Chest pain: causes, meaning and when to worry

It is true that chest pain should not be ignored, but it is also true that it can be caused by factors that are in reality not life-threatening

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So, when chest pain strikes, how do you know if you should go to the emergency room?

The truth is that there are no hard and fast rules.

In fact, up to 30% of heart attacks have symptoms that in reality go unnoticed by the patient.

This makes it virtually impossible to establish a solid set of guidelines.

So, if in doubt, go straight to the emergency room.

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However, to provide some instances where it is not necessary, here is a quick list of times when questioning the next steps is a bad idea:

  • You are 40 or older and have one or more risk factors for CAD (family history, smoking, obesity, sedentary lifestyle, high cholesterol, diabetes).
  • You are of any age and have a strong family history of early heart disease.
  • Pain can best be described by the terms ‘tightness’, ‘compression’, ‘heaviness’ or ‘squeezing’.
  • The pain is accompanied by weakness, nausea, shortness of breath, sweating, dizziness or fainting.
  • The pain ‘radiates’ to the shoulders, arms or jaw.
  • The pain is stronger than previously experienced.
  • The pain is accompanied by a sense of alarm or a feeling that something is terribly wrong (doctors often call this a ‘sense of impending doom’).
  • The pain worsens continuously during the first 10 or 15 minutes.
  • The pain is new: you have never experienced anything like it before.

The most important thing is to remember that when you decide to seek emergency medical attention for chest pain, you should go to the emergency room.

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Source

Beaumont Emergency Hospital

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