Chest pain causes

Chest pain Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Kiran Singh, M.D. [2]

Overview

There are many organ systems, that when affected, can lead to the symptoms of chest pain. The most common organs involved are the heart, lungs, and the digestive system. Psychiatric disorders, can also lead to the perception of chest pain. The most important facet of diagnosis is distinguishing the life-threatening causes of chest pain, to the more benign causes.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

• Aortic dissection
• Coarctation of the aorta
• Hypertrophic cardiomyopathy
• Myocarditis
• Pericarditis
• Pulmonary embolism
• Spontaneous pneumothorax
• Unstable angina

Common Causes

• Achalasia
• Anxiety
• Costochondritis
• Depression
• Gastroesophageal reflux disease
• Pancreatitis
• Panic disorder
• Pneumonia
• Precordial catch

Causes by Organ System

Cardiovascular	Accelerated hypertension, acute aortic dissection, acute coronary syndrome, aortic aneurysm, aortic coarctation, aortic Stenosis, arryhthmias, atheroma, atrial fibrillation, atrial flutter, atrial myxoma, Bergman syndrome, Bernheim syndrome, Bland-White-Garland Syndrome, cardiac syndrome X, cardiomyopathy, cardiopulmonary resuscitation, chronic stable angina, cor pulmonale, coronary artery dissection, coronary heart disease, mitral valve prolapse, dilated cardiomyopathy, Dressler's syndrome, Eisenmenger syndrome, familial hypercholesterolemia, heart attack, Heller-dohle disease, hypertrophic cardiomyopathy, ischemic heart disease, isolated coronary artery anomalies, Kawasaki disease, left ventricular hypertrophy, myocardial infarction myocarditis, pericardial tamponade, non ST elevation MI, pericarditis, prinzmetal angina, ST elevation MI, stress cardiomyopathy, Takotsubos cardiomyopathy, unstable angina,
Chemical/Poisoning	bgcolor="Beige"	Dimethyl hydrazine|1,1-Dimethyl hydrazine, 1,2-Dibromo-3-chloropropane, acetonitrile, acrylonitrile, arsenic dioxide, arsenicals, carbon monoxide, lead
Dental	No underlying causes
Dermatologic	Herpes zoster, SAPHO syndrome
Drug Side Effect	No underlying causes
Ear Nose Throat	No underlying causes
Endocrine	No underlying causes
Environmental	No underlying causes
Gastroenterologic	No underlying causes
Genetic	No underlying causes
Hematologic	No underlying causes
Iatrogenic	No underlying causes
Infectious Disease	Herpes zoster
Musculoskeletal/Orthopedic	SAPHO syndrome
Neurologic	No underlying causes
Nutritional/Metabolic	No underlying causes
Obstetric/Gynecologic	No underlying causes
Oncologic	No underlying causes
Ophthalmologic	No underlying causes
Overdose/Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	wegner's granulomatosis,
Renal/Electrolyte	Wegner's granulomatosis,
Rheumatology/Immunology/Allergy	Wegner's granulomatosis,
Sexual	No underlying causes
Trauma	No underlying causes
Urologic	No underlying causes
Miscellaneous	Air embolism

Causes in Alphabetical Order

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