After road side accident (Head injury), chest pain is second most common reason of emergency in medical life.If you have a feeling of heavy pressure and tightness in thoracic region, it’s clear indication of chest pain.Angina or heart attack is also other form of chest pain but it is due to heart or its vessel related issues.
Common causes of chest pain
The possible causes of chest pain due to defects of other organs are divided into different groups, listed below:
Chest pain due to heart issues
The taking after are heart-related causes of chest pain:
⦁ Angina, which is chest torment caused by blockages within the blood vessels driving to your heart Heart attack,which may be a blockage of blood stream to the heart
⦁ Pericarditis, which is an aggravation of the sac around the heart Myocarditis, which is an irritation of the heart muscle Cardiomyopathy, which could be a illness of the heart muscle
⦁ Aortic dismemberment, which may be an uncommon condition including a tear of the aorta, the expansive vessel that comes off of the heart
Chest pain due to Gastrointestinal issues
Chest pain causes linked to gastrointestinal issues are given below:
⦁ Acid reflux, or pyrosis
⦁ Inflammation of the gallbladder or pancreas
⦁ Swallowing problems interconnected with ailment of the esophagus
Chest pain due to Lung issues
Basis of chest pain are coupled with lungs are following:
⦁ A blood clot, or pulmonary embolus
⦁ Viral bronchitis
Chest pain due to Muscle- or bone-related issues
The following are origin of chest pain associated with the muscles or bones:
⦁ Compression rupture causing weight on a nerve
⦁ Bruised or broken ribs
⦁ chronic pain syndromes owing to muscles issues
Shingles can cause chest pain.Sometime, backache or related region also like that chest pain
Panic attacks can also cause chest pain
How is chest pain diagnosed?
⦁ An electrocardiogram (ECG or EKG), which informs you cardiac functional activity
⦁ Blood tests, which measure enzyme levels.
⦁ A chest X-ray, which is utilized to look at your heart, lungs, and blood vessels.
⦁ An echo cardiogram, which employments sound waves to record moving pictures of the heart.
There are different varieties of tests to diagnose reasons behind chest pain
⦁ An electrocardiogram (ECG or EKG)
An electrocardiogram (ECG) is a simple test that can be used to check your heart’s rhythm and electrical activity.When chest pain occurs then first test /procedure is done in emergency room is ECG to differentiate that cause of chest discomfort is either myocardial infarction or not. SOB palpitations backache and pain spreading to left arm shoulder or sometime in abdominal region are main symptoms of chest pain due to heart problems.
⦁ Blood tests must be done to check the certain proteins present in cardiac muscle.In case of heart attack,cardiac cells are damage and proteins or enzymes leaked from cariac muscles, into your blood over a period of time.Cardiac enzyme tests (including troponin tests) are most common type of it.
⦁ Imaging tests
⦁ Chest X-ray
⦁ If there is chest pain then chest X-ray after ECG is an important test that provides basic information on the possible causes of chest pain.
⦁ A chest X–ray helps you to determine whether you have heart problems, a collapsed lung, pneumonia, broken ribs, emphysema, cancer or any of several other conditions.
CT scan Chest: To distinguish source of chest pain and its interconnected symptoms like pyrexia,cough,rhinitis and shortness of breath, CT scan chest is gold standard test.It not only find lesion and carcinoma of lungs but also disease associated with other organs like primary and secondary malignancies.
MRI which is utilized to explore for harm to the heart or aorta
⦁ Chest MRI is not a common test as like CT chest bit it give point by point data to analyze lung issues for instance blood vessel issues and irregularity of lymph nodes (lymphadenopathy).
⦁ Echocardiogram which uses sound waves to record moving images of the heart Echocardiography is a test that uses sound waves to produce live images of your heart. The image is an echocardiogram.This test permits your specialist to screen how your heart and its valves are working. issues with the aorta, which is the most course associated to the heart.
⦁ Stress tests A stress test is used to help diagnose and evaluate heart problems such as ischemic heart disease, heart valve disease, or heart failure. this test is recommended if symptoms of a heart problem, such as shortness of breath, chest pain, dizziness, and a rapid or irregular heartbeat.
⦁ A Coronary Angiogram is used to look for blockages in specific arteries and Symptoms of coronary artery disease, such as chest pain (angina) Pain in chest, jaw, neck or arm that can’t be clarified from other tests.
How is chest pain treated?
Chest pain treated with medication, noninvasive procedures, surgery, or a combination of methods. Treatment depends on the cause and severity of chest pain may need any of the following:
⦁ medications,which may include nitroglycerin and other medicines that open somewhat closed courses, clot-busting drugs,or blood thinners. ·antacids or certain methods for corrosive reflux and acid reflux, which are utilized to treat the symptoms ·anti-anxiety solutions, which are utilized to treat chest torment related to freeze assaults
⦁ Acid-suppressing medications
Surgical repair of the vessels, which is additionally known as coronary supply route bypass joining or bypass surgery.
OTHER TREATMENT METHODS
⦁ cardiac catheterization, which may include utilizing inflatables or stents to open blocked arteries
⦁ Lung re-inflation for a collapsed lung, which your specialist will perform by embedding a chest tube or related gadget
When and what doctor to check?
Chest pain should never be taken lightly because chest pain can lead to feelings of concern or worry to other physical reactions.For example, chest pain is sometimes a symptom of anxiety. Often as a result of panic attacks or rapid reactions, chest pain is a cause for concern as there is a potential risk of heart attack and other heart conditions.
If you experience any of the following symptoms associated with severe chest pain, contact a Cardiologist without delay.
⦁ Pain radiating to shoulder and upper arm from chest region
⦁ Nausea, indigestion, heartburn or abdominal pain
⦁ Shortness of breath
⦁ Cold sweat
⦁ Lightheadedness or sudden dizziness
How can I prevent chest pain?
There are some types of chest pain which can be prevented, whether it is cardiac or non-cardiac, for example,
⦁ Cardiac chest pain can be prevented in people who refrain from smoking and live a healthy lifestyle. Contain low-fat diets, fiber and exercise.
⦁ In most people, non-cardiac chest pain is related to a problem with the esophagus, such as gastroesophageal reflux disease.Proton-pump inhibitors (PPI) are the most common treatment for non-cardiac chest pain caused by GERD.