“Chest pains have many underlying causes. Aortic dissection is also a medical emergency. The dissection may extend into the origin of the aorta and block off one or more of the coronary arteries, leading to a heart attack. ![]() The pain is usually described as a tearing pain in the chest, radiating to the back. This is due to splitting of the layer of the wall (dissection) of the aorta, the main artery in the body and is usually related to very high blood pressure. Pulmonary embolism is a medical emergency. The pain worsens when you cough or take deep breaths. The chest pains are often accompanied by breathlessness and a fast heartbeat. This condition reduces blood flow to the lungs and therefore oxygenation of the blood. Clots form in the veins of the leg and are dislodged into the arteries of the lungs. long distance travel in a coach or plane. This is associated with immobilisation of the legs for a long time, e.g. Pulmonary embolismĪ blood clot in a lung artery – a condition called pulmonary embolism – could also cause sudden, sharp chest pains. gastroesophageal reflux or peptic ulcer disease). Possible causes include: Injury, prolonged coughing, strained chest muscles, cartilage inflammation of the rib cage (costochondritis) and pain caused by the gastrointestinal tract (e.g. Chest wall painĬhest wall pain is generally harmless and felt as sharp pain or tenderness in the bones, cartilage or muscles that make up the chest wall. Related article: Heart Attack vs Cardiac Arrest - What's the Difference? 3. Radiating chest pain to the neck, arms, and shoulders.Heart attack chest painĬhest pains associated with an impending heart attack are more intense than angina pain and last longer than 15 minutes. It is usually resolved spontaneously but if the spasms are not controlled, it could lead to a heart attack. Chest pains are severe and happen at rest. Variant angina is caused by sudden spasms in the coronary arteries which restrict blood flow to the heart. Unstable angina signifies sudden progression of blockage of the artery due to breakage at the narrowing (rupture plaque) leading to clot formation (thrombosis). New onset stable angina or increasing frequency of stable angina, especially with lesser exertion, is also classified as unstable angina. It may progress to a heart attack when complete blockage of the coronary artery occurs. The chest pain could last as long as 30 minutes and does not go away with rest or medication. ![]() Unstable angina is more serious than stable angina and it can occur even at rest. It does not indicate an impending heart attack. Symptoms disappear immediately with rest or medication. Stable angina – lasts only a few minutes and occurs predictably during physical exertion such as climbing the stairs, or during mental or emotional stress.
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