When the pain in the heart gives to the scapula, then its source must be sought, first of all, in the heart, but not bypassing the work of other internal organs. Near the heart are several important organs, the pathologies of which can cause similar unpleasant sensations.
But most often the reason is precisely in the heart, less often it can be in the spine, in the digestive organs, lungs. Sometimes pain and discomfort occurs when the so-called. tunnel syndromes – complexes of symptoms associated with compression of peripheral nerves, and other neurological factors.
Types of pain near the heart with recoil in the shoulder blade
Heart pain in the heart and under the left shoulder blade has different types and types:
In addition to the left shoulder blade, it can give:
- from the center of the chest to the left;
- in the center of the back;
- in the arm, shoulder, neck and jaw.
When a pain in the heart begins, which gives to the scapula, it is important to pay attention to the nature of the painful sensations, their intensity, duration and changes when changing the position of the body, the response to taking medications. Usually, cardiovascular diseases occur with pain in the central part, but can also radiate to the left side of the chest under the scapula.
Heart causes of pain with rebound under the shoulder blade
If the resulting pain in the heart gives in the left shoulder blade, you need to observe the general condition to see other clinical signs of the onset of heart disease. Causes of pain, which give to the scapula, are:
Coronary artery disease is a pathology resulting from an insufficient blood supply to the tissues of the heart, as a result of which angina and myocardial infarction may occur. Angina is a paroxysmal pain in the heart, which most often occurs during physical exertion and emotional experiences. The pain in the chest is acute, usually lasts from 2 to 5 minutes (maximum 15 minutes), but passes on its own after the onset of rest and the end of the load.
A heart attack is a sudden cessation of blood supply to the left ventricle, resulting in necrotization (death) of the affected area. 20–40 minutes after cessation of blood supply, the cells of the affected muscle die, which may lead to death. Symptoms of a heart attack are:
- severe chest pain in the central part of the chest radiating to the left (in the arm, shoulder, neck, jaw);
- strong anxiety and fear.
The attack can begin regardless of the load and is not stopped by taking nitroglycerin.
Typical symptoms of heart attack
Coronary spasm is a form of heart failure, which is a sharp narrowing of the walls of the coronary arteries, causing severe chest pain. The phenomenon is usually associated with sclerotization of blood vessels, as well as rheumatoid vascular lesions. Often, an unpleasant sensation in the chest occurs in the supine position, because of what it is called rest angina.
Arrhythmia is an abnormal heartbeat, a slowdown (bradycardia), or an acceleration (tachycardia) of the heartbeat. Usually, arrhythmia does not cause pain, but against its background angina may occur, which is characterized by pain.
In the event of pain in the heart with recoil under the left shoulder blade, it is very important to be able to distinguish their nature in order to help with a heart attack in time. A characteristic sign of a heart attack is the lack of response to drugs, the sudden onset of an attack and irradiation to the left side of the body.
Possible non-cardiac diseases
Osteocondritis of the spine
Disorders in the work and structure of the cervical and thoracic spine can also occur with unpleasant sensations in the left side of the chest, which are given under the scapula. Often the cause of pain, which is felt as pain, which gives to the scapula, is osteochondrosis.
It is an inflammatory process of the dystrophic type in the intervertebral discs, resulting from:
- circulatory and nutritional disorders;
- static loads;
- wrong position of the back when walking and while sitting and other factors.
Degenerative processes in the thoracic region are often accompanied by a feeling of “cola” in the chest in the area of the shoulder blades.
The pain under the left shoulder blade in the heart zone is often associated with squeezing and irritation of the intercostal nerves. Sensations are described by patients as acute, burning pain in the heart area, giving to the scapula, appearing sporadically and having a paroxysmal character. A distinctive factor in intercostal neuralgia is the appearance of uncomfortable sensations during inhalation, when the chest cell expands. Soreness usually increases with movements, may give under the left shoulder blade, collarbone and lower back.
Important! An important sign of neuralgia, distinguishing it from cardiac pathologies, is the long duration of pain that occurs at any time of the day and is not arrested by drugs for the cores.
Squeezing of the suprascapular nerve
A condition in which there are pains in the heart and under the scapula also occurs when the supra-scapular nerve is squeezed, which innervates the supraspinatus and subscapular muscles and the capsule of the shoulder joint. The compression of the supra-scapular nerve occurs as a result of injuries, stresses, and often repetitive movements (for example, when working with oars). The nature of pain – sharp, shooting or stitching, accompanied by numbness of the hands, tingling and goosebumps when moving. The motor function of the hand may be limited. Characteristic trophic changes – the failure of the muscles of the hand.
Diseases of the respiratory system can also cause pain in the heart and chest, which gives to the scapula. Most often, such a pain in the heart gives under the scapula the left with:
- inflammation of the lung;
- an abscess;
Other characteristic signs of the pathology of the respiratory organs are difficulty breathing, shortness of breath, lack of air and hypoxia, manifested in the blueness of the skin. Inflammation of the lungs, bronchitis, pleurisy and tuberculosis causes coughing, which may be accompanied by viscous sputum. There is a high fever and fever (especially with a lung abscess), general weakness and body aches.
So what hurts – the heart or not?
To determine that the source of the pain is in the heart, you need to pay attention to other symptoms:
- change in pulse – the increase or slowdown can occur in almost any heart disease;
- a decrease or increase in blood pressure – with ischemic disease, increased blood pressure is usually observed;
- the conditions under which the seizure occurred – whether the load, stress, or the person was at rest;
- the duration of the attack is short (up to 5 minutes), longer (from 15 to 30 minutes);
- whether there were similar sensations before.
From the following video you can learn about the dangerous symptoms of heart disease: