Bringing on the heart ache

Def Leppard - Bringin' On The Heartbreak lyrics

from album: High 'N' Dry (1981)

Gypsy, sittin' looking pretty
A broken rose with laughin' eyes
You're a mystery, always runnin' wild
Like a child without a home
You're always searchin', searchin' for a feeling
But it's easy come and easy go
Oh I'm sorry but it's true

You're bringin' on the heartache
Takin' all the best of me, oh can't you see?
You got the best of me, oh can't you see?

You're bringin' on the heartbreak
Bringin' on the heartache
You're bringin' on the heartbreak
Bringin' on the heartache
Can't you see?

You're such a secret, misty eyes and shady
Lady how you hold the key
Oh you're like a candle, your flame slowly fadin'
Burnin' out and burnin' me
Can't you see, just tryin' to say to you

You're bringin' on the heartache
Takin' all the best of me, oh can't you see?
You got the best of me, oh can't you see?

You're bringin' on the heartbreak
Bringin' on the heartache
You're bringin' on the heartbreak
Bringin' on the heartache
Can't you see, can't you see?

No! No! No!

You got the best of me, oh can't you see?
You got the best of me, oh can't you see?

You're bringin' on the heartbreak
Bringin' on the heartache
You're bringin' on the heartbreak
Bringin' on the heartache
You're bringin' on the heartbreak
Bringin' on the heartache
You're bringin' on the heartbreak

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Songwriters: Joseph Thomas Elliott, Peter Andrew Willis, Richard John Cyril Allen, Richard Savage, Stephen Maynard Clark

Bringin' On The Heartbreak lyrics © BMG Rights Management, Sony/ATV Music Publishing LLC

Lyrics term of use

·Foolin'
·Animal
·From The Inside
·Photograph
·Rock Of Ages
·Overture
·Die Hard The Hunter
·Where Does Love Go When It Dies
·When Saturday Comes
·Gravity

BRINGING ON THE HEARTACHE Chords - Def Leppard

 Intro: Am F Am G  D2/F# Bb Em9   Am F Am  Gypsy, sitting looking pretty  G D2/F# Bb Em9  a broken rose with laughing eyes  Am F Am  You're a myst'ry, always running wild  G D2/F# Bb Em9  like a child without a home  Am F Am  You're always searching, searching for a feeling  G D2/F# Bb  but it's easy come and easy go  Em9 C  ohoh, I'm sorry but its True   G D2  you're bringin'on the heartache  B C G  taking all the best of me  C G  oh can't you see  C G  You got the best of me  C G  Whoah can't you see?  Am F G  You're bringin' on the heartbreak  G Am F G  Bringin' on the heartache  G Am 

F G  You're bringin' on the heartbreak  G Am F G  Bringin' on the heartache  G  Can't you see?   ( Am F Am G )  ( D2/F# Bb Em9 )   Am F Am  You're such a secret, misty eyed and shady  G D2/F# Bb Em9  Lady how you hold the key  Am F Am  Oh you're like a candle, your flame slowly fadin'  G D2/F#  Burnin' out and burnin' me  Bb  Can't you see?  Em9 C  Just try and say to you  G D2  You're bringin' on the heartache  B C G  taking all the best of me  C G  oh can't you see  C G  You got the best of me  C G  Whoah can't you see?  Am F G  You're bringin' on the heartbreak  G Am F G  Bringin' on the heartache  G Am F G  You're bringin' on the heartbreak  G Am F G  Bringin' on the heartache  G  Can't you see?   Can't you see?  Am F G Am C Am G F  No no no   ( C G D2 B )   C G  You got the best of me  C G  Whoah can't you see?  C G  You got the best of me  C G  Whoah can't you see?  Am F G  You're bringin' on the heartbreak  G Am F G  Bringin' on the heartache  G Am F G  You're bringin' on the heartbreak  G Am F G  Bringin' on the heartache   Final: G

Pain in the heart area - types of problems that have this symptom

If there is pain in the heart area, this may not indicate the presence of acute heart failure or myocardial infarction. Often these symptoms are characteristic of a number of diseases associated with the spine or chest. Therefore, it is necessary to distinguish the symptoms of pure heart pain from the rest, so as not to delay in emergency care.

Causes of heart pains

Acute aching pain in the region of the heart occurs in a person regardless of age, conditions and circumstances. However, not every one of them may indicate problems with the heart. Depending on the mechanism of formation, all chest pains can be divided into cardiac and non-cardiac etiologies. nine0003

Stitching pain in the region of the heart can occur for various reasons, in diseases of other organs with irradiation of the pain syndrome in the chest.

Diseases of the neuromuscular system :
- Thoracic osteochondrosis;
- Pain in the cervical spine;
- Myalgiyah;
- Intercostal neuralgia.
Pathologies of large vessels :
- Aortic aneurysm; nine0016
- Pulmonary embolism.
For disorders of the digestive system :
- For stomach disorders and heartburn;
- Pancreas;
- Esophagus;
- Gallbladder.
Diseases of the respiratory system :
- Bronchial asthma;
- Pneumothorax;
- Pneumonia;
- Pleurisy;
Diseases of the nervous system :
- Vegetovascular dystonia;
- Panic attacks.
Diseases of viral etiology :
- Shingles.

If, with pain in the region of the heart, it presses and gives to the left hand and little finger, angina pectoris may manifest itself. Acute pain syndrome develops with myocardial infarction, dull pain characterizes chronic coronary heart disease. nine0003

What are the symptoms of pain in various diseases?

Often, pain in the region of the heart during inhalation is attributed to purely cardiac diseases, without even suspecting that the real reason lies in a completely different one. How the pain syndrome manifests itself depends on the causes and level of progression of the disease. So, for example, with heartburn, there are also burning sensations in the sternum. They occur when gastric juice enters the esophagus. Heartburn is also characterized by the appearance of belching and an unpleasant sour taste. These symptoms appear after eating, when the body is tilted, in the supine position. In this case, antacids are prescribed for relief. nine0003

Not always when heartburn occurs and pain radiates to the heart area, the cause lies in the esophagus.

These may be symptoms of gastroesophageal reflux disease (GERD), which is also characterized by heartburn;
Spasm of the esophagus with muscle dysfunction resulting in trouble swallowing and moving food through the stomach;
With achalasia, this pathology manifests itself in disruption of the valve between the stomach and esophagus, with food retention and the appearance of pain in the chest. nine0016

Depending on the nature of the pain in the region of the heart, inflammatory diseases can be diagnosed:

Gallbladder with development of cholecystitis;
Pancreas and acute manifestations of pancreatitis;
Gallstone disease (GSD).

Painful symptoms in these diseases may radiate into the chest cavity and resemble heart pains.

Pulmonary diseases may also be accompanied by sharp and dull pains in the chest. These symptoms may appear at pneumonia, pleurisy , with characteristic inflammation of the lungs and tissues, respectively, that line the chest cavity. These diseases are characterized by increased pain during inhalation, the appearance of a cough, an increase in temperature to critical values. Also, diseases can accompany each other, and after pneumonia complications arise, which manifest themselves in the form of pleurisy.

How to help with acute pain in the heart?

It is no coincidence that when pain occurs in the region of the heart, they do not know what to do until the doctor arrives. Call hotline number +7 (863) 226-18-17 , which is better to enter in advance into the phone's memory. Experienced doctors of the private medical center "Harmony" help in an emergency and take the patient to the hospital. Emergency medical care is provided in the clinic, hospital and at home.

Before the arrival of the doctor, you should stop moving and take a supine position, be sure to call a specialized ambulance. If the heart hurts, self-medication can end sadly and lead to death. nine0003

In case of high or low blood pressure, take a tablet as directed. The patient is prescribed sedatives drops , corvalol, motherwort, valerian, and nitroglycerin. If the pain has passed, the need for nitroglycerin disappears, and it is also contraindicated in low blood pressure. Validol can be put under the tongue. Treatment of cardiac pathologies is prescribed by a doctor according to the indications.

What diseases cause pain in the region of the heart? nine0005

Acute pain syndrome can also appear in pulmonary diseases such as bronchial asthma and pneumothorax. Asthma attacks cause pain in the entire chest cavity. pneumothorax is no less severe and painful condition, in which air penetrates from the outside into the chest cavity and the lungs can subside with the onset of pain.

Among the main causes of pain attacks in the sternum area is also the pathology of the peripulmonary vessels. They are aggravated by inspiration with the formation of a cough at pulmonary embolism , pulmonary hypertension with increased pressure in the vascular system supplying blood to the lungs.

Painful vascular diseases include dissecting aortic aneurysm with a characteristic lesion of large vessels. This emergency condition can pose a threat to a person's life. In this case, the pain is first felt in the region of the heart and gradually moves down the abdomen. The patient's blood pressure drops sharply, tachycardia occurs and he loses consciousness. nine0003

A classic example of the appearance of pain in the chest area can be osteochondrosis , which occurs in the thoracic and cervical spine. The pain resembles angina attacks with irradiation to the left shoulder blade and arm. The difference lies in the amplification during movement, raising the arms, turning the head, tilting the body.

Sharp stabbing pain is characteristic for intercostal neuralgia, Tietze's syndrome . It occurs at the joints and spaces between the ribs and becomes more intense when inhaling. The patient cannot take a deep breath, shallow breathing is observed. In pathology, strong anti-inflammatory and analgesic drugs are prescribed. nine0003

An extremely painful condition in the region of the heart is inflammation of the muscle fibers of the chest and back . It resembles similar acute pain in intercostal neuralgia and osteochondrosis.

No less painful sensation is shingles , which occurs as a result of infection of the body with the herpes virus. In this case, the nerve endings are affected, characteristic rashes appear on the skin, which becomes sensitive, and this whole clinical picture is accompanied by acute pain in the chest. nine0003

Pain attacks can occur with panic attacks, nervous disorders of various etiologies. The category of these patients is often young, with an unstable nervous system, with a depressed state after stress. In this case, the pain may appear spontaneously or be systematic.

How to understand that the heart hurts?

Pressing sharp pain in the heart occurs with angina pectoris or "angina pectoris", which is the main precursor to the development of coronary heart disease (CHD). It radiates to the shoulder, to the left hand and little finger, and can radiate to the jaw. The intensity increases with nervous tension and physical exertion. It occurs as a result of coronary vasospasm and insufficient supply of oxygen to the heart muscle, due to atherosclerosis. The pain may disappear on its own after rest and rest. nine0003

Among the most dangerous heart diseases associated with the cardiovascular system of the body, there are myocardial infarction . It occurs as a result of blockage (thrombosis) of the coronary artery by an atherosclerotic plaque and the cessation of blood supply to a section of the heart muscle. In this case, necrosis occurs, and part of the muscle dies.

Myocardial infarction pain causes severe weakness, shortness of breath, radiates to the left arm, surrounds the shoulder and spreads under the left shoulder blade, sometimes to the neck, jaw, can form far from the heart area. Sometimes the temperature rises. A person is thrown into a cold sweat, shortness of breath begins, in some cases nausea. nine0003

Pain behind the sternum occurs in the case of cardiac pathologies of inflammatory etiology, these include endocarditis, myocarditis , pericarditis. They appear after illnesses caused by viral and bacterial infections.

How is the differential diagnosis done?

If you experience chest pain, call an ambulance doctor immediately. Before the arrival of a specialist, if possible, relieve emotional and physical stress, calm down, lie down and understand the nature of the pain in order to properly notify the doctors. nine0003

Examination of a doctor includes consultations with narrow specialists with instrumental studies, it is necessary to make an electrocardiogram. It shows how the heart works, to detect signs of a heart attack depending on the stage and location.

Medical assistance and consultations can be prescribed by various specialists, a neurologist, a cardiac surgeon, an infectious disease specialist, a pulmonologist, a surgeon, a gastroenterologist, a psychiatrist. In case of nervous experiences, the help of a psychologist may be needed. nine0003

Instrumental research

In addition to the electrocardiogram (ECG), in case of cardiac pathology, various instrumental diagnostic studies can be performed to determine the nature of the origin of pain.

Abdominal ultrasound;
FEGDS examination of the digestive organs;
Ultrasound of the heart, pulmonary vessels and aorta;
FVD, examination of the functions of external respiration;
Chest x-ray; nine0016
CT, computed tomography;
MRI, magnetic resonance imaging;
Echocardiography, echocardiography and others.

What signs confirm pain in the heart?

Critical conditions cause cardiac pathologies that can be determined using simple manipulations. It is necessary to understand whether the pain increases when inhaling, when raising the arms, tilting the torso, you can take a deep breath for a long time. An increase in pain may mean the presence of intercostal neuralgia, osteochondrosis. nine0003

Pain may increase during physical exertion and decrease at rest if angina pectoris occurs , with insufficient blood supply to the heart muscle in an active state.

Cardiac pathologies are more often accompanied by sharp pressing pain, shortness of breath, stress, discomfort in the chest, cold sweat, irradiation to the left shoulder, arm and under the left shoulder blade.

Emergency ambulance call of the private medical center "Harmony" allows you to help in emergency situations, make an ECG, express blood test for troponin protein to determine myocardial infarction, and take the patient to the hospital. nine0003

Pain in the heart area - causes of pain depending on the type and location of pain

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Content of the article:

Types of pain
Other causes
Symptoms for calling an ambulance
What to do with pain in the heart
Diagnostics
Treatment

The heart is an organ that continuously works throughout a person's life, constantly pumping blood through the vessels to ensure an uninterrupted supply of oxygen and nutrition to the cells, while simultaneously removing metabolic products and carbon dioxide. The heart muscle constantly needs an influx of oxygen-rich blood. The coronary arteries, which branch off from the aorta, supply the heart with food and oxygen. If they suffer, serious health problems are possible. nine0003

Pain in the heart area: causes

Acute coronary syndrome with pain in the heart area is the most dangerous condition. It occurs when the blood supply to an area of the heart muscle (myocardium) is severely reduced or completely cut off due to a sudden blockage or narrowing of a coronary artery. The lack of blood supply to any tissue is called ischemia. If the supply is significantly reduced or stopped for more than a few minutes, the heart tissue dies. This is how a heart attack, or myocardial infarction (MI), develops. This is the death (necrosis) of a certain area of the heart tissue due to ischemia. nine0003

A blood clot (or thrombus) is the most common cause of coronary artery blockage. Usually, the artery is already partially narrowed due to the accumulation of cholesterol and other fatty materials in the artery wall (atheroma or plaque). It can crumble or rupture, releasing substances that make platelets more sticky, which can cause clots to form. In about two-thirds of people, the blood clot dissolves on its own, usually within 1 to 2 days. However, damage to small areas of the heart usually occurs by this time. nine0003

Rarely, a heart attack occurs when a clot forms in the heart itself, breaks off, and lodges in a coronary artery. Another uncommon cause is a coronary artery spasm that stops blood flow. Spasms can be caused by stress, certain medications, smoking, and alcohol. Sometimes the exact cause of pain in the heart area cannot be determined.

Types of pain in the region of the heart

Depending on the specific cause, the patient is concerned about pain in the region of the heart of a different nature. They can be isolated, but are more often accompanied by other symptoms that also need to be paid attention to. Based on the type of pain and its localization, duration and accompanying complaints, certain pathologies can be suspected. nine0003

Acute coronary syndrome occurs as a result of a sudden blockage of a coronary artery (or a branch thereof). This blockade causes unstable angina or the development of myocardial infarction, depending on the location and degree of blockage. People with acute coronary syndrome usually experience pressure or sharp pain in the chest, shortness of breath, and fatigue.
Aortic dissection . Over time, uncontrolled high blood pressure can weaken the wall of the heart's main artery (aorta). It will thin out until it eventually ruptures, leading to an aortic dissection, which is a medical emergency. An aortic dissection usually causes sudden, severe, sharp pain in the chest, neck, throat, or jaw, and often a feeling of pressure in the chest that radiates back. nine0016
Heart valve disease . The heart has four chambers. The upper and lower chambers are connected by flap valves that open and close to allow blood to flow in only one direction. If the valves are affected, these leaflets harden, coalesce, or leak and don't work properly. The consequences of these valve problems can cause chest pains in the region of the heart.
Myocarditis and pericarditis . Chest pain can also be caused by irritation and swelling of the heart (myocarditis) or its outer lining (pericarditis). Inflammation can be caused by an infection or as a consequence of a heart attack, heart surgery. Pain in myocarditis or pericarditis is usually sharp, burning and localized in the center of the chest, in the sternum. Typical pain in the region of the heart when inhaling, on the background of coughing, on movement. Sometimes it decreases if the patient is sitting or leaning forward. nine0016
Hypertrophic cardiomyopathy (HCM). This is a thickening of part of the heart. If a person has this condition, the heart has to work harder to pump blood in and out of the heart, which can cause dull or aching chest pains. They can intensify under stress.

Other causes of chest pain

Pain in the region of the heart at rest is possible, which are of non-cardiac origin, but simulate cardiac pathology. These can be problems with the lungs (thromboembolism of the branches of the pulmonary artery, pneumonia, cancer) or damage to the intercostal muscles, costal cartilage (costochondritis), osteochondrosis. Then there will be soreness in the ribs, especially with deep breathing, aching or stabbing pain, malaise or weakness. With thromboembolism, there are breathing problems, severe shortness of breath, increasing dizziness, a feeling of lack of air. nine0003

It is not easy to recognize these pathologies, therefore, if any pain appears in the chest area, especially in the left shoulder blade, in the retrosternal space, above the heart area, you should immediately call an ambulance or consult a doctor.

Symptoms that call for an ambulance

The manifestations of different variants of acute coronary syndrome are similar, it is often impossible to distinguish between angina and heart attack only on the basis of symptoms.

Angina symptoms are quite typical. People usually have an attack of pressing squeezing pain under the shoulder blade or behind the sternum. People often interpret this sensation as discomfort or heaviness rather than pain. Discomfort can also occur in the shoulder or on the inside of either arm, extending through the back into the throat, jaw, or teeth. However, in people with unstable angina, the picture changes. There are more frequent or more severe attacks of pain, or attacks occur at rest or after light physical exertion. About two out of three people who have had a heart attack experience unstable angina, shortness of breath, or fatigue a few days or weeks before. This change in the nature of chest pain can lead to a heart attack. nine0003

In a heart attack, the most recognizable symptom is usually mid-chest pain, which may radiate to the back, jaw, or left arm. Less commonly, the pain spreads to the right arm. The pain of a heart attack is similar to that of angina, but is usually more severe, lasts longer, and is not relieved by rest or nitroglycerin. Less often, the pain is felt in the abdomen, where it can be mistaken for indigestion, especially because belching can provide partial or temporary relief. nine0003

For reasons unknown, women often present with atypical symptoms that are less likely to be accurately diagnosed as a heart problem. About a third of people who have had a heart attack do not experience chest pain. These are usually women, people over 75, those with heart failure or diabetes, and those who have had a stroke.

Other symptoms of an attack include feeling lightheaded or fainting, sudden heavy sweating, nausea, shortness of breath, and rapid heartbeat (tachycardia). nine0003

During a heart attack, a person may become restless, anxious, sweat profusely, and may experience a sense of impending doom. Lips, hands or feet may turn slightly blue. In the first hours of a heart attack, a heart murmur and abnormal heart sounds can be heard with a stethoscope.

Pain in the region of the heart: what to do

The first thing to do when pain occurs is to lie down or sit down, loosen the belts, shirt collar, bra elastic. You need to open windows or turn on the air conditioner to provide the patient with cool fresh air. It is also necessary to take drugs from the nitrate group (under the tongue or in the form of a spray), to calm down as much as possible. Against the background of first aid, you should immediately call an ambulance. nine0003

Diagnosing patients with frequent chest pain

ECG is the most important initial diagnostic procedure for frequent chest pain. ECG abnormalities help doctors determine the type of treatment needed. ECG abnormalities also help determine where the heart muscle has been damaged. If several ECGs taken over the course of several hours are completely normal, doctors consider a heart attack unlikely.

Measuring the levels of certain substances (called cardiac markers) in the blood can also help doctors diagnose an abnormality. These substances are normally found in the heart muscle, but only enter the bloodstream when it is damaged or dead. Most commonly measured are heart muscle proteins called troponin I and troponin T, and an enzyme called creatine kinase. Blood levels rise within 6 hours after a heart attack and remain elevated for several days. Cardiac marker levels are usually measured upon admission to the hospital and at intervals of 6 to 12 hours over the next 24 hours. nine0003

When ECG and cardiac markers do not provide sufficient information, echocardiography can be performed. It may show reduced mobility of part of the left ventricular wall. This suggests damage due to a heart attack. Other tests are used to determine if a person needs additional treatment or is more likely to have heart problems. For example, a person may need to wear a Holter monitor that records the electrical activity of the heart over a 24-hour period. This procedure allows doctors to determine if a person has abnormal heart rhythms (arrhythmias) or episodes of insufficient blood supply without symptoms (silent ischemia). nine0003

An exercise stress test (electrocardiography done during exercise) before or shortly after discharge can help determine how well a person feels after an attack and whether ischemia is ongoing.

During an exercise tolerance test (stress test), a person walks on a treadmill at an accelerated pace. The blood pressure cuff monitors blood pressure throughout the procedure.

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