Chest pain history and symptoms: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
The symptoms of chest pain can help to discern whether there is an underlying cause that may be dangerous. [[Symptoms]] that should cause alarm are; chest pain radiating to the back ([[aortic dissection]]), left arm or jaw pain, [[nausea]], [[vomiting]], lightheadedness, and [[angina]] pain that is different from baseline ([[myocardial infarction]]). Pain that is reproduced with [[palpation]], greatest in the [[abdominal]] region, radiating to lower extremities, brought on by [[inspiration]], or brought on | The symptoms of chest pain can help to discern whether there is an underlying cause that may be dangerous. [[Symptoms]] that should cause alarm are; chest pain radiating to the back ([[aortic dissection]]), left arm or jaw pain, [[nausea]], [[vomiting]], lightheadedness, and [[angina]] pain that is different from baseline ([[myocardial infarction]]). Pain that is reproduced with [[palpation]], greatest in the [[abdominal]] region, radiating to lower extremities, brought on by [[inspiration]], or brought on any movement or postural changes, is less characteristic of [[myocardial ischemia]]. | ||
==History and Symptoms== | ==History and Symptoms== | ||
===Chest | ===Chest pain suggestive of cardiac ischemia as the underlying cause: <ref name="pmid20380960">{{cite journal| author=Yelland M, Cayley WE, Vach W| title=An algorithm for the diagnosis and management of chest pain in primary care. | journal=Med Clin North Am | year= 2010 | volume= 94 | issue= 2 | pages= 349-74 | pmid=20380960 | doi=10.1016/j.mcna.2010.01.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20380960 }}</ref>=== | ||
*Describing the pain as heaviness, a pressure or a band like tightness. | *Describing the pain as heaviness, a pressure or a band like tightness. | ||
| Line 19: | Line 19: | ||
*A sense of impending doom. | *A sense of impending doom. | ||
===Chest | ===Chest pain not characteristic of myocardial ischemia: <ref name="pmid203809602">{{cite journal| author=Yelland M, Cayley WE, Vach W| title=An algorithm for the diagnosis and management of chest pain in primary care. | journal=Med Clin North Am | year= 2010 | volume= 94 | issue= 2 | pages= 349-74 | pmid=20380960 | doi=10.1016/j.mcna.2010.01.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20380960 }}</ref>=== | ||
*[[Myalgia|Muscular pain]]; reproduced with or brought on by shoulder and/or forearm movements or postural changes, | *[[Myalgia|Muscular pain]]; reproduced with or brought on by shoulder and/or forearm movements or postural changes, | ||
| Line 39: | Line 39: | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Mature chapter]] | [[Category:Mature chapter]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
Revision as of 15:17, 15 February 2021
|
Chest pain Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Chest pain history and symptoms On the Web |
|
Risk calculators and risk factors for Chest pain history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2], Nuha Al-Howthi, MD[3]
Overview
The symptoms of chest pain can help to discern whether there is an underlying cause that may be dangerous. Symptoms that should cause alarm are; chest pain radiating to the back (aortic dissection), left arm or jaw pain, nausea, vomiting, lightheadedness, and angina pain that is different from baseline (myocardial infarction). Pain that is reproduced with palpation, greatest in the abdominal region, radiating to lower extremities, brought on by inspiration, or brought on any movement or postural changes, is less characteristic of myocardial ischemia.
History and Symptoms
Chest pain suggestive of cardiac ischemia as the underlying cause: [1]
- Describing the pain as heaviness, a pressure or a band like tightness.
- Radiation of the pain to neck, jaw or left arm
- Sweating
- Nausea
- Palpitations
- Pain with exertion
- Dizziness
- Shortness of breath
- A sense of impending doom.
Chest pain not characteristic of myocardial ischemia: [2]
- Muscular pain; reproduced with or brought on by shoulder and/or forearm movements or postural changes,
- Pleura related pain (pleuritic pain); a sharp or knife-like pain brought on by respiratory movements as deep breathing or cough
- Primary or sole location of discomfort in the middle or lower abdominal region
- Pain that may be localized at the tip of one finger, particularly over the left ventricular apex or a costochondral junction
- Pain reproduced with movement or palpation of the chest wall or arms
- Very brief episodes of pain that last a few seconds or less
- Pain that radiates into the lower extremities
The relief of chest pain by administration of sublingual nitroglycerin in an outpatient setting is not diagnostic of coronary artery disease. For instance, esophageal pain can be relieved by the administration of nitroglycerin. Likewise, the relief of chest pain by the administration of liquid or chewable antacids and anti-reflux drugs does not exclude coronary artery disease as the underlying etiology of the pain.
References
- ↑ Yelland M, Cayley WE, Vach W (2010). "An algorithm for the diagnosis and management of chest pain in primary care". Med Clin North Am. 94 (2): 349–74. doi:10.1016/j.mcna.2010.01.011. PMID 20380960.
- ↑ Yelland M, Cayley WE, Vach W (2010). "An algorithm for the diagnosis and management of chest pain in primary care". Med Clin North Am. 94 (2): 349–74. doi:10.1016/j.mcna.2010.01.011. PMID 20380960.