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  • Title: [Genesis of the cardiac pain syndrome in patients with neurocirculatory dystonia].
    Author: Tuzlukov AP, Gorbatovskaia NS.
    Journal: Ter Arkh; 1986; 58(12):114-7. PubMed ID: 3824204.
    Abstract:
    Palpation of the chest-covering tissues was performed in 150 patients with neurocirculatory dystonia with complaints of pain in the cardiac region. In all the patients painful muscular consolidations of various size, shape and consistency were detected in the thickness of the pectoral muscles and at the sites of their transition into tendons. Direct correlation between the gravity of cardialgia and expression of the muscular pain syndrome was noted. In 98% of cases therapy aimed at the elimination of the muscular pain syndrome (repeated novocaine-hydrocortisone infiltrations) resulted in the correction or a significant decrease in a degree of cardialgia. The results obtained suggested that the cardiac pain syndrome in patients with neurocirculatory dystonia was mainly caused by local changes in the musculotendinous tissues of the chest.
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