I made inquiries to visit the pool, we immediately liked this clinic. The staff is friendly. Everyone is happy. We will keep it in mind, in case something happens.

I urgently needed a pregnancy certificate for the registry office; it would have taken a lot of time at the antenatal clinic, so I turned to this medical center. I really liked the atmosphere, the fast and high-quality reception, the examination by a gynecologist and the reasonable prices. I will contact you again! Thanks for helping out!

The best thing I encountered in this clinic was the ECG at home. I couldn’t even think that this was even possible. I was very tired at work, and I didn’t have the strength to go to the clinic. Yes, and there were complaints in my heart. It has become very difficult to breathe lately. Then my neighbor told me that in this clinic they also do ECGs at home. I was very happy about this. Fortunately, they didn’t find anything serious, but their treatment went smoothly. And I didn’t regret it. So I recommend it.

When our grandmother was in a very serious condition, we went to the clinic and called a specialist to the house, and he very efficiently installed IVs for my grandmother. We were satisfied with the quality of services. Amazing clinic and very helpful staff

There was no physical opportunity to get tested at the clinic, so I called a laboratory assistant to my home. I was a little worried about the hygiene and sterility of taking blood, but after taking the test, all doubts went away, everything went at the highest level and sterile. The nurse was attentive, arrived on time, the blood was drawn sterile, and explained that the transportation of the test would be successful.

I called a doctor to my house because my blood pressure had risen and the medications I usually take didn’t help. My head ached, I was dizzy, fear appeared, and my heart began to ache. The doctor arrived very quickly. A woman of about 35 did not inspire confidence at first, since I believe that experience is gained with age. She listened to me, changed my blood pressure, did an ECG, and took blood tests. She gave me medicine, observed me for about twenty minutes, then measured my blood pressure again. The pressure has dropped. She gave me her recommendations, wrote out prescriptions for medications, did everything quickly, carefully, without unnecessary movements. She acted like a true professional. I was very pleased, I think that you should trust the doctors of this medical center.

I had a terrible scar from appendicitis surgery. I was embarrassed to wear a two-piece swimsuit. The clinic performed a miracle and the scar became almost invisible. I wear tiny bikinis now. Thank you.

I started having pain in the area of ​​my thumbnail, and after three days the pain became so intense that I couldn’t sleep at night. I contacted the Healthy People medical center. The diagnosis is felon. I was examined and prescribed a comprehensive treatment - tablets and local treatment in the form of baths and bandages with medications. On the second day of treatment I felt better, and after 10 days everything went away. Thanks to the doctors and nurses of this center for helping me get rid of the problem without surgery. Now I will contact this clinic, because it is better to pay for quality services than to expect a miracle from free medicine!

I have been suffering from furunculosis since school. I came to the Healthy People medical center in June when my entire right arm from hand to elbow became covered with ulcers. Neither Vishnevsky's ointment nor aloe helped. The center doctor examined my hand and opened the boils. I took tests and found out the reason - decreased immunity. Now I’m taking medication and I hope the boils won’t bother me anymore.

Nice clinic. The pain was relieved in three visits. The staff is kind and helpful. It’s a pity that there are few such clinics where the treatment is good and inexpensive. If I feel like it, I will come to your clinic.

While relaxing in the village, I accidentally stepped on a rusty nail. My foot was significantly punctured. They were scared. I washed the wound with peroxide and anointed it around with brilliant green. But we decided not to risk it and additionally turn to specialists. Since it was Sunday, I didn’t even bother going to government medical institutions. I went to the Healthy People medical center, which I visited several times. The wound was examined, washed additionally, bandaged and bandaged, and antibiotics were prescribed. They sent me for a tetanus vaccination, which I have not had in the last ten years. In general, they provided full assistance. I am very grateful to the doctors. I'm not worried about the wound.

A wen appeared on my face closer to my cheekbone. I didn’t immediately understand what it was, but aesthetically it looked terrible. Moreover, it rapidly increased in size. At the Healthy People Medical Center, qualified doctors removed the tumor quickly and without scars. Thank you very much!

I had a benign atheroma above the eyebrow removed in this clinic. As the clinic doctors explained to me, there seems to be no harm from it, but aesthetically such a neoplasm looks unsightly. Although doctors noted that there is always the possibility of such tumors becoming malignant! Removing the atheroma did not take long; in half a day they prepared it, removed it, and told me how to care for the scar. By the way, the scar almost disappeared after two weeks. I am very pleased with my visit to this clinic. Thanks to the doctors!

I would like to thank all the staff of the medical center for their professionalism and responsiveness, as well as for their good attitude before and after the operation. My acquaintance began when my big toe on my right foot hurt. The finger swelled and began to fester. I contacted surgeons and it turned out that it was an ingrown toenail. The doctor said that it was necessary to perform an operation. After lengthy preparation for the operation, half of my nail was removed and further treatment and recovery were prescribed. After half a year, the nail was fully grown and began to grow normally. This disease no longer bothers me thanks to you.

I contacted the Healthy People medical center on suspicion of thyroiditis. Initially, we consulted with an endocrinologist. I really liked the doctor, I feel experienced and confident in his work. An ultrasound and blood test were ordered. I passed the tests in 1 day and quickly. But after tests it turned out that there was no thyroiditis, but just a slight inflammation. But they prescribed treatment anyway and within a few days I was already healthy. Thank you to the Healthy People medical center for the treatment and professionalism of the doctors.

My neighbor, a close friend, had a sharp deterioration in his health; he began to experience cardiac dysfunction, diarrhea, and nausea. After going to the hospital, the emu was allegedly diagnosed with diffuse toxic goiter and advised to go to the Healthy People medical center. At this center, the friend’s diagnosis was confirmed and treatment was prescribed. My friend was very pleased after visiting this center, he liked the qualifications of the doctors, modern diagnostic equipment, which is very important, there was a queue for appointments by appointment, no one was ahead of the curve. Through him, almost the entire courtyard already knows that this center is one of the best medical institutions.

A month ago, I began to sweat often, became thirsty frequently, and noticed how my neck became a little larger. I decided to visit the clinic near my house on Teply Stan. I came, made an appointment for a consultation, and it was scheduled for the next day. I had an ultrasound and was diagnosed with hypothyroidism. Now I am undergoing treatment at the center. It’s too early to give thanks, but it’s already gotten better and it’s clear that the treatment is making a difference.

My cousin suffers from diabetes mellitus. Treatment is carried out at the Healthy People medical center. The medicine is administered to him by subcutaneous injections. After treatment at this center, his condition improved and stabilized. Based on his reviews, we can conclude that this center is one of the best medical centers that he has encountered in his life.

I visited this clinic to see a doctor. The therapist prescribed treatment, and along with it, IVs. A dropper has a better effect on the body than a regular injection, since the medicine is gradually delivered into the vein. The nurses of this clinic carefully and attentively treat patients and painlessly, with knowledge of their work, make IVs, which pleases the patient.

I was treated here when I couldn’t get pregnant for a long time. The doctors were wonderful, they immediately found the cause: inflammation of the appendages and prescribed me treatment, including intravenous injections. I was very afraid of injections, but the nurses made everything painless.

I have already contacted this clinic several times, when doctors prescribe injections, I come here, the quality of service is at the level, special thanks to the doctors, over the course of several years I have changed different private clinics, but I settled on this one. In addition, I was pleased that you can sign up for an injection in advance by phone, and the cost of the injections is very affordable.

I would like to thank the endocrinologist. In April 2014, she discovered diffuse toxic goiter in me, although another clinic did not find it. This is further confirmation that you need to go to this clinic. She correctly diagnosed it, explaining to me that it was due to hormone poisoning, which caused an excess of the thyroid gland. So you can safely contact this clinic, I recommend it!

For a whole year I was tormented by pain in the sacral area. I went to the clinic, but you know what kind of doctors there are. They have one question: “Did you have any injuries as a child?” Who didn't have them? I went to the clinic. After an ultrasound, the doctor diagnosed osteochondrosis and prescribed treatment. Treatment included drug therapy and physical therapy. A week after starting treatment, I felt relief.

I went to the clinic with severe pain in the thoracic region after sedentary work, and did not particularly hope for a complete recovery. I went to the doctor Alexey Ivanovich, who simply put me back on my feet! I am eternally grateful for the high-quality assistance provided, I got rid of pain in the thoracic region completely and for 2 months now it has not bothered me at all. In addition, Alexey Ivanovich, like the entire staff of the clinic, turned out to be a very friendly and good-natured person.

I want to write words of gratitude for healing me from an illness. After a car accident, my chest hurt a lot. The doctors at the clinic made me a healthy person. I feel great now.

Dr. Victoria Aleksandrovna cured half of my mouth, the fillings are high-quality, nothing causes discomfort, nothing falls off. The treatment is relatively painless compared to some of my clinics in the past, and the prices are lower, so I'm very happy with the visit

Mom has practically no teeth left. I had to order a removable denture from this clinic. Thank you for your attentive and patient attitude towards the elderly man and the high-quality prosthesis.

Lately I have been a frequent visitor to the clinic, because apparently due to stress I have had a lot of problems with my teeth: either they crumble or my gums flake off. In general, thanks to the staff for always helping to quickly and efficiently deal with problems and heal everything on time.

My daughter had an incorrect bite and this made even the shape of her face unnatural. The clinic offered a ceramic brace system to correct the bite. Thank you for the result.

I would like to say a huge thank you to Dr. Victoria Aleksandrovna for the quality work. My teeth have not bothered me or caused any discomfort for 4.5 months now, I recommend it to all my friends and relatives.

There was a terrible toothache that was simply impossible to endure. I went to this clinic, where they quickly took a picture and it was discovered that I had periodontitis. The tooth was treated and that’s it, I simply forgot about the pain. Thank you to the staff and doctors of the clinic for your attention and your qualified work. I will contact you again.

Good afternoon. I would like to express my deep gratitude to the doctors and the clinic itself! One day I woke up from a strong throbbing pain in my tooth, which turned out to be pulpitis. I just didn’t know what to do, not a single painkiller helped, fortunately a colleague recommended you. You are doing wonders!

This was my first time treating a tooth with a laser. Since childhood I have been afraid of the drill, so I liked this method of treatment. They didn’t give me an anesthetic injection, they just applied gel. I didn't feel any pain. I am absolutely satisfied with the result and treatment. Thanks to the doctors of the Healthy People clinic!

I would like to express my deep gratitude to the clinic doctors who simply saved my teeth. Brown spots appeared on my teeth. It looked terrible and I thought I would have to wear crowns. Everything was done for me in the best possible way and my teeth began to look great. Special thanks for your caring and gentle attitude towards patients.

To begin with, I would like to express my deep gratitude to the doctors of the Healthy People medical center. I understand perfectly well that the services they provide are not free and politeness and attention are, in theory, the same product, but in comparison with other clinics, both human and professional qualities, especially many thanks to the dentist Victoria Alexandrovna, a classy specialist and beautiful woman for her professional and human qualities. The situation is this: the teeth on the lower jaw hurt, the gums are swollen, and in general it is impossible to sleep or eat. I turned to our local hospital for help, there was only one answer - pull it out, that’s all. On the advice of good people, I turned to the “Healthy People” center, they examined me, reassured me that I could get by with a little blood, the most important thing was that they did everything with high quality, and also explained why this happened. Overall, thank you very much again.

On the advice of friends, I went to this clinic and did not regret it. There were certain problems with the tooth. Conducted a qualitative examination. The staff is responsive, experienced doctors, they provided a high-quality consultation, and the treatment was truly almost painless. Thank you for the quality treatment. The clinic is open seven days a week, which is very convenient with my busy schedule.

Good day everyone! I’ve been to this clinic more than once, sometimes my back hurts, sometimes I’m tormented by bronchitis. This time I had to turn to the dentist Victoria Aleksandrovna. I would like to express my deep gratitude to all the clinic’s medical workers! I recommend!

Since childhood, I have been allergic to certain fruits. Rash, swelling, all this is familiar to me. After the last such manifestation, I decided to consult a specialist. I chose this particular clinic because there were good recommendations everywhere. I visited a nutritionist who first prescribed all the necessary tests, after which he made a diagnosis and advised me on how to eat properly. As a result, I am now taking medication and following a diet that a specialist prescribed for me. Now the problem does not bother me so much, it has become much easier. Therefore, I want to express my deep gratitude to the doctors who helped me in treating allergies. Now, if I have any problems, I will go to this clinic.

I am a fashion victim: I always dreamed of being like a model. I've tried so many diets! Ultimately, instead of compliments, I began to hear more and more often: “How skinny you are!” Such words offend no less than “compliments” to excess weight. In addition, I decided to become a mother, and the gynecologist, who was supposed to help me prepare for pregnancy, said that it was impossible to get pregnant with such weight. My friend, who was overweight, recommended me the Healthy People medical center, where they successfully helped her lose weight. It turns out that skinny people are also treated there. The first thing I liked was the individual approach. After the consultation, I was prescribed tests and examinations, based on the results of which an individual program was selected. The nutritionist prescribed me a diet according to my health condition. Now I know exactly what is possible and how much, and what is categorically forbidden. I also really like the reasonable prices in the center, the friendly service from all the staff and the pleasant design of the premises. In a couple of weeks I have already gained several kilograms and am very grateful to the doctors that my treatment was successful.

I received an individually designed diet. Thank you - I feel great.

I tried several diets on my own, but either there was no result, or it quickly disappeared and the weight returned. I went to the clinic, they didn’t give me ready-made diets, but first they examined my body, and only then prescribed a diet. I tried to follow everything as prescribed by the doctor, but there were still sins, and despite this I was able to lose 10 kg that I didn’t need. The weight is maintained. This is what a competent approach means

Many thanks to all the clinic specialists who worked so hard with me and helped me overcome obesity. I am not an easy patient and it was difficult for me to follow a diet, well, very difficult. I especially want to thank the psychotherapist for his patience and professionalism. Only thanks to her efforts I was able to overcome everything, survive and win.

I began to suffer from the problem of obesity about a year ago. I am a young man, not yet 30, but I have already begun to notice that I am gaining weight very quickly. I went to the clinic, but the terrible queue, in which there were still young girls, made me embarrassed, and I decided to find it. Then I saw a clinic near the house of healthy people. I found them on the Internet, saw that they had good nutritionists and signed up for a consultation through the website. At the consultation, the doctor convinced and supported me, explaining that everything was not so bad with me and said that she would help me. The very next day I stood at the door to her office. There were no queues, everything was strictly on time. She prescribed me a diet and some medications. I've been treated for a week now. I feel much better, I haven’t gotten on the scale yet.

I would like to express my deep gratitude to the entire team of the Healthy People medical center. My application there was due to excess weight, which began to annoy me. For some reason I couldn’t lose weight on my own, so I decided to see a nutritionist. A very attentive doctor listened to me, asked me to describe my lifestyle and nutrition system, I kept a food diary for several days and at the same time underwent a series of examinations at the clinic. I think one of the most important things was that they also sent me to an endocrinologist, although at first I was outraged and thought that they just wanted to rip off more money. So, after donating blood for hormones and an ultrasound scan of the thyroid gland, the endocrinologist discovered that I had hypothyroidism and sugar at the borderline of the normal range. This sore was the main reason for my weight gain. After prescribing medications for correction and treatment, the nutritionist began his work and suggested strictly following a specific menu adjusted just for me. Six months have passed and today I have lost 11 kg of weight. Thank you, doctors, for being you, for your attention and care for our health.

A year ago, arterial hypertension of the second degree appeared. It all started with an increase in blood pressure. My mother advised me to go to the Healthy People Medical Center. First, I went to see a general practitioner, where we found out the cause of arterial hypertension, and then I was referred to a cardiologist, who gave me an ECG, ABPM, checked my pulse and, based on these indicators, prescribed treatment. I express my deep gratitude to this Medical Center!

I discovered atherosclerosis a year ago. They began to forget the events that happened recently. I contacted this Medical Center on the advice of my mother. The doctors here are wonderful. They quickly and accurately made a diagnosis, conducted a full examination, did all the necessary tests and an ECG, and prescribed treatment. I would like to thank my cardiologist and the Medical Center itself! Thank you very much!

I was diagnosed with angina pectoris during a medical examination, and decided to treat it in this clinic. I really liked the doctor, he diagnosed everything professionally and prescribed treatment, so now I forgot that I was sick. And the price for the receptions was small.

She came to the Healthy People medical center for an examination because she began to experience headaches, fatigue, and began to have trouble sleeping at night. A diagnosis of hypertension was made. Now I am taking treatment according to the regimen, seeing a cardiologist at the center, as well as a neurologist and an endocrinologist in parallel. If you find the cause of the increase in pressure, the disease will recede. My health has improved significantly.

I went to the medical center half a year ago with a diagnosis of cardiac ischemia, and before that I was treated at the clinic, but my condition remained poor. Here, I felt an improvement by the end of the first week, and after 2 months I even took up race walking. I thank the doctors of the clinic for their attentive attitude towards patients.

I have been going to this medical center for about six months now. I recently felt heart pain. I immediately went to this medical center. There they examined me and said that I had myocarditis. After treatment, I left with a clear understanding of my illness, what needs to be done, when and how. There are almost no queues. I am grateful to the medical staff who looked after me. Very kind people

Everyone knows how effective “free” care in a clinic can be. Sheer rudeness, lack of experience and a desire to rip off more. In our case, the sick person is a mother, she is 64. We contacted different organizations, it is difficult to call them medical institutions. And only here there were no doctors who did not refuse us, citing age. Of course, there is no golden pill, but there are golden people and specialists! Correct and quickly diagnosed, necessary prescriptions, all 5+. I really liked everything, it felt like something from home. Mom is very happy, and most importantly healthy, thank you, good luck and peace. and don’t get sick yet!

I am very pleased with the work of the clinic in general and doctor Alexander in particular. I came with problems and left a healthy person! The doctor listened carefully, ordered a couple of tests and a cardiogram. No additional paid services were imposed, the staff was polite and friendly, more than a month has passed since the moment of treatment, all my heart problems have disappeared. Thanks to the clinic.

Recently I went to the clinic to see a cardiologist. A diagnosis of arrhythmia was made. The doctor is courteous, I really liked the appointment - both in terms of duration and cost. At the reception they explained everything and helped. Great clinic.

I have been feeling very bad for a long time. I was examined at the Healthy People medical center by a cardiologist and am glad that I stopped at this center. I was given a full examination and diagnosed with hypertension. They measured daily blood pressure and did a lot of examinations so as not to make a mistake with the diagnosis. I was seen by a very experienced cardiologist and prescribed effective treatment, after which I began to feel much better. I also liked the fact that everything was really organized for people - if I was feeling unwell, I arrived at the appointed time and was not forced to sit in line. I recommend!

Thank you very much to the doctors of this clinic. I passed the examination here at the highest level! So attentive, so responsive, so positive, and most importantly, qualified specialists helped solve all my problems)

I experience severe pain during menstruation, I suffer with it, and there are frequent failures. Not long ago, it got even worse, my lower abdomen hurt like hell, my period didn’t start, I was very scared. I made an appointment with a gynecologist. I was examined by Irina Mikhailovna Yasinskaya, she examined me and prescribed treatment. Now I am undergoing treatment, my cycle is stabilizing, there is practically no pain. I am very pleased!

Suddenly, unpleasant sensations arose in the intimate area. As I thought, it turned out to be a sexually transmitted infection. A friend advised me to go to this clinic. They helped me here quickly, relieved the inflammation in 2 visits and did all the necessary tests. Thank you very much to the doctors.

I am very glad that I visited (and will continue to visit) this clinic. The problem I have is a “female” one - a follicular ovarian cyst. At first I went to a free clinic, the attitude there, unfortunately, was terrible, in the end they didn’t cure me anything, constantly prescribing Duphaston. I drank for a month - the cyst disappeared, the next month it appeared again, again “well, drink for another month, maybe it will pass.” In general, complete ignorance. At “Healthy People”, the doctor, firstly, was very polite, and secondly, she answered all the questions that they could not answer in the free clinic (for example, WHY a cyst occurs), but most importantly, they helped me recover. Namely, I was completely examined and, based on the test results, I was prescribed birth control for 3 months. There is no cyst. Hooray! Thank you very much for the warm welcome and good treatment. I was also given absolutely free consultation on all the issues that worried me (about sex life, about the menstrual cycle and about planning a pregnancy).

It just so happened that in our small village there was no competent urologist, we visited your center with some fears, it turned out that our fears were in vain! They consulted and prescribed tests, on the basis of which they refuted the incorrect diagnosis made by the previous doctor. I take pills and every day I feel better and better! Thank you!

I had inflammation, I went to this clinic, and in two visits everything was cured. I'm glad, thank you very much to the doctor! And I spent a little money, and everything went by quickly, so if something hurts, it’s better not to delay it and contact this clinic.

In this clinic I had an examination and, based on the test results, the doctor prescribed me the optimal contraceptive for my health - birth control suppositories. Patient care comes first here.

After unsuccessful treatment of cervical endometriosis with homeopathy, I contacted this clinic. I was thoroughly examined and prescribed a course of medication, which resulted in a complete recovery. I am grateful to the professionals working in this clinic for effective treatment.

I suffered for a long time with such a delicate problem. As a result, a friend took me to this clinic; I’m not a fan of going to hospitals and doctors because it takes a lot of time, but she convinced me that the examination would be done efficiently and quickly. Now if anything I only go to this clinic and have already brought all my girlfriends. The medical staff and doctors are wonderful masters of their craft, examinations are carried out quickly and without difficulty.

I experienced a feeling of discomfort in the vagina during sexual intercourse. I decided to contact this Medical Center and did not regret it. I had an ultrasound and was examined and prescribed treatment. The pain went away after the second visit to the clinic. Many thanks to the experienced and good specialists!

All my life I have suffered from PMS, the symptoms of which are observed in all its glory every month. These include mood swings, headaches, swelling, and increased heart rate. Having turned to the clinic for help, I received a full qualified examination of my problem, professional consultations and competent treatment. I was pleasantly surprised by the atmosphere of the clinic - the clarity in the work of the doctors, the cleanliness and, what is important for me, the absence of queues, nervousness and convenient distribution of appointment hours. Thank you!

Anyone who has encountered neuritis will now understand me perfectly. For me it started after a professional injury received in sports. This illness bothered me for several years, and the pain had already become background, and I stopped paying attention to it. Recently, my friend made a remark to me that every time I go down the stairs I involuntarily grimace in pain. After asking what happened, she advised me to go to the Healthy People medical center. It was there that I was given the correct diagnosis - neuritis. We carried out competent treatment, as a result of which the pain decreased, and over time completely disappeared. Thank you for making my life easier!

Due to the hard physical work, I repaid myself with a bulging disc. I decided to go to the clinic, and here I was right. Excruciating pain was relieved after three visits, a full examination was carried out, moreover, I could receive consultation about my condition completely free of charge. The prices here are very attractive and affordable for everyone. I would like to express my deep gratitude to all the doctors and the entire clinic who got me back on my feet in a week.

For a long time I carried heavy weights at work. Now, apparently, the time has come and I got a hernia. Traditional methods of treatment did not help, so I decided to turn to specialists. Friends recommended the Healthy People medical center. They received me there nicely. We communicated politely. They immediately carried out an examination and after just a few trips to the clinic, the pain decreased. I would like to express my deep gratitude to the doctors for the work done.

Aching and sometimes sharp pains appeared regularly in the chest and ribs. At first I didn’t pay attention, but they interfered with my swimming. They advised me to go to this clinic. I passed general tests and had an x-ray and computed tomography scan. I liked the comprehensive approach of the doctors: physical therapy, acupuncture, vacuum therapy. In just a week, the pain has already decreased, and now it still continues, but rarely, since the treatment has not yet finished.

I was diagnosed with spinal curvature as a child. But then I had no pain and I neglected special exercises. And after fifty, and even with constant work at a desk, pain in the spine began to bother me more and more often. Here I was prescribed traction. Several procedures got me back on my feet. I am grateful that I can now work fully.

I was bothered by lower back pain. I couldn’t even think that I might have radiculitis. At the registration hospital they didn’t really say anything, but it turned out to be such a typical illness. He began to be treated with tablets, rubbing, and grandma’s remedies, which gave minimal results. A good friend praised this clinic, and as it turned out, it was not in vain. I was given individual treatment. I liked the fact that the doctor asked a lot of questions, was attentive and really interested in my recovery, and not just to rip off money for treatment. I am very grateful to the doctor for helping me, because now the pain does not bother me, and I can bend over whenever I want.

A year ago I encountered such a problem as a hump on my neck. This area hurt quite badly. I decided to go to this medical center and did not regret it at all. Doctors are professionals in their field! The pain was relieved in one session. They treated me and my problem with great attention. I had my adrenal glands examined and prescribed treatment. I would like to express my gratitude to both the doctors and the entire medical center as a whole!

I am grateful to the traumatologist of this medical center for his help in treating transverse flatfoot. I was fitted with orthopedic shoes and underwent comprehensive conservative treatment, after which my condition noticeably improved and the pain in my legs no longer bothered me.

Since I regularly train, pain in the shoulder joint has become something of a horror for me, especially since it began before the competitive season, when it was simply necessary to be healthy. I turned to the clinic for help, to my happiness, real experts in their field work here, they quickly diagnosed me and prescribed treatment, I am very grateful to them, I don’t even know what I would do without them.

I went to the clinic with severe neck pain. It turned out that frequent stress loads provoked myositis. I would like to say a huge thank you to all the doctors who took care of me throughout the entire treatment and advised me on various issues completely free of charge. By the way, the prices here are very affordable, which turned out to be a pleasant surprise for me.

I had pain in my hip joint for a long time. No ointments or creams helped me, so I decided to go to the clinic to solve this problem. There was a lot of choice, but friends recommended this particular medical center. And indeed, they helped. The doctors are real professionals. First we had a consultation, then I did an ultrasound and examination. In just 2 visits, the pain decreased and walking became much easier. I hope the effect will last for a very long time. I would like to express my deep gratitude to the doctors and all the staff of the clinic for the assistance provided. I will definitely recommend my friends to come here.

It is true what they say that prevention is always better than treatment itself - especially when it comes to the musculoskeletal system. But, of course, we don’t pay attention to it until it bites us properly. I was struck by severe pain in my legs already in Moscow, when I was passing through there. The nearest medical center turned out to be the Healthy People Center - they say the truth, the best doctors work in Moscow clinics and hospitals! I didn’t have to wait in any queues, I went into one office, they examined me there and came to the conclusion that the instability of the ankle was caused by excess weight and sudden movement - yes, that’s how it was, I tripped and fell, I was carrying bags and therefore didn’t understand right away , What's happened. The leg was fixed, ointment was prescribed, and all this in 15 minutes. An excellent center - we don’t have anything like it in Surgut.

My husband’s leg suddenly began to hurt. At first we couldn’t even understand what happened - there was no injury. Then he began to complain that the pain was localized specifically in the heel area. I went to the local clinic, first to a regular surgeon, then to an orthopedic surgeon. But both of them just moved their shoulders and said that nothing could be done about the heel spur. But the pain interfered with his work. On the advice of friends we went to this clinic. He was offered to undergo shock wave therapy. The procedure is more unpleasant than painful. But the result is excellent. The pain is gone and he is completely healthy. Thanks to the specialists.

I never thought that at 28 years old I would experience pain in my elbows; I always thought it was a disease of old people. But I experienced all the delights of epipincodylitis at such a young age, perhaps my sports life in the past made itself felt. The pain was simply unbearable, so something had to be done urgently. From one friend I learned about the Healthy People medical center, for which I thank her very much. I made an appointment and began to wait for a miracle, in the literal sense, because I was already tired of this pain in my elbows. They gave me an ultrasound, carried out all the examinations and diagnosed me with Epicondylitis, before that I didn’t even know what kind of disease this was. Well, then they began to plan my treatment, prescribing me pills, ointments and shock wave therapy. So, already on the third day of treatment I received significant relief, and now, six months after treatment, I am not bothered by pain in my elbows at all. I hope she doesn't come back to me. I would like to say a huge thank you to the clinic staff for their responsiveness, attentiveness and carefully selected treatment.

Pain in the muscles of the legs has been haunting me for many years, it started at a young age, somewhere after 20 years, it did not manifest itself much, I thought that this could happen from physical activity, I was fond of sports. Now I’m over 40, the pain is not frequent, but it does appear, and I decided to get examined. I asked for a consultation at the Healthy People clinic because it is convenient to get there after work, the clinic has been open for a long time. The consultation is paid, but I was given a fair amount of time for the appointment, the orthopedic doctor carefully examined me and prescribed a course of massage, advised more walking and eliminating physical activity. After the course of treatment I felt better, my legs stopped bothering me.

Because of promiscuity, I got what I deserved. For a very long time I was looking for a medical center where I could be diagnosed and treated for a normal fee, but they demanded fabulous money for it. I decided to contact the center for healthy people, and it was definitely the right decision! The examination and treatment were carried out anonymously; during the rehabilitation period, I could consult my doctor for free. And of course the prices are affordable for everyone. Many thanks to the clinic and doctors who were able to get me back on my feet in a short time!

We came to this clinic with an already advanced case. My husband caught a cold while ice fishing and after that he developed an inflammatory process. As is usually the case, it is very difficult to drag men to the doctor only when a truly critical moment comes. The doctors at the Healthy People clinic helped stop the inflammation, and after a short treatment, my husband experienced significant relief. We are now continuing the course of treatment and the infection is almost gone. We are very grateful to the specialists of this medical center!

I contacted your clinic with symptoms of a constantly aching lower back and a frequent urge to urinate. I thought I just had a cold. A diagnosis of urolithiasis was made. I couldn’t even think that this would ever affect me. Thank you very much to my doctor for ridding me of these ailments. And also a big thank you to the clinic itself for its conscientious attitude towards its patients.

I once visited this clinic to treat cystitis. I really liked the service from the doctors, everything was prompt and fast. They examined me and immediately prescribed the necessary antibacterial drugs for treatment, after which I immediately went home and began treatment. I recovered very quickly and am now grateful to this clinic and all the doctors who treated me.

I came to the clinic with abdominal pain and a temperature of about 39, after tests I was diagnosed with pyelonephritis. I was prescribed treatment, after which I began to feel noticeably better, thank you very much to the doctors for their qualified assistance.

This is not the first time I have visited this clinic. Two weeks ago I came here regarding the treatment of prostatitis. The doctor who consulted me prescribed treatment. Good medical staff work here, they take their work with great responsibility. The clinic itself is impeccably clean, and it is also conveniently located next to the metro station.

I had constant problems associated with cystitis, but like basically all people, I self-medicated and didn’t even think about going to the doctor, and as it turned out, it was in vain. The pain became simply unbearable, and I ran to the clinic; it’s good that there are such wonderful specialists who easily cured me. Many thanks to them for this.

What I haven’t tried to at least walk without severe pain. Having heard about the plasma resurfacing method carried out at the Healthy People medical center, I made an appointment with a specialist. What I liked about the clinic was that if I had already made an appointment, when I arrived on time I was not kept waiting and this is a huge plus for this center. Next, my blood was taken and sent for processing. After that, I was injected with isolated plasma from my blood into my sore knee to quickly produce the necessary material. After the procedure, I noticed a significant rapid improvement in my health and am grateful to the doctors for their responsible attitude to their work.

Magnetic therapy is a very effective method and this method is practiced in this clinic. Doctors are helping with it, I applied and am still taking the course, I feel better and I hope for a complete cure.

Since childhood I have suffered from chronic gastritis, periodically there are exacerbations, I am a regular patient of the gastroenterologist. During the period of exacerbation, the pain is unbearable. The doctor advised me to try ozone therapy. I went to this clinic for it. First, I was examined by a physiotherapist, and he gave the go-ahead for the procedure. And this procedure really helped! The pain has decreased significantly, the tests have improved. Thank you very much to the doctors of your clinic who treated me with kindness during treatment!

I have had a problem since childhood - dark circles under my eyes. Having spent several hours searching and choosing a clinic, I settled on the Healthy People MC; I was attracted by the availability of a promotion for a free initial appointment. After the procedure, the bruises became significantly less noticeable. I'm glad that for little money I got rid of a cosmetic problem that I had all my life. Thank you!

My wife had an accident. The damage was very dangerous, multiple fractures and displacements. Since the whole body was in a cast and movement was contraindicated, the muscles did not receive the proper load for a long time and thereby atrophied. And we turned to this clinic. We were received well and took several tests. After several courses of electrical neurostimulation, my wife’s condition improved dramatically, which could not but please me. Thank you very much!

My husband had chronic sinusitis. Where have we not treated him? Having contacted this clinic, based on the results of the examination, the doctor prescribed electrophoresis. Finally he breathes freely through his nose.

I have been suffering from varicose veins for quite some time. The load took its toll. My course of treatment has always taken a long time, but this time I was recommended to go to the Healthy People medical center. I was satisfied with the appointment and the doctor recommended that I take a course of myostimulation to speed up the treatment process. He prescribed me 7 sessions of myostimulation. The main thing is that the electrodes that are placed on the body do not fall on diseased areas, because they can only be placed in healthy places. The doctor told me that for varicose veins, myostimulation is an excellent solution to the problem. Engages the right muscles and improves blood circulation. It helped me and I feel much better.

We often play football with friends, I’m already over 30, and then one day I received a very serious injury in my knee joint. I underwent treatment in one of the city clinics, but the pain only went away temporarily. Then I read in one resource that in your clinic they treat joints using one of the effective methods, namely shockwave therapy. I found many satisfied people who recommended you. I signed up for a consultation on your website. We set an appointment, it was very nice that we greeted him politely and hospitably and took us to see a specialist. The doctor prescribed shockwave therapy for 2 weeks. By the 2nd day, severe pain when walking had completely stopped appearing; there was still a week of procedures left. But it has already become much better. Thank you.

My son was diagnosed with retinoblastoma in the early stages. We underwent a course of treatment - cryotherapy in this clinic. His condition improved significantly, the tumor decreased to a minimum, and his eye was saved.

I have left-sided thoracic scoliosis. At the doctor’s appointment, I was prescribed a segmental massage of the thoracic spine. I decided that I would undergo treatment at the Healthy People medical center because I had previously gone to this center for dental treatment. And I was very pleased. After visiting the massage room I noticed significant improvements.

And I could not think that ordinary ultrasound would help me solve my back problem. Painless, no surgery, awesome! The clinic itself is also impressive, the doctors are polite, everything is new, there are no queues.

I had a problem with scoliosis for a long time. Due to the fact that I spent a lot of time at the computer, my back became curved. Therefore, after searching for treatment methods and clinics on the Internet, I found the “Healthy People” clinic and went there. I was given manual therapy and over time my back became normal. Thank you very much.

At the beginning of spring, I began to suffer from severe headaches in the back of my head. I turned to Healthy People for help. Here I was given a comprehensive examination and diagnosed with hypertension. Now I am undergoing treatment and feel better. I liked the professional approach of the doctors, who, based only on my description of the problem and the initial examination, were able to make a preliminary diagnosis, and the diagnosis only confirmed their confidence. The center is very modern. Here you feel the care of the doctors and the desire to help.

I finally found a clinic where they performed all the necessary examinations and gave me the correct diagnosis. The cause of my problems with my head turned out to be a banal VSD. I follow all the recommendations and feel much lighter. I no longer take medications from which I did not feel any particular effect, since the diagnosis was incorrect.

Previously, I had headaches very often, and I practically took painkillers. Until I realized that it was unbearable to live like this! I went to the clinic and was offered to undergo a full examination. It’s good that the result of the examination was not as scary as I feared. They prescribed me a diet and vitamins, and for half a year now I don’t know what the heaviness in my head is. By the way, by Moscow standards, the prices completely satisfied me!

My father was treated in this clinic and was given IV drips after suffering a heart attack. I spoke very highly of the staff and the cleanliness of the wards and treatment rooms.

I had a very severe headache on one side at night, every once in a week. I went to a neurologist at a healthy people clinic. The doctor listened to all my complaints and made a preliminary diagnosis - cluster headaches. Additionally, he prescribed diagnostics: MRI and X-ray of the cervical spine. Both examinations did not reveal any abnormalities. Thus, discarding all other options, my original diagnosis was confirmed. Preventive treatment was prescribed. I liked the professional work of the doctor and all the clinic staff, starting with the reception department. It’s nice that they are trying to help you restore your health and bring back joy to life, and not just make money. Thank you that the clinic employees are not indifferent to the fate of their patients.

Not long ago I began to notice frequent headaches and weakness in myself, I contacted your clinic for a consultation, and I was diagnosed with hypertension. Treatment was immediately prescribed and I completed it right in the clinic. Thank you to the specialists for helping me and forcing me to reconsider my attitude towards health.

I constantly go to the Healthy People medical center and am always satisfied. Intelligent specialists are always ready to consult and prescribe treatment. Many thanks to them!

I brought my husband to the Healthy People medical center in April of this year. Blood pressure surges began to bother him. After several days spent in a regular clinic, standing in queues for many hours, our visit here was simply a fairy tale. A competent therapist, listened carefully and prescribed a complete diagnosis. This included not only general tests, but also daily monitoring of blood pressure and ECG, even a visit to the endocrinologist. Then, based on the data obtained, we were diagnosed with stage II hypertension and selected the necessary medications. I thank all the medical staff of this clinic for bringing joy and health back to our family!

Healthy people came to the medical center at the beginning of June. She underwent procedures to treat high blood pressure. I have known about the clinic for a very long time, since I live not far from their location. Many neighbors are frequent customers and often praise the local doctors. And I decided to undergo the procedure with you. I signed up through the online window on the website. They called me back and invited me for a free consultation. I came the next day, received a consultation, and was immediately prescribed treatment; I had to go on IV drips. The clinic nurses performed all the procedures very carefully, painlessly, and most importantly treated me with great understanding and care. Thanks to all the clinic specialists, and especially to the kindness of the nurses.

I am 30 years old and recently my chest began to hurt very badly. At first I didn’t pay attention to it, but then it started to hurt so much that I couldn’t pay attention anymore. Then I went to the clinic, because it could be a symptom of some terrible disease. But thank God everything worked out, they identified me in literally 2 or 3 visits. They prescribed medications for prevention, and now I’m doing great. Very grateful!

I arrived from a business trip and went on sick leave for quite a long time. The fact is that, no matter how trivial it may seem, I just got a serious cold due to constant air conditioning and moving. It’s good that my friends advised me to go to this particular clinic, and not go to our local police officer. Here I can say for sure - they are treated as they should be. Firstly, the doctors are very polite and competent. Secondly, already at the first visit I passed all the necessary tests, which were done almost immediately and the results were passed on to the doctor. Moreover, what I especially liked was that I handed over everything right away here - on the spot and without any running around. The prescribed treatment helped me quite quickly. In general, I have already decided for myself that I will only be treated in this clinic.

A couple of weeks ago I got sick - cough, runny nose, everything. And this is in the middle of summer! In general, I didn’t want to stay at home for a long time with a fever. I made an appointment with your therapist. The approach is individual, the treatment is adequate. I was treated for 3-4 days and got back on my feet like new, the cough quickly went away, the temperature became normal. I say thank you to the smart doctor for the treatment he prescribed for me! Everything helped!

From the age of fourteen, I was plagued by attacks from time to time: my vision deteriorated, I felt sick, vomited, and had a very bad headache. I went to a government clinic - the doctors didn’t say anything intelligible, they blamed the problem on VSD and stress. I decided to go to another hospital. And here I was diagnosed with migraine. This disease cannot be completely cured, but at this medical center I was prescribed maintenance treatment that reduces the number of attacks and their severity. I am very grateful to the doctors who worked with me! If it weren’t for their professionalism, I would have suffered for a long time with incomprehensible attacks.

I often use the services of this medical center. The staff here is polite and always smiling, the center is clean. Doctors are specialists in their field, attentive, and always answer questions. They always get to the root of the problem and find the best possible treatment option. It’s convenient that you can immediately take the necessary tests. We are also pleased with the constant promotions. The quality of the services provided is excellent.

I had problems with my menstrual cycle. I was examined at the district clinic, but the doctor could not clearly make a diagnosis. A friend recommended going to this clinic. Here I underwent a full examination and, after that, a course of treatment. It is convenient that all tests and examinations can be completed in one place and immediately receive doctor’s recommendations.

I would like to thank the clinic specialists who work on collecting tests. I have never seen such pleasant and polite service. Everything was told and explained, although I asked a lot of questions. They explained in great detail how to properly prepare for the tests in order to get the most accurate result. It turns out that you need to take tests not only on an empty stomach, but also not eat fatty foods the night before, because... Fatty foods can also affect the results (for example, I didn’t notice this; no one warned about this in the state clinic before). The tests were done very quickly - the next day in the morning I already had the tests in hand and could continue treatment.

Pain with a normal ECG

Attention! Painful sensations sometimes occur against the background of strong emotional experiences. Severe stress provokes spasm of blood vessels, including coronary vessels, which causes chest discomfort. However, true pain can be distinguished from symptoms of depression or post-stress disorder.

Non-cardiac causes of pain

Important! When an ultrasound examination and electrocardiogram do not show any abnormalities in the organ, but it still hurts, you should think about it and undergo a full examination. The reasons may be hidden in completely different organs and systems, and the discomfort has persisted for months.

Examination by other doctors will make it possible not to miss the development of a serious pathology

• intercostal neuralgia;
• osteochondrosis;
• stomach ulcer;
• pancreatic diseases;
• aortic dissection;
• food hernia;
• gallstones.

More:

How does heart pain manifest? Defining characteristics and distinctive features What to do if you have heart pain and how to support your body during pregnancy? How dangerous can a stabbing pain in the heart area that occurs when inhaling be?

Perhaps most people, at least once in their lives, have experienced pain or other unpleasant sensations behind the sternum or to the left of it in the chest, exactly where the heart is located. These pains attract attention and cause concern more than many others - this is how we instinctively react to “problems” at the location of such pain. important body. It is not for nothing that pain in the heart area is the most common reason for seeking medical help.

Pain in this area varies. They prick, press, squeeze, bake, burn, whine, pull, pierce. They can be felt in a small area or spread throughout the chest, radiating to the shoulder, arm, neck, lower jaw, stomach, under the shoulder blade. They can appear for a few minutes or last for hours, or even days on end, they can change when breathing, moving the arms and shoulder girdle, or changing posture... Sometimes they occur during physical or emotional stress, sometimes at rest or in connection with taking food.

There are many causes of pain in the heart area. They can be heart diseases such as angina pectoris, myocardial infarction, inflammation of the heart and its membranes, and rheumatic lesions. But often the source of pain is outside the heart, as, for example, with neurosis, diseases of the ribs and thoracic spine, problems with the gastrointestinal tract and many other diseases.

Why does my heart hurt?

Pain in the heart area is one of the most common reasons why people seek emergency care. Heart pain can be divided into two main groups according to its origin:

• anginal pain, arising at various stages of ischemic disease;
• cardialgia caused by inflammatory heart diseases, congenital diseases and heart defects or vegetative-vascular dystonia.

Anginal(ischemic, angina) pain appear when there is a need to increase blood flow, which occurs during physical activity or emotional stress. Therefore, these pains are characterized by attacks occurring when walking, emotional disorders, and stopping at rest, quickly removing them with nitroglycerin. By nature, ischemic pain is usually burning, pressing, squeezing; are felt, as a rule, behind the sternum and can radiate to the left shoulder, arm, under the shoulder blade, or to the lower jaw. They are often accompanied by shortness of breath. Very strong, pressing, squeezing, tearing, burning pain behind the sternum or to the left of it is one of the symptoms of acute myocardial infarction, and this pain can no longer be relieved with nitroglycerin.

Cardialgia, arising from rheumatic heart diseases, myocarditis and inflammatory diseases of the outer lining of the heart - the pericardium, usually long-lasting, aching or stabbing in nature, diffuse, occur to the left of the sternum, aggravated by breathing and coughing. They are not relieved by nitroglycerin, but may subside with the use of painkillers.

Often, pain in the heart area is not associated with diseases of the heart itself.

If the pain in the heart area changes with bending and turning the body, deep inhalation or exhalation, movement of the arms, and taking nitroglycerin or validol has virtually no effect on the intensity, then it is probably due to thoracic radiculitis or diseases of the costal cartilages.

Severe pain along the intercostal spaces is sometimes the first sign of herpes zoster, and short-term or periodic pain in the heart area, often concentrated in a small area, aching, stabbing or of an uncertain nature, is a common complaint of patients with neurosis.

Stress and depression can manifest as pain in the neck and shoulder area. Those who run to the doctor in fear, believing that they have a “bad heart,” return home reassured: the pain is associated only with the muscles. Often, shortness of breath, squeezing or stabbing pain in the heart are caused by bloating of the intestines, which puts pressure on the heart and thereby impairs its function. If you can associate pain in the heart with eating a specific food or fasting, then the cause may be a disease of the stomach or pancreas. Also, the cause of pain can be a pinched heart nerve root, a weakened thoracic spine, its curvature, osteochondrosis, etc.

How to discover the cause of pain and what to do about it?

To clarify the cause of pain in the heart area, a thorough examination prescribed by a cardiologist and cardiac surgeon is necessary.

When studying the activity of the heart, the obligatory method is an electrocardiogram (ECG), a stress ECG (treadmill test, bicycle ergometry) - recording an electrocardiogram during physical activity and Holter monitoring ECG - this is a recording of an ECG carried out during the day.

To study heart murmurs, the phonocardiography method is used, and the echocardiography method allows using ultrasound to examine the condition of the heart muscles and valves, and assess the speed of blood movement in the cavities of the heart. The coronary angiography method is used to study the condition of the coronary arteries. To determine the lack of blood supply to the heart muscle, the method of myocardial scintigraphy is also used.

To exclude “non-cardiac causes” of pain in the heart, it may be necessary to conduct radiography, computed tomography and magnetic resonance imaging of the spine; consultation with a neurologist or orthopedist may be necessary. You may have to visit a gastroenterologist or medical psychologist.

By the way, according to the observations of cardiologists, if a person describes his pain in the heart area in detail and vividly, very often takes observations about his painful sensations “on a pencil” and reads them to the doctor, most likely these are not heart pains. If, in addition, a person believes that the pain is different each time, lasts a long time (without signs of heart failure), is accompanied by a frequent heartbeat, which is sometimes more disturbing than the pain itself, cardiologists, as a rule, look for the cause of the disease outside the heart.

If the description of the pain is sparse, without unnecessary words, and if the patient remembers well the nature of the painful sensations, this often indicates a serious heart disease. However, any complaints of pain in the heart area should consult a doctor.

The cardiologist will prescribe treatment for you depending on the diagnosis. It is possible that a course of manual therapy will be quite enough to relieve you of heart pain caused by “non-cardiac” diseases. Or it is possible that your only salvation will be a surgical operation aimed at vascular plastic surgery or creating a bypass for blood flow.

Remember - our heart was created for love, but we must learn to love and take care of it.

The procedure may be prescribed:

• to detect heart disease when certain symptoms occur;
• carrying out a routine examination, for example, when applying for a job, obtaining a driving license vehicles, during pregnancy, to obtain permits to visit sports clubs, sanatoriums, etc.;
• to monitor the patient’s health status during the course of treatment or after its completion.

Depending on what the ECG shows, an appropriate treatment regimen is prescribed.

What does a cardiogram show?

Unlike other organs, the heart muscle has unique functions: automaticity, conductivity, excitability and contractility. These features allow the organ to contract at regular intervals, resulting in continuous blood flow.

In the process of electrocardiography, the electrophysiological work of the heart muscle is examined using a special device - a cardiograph.

The procedure lasts no longer than 10 minutes and can take place in a clinic.

The resulting graphical curve contains peaks and valleys.

The teeth are designated using capital Latin letters P, Q, R, S, T

Decoding the cardiogram includes studying the size, width and height of each tooth, as well as the distance between them.

A cardiogram shows the slightest changes in the functioning of the heart.

Heartbeat

The procedure allows you to accurately determine your heart rate (HR). During the diagnostic process, weak electrical signals from the heart are captured and amplified by electrodes attached to the body and output to a recorder.

In a normal state, heart rate is 60–90 beats per 1 minute with equal intervals between them. Using an ECG of the heart, specialists also identify the following pathologies.

Sinus arrhythmia, in which the heart contracts at varying intervals. This is normal in adolescence or childhood. However, in older age, it can lead to serious disorders.

Sinus bradycardia, which is characterized by a decrease in heart rate, less than 50 per minute. This condition may be normal during sleep, in athletes, etc. In severe cases, the sinus node is surgically replaced with a heart pacemaker, which leads to normalization of the rhythm.

Sinus tachycardia – heart rate exceeds 90 beats within a minute. It is divided:

• to physiological – after physical and emotional stress, drinking coffee, alcoholic drinks, energy drinks, etc. It is not a pathology and goes away quickly;
• pathological, disturbing a person and at rest. May occur with fever, infections, blood loss, dehydration, thyrotoxicosis, anemia. In this case, treatment of the underlying disease is necessary. Tachycardia is stopped only when a heart attack or acute coronary syndrome occurs.

Extrasystole, in which one or more heartbeats are observed, followed by a compensatory pause. In a healthy person, extrasystole is caused by fears, fatigue, psychological stress, taking certain medications and other factors. However, in some cases, this type rhythm disturbances may indicate myocardial infarction, coronary heart disease, myocarditis, cardiosclerosis and other diseases.

Paroxysmal tachycardia, which is characterized by increased heart rate of more than 100 beats per minute. It manifests itself in the form of attacks with a sudden onset and end, which can last from several minutes to several days. In healthy people, an attack can be caused by stress, strong physical or mental stress, alcohol, etc. Tachycardia can be caused by diseases of the lungs, thyroid gland, gastrointestinal tract, kidneys, as well as cardiac pathologies: heart defects, myocarditis, mitral valve prolapse.

Wolf-Parkinson-White syndrome (WPW syndrome) is a type of paroxysmal tachycardia and is characterized by additional abnormal impulse conduction pathways in the myocardium. The syndrome is subject to mandatory treatment, and in some cases, surgical intervention.

Signs of Wolff-Parkinson-White syndrome on an electrocardiogram

Atrial fibrillation, which has a permanent form or manifests itself in attacks. It is divided:

• for atrial fibrillation (fibrillation), in which heart contractions are irregular, since the rhythm is set not by the sinus node, but by other cells of the atria. The frequency can be up to 700 beats per minute. As a result, full contraction of the atria does not occur and the ventricles are not completely filled with blood. This pathology is the cause of oxygen starvation of tissues and organs. A person feels a jolt in the heart, and then irregular heartbeats of varying frequencies develop. These symptoms are accompanied by weakness, sweating, dizziness, fear of death, shortness of breath, agitation, and in some cases loss of consciousness. At the end of the attack, the rhythm normalizes, and there is a urge to urinate and a large output of urine. Failure to eliminate the attack within 2 days is fraught with thrombotic complications (stroke, pulmonary embolism);
• Atrial flutter is expressed in frequent (more than 200 per minute) regular contractions of the atria and more rare, constant contractions of the ventricles. They are a pathology, the causes of which are: organic heart diseases (heart failure, cardiomyopathy), obstructive pulmonary diseases, cardiac surgery. The patient's heartbeat and pulse quicken, the neck veins swell, shortness of breath, sweating and weakness appear.

Conductivity

In the normal state, the electrical impulse generated in the sinus node moves to the contractile muscle fibers of the myocardium through special muscle cells (conducting system). This stimulates the contraction of the atria and ventricles that pump blood. A short-term physiological delay is observed in the atrioventricular node.

In a state of pathology, the impulse is delayed more than expected, which leads to delayed excitation of the underlying sections, and as a consequence to disruption of the normal pumping function of the heart.

Impaired conduction (blockade) is shown by a cardiogram of the heart.

Sinoatrial block is a violation of the output of impulses from the sinus node. It may be congenital or develop against the background of heart valve defects, brain tumors, hypertension, meningitis, encephalitis, leukemia and other diseases. Pathology can be contributed to by excess potassium in the blood or the use of large quantities of certain medications. Well-defined bradycardia is observed. The patient feels shortness of breath, weakness, dizziness, and sometimes loses consciousness.

Atrioventricular block (AV block), in which the impulse is delayed at the atrioventricular node for more than 0.09 seconds. Pathology has the following degrees:

• I degree - the atria and ventricles contract adequately, but conduction is slow. Has no symptoms. The presence of pathology can only be shown by a cardiogram;
• II degree (incomplete blockade) – the atrial impulses do not reach the ventricles in full. The patient experiences periodic cardiac arrest, weakness, fatigue;
• III degree (complete blockade) - impulses completely stop passing from the atria to the ventricle. The contraction of the atria is influenced by the sinus node, the ventricles work at their own rhythm, less than 40 times per minute. There is no adequate blood circulation. Symptoms of incomplete blockade include: dizziness, the appearance of spots in the eyes, loss of consciousness, convulsions.

Intraventricular conduction disorders

Intraventricular conduction. Muscle cells in the ventricle receive impulses through the trunk of the His bundle, its legs (right and left), and branches of the legs. The occurrence of blockades can be observed at all levels. Pathology is complete, incomplete, constant, inconsistent with certain cardiac problems, calcinosis, oxygen starvation, etc.

Treatment of intraventricular conduction is carried out depending on its type and the nature of the underlying disease.

Myocardial hypertrophy

Chronic overload of the heart muscle, which is caused by certain diseases, physical overload and bad habits, leads to thickening of its individual sections and stretching of the heart chambers (hypertrophy).

Hypertrophy is not an independent disease; it is a syndrome of another heart pathology, worsening its prognosis.

The pathology may not manifest itself for a long time and lead to sudden death. It may also manifest itself as: shortness of breath, chest pain, heart rhythm disturbances, fainting, swelling. Subdivided:

• for left ventricular hypertrophy (LVH), which accompanies arterial hypertension, aortic valve stenosis, hypertrophic cardiomyopathy, excessive physical activity;
• hypertrophy of the right ventricle with chronic pulmonary hypertension, narrowing of the pulmonary valve opening, congenital heart defects, etc.;
• left atrial hypertrophy caused by heavy physical activity, hypertension, cardiomyopathy, mitral and aortic stenosis and other pathologies;
• hypertrophy of the right atrium, accompanying pulmonary pathology (emphysema, chronic obstructive pulmonary disease), chest deformation, etc.

Cardiac hypertrophy is also observed when the electrical axis of the heart deviates to the left or right, as well as during systolic overload.

Myocardial contractility

With the help of the heart muscle, in some cases, the volume of pumped blood can be increased up to 6 times. That is, depending on the state of the body, the heart adapts to it.

Changes in myocardial contractility indicate:

• about early ventricular repolarization syndrome. In most cases, it is considered normal and has no clinical manifestations, but can cause sudden cardiac arrest. Observed in athletes with congenital high body weight or myocardial hypertrophy;
• moderate or severe diffuse changes in the myocardium that occur with impaired water-electrolyte balance (vomiting, diarrhea), use of diuretic drugs, excessive physical exertion. Also observed in dystrophy, myocarditis or cardiosclerosis;
• nonspecific changes in ST due to insufficient nutrition of the myocardium, not associated with oxygen starvation, disruptions in the hormonal system, as well as an imbalance of electrolytes;
• about acute ischemia, ischemic changes, changes in the T wave, ST depression, low T, indicating reversible changes inherent in myocardial oxygen starvation: angina pectoris, coronary heart disease;
• about a developed heart attack.

Depending on what diseases were identified on the cardiogram, the patient is prescribed appropriate treatment.

For timely detection of pathological changes in the heart and prevention of undesirable consequences, it is recommended to undergo an annual ECG for preventive purposes.

What does a cardiogram show?

Read more:

Reviews

every morning. just like that.

When I was 33 years old, I suffered a myocardial infarction.

I came to the hospital swaying. I spent 2 weeks in intensive care. While still in intensive care, I began to walk, secretly from the doctors. First, holding the headboard of the bed in place, then he went out into the corridor. I spent 8 meters in a new store, rest, 8 meters in another

I fell down on May 30th. % September I ran 10 km. And I ran miles in the morning until I was 45 years old. In the summer, city transport was not recognized. VKM covered distances only on a bicycle. The job allowed me to swim in the pool from 7 to 8 am. So I swam 1 km 6 times a week and dived while holding my breath, and I developed it to 3 minutes.

My attending physician told me that I was putting myself in danger - I could die at any moment.

And I said: “I’d rather die active on a treadmill than a log in bed.”

The result is that I have not been sick at all for 23 years. During this time I was never hospitalized. I don't take any medications at all.

Conclusion: treatment is possible. Especially the medications that doctors offer. Only now they offer it in a very standard way, according to typical treatment regimens and medications. And you, each person individually, are not typical. Correct treatment can be developed by a doctor only over a long period of time. And who will watch you every day for many months? No one. There are standards for the length of hospital stay. Therefore, at the end of my hospital stay and a year after treatment, I was connected to an electric generator with a variable frequency current, the electrode was inserted into the trachea, through the nose, and the heart was accelerated using electricity well beyond 200 beats/min. Or they injected a drug into a vein that accelerated the heart. Say torture. It seems. But the heart’s tolerance was still 100%.

So the call at the end of the article, “get treated and be healthy,” should be taken into account, but do not forget that we get sick as much as we want. Regardless of the doctor's standards.

You can take a course of treatment and immediately take a liter of cognac, a couple of packs of cigarettes or a couple of liters of coffee on your chest and go back to treatment.

I prefer another slogan other than “stay healthy,” namely, “live healthy.” Moreover, it is simple. Just don’t be lazy and love and cherish yourself less

Leave feedback

You can add your comments and feedback to this article, subject to the Discussion Rules.

What can an electrocardiogram tell you?

An electrocardiogram (ECG) is a recording of the electrical activity of heart muscle cells at rest. Professional ECG analysis allows you to assess the functional state of the heart and identify most cardiac pathologies. But this study does not show some of them. In such cases, additional studies are prescribed. Thus, hidden pathology can be detected when taking a cardiogram against the background of a stress test. Holter monitoring is even more informative - taking a 24-hour cardiogram, as well as echocardiography.

In what cases is an ECG prescribed?

The cardiologist issues a referral if the patient has the following primary complaints:

Regular ECG recording is considered mandatory for the following diagnosed diseases:

• suffered a heart attack or stroke;
• hypertension;
• diabetes;
• rheumatism.

An ECG is mandatory when preparing for operations, monitoring pregnancy, and during a medical examination of pilots, drivers, and sailors. The result of a cardiogram is often required when applying for a voucher for sanatorium treatment and issuing permits for active sports activities. For preventive purposes, even in the absence of complaints, it is recommended to take an ECG annually for everyone, especially people over 40 years of age. This often helps diagnose asymptomatic heart disease.

The heart works tirelessly all its life. Take care of this amazing organ without waiting for its complaints!

What does an ECG show?

Visually, the cardiogram shows a combination of peaks and troughs. The waves are sequentially designated by the letters P, Q, R, S, T. By analyzing the height, width, depth of these waves and the duration of the intervals between them, the cardiologist gets an idea of ​​the state of different parts of the heart muscle. Thus, the first P wave contains information about the functioning of the atria. The next 3 teeth reflect the process of excitation of the ventricles. After the T wave, a period of relaxation of the heart begins.

A cardiogram allows you to determine:

• heart rate (HR);
• heart rate;
• various types of arrhythmias;
• various types of conduction blockades;
• myocardial infarction;
• ischemic and cardiodystrophic changes;
• Wolff–Parkinson–White (WPW) syndrome;
• ventricular hypertrophy;
• position of the electrical axis of the heart (EOS).

Diagnostic value of ECG parameters

The heart of an adult normally contracts from 60 to 90 times per minute. A lower value indicates bradycardia, and a higher value indicates tachycardia, which is not necessarily a pathology. Thus, significant bradycardia is characteristic of trained athletes, especially runners and skiers, and transient tachycardia is quite normal during emotional distress.

Heartbeat

Normal heart rhythm is called regular sinus, i.e. generated in the sinus node of the heart. Non-sinus generation is pathological, and irregularity indicates one of the types of arrhythmia.

During the ECG, the patient is asked to hold his breath in order to identify possible pathological non-respiratory arrhythmia. A serious problem is atrial fibrillation (atrial fibrillation). With it, the generation of cardiac impulses occurs not in the sinus node, but in the cells of the atria. As a result, the atria and ventricles contract chaotically. This promotes blood clots and creates a real threat of heart attack and stroke. To prevent them, lifelong antiarrhythmic and antithrombotic therapy is prescribed.

Atrial fibrillation is a fairly common disease in old age. It may be asymptomatic, but pose a real threat to health and life. Follow your heart!

Arrhythmia also includes extrasystole. An extrasystole is an abnormal contraction of the heart muscle under the influence of an extra electrical impulse that does not come from the sinus node. There are atrial, ventricular and atrioventricular extrasystole. What types of extrasystoles require intervention? Single functional extrasystoles (usually atrial) often occur in a healthy heart due to stress or excessive physical exertion. Potentially dangerous include group and frequent ventricular extrasystoles.

Blockades

Atrioventricular (A-V) block is a disorder in the conduction of electrical impulses from the atria to the ventricles. As a result, they contract asynchronously. A-V block usually requires treatment, and in severe cases, the installation of a pacemaker.

A conduction disorder within the myocardium is called bundle branch block. It can be localized on the left or right leg or on both together and be partial or complete. For this pathology, conservative treatment is indicated.

Sinoatrial block is a conduction defect from the sinus node to the myocardium. This type of blockage occurs with other heart diseases or with drug overdose. Requires conservative treatment.

Myocardial infarction

Sometimes an ECG reveals myocardial infarction - necrosis of a section of the heart muscle due to cessation of its blood circulation. The cause may be large atherosclerotic plaques or a sharp spasm of blood vessels. The type of infarction is distinguished by the degree of damage - small-focal (non-Q-infarction) and extensive (transmural, Q-infarction) types, as well as by localization. Detection of signs of a heart attack requires urgent hospitalization of the patient.

The detection of scars on the cardiogram indicates a myocardial infarction that was once suffered, possibly painless and unnoticed by the patient.

Ischemic and dystrophic changes

Cardiac ischemia is oxygen starvation of its various parts due to insufficient blood supply. Detection of such a pathology requires the prescription of anti-ischemic drugs.

Dystrophic disorders are metabolic disorders in the myocardium that are not associated with circulatory disorders.

Wolff–Parkinson–White syndrome

This is a congenital disease consisting of the existence of abnormal conduction pathways in the myocardium. If this pathology causes arrhythmic attacks, then treatment is necessary, and in severe cases, surgery.

Ventricular hypertrophy is an increase in size or thickening of the wall. Most often, hypertrophy is a consequence of heart defects, hypertension, and pulmonary diseases. The position of the EOS has no independent diagnostic value. In particular, with hypertension, a horizontal position or deviation to the left is determined. Build also matters. In thin people, as a rule, the position of the EOS is vertical.

Features of ECG in children

For children under the age of one year, tachycardia up to 140 beats per minute, fluctuations in heart rate when taking an ECG, incomplete blockade of the right bundle branch, and vertical EOS are considered normal. At the age of 6 years, a heart rate of up to 128 beats per minute is acceptable. Respiratory arrhythmia is typical for ages from 6 to 15 years.

Can pain in the heart area occur if the cardiogram is good?

When there is pain in the heart area, most people are wary, because a person’s full life depends on the work of this organ. Many people go to the hospital to see a cardiologist. However, electrocardiography does not always answer all their questions. Can a person’s heart hurt if the cardiogram is good? Why does my heart hurt for more than one month?

Pain with a normal ECG

It happens that a person’s heart hurts, but the ECG is normal. The question arises, why does a healthy heart produce such symptoms?

If the tests show good results, most likely we are talking about extracardiac pain. Patients feel severe discomfort, but the heart has nothing to do with the problem.

However, if the doctor is not sure that everything is in order with the heart and blood vessels, he will recommend an additional study: a stress ECG (under physical activity) and a Holter ECG, when the work of the heart is monitored over a 24-hour period.

If the heart aches in people suffering from cardiovascular diseases, and this lasts for more than one month, the attending physician may recommend an ultrasound and echocardiography rather than an ECG. These studies show a more complete picture of the state of the organ, and not just the frequency and nature of heart contractions.

Attention! Painful sensations sometimes occur against the background of strong emotional experiences. Severe stress provokes spasm of blood vessels, including coronary vessels, which causes chest discomfort. However, true pain can be distinguished from symptoms of depression or post-stress disorder.

If the causes of discomfort really lie in the pathology of this organ, the pain is compressive or acute piercing in nature, accompanied by shortness of breath, paleness or a bluish tint to the skin.

When pain appears simply due to emotional experiences, it is characterized by aching sensations, constancy, absence of attacks, and tingling sensations. Patients with extracardiac pain cannot indicate the exact location, the sensations are vague, sometimes tingling. But if the heart itself is ill, patients are usually able to accurately indicate the location of the pain and correctly describe its nature.

Non-cardiac causes of pain

Important! When an ultrasound examination and electrocardiogram do not show any abnormalities in the organ, but it still hurts, you should think about it and undergo a full examination. The reasons may be hidden in completely different organs and systems, and the discomfort has persisted for months.

Causes of pain in the chest area:

• intercostal neuralgia;
• osteochondrosis;
• stomach ulcer;
• pancreatic diseases;
• aortic dissection;
• food hernia;
• gallstones.

Even if the ECG is good, but your heart hurts, you shouldn’t give up and give up. It may simply be a different disease. To accurately determine the cause, you should consult a therapist and get a referral for additional examinations. It is better to identify the pathology at the initial stage of the disease and get rid of the problem. This way you can maintain the health of all internal organs!

But what should we do if our doctors are clueless? You need to ask them for an examination

Yes, yes, my sister, she has been suffering for half a year, she did not get a referral for an ultrasound of the heart, they said that the ECG was good, which means there was no indication for an ultrasound of the heart, and they did not give a referral. When asked why it hurts on the left side, the therapist said that you are tired, because you have two children. The excuses are really fucked up, Mila has been sleeping for two weeks now, because she can’t lie down, she says that when she lies down, it’s like they put a brick on her left side of her chest, she went to the ambulance twice, and they sent her from there, tomorrow she’ll go for an ultrasound scan for money make hearts

Hello! The doctor acts according to the regulations. Examinations are required if a disease is suspected. See another specialist if you think you are seriously ill. If the doctor does not consider it necessary to conduct further examinations, most likely he is right.

ECG shows heart failure

What does a cardiogram show?

Myocardial infarction, angina pectoris. atherosclerosis, rheumatic carditis, hypertension - all these are heart diseases. They can occur as a result of any hereditary factors, excessive stress, anxiety, physical trauma, emotional distress, and so on. Another common cause of heart disease is poor diet. However, this is not about that now. The medical board of tiensmed.ru would like to draw your attention to the cardiogram. It is with its help that these pathologies are identified in people.

So what exactly can you see with a cardiogram? Undoubtedly, this question torments many of you.

If we compare all the other analyzes and tests that people are exposed to every day, then the electrocardiogram is considered to be “a miracle of modern technology.” Why a miracle? Yes, because this is almost the only analysis that does not bring a person any inconvenience, no pain, and also no radiation. The person actually positions his body quite comfortably on the couch, after which electrodes with wires are attached to his wrists, ankles and chest. These wires are connected to a small device, from which a paper tape with the same cardiogram subsequently comes out. Enough a large number of people claim that this tape is the “secret place” of their hearts.

A cardiogram can indeed be called a “cache,” but it does not store all the information about a person’s heart, but only a separate part of it. This part includes: heart rate, condition of the heart muscle, general condition of the heart. This, of course, is not all that a cardiogram can “tell” about. However, these three points are the most important. Let's look at each of them in more detail.

The most accurate measurement of a cardiogram is heart rate. In another way, this frequency can also be called electrical activity or rhythm. A cardiogram accurately determines what rhythm the heart beats, whether a person has a rapid heartbeat or, in some cases, it is completely absent. This occurs due to the fact that electrodes attached to the human body pick up weak electrical signals, and the cardiogram, in turn, amplifies them.

Another less accurate measurement of the cardiogram is the condition of the heart muscle. It should be noted that any injured, dying or already dead tissue almost always has its own special effect on the passage of electrical signals through it. That is why, when deciphering a cardiogram, every cardiologist will be able to notice the possible likelihood of a heart attack in his patient. the location of the damaged heart muscle, a piece of dead tissue with a scar on it, and so on. With regard to this measurement of the cardiogram, any deviations regarding the general condition of the heart muscle must be confirmed by further studies.

And finally, the third less accurate measurement of the cardiogram is the general condition of the person’s heart. In this case, the cardiogram will be able to show any deviations only if the cardiogram is taken at the time of intense physical activity of the patient. In any other case, most likely, it will be normal. The fact is that as long as blood flows through the coronary artery, the cardiogram will not be able to reveal any general disturbances in the general condition of the heart.

So, to summarize, tiensmed.ru would like to draw your attention to the fact that medical specialists quite seriously recommend regularly performing an exercise cardiogram for people suffering from hypertension, smokers, and people with high cholesterol. as well as some other groups of people.

Don't forget, everything needs to be done on time. If you neglect your health, you can say goodbye to it forever. Get treatment and be healthy!

Before use, you should consult a specialist.

Diagnosis of heart failure

To make a diagnosis of heart failure, a medical history is taken, a physical examination is performed, and confirmation is done by laboratory tests. Since the symptoms of heart failure can be a consequence of other diseases, it is necessary to identify the true cause of their manifestation.

For this purpose the following are determined:

• the presence of diseases that can cause heart failure, for example, arterial insufficiency. diabetes. hypertension,
• Are there other possible explanations for the symptoms?
• the presence of defects in the functioning of the heart, its contractility.

Early diagnosis will help to begin treatment in time and prevent its development.

When studying the medical history, attention is paid to the features of the symptoms; it is better to prepare in advance a detailed description of the symptoms - the nature of the pain, localization, distribution by time of day. The doctor will also be interested in whether relatives suffer from heart failure.

During a physical examination, the doctor can listen to the heart, determine whether there is fluid accumulation in the lungs, and examine the ankles, feet, and stomach for swelling characteristic of circulatory failure. A definitive diagnosis requires further laboratory testing.

Laboratory diagnostics

There is no specific procedure based on the results of which a definitive diagnosis can be made. Taking into account individual characteristics, the cardiologist selects one or more of the following examination methods.

• ECG. An electrocardiogram displays the intensity and frequency of the heart's electrical impulses. The diagram can help determine whether there is thickening of the heart's walls, which may make it difficult for the heart to contract. Preconditions for heart attacks and other diseases are also identified.
• X-ray of the chest organs. The image shows the heart, lungs, and blood vessels. X-rays can detect an increase in the size of the heart and fluid accumulation in the lungs.
• Test for brain natriuretic peptide (BNP) in the blood. The level of this hormone is increased in heart failure.
• Echocardiography. This is an ultrasound examination of the heart. Gives an idea of ​​the size of the organ, the functioning of the valves and atria. It also helps to identify places where blood accumulates and damage to the heart muscle. Echocardiography may be performed before and after a cardiovascular stress test (i.e., when the heart is stressed).
• Doppler tomography. Doppler ultrasound allows you to determine the speed and direction of blood flow. Often used in conjunction with echocardiography. May help determine which atrium is susceptible to heart failure.
• Daily ECG monitoring. Continuous ECG recording is carried out for 24 or 48 hours. To do this, the patient wears small electrodes, which are connected via wires to a recording device. The device can be attached, for example, to a belt.
• Nuclear cardiological diagnostics. It is carried out by intravenous administration of a radionuclide, which emits radiation that is captured and analyzed by detectors. As a result, a three-dimensional model of the heart and blood flow in the vessels is recreated. PET is a type of nuclear diagnostics. The accuracy of these studies is an order of magnitude higher than traditional ones, so even microscopic deviations can be recognized.
• Coronary angiography. In coronary angiography, a thin, flexible catheter is inserted into the blood vessels of the arms and necks and gradually advanced toward the heart to examine the coronary arteries of the heart. The catheter is inserted using radiography. The procedure is minimally invasive, but requires hospitalization for several days.
• Angiography of the heart. It is usually carried out in conjunction with coronary angiography, in which a harmless radiopaque dye is injected into the blood, which makes it possible to identify the characteristics of blood flow in the heart and its contractility.
• Stress test. Some heart defects appear during exercise. In a stress test, the patient performs physical exercises to create a specific load while echocardiography measurements are taken or nuclear diagnostics are performed.
• MRI. Among other effective procedures, magnetic resonance imaging is the safest. MRI images can detect damage to the heart, including early stages of heart failure in which there are no symptoms.

In addition to these methods of diagnosing heart function, it is necessary to conduct an examination of the thyroid gland, since decreased or increased levels of the hormone secreted thyroid gland, may cause circulatory failure.

What does an ultrasound of the heart show?

Modern medical diagnostics help to identify the development of many diseases, including heart disease. Ultrasound is much more effective than a regular cardiogram and with its help the doctor can detect many problems in the heart that are not visible on a simple electrocardiogram. Many people are interested: what does an ultrasound of the heart show and what kind of procedure is it? Let's try to figure this out in our article.

How to prepare for an ultrasound and how this examination is carried out

1. There is no special preparation for cardiac ultrasound. This procedure is completely painless and non-invasive. Typically, the patient makes an appointment in advance and comes to the clinic at the appointed time for examination.

2. During the procedure, the patient lies down on a medical couch. First you need to lie on your back, and then lie on your right side. At this time, the doctor moves a special ultrasound sensor along the chest in the area of ​​the heart and examines it. The examination method is based on the influence of ultrasonic waves, which tend to be reflected from structures of various densities and at the same time they change their frequency and speed. The reflected signal is immediately processed by the computer and displayed on the display screen in the form of a beating heart.

An ultrasound of the heart can show the following points:

How the individual elements of the heart work: its walls, valves and subvalvular structures:

Parameters: thickness of the heart wall, dimensions of the ventricles, atrial cavities, heart valves, as well as the dimensions of large vessels, which include the aorta and pulmonary artery;

Pathologies of heart valves;

Defects of the interventricular and interatrial septa;

Manifestations of heart failure even at the initial stage of its development;

Heart attack and pre-infarction condition;

Cicatricial changes in the myocardium;

Blood clots inside the heart and pericarditis;

The speed of blood flow inside the heart is measured, and many parameters are calculated, on the basis of which a diagnosis is made for the patient;

Congenital or acquired heart defect.

The doctor examines the indicators obtained on the ultrasound, and changing one or more parameters ensures an accurate diagnosis. An ultrasound scan is mandatory for those newborns who were born with signs of congenital heart disease and the presence of a heart murmur.

What can an ECG show?

An analysis such as a cardiogram can promptly indicate any problems in the functioning of the heart. It can also warn about certain concomitant diseases.

Cardiogram of the heart: properties, action

A cardiogram is an analysis showing the electrical activity of the heart, which in turn demonstrates the rhythm and strength of contractions of this organ and characterizes the quality of blood supply to the heart muscle. Many heart diseases can be diagnosed by doing an ECG:

The cardiogram is harmless to the body and painless. When performing it, the doctor places the patient on the couch, attaching electrodes to the limbs and chest, which are connected to the device using wires. The research results are printed on a special paper tape.

A cardiogram is especially important for acute attacks of arrhythmia or pain in the heart. Often, it is a timely cardiogram that can save a patient’s life or direct treatment along the right path.

The importance of a cardiogram is that this study can accurately indicate the source of pathological signals, find out their path, find out how serious a particular anomaly is and what kind of treatment it requires.

Among the diseases that can be diagnosed using a cardiogram is extrasystole, which is a contraction of the myocardium.

It is also possible to identify flickering and fluttering in advance, which may go unnoticed without this analysis.

Features of conducting a cardiogram

Despite the accurate data that a cardiogram can provide, it cannot diagnose some conditions of the heart and blood vessels. In particular, the condition of the heart muscle often remains in question. That is, the likelihood of a heart attack, if there is one, can be noticed by the cardiologist, but in order for him to be confident in his assumptions, additional examinations are needed.

Another reason why you cannot trust a cardiogram 100 percent is that electrical signals can skip damaged areas and show a normal result. It is impossible to recognize coronary atherosclerosis using a cardiogram.

It is advisable to do a cardiogram when the patient experiences serious physical exertion. Then it can provide more accurate data.

Based on the characteristics of this type of analysis, it is important when diagnosing to take into account not only the results of the cardiogram, but also the medical history, complaints of the patient himself, and examination data of the patient.

What does a heart cardiogram show?

The cardiogram reflects the rhythm of the heart and its impulses that are produced during operation, and also records the pulse, conductivity and the time that the organ needs to fill with blood. All this allows us to create a fairly complete clinical picture of the electrical activity of the myocardium and the general condition of the heart.

All information transmitted from the sensors is recorded on tape and compared with the results that should be normal for a person.

If pathologies are present, they will certainly be reflected on the cardiogram in the form of deviations of the main teeth of the curve. Based on what kind of teeth they are and how exactly they differ from the norm, the doctor can make a conclusion about the patient’s diagnosis, since each pathology is characterized by a certain set of deviations.

Heart disease can be caused by completely different factors. They can be either excessive emotional and physical stress, injuries and hereditary characteristics of a person, as well as an unhealthy lifestyle and poor nutrition.

Thus, an electrocardiogram allows you to determine the speed at which the ventricles of the heart fill, identify myocardial problems and notice disturbances in the heart rhythm and frequency of its contractions.

The method makes it possible to learn about the state of muscle tissue due to the fact that the injured myocardium transmits impulses differently than healthy muscles. These changes can be detected by highly sensitive sensors on the patient's skin.

Often, in addition to the presence of pathology, the doctor can determine the type of damage and its location on the heart. A qualified cardiologist is able to identify deviations from the norm by the angles of inclination of the teeth of the cardiogram, without confusing them with variants of the norm, and make a diagnosis.

It would be a good idea to take the results of previous electrocardiographic studies with you to your appointment with a cardiologist so that the doctor can determine the dynamics of the state of the heart and cardiovascular system, as well as track rhythm changes, calculate whether the heart rate has increased, and whether any pathologies have appeared. All this will help to promptly diagnose the development of diseases that can cause diseases such as myocardial infarction and will help to begin treatment in a timely manner.

Diseases of the cardiovascular system that can be determined by ECG

• Arrhythmia. Arrhythmia is characterized by a disturbance in the formation of an impulse and its movement through the muscle layer. In this case, a disruption of the rhythm is often noted, the time intervals between R - R increase when the rhythm changes, and minor fluctuations in P - Q and Q - T become noticeable;
• Angina pectoris. This disease leads to pain in the heart area. a cardiogram for this pathology shows a change in the amplitude of the T wave and depression of the S – T segment, which can be seen in certain parts of the curve;
• Tachycardia. With this pathology, there is a significant increase in contractions of the heart muscle. On the ECG, tachycardia is determined by a decrease in the intervals between segments, an increase in the rhythm, as well as a shift of the RS - T part by a small distance;
• Bradycardia. This disease is characterized by a reduced frequency of myocardial contractions. The ECG picture with this pathology differs from the norm only by a decrease in rhythm, an increasing interval between segments and a slight change in the amplitude of the waves;
• Hypertrophy of the heart. This pathology is determined by overload of the ventricles or atria and manifests itself on the cardiogram in the form of an increased amplitude of the R wave, impaired tissue conductivity, as well as an increase in time intervals for an enlarged area of ​​the myocardium and a change in the electrical position of the heart itself;
• Aneurysm. The aneurysm is manifested by the detection of a QS wave at the site of a high R and an elevated RS – T segment at the site of Q;
• Extrasystole. With this disease, a rhythm disturbance appears, the ECG shows a long pause after the extrasystoles, QRS deformation, altered extrasystoles and the absence of the P(e) wave;
• Pulmonary embolism. This pathology is characterized by oxygen deficiency of muscle tissue, hypertension of the pulmonary circulation vessels and enlargement of the right heart, overload of the right ventricle and supraventricular tachyarrhythmias;
• Myocardial infarction. A heart attack can be determined by the absence of the R wave, elevation of the S-T segment and a negative T wave. During the acute stage, electrocardiography shows that the S-T segment is located above the isoline, and the T wave is not differentiated. The subacute stage is characterized by a lowering of the S–T region and the appearance of a negative T. At the stage of scarring of the infarction, the ECG shows that the S–T segment is isoelectric, the T is negative, and the Q wave is clearly visible.

Diseases that are difficult to diagnose using an ECG

In most cases, an ECG does not allow diagnosing diseases such as malignant and benign neoplasms in the heart, defective vascular conditions and congenital heart defects, as well as disorders in blood dynamics. Moreover, in most cases, due to their location, tumors in different parts of the heart affect the functioning of the muscle and cause disturbances in intracardiac dynamics, which are diagnosed on an ECG as valvular defects of the organ. Therefore, if during the diagnostic process a cardiologist identifies disorders such as hypertrophy of the heart, uneven or abnormal rhythm, as well as heart failure, he can additionally prescribe an echocardiography after the ECG, which will help determine whether there are neoplasms in the heart or whether the patient has another disease .

The problem with ECG is that the initial stages of some diseases, as well as certain types of pathologies, are poorly visible on the cardiogram. This is due to the fact that the procedure time is not enough to perform a full examination and study the patient’s heart in various situations. As a solution to this problem, based on electrocardiography, there is a diagnostic method in which the patient must walk with a device that measures heart health for a day or even more.

Congenital heart defects include a whole group of diseases that lead to pathologies in the functioning of the myocardium. However, during echocardiography, such heart defects are usually identified as signs of specific syndromes, for example, hypoxia or heart failure, which makes it difficult to identify the underlying cause of the disease.

Also, a great difficulty for diagnosis using an ECG is the fact that some pathologies have similar disorders and abnormalities that are noted by a cardiogram.

In this case, it is necessary to consult an experienced cardiologist, who, based on the results obtained, will be able to give a more accurate diagnosis or refer you for additional examination.

Another problem with electrocardiography is that in most cases the procedure occurs when the patient is at rest, while in ordinary life the absence of physical activity and psycho-emotional arousal is absolutely atypical for most people. Thus, in some cases, an ECG without additional voltage produces a not entirely accurate clinical picture, which can affect the final diagnostic results, since in most cases symptoms and pathologies do not appear in a calm state. That is why, for maximum efficiency of the study, the electrocardiography procedure can occur with minor patient loads or immediately after them. This provides more accurate information about the condition of the heart and the presence of possible pathologies.

Determination of myocardial infarction using a cardiogram

Myocardial infarction is divided into several stages. The first is an acute period during which part of the muscle tissue dies, while on the cardiogram at this stage of the disease the excitation vector disappears in those parts of the heart where myocardial damage occurred. Also on the ECG it becomes clear that the R wave is absent and a Q appears, which normally should not be in the leads. At the same time, the location of the S - T region also changes and the appearance of the T wave is diagnosed. After the acute stage, a subacute period begins, during which the T and R waves gradually begin to return to normal. At the scarring stage, the heart gradually adapts to tissue damage and continues its work, In this case, the scar remaining after a heart attack is clearly visible on the cardiogram.

Determination of ischemia using ECG

Ischemic disease of the heart muscle is characterized by a reduced blood supply to the myocardium and other tissues of the heart, which leads to a lack of oxygen and gradual damage and atrophy of the muscle. Too long an oxygen deficiency, often characteristic of an advanced stage of ischemia, can subsequently lead to the formation of myocardial infarction.

ECG is not the most good method, which allows you to detect ischemia, since this procedure It is carried out at rest, in which it is quite difficult to diagnose the location of the affected area. There are also certain areas of the heart that are inaccessible for examination by electrocardiography and are not tested, therefore, if a pathological process occurs in them, it will not be noticeable on the ECG, or the data obtained may subsequently be interpreted incorrectly by the doctor.

On an ECG, coronary heart disease is manifested primarily by disturbances in the amplitude and shape of the T wave. This is due to reduced impulse conductivity.

What abnormalities in the functioning of the body can be recorded?

First of all, it should be noted that the electrocardiography (ECG) procedure is deservedly recognized as the main diagnostic technique for the timely detection of heart pathologies (the entire cardiovascular system). The procedure is widely used in modern cardiological practice.

The muscular structure of the human heart functions under the constant control of the so-called pacemaker, which originates in the heart itself. At the same time, its own pacemaker produces electrical impulses that are transmitted through the conduction system of the heart to its various parts.

In any version of the cardiogram (ECG), it is these electrical impulses that are recorded and recorded, allowing one to judge the functioning of the organ.

In other words, we can say that the ECG captures and records a kind of language of the heart muscle.

According to the resulting deviations of specific waves on the cardiogram (remember, these are the P, Q, R, S and T waves), doctors are able to judge what pathology underlies the unpleasant symptoms felt by the patient.

Using various ECG options, doctors can recognize the following heart diseases:

Hypertrophy of various parts of the heart muscle.

The problem can arise when there are disturbances in the hemodynamics of the vascular bed, which provokes overload of various parts of the heart. Even a classic ECG allows you to record several main signs of cardiac hypertrophy.

These may be: signs of an increase in the time of impulse behavior, changes in the amplitude of various waves, signs of ischemia of the subendocardial cardiac sections, deviation of the electrical cardiac axis.

Angina pectoris, ischemic heart disease.

This disease, we recall, causes a lot of trouble for a person, since it manifests itself in attacks of anginal pain that can last from a few seconds to half an hour.

Signs of this disease can be recorded on the ECG: as changes in QRS complexes, as a state of depression of the S-T segment, changes in the T wave.

Arrhythmias of various types.

Such pathologies of the heart muscle are incredibly diverse; they are characterized by numerous changes in the rhythm of heart contractions. On electrocardiography, such disturbances are manifested by: the frequency of changes in the R - R intervals, fluctuations in the P - Q and Q - T indicators.

In addition, with the help of electrocardiography it is often possible to record: signs of the presence of a cardiac aneurysm, the development of extrasystole, the occurrence of an inflammatory process in the myocardium (myocarditis, endocarditis), the development acute conditions myocardial infarction or heart failure.

Do the results of different ECG techniques differ?

It is no secret that electrocardiography can be performed differently in different situations; or rather, doctors can use different ECG research techniques.

It is quite clear that the data from different versions of electrocardiographic studies may differ slightly.

The most common electrocardiographic studies can be considered:

Intraesophageal electrocardiography procedure.

The technique involves placing an active electrode in the lumen of the esophagus.

This procedure allows a more accurate assessment of atrial electrical activity, as well as the functioning of the atrioventricular node.

The technique is of greatest value for fixing certain heart blocks.

Vectorcardiography procedure. This technique allows you to record changes in the electrical vector of the functioning of the heart muscle.

Information is presented in the form of a special projection of three-dimensional figures onto the plane of leads.

Electrocardiographic stress tests.

This procedure may also be called bicycle ergometry. It is most advisable to conduct such a study to detect ischemic disease of the heart muscle.

This is due to the fact that angina attacks usually occur precisely at the moment of physical stress of the patient, and at rest the cardiogram can remain within normal limits.

Holter monitoring procedure.

The procedure is usually called 24-hour Holter electrocardiography monitoring.

The essence of the technique is that sensors attached to the human body record the performance of the heart muscle throughout the day or even more.

It is most advisable to carry out such a procedure when the unpleasant symptoms of heart disease are transient.

What diseases can be diagnosed during the study?

It should be said that various variants of cardiac electrocardiography can be used not only as a primary diagnosis, allowing to record the initial stages of cardiac disease.

Often, electrocardiographic studies of various types can be carried out for the purpose of monitoring and monitoring pre-existing cardiac pathology.

Thus, such studies can be prescribed to patients with the following pathologies:

• patients who have previously had a myocardial infarction;
• people suffering from various forms of cardiac ischemia;
• patients with infectious diseases of the heart muscle - pericarditis, endocarditis;
• patients suffering from cardiosclerosis;
• people with hypertension or hypotension;
• patients with vegetative-vascular dystonia, etc.

And, of course, this study of the heart often allows us to answer questions about why patients experience this or that unpleasant symptomatology - shortness of breath, chest pain, heart rhythm disturbances.

Data indicating the need for additional testing

Unfortunately, it should be understood that an electrocardiogram cannot be considered the only correct criterion for establishing a particular cardiac diagnosis.

To establish a truly correct diagnosis, doctors always use several diagnostic criteria: they must conduct a visual examination of the patient, palpation, auscultation, percussion, collect anamnesis and conduct electrocardiography.

Provided that the cardiography data is confirmed by specific (corresponding to the expected pathology) symptoms in the patient, obtained during the examination, the diagnosis is made quickly enough.

But, if a cardiologist observes some discrepancy between the patient’s existing complaints and electrocardiography indicators, the patient may be prescribed additional studies.

Additional studies (ultrasound, echocardiography, MRI, CT or others) may also be necessary if the electrocardiogram remains normal, and the patient has some complaints about intense manifestations of a problem of unclear or questionable origin.

Ultrasound and electrocardiogram: differences in results

The technique of studying the heart muscle using ultrasound (ultrasound) has long been used in cardiology. Ultrasound diagnostics of the heart muscle, in contrast to electrocardiographic examination, allows us to notice not only some deviations in the functioning of the organ.

Ultrasound of the heart muscle is considered an informative, non-invasive and completely safe procedure that allows you to evaluate the structure, size, deformation and other characteristics of the heart muscle.

In this case, ultrasound of the heart muscle can be prescribed in the following cases:

• if the patient experiences unclear symptoms - chest pain, shortness of breath, fatigue;
• with periodic surges in blood pressure;
• in the presence of signs of a cardiac disease that is not recorded on the cardiogram;
• Ultrasound is also prescribed to patients after myocardial infarction, to assess damage to muscle structures, and to monitor the progress of pathology.

When performing an ultrasound, doctors have the opportunity to determine the morphology of the heart muscle, assess the size of the entire organ, notice the volume of the heart cavities, understand the thickness of the walls, and the condition of the heart valves.

Ultrasound also allows you to notice the presence of organ aneurysms, blood clots in the heart, assess the size of tissue scars, etc. on the tissues.

We can say that ultrasound, in some cases, turns out to be more informative than an electrocardiogram.

To summarize, we note that both examined research methods are necessary in modern cardiological practice. It is better to decide which study is best to choose together with a qualified cardiologist.

Otherwise, the use of a diagnostic procedure may be inappropriate!

What is an ECG?

An ECG is a method for studying the functioning of the muscles of the pericardial region, which does not cause any discomfort or harm to the heart or the human body as a whole.

A device called an electrocardiograph records the heart's impulses, pulse, and the period of time required for the heart to be filled with blood coming from the lungs from the state of ejection of blood into the aorta.

All ECG indicators are drawn on tracing paper in the form of a broken line, on which all problems occurring with the heart, or their absence, will be visible.

A printed image of this curve is called a cardiogram.

Since during an ECG a person is not exposed to any radiation (the cardiography method can be compared to measuring blood pressure), if diseases directly or indirectly related to the heart are suspected, the doctor will give a referral to an electrocardiography office.

How is an ECG test performed? No preliminary preparation is required for an ECG.

It is important to sit for a while before starting the ECG so that the rhythm of the heart contractions is restored after climbing the stairs or walking briskly to the clinic.

An ECG is performed both in a sitting position and in a lying position. Electrodes are attached to the patient's chest, wrists and above the ankle joint using special clothespins and suction cups.

As already mentioned, this does not cause any pain. However, if an ECG is performed on a child, then an adult must be nearby during the entire procedure.

Here are some tips that will make the procedure go smoothly:

• because it requires exposing the wrists and ankle joint, choose appropriate clothing so that it is easy to take off;
• Do not wear jewelry around your neck or wrists. They need to be removed during the study, so there is a risk of forgetting them in the office;
• To ensure accurate results, it is advisable for men to shave their chests;
• During the examination, the doctor applies a viscous substance to the places where the sensors come into contact with the skin; sometimes there is an excess of it, so take a small towel or napkin with you so that you can easily remove any remaining substance.

The procedure itself takes no more than a few minutes, you will need to wait a little longer to get an answer, after which you can go to a cardiologist.

The need for examination

If you do not feel any problems with your heart or health, but are planning a trip to a medical facility, are undergoing a medical examination, your age is over 40 years, your relatives have heart-related diseases or you are planning a pregnancy, then this is an indication for visiting the office electrocardiography.

Here are the cases in which you will definitely be prescribed an ECG:

• pain in the thoracic spine;
• planned surgical intervention;
• kidney disease, established hypertension or hypertension;
• increased platelets (“thick blood”);
• Vascular ultrasound showed the formation of plaques;
• established varicose veins;
• a number of other indications determined by the doctor.

It is worth noting that irregular heart rhythm (tachycardia) is a clear indication for an ECG in an adult; to one degree or another, it is characteristic of a healthy child, therefore the norms for this analysis differ significantly in children and adults.

Only with the onset of puberty, after 12–14 years, does the child’s ECG approach the norm accepted for an adult.

Conclusion about the results

The doctor determines what diseases the ECG shows. Deciphering broken lines and their angles of inclination is not only a complex process, but also work that requires knowledge and frequent application of it in practical activities.

What a cardiogram shows is largely determined not only by the state of health and the functioning of a person’s heart, but also by certain physiological processes occurring in the body.

The qualifications of a cardiologist require this knowledge to correctly interpret the ECG.

The doctor must know not only what a normal ECG looks like, but also the variations that are also in the range considered normal.

Do not be surprised if you are asked to bring a previous cardiogram - for a correct interpretation, it is important for the doctor to see the dynamics.

So, if heart-related pathologies have appeared recently, this will be noticeable when comparing the results of two tests - the current and the previous one.

If the cardiogram was previously normal, but the current examination showed a pathological condition, the doctor may prescribe an ultrasound of the cardiovascular system.

During an ultrasound, it is possible to determine whether there are any changes in the shape of the vessels (aneurysms, pathological dilations or narrowings, etc.).

An ultrasound will show the speed of blood flow in the vessels, the rate of pumping blood from the atrium to the ventricle, the speed of the pulmonary circulation - in combination with a cardiogram, this will make it possible to diagnose the disease in a timely manner.

The doctor's report will contain a description of possible pathologies or a phrase stating that they have not been established.

It is worth noting that an ECG is performed at rest, while certain heart diseases can only appear during exercise.

To do this, the patient undergoes an examination with a mobile sensor, a procedure called Holter monitoring. The patient wears the device on a belt or on a long strap, like a shoulder bag.

The device will record all changes associated with increased physical activity. Data is recorded and stored from a day to a week.

This method will show changes in dynamics, if any. The doctor will determine which situations require Holter monitoring, and in which situations a regular ECG done in the office at the clinic is sufficient.

One of the indications for choosing a long-term heart rate study is fatigue and shortness of breath with little physical exertion.

How is an ECG interpreted?

Depending on the gender and age of the patient, the concept of normal changes. For example, the heart rate on a cardiogram looks like the distance between adjacent teeth.

Normally, an adult has 60 to 100 beats per minute. Even from such a serious discrepancy in the concept of a normal indicator, one can already understand that normal cardiograms will vary greatly.

An ECG indicates arrhythmia if the work done by the heart is above 100 beats per minute or less than 60.

For diagnostics, the angle of the electrical axis (resulting vector) is also important; it is measured in degrees, in the normal state it is 40 - 70 degrees.

Myocardial hypertrophy, which physically looks like a thickening of the walls of the heart muscle, is functionally a way for the cardiovascular system to compensate for some pathology.

In this case, the ECG will show a slowdown in the transmission of the electrical impulse. If such an indicator is visible on the ECG, the doctor will send you for an ultrasound to clarify the thickness of the seal.

In some cases, an ECG will show pathology associated with changes in blood flow in the coronary vessels.

This problem leads to scarring of the heart tissue, a decrease in the lumen of blood vessels and a high risk of heart attack. However, an ECG will not show a number of pathologies.

In this case, an ultrasound will be prescribed, possibly even an ultrasound with a Doppler sensor, which is slightly more expensive.

It is important to understand that a cardiogram cannot be a diagnosis and will not always indicate a specific disease.

In fact, this is an indicator of what safety margins the heart has to maintain a normal rhythm both at rest and under natural stress.

According to the pathologies identified in the ECG, the doctor determines the diagnosis and, possibly, prescribes additional tests, for example, ultrasound or MRI.

Do not try to diagnose yourself by looking at the lines of the cardiogram, and especially do not begin a course of treatment.

All heart pathologies should be diagnosed using an ECG only by a qualified specialist.

Discomfort in the heart

Asked by: Vladimir, Zheltye Vody

Gender: Male

Age: 36

Chronic diseases: Until May 2015, I had severe lower back pain for more than a year. Spondyloarthrosis, lumbar osteochondrosis. But only this passed in May and began in the chest area.

Hello, Uv. Ekaterina Alekseevna, writing the whole story since 2013 of my vegetative neurosis with PA, 2 months of difficulty breathing is a long time. The point is that all these symptoms went away for 1.5 years. In May 2015, the remission ended and a bunch of frightening symptoms appeared. A burning sensation in the chest, like strong menthol, 3-4 attacks, especially at night, sometimes with nausea. Once I called an ambulance - 120/80, ECG was normal. Injected with piracetam and diphenhydramine and bainki. The symptoms changed throughout the summer. It tingles under the left nipple, in the center of the chest, it presses as if someone had stepped on it. I did a bunch of ECGs - everything is fine. Sometimes stomach upset. Conductivity. By the way, this was also in the fall of 2013 when I complained of shortness of breath. In July 2015, I began to have trouble sleeping, I drank everything: motherwort, valerian, hydrozepam, phenibut, erinite, Advocard, Sidnopharm, validol, to no avail. Soon the liver will shrink. The peak will pass for five days and let's go again. I went to Krivoy Rog to see a cardiac surgeon - cholesterol - 4.12 - normal, ultrasound of the thyroid gland - OK, Holter - normal without signs of ischemia, there are extrasystoles, but due to vegetatives. Ultrasound of the heart - all indicators are fine. I wrote all this to Guglin in St. Petersburg - says advanced neurosis, what does the heart have to do with it. Again Holter with a load and again Ultrasound in November, the same results - NOTHING. Go son and take a course of antidepressants and the whole bouquet will go away. In addition, it happens that after walking 200-300 meters at an average pace, a feeling of lack of air appears, I don’t even know how to describe it, added weakness: I can’t speak for a long time - I don’t have the strength, I switch to a whisper. In general, this is tough. Often my left forearm, hand, and sometimes some fingers and sometimes others hurt. The pressure does not rise above 135; I sat for 2-3 minutes at rest and is already 122/80. Sorry, I feel nauseous after sex, and often feel nauseous in the morning. And now I have colitis, periodically but not pleasantly, I rise to the 5th floor slowly - if I go a little faster, it feels like the air is not passing further than the lungs, although my breathing does not become faster, weakness and panic arise. You need to sit for 20 minutes to feel better. Please tell me WHAT IS THIS BOUQUET, and WHAT ELSE SHOULD I DRINK? And why can’t I run, why do I have colitis if everything is fine? Thank you in advance.

22 answers

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Hello, dear Vladimir! Your situation is very difficult. It is especially difficult for us to treat the heart when everything seems to be fine according to the ultrasound and Holter, but it hurts, and stings, and there is shortness of breath. That’s why they send you to a neurologist - if during examination the organ is healthy, but there is pain, then it is logical to assume that the problem is in the “perception” of this pain, i.e. in the nerves.
In your case, to finally rule out coronary heart disease, I would also do a myocardial scintigraphy with stress or TES. True, I can’t tell you where exactly to do this in your city.
Try alternative medicine methods, for example, homeopathy, acupuncture. Since we can’t cope with our standards. Visit a psychotherapist; sometimes cardiophobias are well disguised and result in psychosomatic diseases.
Be healthy!

Vladimir 2016-01-06 15:19

Hello, Uv. Ekaterina Alekseevna. Thanks for the answer. Today I read the heart ultrasound report and compared it with each other. In May 100% order. And in November, in the conclusion it was written - LV hypertrophy, and something similar with the right one. The cardiologist said that these are trifles and they come from vegetative disorders. In your opinion. And maybe this is a derivative of shortness of breath. The reason, albeit not great, is hypertrophy? What should I drink or inject? And is it worth thinking about? Thank you in advance.

What is the thickness of the posterior wall of the left ventricle? Hypertrophy in the initial stages cannot be the cause of shortness of breath. You can drink (or inject) Mexidol.

If I'm not mistaken, 30 mm. I’ve read about this here, now I’m shaking all over, I’ve already drank some valerian. I have had a cough for about 2 months now, not much, especially in the evening. The pulse is 65-70, but I can sit down, tie my shoelaces, stand up and it’s 100-105. The doctor said there are problems, but they are three-kopecks and it would be advisable for me to drink blood pressure. What should I do?

30 mm is too much, send us a photo of the ultrasound! Shortness of breath and especially cough are unlikely to be cardiac. Start taking Mexidol, get a chest x-ray.

But hypertrophy is somehow treated, well, in the 21st century there are modern solutions to this problem. Moreover, my blood pressure is fine. I read that with a certain lifestyle, everything falls into place after a while. I don’t have a picture with me, but the doctor said that it doesn’t even need to be treated.

The X-ray description is normal - the doctor looked at it today. Both the diaphragm and aorta, the heart, are not dilated. Lungs are fine. I took a spirogram yesterday - no asthma. I started taking Amitriptyline 0.5 at night for 1.5 months. Let's see. Can I do a CT angiography at Amosova?

This means that you are a little confused, because 30 mm is a significant hypertrophy, and it does not develop just like that, out of nowhere and even without pressure. Of course, it is treated if it exists.
Angiography is a serious procedure, wait a couple of days - maybe there will be a good effect against the background of amitriptyline.

Good evening. Ekaterina Alekseevna, a question arose as to why there is a sort of finger-pressing unpleasant sensation under the left nipple a little closer to the center. That is, right above the stomach. It was as if someone pressed with a finger and released. Sometimes it takes 2-3 hours. It's tolerable, but unpleasant. Validol and valerian do not help. Pressure 120 - 130. Thanks in advance

Hello! The described pains and their duration are more similar to neuralgia.

Good afternoon. Ekaterina Alekseevna, tell me if an ultrasound of the thyroid gland is enough to tell you everything is fine with the release of hormones and your VSD is not from it. Or ultrasound is not enough. Do I need to donate blood for cortisol or adrenaline? Thanks in advance

Ultrasound is not enough, only structural changes are visible there. Donate blood for hormones, TSH, free T4, cortisol.

Ekaterina Alekseevna, did an ECG. The description is as follows: Regular sinus rhythm, tendency to levogram, disturbance of intraventricular conduction, predominance of LV electrical activity. Tell me, can I somehow feel all this on a pain or discomfort level? What is the reason for such violations? And I want to ask, does the ECG show any hints of ischemic heart disease if it occurs? Thank you.

No, such changes on the ECG do not manifest themselves in any way in how you feel. These are changes in the electrical impulse; pain in the heart appears when the blood supply to the myocardium is disrupted. The fact is that ischemic heart disease includes several subclasses - heart attack, angina pectoris, arrhythmia, sudden death, etc. A heart attack, undoubtedly, is very clearly manifested on an ecg and this is one of the main diagnostic criteria. With angina pectoris, changes in the ECG appear only during pain; outside of attacks, the ECG can be completely normal. That is why Holter is considered more informative.

Ekaterina Alekseevna, good day. To reassure me, a cardiac surgeon from Krivoy Rog suggested that I do a caronography in Kyiv. He explained this to me by saying that if the caronary cords are clean, then there is no ischemic heart disease, and if not, then either the cervicothoracic region radiates to the chest area and causes stiffness in breathing, or it is an advanced neurosis and it gives such vasospasms and blood pressure is needed to solve this problem , you won’t get away with valerian here. I am thinking of doing this procedure as the most informative way to recognize IHD, as I understand it. Today there was a pressure in my chest, my head felt like it had been hit well, my voice dropped, and I was having difficulty breathing again. About 2 months ago, with pressure or pain in my chest, I hurriedly went to the emergency room, they immediately gave me a hot ECG and NOTHING. There is no hypoxia or malnutrition to speak of. He says the spine needs to be examined. The question is, if caronary angiography is positive, what should I do? Thank you for your attention.

Undoubtedly, coronary angiography will dot the i’s in your case. If coronary angiography confirms CAD, you will immediately undergo stenting and/or be prescribed treatment. If the coronary vessels turn out to be clean, you will need to be treated by a neurologist.

Good day. Ekaterina Alekseevna, just yesterday in Krivoy Rog I had a CT scan of the chest organs. As if looking for an answer to my shortness of breath and difficulty breathing. For about 2.5 months now I have had an irregular cough, mostly in the evenings, not every day, without fever, dry. But sometimes it takes your breath away. I haven’t had pneumonia before, maybe bronchitis, but for a long time. I want to connect shortness of breath, cough and what the CT scan showed. - on the right along the interlobar pleura there is a pleural commissure. There is no fluid in the pleural cavity. Nodules and shadows were not identified. Everything else is normal. And here’s another thing: in the bone window, signs of degenerative-dystrophic changes are determined (polytopic Schmorl’s nodes). I have a question, where did this adhesion come from and then, is it the cause of my cough and shortness of breath and, if so, how to treat it. And here are these Schmorl nodes, what to do with them and what symptoms they give. Thank you for your attention.

Heart pain or cardialgia is the most common complaint in cardiology. Any heart pain requires close attention, and often immediate medical attention. How to recognize cardiac and non-cardiac causes of pain in the heart area?

First, a little anatomy. The heart is located in the central part of the chest, exactly behind the sternum with a slight shift to the left. That's why the epicenter of heart pain is in the projection of the heart, and only in some cases does the pain radiate beyond its geography.

It is customary to divide pain in the heart area into cardiac and extracardiac. For different diseases, pain has its own characteristics and is accompanied by other symptoms. Depending on the cause, a strategy and tactics for treating and preventing pain is developed. The greatest danger is coronary heart disease.

Heart pain due to coronary heart disease (CHD)

Coronary heart disease is a disease characterized by impaired blood supply to the myocardium due to damage to the coronary arteries

The most well-known forms of ischemic disease are angina pectoris and myocardial infarction. When blood flow in the coronary arteries is disrupted, the supply of oxygen to the heart muscle is reduced, metabolic disorders occur, which are accompanied by an attack of pain in the chest. The duration of the attack ranges from several minutes with angina pectoris to tens of minutes with a heart attack. Heartache pressing, squeezing, burning or cuttingand can radiate to the left (less often right) arm, to the neck, under the shoulder blade or to the lower jaw. Usually an attack is provoked by physical or emotional stress and is accompanied by severe weakness, shortness of breath, and arrhythmias. ECG changes are characteristic and pathognomonic.

Important! There are no changes in the ECG during the interictal period! Therefore, even yesterday’s “good” cardiogram does not exclude the diagnosis of IHD today

Atypical localization of pain in ischemic disease is much less common. Therefore, an essential sign of this disease is a rapid and pronounced effect when taking nitroglycerin.

Important! Nitroglycerin can be taken again at intervals of 5-10 minutes!

Heart pain in other heart diseases

Heart diseases of an infectious or rheumatic nature, such as myocarditis, endocarditis and pericarditis, develop over a long period of time, often after infectious diseases. During the acute period, the temperature rises. The pain is diffuse, prolonged, dull or stabbing in nature. Along with heart pain, there are signs of intoxication, damage to joints and other organs. The pain is not relieved by nitroglycerin, but weakens after the administration of anti-inflammatory and antibacterial drugs.

Extracardiac pain in the heart area

The most common causes of pain in the heart area, not associated with heart disease, are: thoracic spine, herpes zoster, intercostal neuralgia,. They are characterized by atypical localization, dependence on body position (with osteochondrosis), the presence of skin manifestations (with herpes zoster), increased pain when pressing on the intercostal muscles (with intercostal neuralgia or myositis), various symptoms of impaired neurohumoral regulation (with vegetative-vascular dystonia)

What to do if you have an attack of angina or suspected myocardial infarction?

1. Call a doctor
2. Unfasten clothing that restricts breathing and allow fresh air to flow
3. Place the patient on a flat surface. If there is excitement, shortness of breath, cough, then raise your head. If the pressure is reduced and the pulse is weak, the patient is pale, lethargic or close to loss of consciousness, then place the head in a low position.
4. Take nitroglycerin under the tongue. If the attack of pain continues, then take it again after 5-10 minutes.
5. Take an aspirin tablet 500 mg
   

   Important! No validols or corvalols! Leave them to grandmothers and sensitive young ladies. In case of angina pectoris, they will only do harm, since precious time will be lost to relieve the attack.