#SUDDEN CHEST PAIN IN WOMEN TRIAL#
Differential Diagnosis of Chest Pain DiagnosisĪt least two of the following findings: localized muscle tension stinging pain pain reproducible by palpation absence of coughīurning retrosternal pain, acid regurgitation, sour or bitter taste in the mouth one-week trial of high-dose proton pump inhibitor relieves symptoms Table 1 lists the differential diagnosis of chest pain.
Other considerations include pulmonary (e.g., pneumonia, pulmonary embolism), gastrointestinal (e.g., gastroesophageal reflux disease ), and psychological (e.g., anxiety, panic disorder) etiologies, and cardiovascular disorders (e.g., acute congestive heart failure, acute thoracic aortic dissection). The most common causes of chest pain in the primary care population include 3) :Īlthough in practice, costochondritis is often included in the chest wall pain category. Ĭardiac disease is the leading cause of death in the United States, yet only 1.5 percent of patients presenting to a primary care office with chest pain will have unstable angina or an acute myocardial infarction (heart attack) 2). Causes of chest painĪpproximately 1 percent of primary care office visits are for chest pain, and 1.5 percent of these patients will have unstable angina or acute myocardial infarction (heart attack) 1). The classic symptoms of heartburn - a painful, burning sensation behind your breastbone - can be caused by problems with your heart or your stomach. Pain that is persistently present for many hours.Pain that intensifies when you breathe deeply or cough.Pain that gets better or worse when you change your body position.A sour taste or a sensation of food re-entering your mouth.However, chest pain that is less likely due to a heart problem is more often associated with: It can be difficult to distinguish heart-related chest pain from other types of chest pain. Pain that lasts more than a few minutes, gets worse with activity, goes away and comes back, or varies in intensity.Crushing or searing pain that radiates to your back, neck, jaw, shoulders, and one or both arms.Pressure, fullness, burning or tightness in your chest.In general, chest discomfort related to a heart attack or another heart problem may be described by or associated with one or more of the following: Heart-related chest painĪlthough chest pain is often associated with heart disease, many people with heart disease say they experience a vague discomfort that isn’t necessarily identified as pain. Often, the cause has nothing to do with your heart - though there’s no easy way to tell without seeing a doctor. Chest pain SymptomsĬhest pain can cause many different sensations depending on what’s triggering the symptom. Treatment depends on the cause of the pain. Get immediate medical care if you have chest pain that does not go away, crushing pain or pressure in the chest, or chest pain along with nausea, sweating, dizziness or shortness of breath. Costochondritis – an inflammation of joints in your chest.Lung diseases, such as pneumonia, pleurisy, or pulmonary embolism.Digestive problems, such as heartburn or esophagus disorders.There can be many other causes, including: Heart attacks are more common in older people than younger people, but they can occur in people of any age. All chest pain is considered to be heart-related until proven otherwise. discomfort in the arms, shoulder, neck, jaw or backĬhest pain symptoms can range from a mild sensation, to a severe pain.discomfort or pain in the center of your chest – a heaviness, tightness or pressure, like an elephant sitting on your chest, or a belt tightening around your chest, or a bad case of indigestion.Warning signs of a heart attack could include:
Symptoms usually last for at least 10 minutes. They can come on suddenly or develop over minutes and get progressively worse. People having a heart attack may have just one of these symptoms, or a combination of them. If you feel chest pain but don’t have any of the symptoms above, it’s still a good idea to see a doctor as soon as possible, so your heart health can be checked. If you have any of the symptoms above, call your local emergency number immediately and ask for an ambulance.
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