Chest Pain - Topic Overview
Chest pain and heart attack
Chest discomfort or pain
may be a key warning symptom of a
heart attack. Heart attack symptoms may include:
If you have any of these symptoms of a heart attack,
call911or other emergency services immediately. After you call 911, the operator may tell you to chew 1 adult-strength or 2 to 4 low-dose aspirin. Wait for an ambulance. Do not try to drive yourself. Since most of the damage to the
heart muscle during a heart attack occurs in the first 6 hours, emergency
treatment may prevent damage to the heart muscle and death. For men and women, the most common symptom is chest pain or pressure. But women are somewhat more likely than men to have other symptoms like shortness of breath, nausea, and back or jaw pain.
Chest discomfort or pain that comes on or gets worse with
exercise, stress, or eating a large meal and goes away with rest may be a
warning symptom of heart disease. If you are having this type of discomfort or
pain now and you are not being treated for
angina, call911or other emergency services immediately. After you call 911, the operator may tell you to chew 1 adult-strength or 2 to 4 low-dose aspirin. Wait for an ambulance. Do not try to drive yourself.
Other causes of chest discomfort or pain
fear that chest pain always means that something is wrong with the heart. This is
not the case. Chest discomfort or pain, especially in people who are younger
than age 40, can have many causes.
- Pain in the muscles or bones of the chest often
occurs when you increase your activities or add exercise to your schedule. This
is sometimes called
chest wall pain.
- Burning chest pain that
occurs when you cough may be caused by an upper respiratory infection caused by
- Burning chest or rib pain, especially just before a rash
appears, may be caused by
- An injury such as a
broken rib can be quite painful, especially when you
cough or try to take a deep breath.
- Swelling (inflammation) of the thin layers of tissue (pleura) covering the lungs and the chest wall may occur.
This is called pleurisy.
- Gastroesophageal reflux disease
(GERD) can cause pain just below the breastbone. Many
people will say they have "heartburn." This pain is usually
relieved by taking an antacid or eating.
Other, more serious problems that can cause chest pain
- A collapsed lung (pneumothorax),
which usually causes a sharp, stabbing chest pain and occurs with shortness of
- A blood clot in the lung (pulmonary embolism), which usually causes deep chest pain with the rapid
development of extreme shortness of breath.
- Lung cancer,
which may cause chest pain, especially if the cancer cells spread to involve
- Diseases of the spine, which can cause chest pain if the
nerves in the spine are "pinched."
Check your symptoms to decide if and when
you should see a doctor.