Chest pain is uneasiness and/or sensitivity in/around the chest. As a rule, causes of chest pain are divided into heart-related chest pain and non-cardiac. In case of acute heart pain, a person should be immediately examined by emergency medical services as certain causes are life-threatening.
Depending on the cause, patients describe chest pain as harsh, blunt, burning, nagging, excruciating, a tight, pressing, or breaking feeling. It can spread to the back, neck, face and hands. Pain associated with cardiovascular system problems manifest with breathlessness, heavy sweats, vertigo, fatigue, and sickness.
Extracardiac disorders are present with a musty taste or a sense of food return, a difficulty swallowing and anxious breathing. Complaints may arise when the body position changes.What causes chest pain?
Cardiovascular associated problems:
To find the underlying cause of chest pains, the doctor must take into consideration the circumstances and examination details. Constant chest pain, which is not eased by nitrates, indicates spine injuries or neurological disorders.
Blood pressure, pulse and respiratory rates, temperature, oxygen saturation and listening for heart and lung sounds are the primary test. Elevated levels of serum troponin and D-dimer indicate heart muscle damage. Basic metabolic profile is helpful in emergency estimation.
Instrumental examinations include:
The correct preliminary evaluation of the pain syndrome determines the healing work and the prognosis. The most essential for the differential diagnostics of chest pains is the examination of the endurance, the hardness of the pain, analysis of provoking factors, the circumstances of pain relief, localization and other specific features. It must be remembered that modern laboratory resources and instrumental methods of investigation should be used to confirm the diagnosis.How to get rid of chest pain?
Sometimes treatment can be started even without an exact diagnosis. Treatment should be directed for a specific reason. In the case of acute life-threatening conditions, the patient should urgently be hospitalized.
When the chest pains are caused by strained muscles or a fractured rib it is recommended to rest and take a break from any work. Ice relieves pain and swelling. If the swelling is gone, the warm compress is preferable. Gentle stretching and massage reduce the complaints.
Medications used to treat the most common chest pain causes include:
Coronary arteries are kept open with angioplasty with stents to perform coronary bypass surgery. Surgical intervention is needed in case of a tumor, collapsed lung or rib fracture and injuries, and to restore an aortic dissection.How to prevent chest pain?
Hints to prevent cardiac and extracardiac chest pain:
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