The most important part of the history of chest pain is defining what makes the pain worse and less. Angina generally worsens with effort and is relieved by rest. If the patient notices that less effort is required to cause pain in cold climates or after eating a large meal, rajiv agarwal the pain is likely caused by coronary artery disease. Coronary heart disease patients often report pain caused by emotional stress or sexual intercourse. Pain that is pleurisy or caused by movement of the arms or trunk is less likely to be caused by coronary disorders.
A variety of mild to severe conditions, illnesses, or conditions can cause chest pain. This includes infection, heart attack, inflammation, trauma, malignancy, and other abnormal processes. Although heart problems are a possible cause, chest pain may also be due to lung disease, digestive problems, anxiety disorders, or an extracted muscle or tendon.
Chest pain can develop in some cases and can be mistaken for a heart attack. See the separate acid reflux and esophagitis folder for more information on symptoms and treatments . The main diagnostic consideration for acute chest pain is myocardial infarction, a life-threatening condition that requires immediate medical treatment.
People can describe chest pain as chest tightness, chest pressure, or burning or fullness in the chest. Chest pain can also be sharp, opaque, throbbing, crushing, torn, spasmodic, or painful. The blood supply to the heart muscle is generally reduced by atherosclerosis, the accumulation of fat plaque in the blood vessels that feed the heart. About 1 in 100 people are born with a coronary artery that begins in an unusual location. In rare cases, this abnormality can cause life-threatening symptoms. An abnormal coronary artery is the second most common cause of sudden cardiac death in children in the United States.
Obstructive small blood vessel disease for hospitalized patients can cause ischemia. Although such injuries are more common in diabetics, small vessel disease is a rare cause of chest pain. It should only be considered after the most probable etiologies are excluded.
For example, if you have chest pain from an infection, you may also experience fever and body pain. Problems with organs and tissues in the chest or abdomen, such as the lungs, stomach, esophagus, ribs, pancreas, gallbladder, muscles, and nerves, can also cause chest pain. Chest pain is a common symptom found in emergency medical services. Aspirin increases survival in people with acute coronary syndrome, and it is reasonable for EMS dispatchers to recommend it in people without recent severe bleeding. Supplemental oxygen has been used in the past for most people with chest pain, but it is not necessary unless oxygen saturation is less than 94% or there are signs of dyspnea.