This may include the neck, left or right arms, cervical spine, back, and upper abdomen. Chest pain may also radiate, or move, to several other areas of the body. Chest pain may present as a stabbing, burning, aching, sharp, or pressure-like sensation in the chest. Chest pain may also vary from person to person based upon age, sex, weight, and other differences. Ĭhest pain may present in different ways depending upon the underlying diagnosis.
Chest pain account for about 0.5% of visits by children to the emergency department. The cost of emergency visits for chest pain in the United States is more than US$8 billion per year. Of these, about 60% are admitted to either the hospital or an observation unit. In the United States, about 8 million people go to the emergency department with chest pain a year. Ĭhest pain represents about 5% of presenting problems to the emergency room. When the cause is unclear, the person may be referred for further evaluation. The response to treatment does not usually indicate whether the pain is heart-related. Initial treatment often includes the medications aspirin and nitroglycerin. Management of chest pain is based on the underlying cause. About 3% of heart attacks, however, are initially missed. Determining the cause of chest pain is based on a person's medical history, a physical exam and other medical tests. Other common causes include gastroesophageal reflux disease (30%), muscle or skeletal pain (28%), pneumonia (2%), shingles (0.5%), pleuritis, traumatic and anxiety disorders. Serious and relatively common causes include acute coronary syndrome such as a heart attack (31%), pulmonary embolism (2%), pneumothorax, pericarditis (4%), aortic dissection (1%) and esophageal rupture. Those with diabetes or the elderly may have less clear symptoms. Pain due to insufficient blood flow to the heart is also called angina pectoris. It can be divided into heart-related and non-heart-related pain. Associated symptoms may include pain in the shoulder, arm, upper abdomen, or jaw, along with nausea, sweating, or shortness of breath. It may be described as sharp, dull, pressure, heaviness or squeezing. Medical history, physical exam, medical tests Ĭhest pain is pain or discomfort in the chest, typically the front of the chest. Serious: Acute coronary syndrome (including heart attacks), pulmonary embolism, pneumothorax, pericarditis, aortic dissection, esophageal rupture Ĭommon: Gastroesophageal reflux disease, psychological problems such as anxiety disorders, depression, stress etc, muscle or skeletal pain, pneumonia, shingles Potential location of pain from a heart attack I suppose there might be exceptions where the person is suffering from two different conditions at the same time.Pectoralgia, stethalgia, thoracalgia, thoracodynia I think when chest pain and nausea are seen together, it's almost always a stomach issue. I've never heard of people having nausea while having a heart attack. Both my constant chest pain and nausea (and all other symptoms like stomach cramps, acid reflux and indigestion) disappeared after I was treated with antibiotics. Then I got tested for bacteria and was diagnosed with h.pylori. I had an EKG which confirmed that it was not heart related. I also thought that it was heart related at first because I have high blood pressure and heartburn really can mimic a mild heart attack. March 28, I experienced these symptoms all the time when I had GERD. My brother-in-law had nausea, chest pain and vomiting for months, it turned out he had gallbladder stones. March 28, Gallbladder issues can also cause these symptoms.
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