Chest pain

Chest pain is pain, pain or pressure on the chest. Body parts that feel pain or stabbing can begin from the shoulders to the ribs. Rarely, pain can spread to the jaw, neck, and to the hand.

Chest pain should be taken seriously because it can be a symptom of various diseases, including heart disease. You should be alert if you feel chest pain and have risk factors for coronary heart disease, ie smoking, obesity, high blood pressure, diabetes, or cholesterol.

Chest pain

See your doctor if you experience repeated chest pain or do not improve because to determine the exact cause of careful examination is necessary.
Common Causes of Chest Pain
Chest pain is often associated with heart disease, but many chest pain is not caused by heart disease, such as digestive problems, muscle and bone. Here is an example of the cause of chest pain that is generally not considered to be serious:

    Injury to the muscles of the chest cavity or / and the ribs.
    Costochondritis or inflammation of the cartilage that connects the breastbone with the ribs.
    Stomach acid disease and heartburn (GERD).
    Infection of the nerves that cause rash.
    Disorders of swallowing or dysphagia.
    Mastitis or inflammation of the breast tissue.
    Herpes zoster infection.
    Gallstones or disorders of the gall bladder.

In addition to the above causes, there is also the cause of chest pain that is not related to the heart, but need to be addressed by the doctor are:

    Panic attack or anxiety - the heartbeat of the sufferer becomes very fast, shortness of breath and overwhelmed by great fear or anxiety
    Pneumothorax or the presence of air between the two layers that wrap the lungs, so that the lungs deflate and the sufferer is very difficult to breathe.
    Pulmonary embolus or formation of blood clots in the lungs of the lungs.

If you experience any of the above conditions you should immediately see a doctor to get emergency treatment.

Here are some signs of chest pain that are generally unrelated to the heart:

    The chest feels pain when coughing or taking a deep breath.
    Difficult to swallow.
    Chest pain when pressed.
    Heartburn or the food from the stomach rises back into the esophagus.
    Pain that gets worse or improves when changing body position.

If symptoms persist for three or more days, often recur, or get worse and very disturbing, then see a doctor.
Beware Chest Pain Due To Heart Disease
Chest pain can also occur due to heart problems such as angina and heart attacks. Angina occurs because of the narrowing of the arteries that supply blood to the heart muscle so that blood flow to the heart becomes limited. The heart does not get enough oxygen and eventually causes the chest pain.

If chest pain arises during physical activity and the pain soon disappears after resting, it is most likely angina. But if the pain lasts more than 15 minutes, you may have a heart attack. Heart attacks will make your chest feel like squeezed or pressed by heavy objects.

The main difference between angina and heart attack, among them are:

    Chest pain caused by angina is usually caused by physical activity, relatively mild, lasts less than 15 - 20 minutes and subside after taking medication for angina.

    The discomfort of a heart attack will continue despite the treatment of angina with nitroglycerine. Pain from heart attack can occur during sleep or rest, without the need to be triggered by heavy activity. Chest pain can also be accompanied by sweating, nausea, and pain that spread to the left arm or jaw.

Some of the symptoms that can signal heart attacks or other heart problems are as follows:

    The chest feels pain during physical activity and subsides with rest.
    Chest feels depressed or very sick.
    Pain that spreads to the arm, especially the left arm.
    Hard to breathe.
    The pain lasts a long time.
    Dizzy or feeling weak.
    A cold sweat.

If you experience chest pain with the above symptoms, see your doctor or to the nearest hospital.

Keep in mind that there are some people with heart disease who do not experience severe pain and only experience a slight discomfort in the chest. Therefore, please be on guard for those who are suffering from obesity, hypertension or high blood pressure, high cholesterol, diabetes or have a smoking habit. If you have one or more of these risk factors and feel uncomfortable on the chest, you should consult a doctor to make sure this is not a heart attack.

Pericarditis can also cause chest pain. Pericarditis is an inflammation of the sac that surrounds the heart. Pain or pain will get worse when lying down or inhale.

In addition to heart attacks, there are also conditions that can endanger life and cause chest pain, ie aortic dissection. This condition occurs when the lining of the main vessel wall of the body, the aorta, tear so that blood flow to the body is inhibited. Symptoms are severe chest pain, shortness of breath, loss of awareness of a very weak pulse on one side of the hand to paralysis on one side of the body (such as a stroke). This condition is fatal and requires immediate medical help.

Diagnosis of Chest Pain

If you experience severe chest pain, continue to recur or show no signs of improvement, the safest step is to see a doctor. With a doctor, the basic cause of your symptoms can be known and addressed as soon as possible. There are several tests or checks that can be done to diagnose chest pain, such as:

    X-ray. Scanning of the chest cavity is done to examine the shape and size of the heart, blood vessels, and lung problems.
    Electrocardiogram (ECG). Injured or injured heart muscle can not impulse normally, and this test is performed to check the electrical activity of the heart through electrodes attached to the skin.
    Computed Tomography (CT scan). This test is performed to check the aorta or the presence of blood clots in the lungs.
    Blood test. Blood tests are performed to check for elevated enzyme levels when there is injury or damage to the heart muscle.
Cardiac catheterization (angiogram). This test is done to check the blockage or narrowing of the artery that goes to the heart.
    Echocardiogram. Echocardiograms are performed to examine the structure and function of the heart by using sound waves that produce images.
    The stress training test. There are many types of stress tests that can be done. The purpose of these tests is to measure the response of blood vessels and heart to activity level.

Treatment of Chest Pain

There are 2 ways that doctors usually recommend for treatment, namely taking drugs and surgery. This decision will be adjusted to the conditions experienced by the patient.
A series of medicines the doctor prescribes are:

    Aspirin. Non-steroidal anti-inflammatory drugs (NSAIDs) are given to relieve or avoid heart inflammation.
    Nitroglycerin. Arterial tranquilizers given to angina sufferers or narrowed arteries of the heart.
    Blood-thinning drugs. This drug is used to thin blood clots in the heart or lung arteries.
    Acid acid suppressant. This type of drug helps to suppress the acid levels in the stomach so as not to rise into the throat until the lungs.
    Antidepressant drugs. This treatment is commonly prescribed to control the patient's emotions so as not to affect heart or lung activity.

Operations and other actions
If drugs do not help, some of the following surgery steps may be taken:

    Installing balloons or stents. This action is often done if there is a blockage in the heart, by dilating blood vessels so that blood flow can flow smoothly.
    Pulmonary Inflation. This action is usually recommended if the patient's lungs do not work optimally.
    Heart bypass surgery. To smooth the flow of blood in the heart, the doctor will divert one of the blood vessels in the body to replace the blocked heart artery.
    Improved aortic dissection. Emergency measures taken to repair or close dissection or rupture of the aortic blood vessels to prevent blood flow throughout the body.
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