When chest pain tells an emotional truth

The BMJ Pub Date : 2025-10-08 DOI:10.1136/bmj.r1898
Helen Watkins
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Abstract

Helen Watkins shares the physical symptoms brought on by heartache and what healthcare professionals can do to recognise a person’s emotional pain Six years ago, I went to the emergency department with chest pain. I had experienced severe pain during the previous night, pain which radiated to my back and ears. I didn’t disturb my husband, as we had arrived home in the UK from Australia only a few days earlier and were both still tired with jetlag. I told him the next morning, and we decided I should see my GP that day. The GP sent me to hospital to have my heart and troponin levels checked. My ECG showed no evidence of a heart attack and the blood tests were fine. I was discharged with a diagnosis of chest pain with an unknown cause, with a secondary provisional diagnosis of acid reflux. But I knew the real diagnosis was, quite …
当胸痛告诉我们情感上的真相
海伦·沃特金斯分享了心痛带来的身体症状,以及医疗保健专业人员如何识别一个人的情感痛苦。六年前,我因为胸痛去了急诊室。前一天晚上,我感到剧烈的疼痛,疼痛扩散到我的背部和耳朵。我没有打扰我的丈夫,因为我们几天前才从澳大利亚回到英国的家,而且都还因为时差而感到很累。第二天早上我告诉了他,我们决定那天我应该去看我的全科医生。全科医生送我去医院检查我的心脏和肌钙蛋白水平。我的心电图显示没有心脏病发作的迹象,血液检查也很好。我出院的诊断是胸痛,原因不明,还有一个次要的临时诊断是胃酸反流。但我知道真正的诊断结果是,相当……
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