chest pain

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chest pain

Etymology: AS, cest, box; L, poena, punishment
a physical complaint that requires immediate diagnosis and evaluation. Chest pain may be symptomatic of cardiac disease, such as angina pectoris, myocardial infarction, aortic stenosis, or pericarditis, or of pulmonary disease, such as pleurisy, pneumonia, or pulmonary embolism or infarction. The source of chest pain may also be musculoskeletal, gastrointestinal, or psychogenic. The use of illegal drugs such as cocaine may also cause chest pain. Over 90% of severe chest pain in adults is caused by coronary disease, spinal root compression, or psychological disturbance. Because of its association with life-threatening heart disease, chest pain causes extreme anxiety, which tends to mask other symptoms that would aid in diagnosis and treatment. Reassuring the person being examined assists in proper diagnosis. Evaluation of chest pain requires determining the quality of the pain-dull, sharp, or crushing, locating the site of the pain-in the center or side of the chest, and determining how long the pain has persisted, how it has developed, and whether it has occurred in the past. The patient is asked to describe the spread of pain to other parts of the body and to identify such factors as exertion, emotional distress, movement, eating, or deep breathing that aggravate or relieve the pain. If the pain is reproducible by palpation during physical examination, it is unlikely to be cardiac in origin. Specific cardiovascular conditions associated with chest pain are myocardial infarction, angina pectoris, pericarditis, and a dissecting aneurysm of the thoracic aorta. Musculoskeletal conditions include rib fractures, swelling of the rib cartilage, and muscle strain. GI conditions associated with chest pain include esophagitis, peptic ulcers, hiatal hernia, gastritis, cholecystitis, and pancreatitis.

chest pain

A general term for any dull, aching pain in the thorax, usually referring to that of acute onset, which is often regarded as being myocardial in origin unless proven otherwise

chest pain

Discomfort felt in the upper abdomen, thorax, neck, or shoulders. Chest pain is one of the most common potentially serious complaints offered by patients in emergency departments, hospitals, outpatient settings, and physicians' offices. A broad array of diseases and conditions may cause it, including (but not limited to) angina pectoris or myocardial infarction; anxiety and hyperventilation; aortic dissection; costochondritis or injured ribs; cough, pneumonia, pleurisy, pneumothorax, or pulmonary emboli; esophageal diseases, such as reflux or esophagitis; gastritis, duodenitis, or peptic ulcer; and stones in the biliary tree.
See also: pain

Patient discussion about chest pain

Q. I was in the ER because of a chest pain and the doctor there said its costochondritis. What does it mean? I am a 42 years old man. Last night i went to the ER because of a chest pain. The doctors there did many test and in the end they said its costochondritis. What does it mean? Can someone elaborate about the risk factors that can cause this symptom?

A. It seems that you are suffering from a traumatic injury to the skeleton that is near the heart which is called costochondritis. It can be a result of a simple trauma to the area or (as in my case, I am a rower) due to repetitive use of the muscles of the thorax and arms

Q. I still have chest pain after 5 angioplasties/stents. Does anybody else still have that much angina?

A. my uncle had the same problem. went through several catheterization at several different cardiologist (some are well known), but couldn't get this annoying pain off his chest. the weird part was that it didn't even reacted to effort. but eventually (i don't remember the stent amount) one of the cardiologist solved the problem. so don't give up and continue searching the cause!

Q. What is the differential diagnosis of chest pain in a 35 year old woman? I am a 35 years old woman. I suffer from chest pain for about 24 hours. I just came back from a trip to Europe, and i feel really bad. I smoke and I take anti contraceptive and i know that I am at a risk for pulmonary embolism or costochondritis. Cat it be something else?

A. The differential diagnosis of chest pain is very wide.
It can start in costochondritis if u carried a lot of luggage or might be pulmonary embolism if you didn't move from the chair all the flight. But it can also be a sign for an acute coronary syndrome (even at the age of 35) or a pericarditis. To be sure you need to consult with your GP.

More discussions about chest pain
References in periodicals archive ?
Because it's not chest pain, they'll be coming later," added O'Malley, who did not take part in the study.
Nausea and diaphoresis associated with severe chest pain are highly associated with acute ischemia, but elderly patients may have predominantly respiratory complaints.
These findings could provide clinicians with chest pain descriptors that Chinese patients are likely to express that could aid in the diagnosis of coronary heart disease or myocardial infarction.
Also in contrast to ACS patients, those patients who have cocaine-associated chest pain who do not have definite cardiac involvement might not need direct treatment of any hypertension and tachycardia they exhibit.
Seven out of 10 said doubt about the seriousness of the situation would stop them dialling 999, and 43% said they would prefer to wait and see if their chest pain gets better.
A non-produtve cough developed, along with mild shortness of breath and anterior chest pain on inspiration.
People in the throes of a heart attack usually experience a burning chest pain.
Upper gastrointestinal symptoms that can accompany running include heartburn, belching, nausea, bloating, and chest pain.
Persistent chest pain in women without angiographic evidence of coronary artery disease appears to be a problem that's physiologic rather than psychological in origin, according to new findings from the Women's Ischemia Syndrome Evaluation.
Researchers estimate that one in four emergency room visits for chest pain might be attributable to panic disorder (2) and that 57.
patent for a novel data processing system and method for evaluating medical treatment of chest pain patients.
It is estimated that patients with complaints of chest pain comprise close to 6 million emergency department visits annually in the United States, resulting in 2 million hospital admissions at a cost of approximately $8 billion.