Chest Pain

Chest pain appears in many forms, sometimes sharp or sometimes dull. Sometimes as like crushing or burning pain. Sometimes pain travel up to the neck, into the jaw, radiates to the back or down, or to the one or both arms. The life threatening causes of chest pain include Heart and Lungs. Because chest pain can indicate a serious problem, so it’s important to visit a Physician. 

Types Of Chest Pains

I am classifying chest pain into 2 broader types to make it easy to understand, which are as follows:

  • Heart related chest pain.
  • Other types of chest pain include digestive related, muscular or bone related, lungs related etc.
Types Of Chest Pain

In this blog we are taking Heart related chest problems under consideration.

Symptoms of Heart related chest pain

Symptoms varies with the type of chest pain. The most common symptoms of heart related chest pain’s patients are as:

  • Radiating pain to the back and up to the neck, jaw, shoulders and on one or both arms.
  • Burning, tightness, pressure, or fullness in chest. 
  • Shortness of breadth.
  • Dizziness or weakness.
  • Nausea or vomiting.
  • Pain remain for more than few minutes, get worse with activity, and different in intensity.
  • Patient feel episodes of pain, pain goes and come back. 
Typical symptoms of Heart related chest pain 

Causes of Heart related chest pain

There are many factors that can lead to cause Heart related chest pain. The most important and commonly occurring causes are:  

  • Pain may be due to Heart Attack, because of the blockage of blood to the heart muscles due to any obstruction.
  • Pain may be Angina. Chest pain caused by poor blood flow to the heart. This may be due to deposition of cholesterol on the inner walls of the arteries that supplies blood to the heart, causing narrowing of vessels which resists blood flow to the heart, especially during exertion. 
Diagrammatic presentation of cause of Angina 
  • Pain may be due to Aortic Dissection. Aortic Dissection is the cutting or tearing of aortic layers in which blood enters and can cause the Aorta to rupture. This is a life threatening condition.
Diagrammatic presentation of Aortic Dissection 
  • Pain may be due to Pericarditis. It is the inflammation of sac or envelope that surround the heart. It cause sharp pain, and become worse when you breathe in or lie down.
Diagrammatic presentation of Pericarditis

Diagnosis

Making a proper diagnose is the first and most important step towards the treatment of the patient. If patient comes to you clinic or hospital with pain in the chest, first you have to make assure that is it heart attack or not because this is the most important and life threatening condition. Then you will also make sure that is it any life threatening problem related to lungs or not. These 2 investigations are very important because first you have to try to save the patient’s life.

you can also recommend these lab investigations to make your diagnosis in proper direction:

  • Blood test
  • ECG (Electrocardiogram)
  • Chest X-Ray
  • CT scan
  • Echocardiogram
  • Angiogram

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