Por: Dr. Francisco René Pesqueira Fontes
La costocondritis es motivo de consulta frecuente con el cardiólogo porque se confunde con angina de pecho o un ataque cardíaco. Esta es una inflamación del cartílago que conecta la costilla con el esternón, hueso central del pecho.
Puede presentarse en jóvenes y suele no tener causa aparente, algún golpe en el pecho, o tensión en el tórax al hacer ejercicio, y cuando se acompaña de hinchazón se conoce como Síndrome de Tietze. Desaparece por sí solo, lo cual puede tardar días o semanas.
Los síntomas son:
El dolor es continuo y se presenta del lado izquierdo.
Es agudo, punzante o da una sensación de opresión.
Afecta más de una costilla.
Empeora cuando respiras profundo o cuando toses, o te presionan en el sitio del dolor.
Se trata con reposo, calor local, analgésicos, antiinflamatorios, tipo ibuprofeno o naproxen.
A todo adulto con dolor en el pecho es conveniente tomarle un electrocardiograma y en algunos casos radiografía de tórax.
Dr. Francisco René Pesqueira Fontes es médico especialista en Cardiología y exdirector del Hospital General del Estado de Sonora
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