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Chest Pain

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Chest pain definition and facts

  • Chest pain is one of the most common symptoms that bring an individual to the emergency department. Seeking immediate care may be lifesaving, and considerable public education has been undertaken to get patients to seek medical care when chest pain strikes. You may be worried that you are having a heart attack, but there are many other causes of pain in the chest that the doctor will consider. Some diagnoses of chest pain are lifethreatening, while others are less dangerous.
  • Deciding the cause of chest pain is sometimes very difficult and may require blood tests, X-rays, CT scans and other tests to sort out the diagnosis. Often though, a careful history taken by the doctor may be all that is needed.There are many causes of chest pain, and while many are not serious, it may be difficult to distinguish a heart attack, pulmonary embolus, or aortic dissection, from another diagnosis that is not life-threatening, like heartburn. For that reason, individuals are routinely advised to seek medical evaluation for most types of chest pain.
  • While each cause of chest pain has classic symptoms and signs, there are enough variations in symptoms that it may take specific testing to reach a diagnosis. These tests will depend on the your current health and the healthcare professionals index of suspicion as to what the diagnosis might be.
  • Treatment for chest pain depends upon the cause.
  • It is best to be safe. Always seek medical care if you are having chest pain.

What are the sources of chest pain?

The following anatomic locations can all be potential sources of chest pain:

  • the chest wall including the ribs, the muscles, and the skin;
  • the back including the spine, the nerves, and the back muscles;
  • the lung, the pleura (the lining of the lung), or the trachea;
  • the heart including the pericardium (the sac that surrounds the heart);
  • the aorta;
  • the esophagus;
  • the diaphragm, the flat muscle that separates the chest and abdominal cavities; and
  • referred pain from the abdominal cavity including organs like the stomach, gallbladder, and pancreas, as well as irritation from the underside of the diaphragm due to infection, bleeding or other types of fluid.

There may be classic presentations of signs and symptoms for many diseases but they can also present atypically and there may also be significant overlap among the symptoms of each condition. Age, gender, and race can affect presentation and the health care professional must consider many variables before reaching a diagnosis.

Medically Reviewed by a Doctor on 12/1/2017

Source: MedicineNet.com
https://www.medicinenet.com/chest_pain/article.htm

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