Chest Pain - Topic Overview
Chest discomfort or pain
may be a key warning symptom of a
heart attack. Heart attack symptoms may include:
- Chest pain or pressure, or a strange feeling in the chest.
- Shortness of
- Nausea or vomiting.
- Pain, pressure, or a
strange feeling in the back, neck, jaw, or upper belly, or in one or both
shoulders or arms.
- Lightheadedness or sudden
- A fast or irregular heartbeat.
Chest discomfort or pain that comes on or gets worse with
exercise, stress, or eating a large meal and goes away with rest may also be a
warning symptom of heart disease.
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, numbness,
tingling, or a strange feeling in your chest or other areas.
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.
- Angina (say "ANN-juh-nuh" or "ann-JY-nuh") is a type of chest pain or discomfort that happens when there is not enough blood flow to the heart. Angina is a symptom of heart disease that slows blood flow to the heart. Angina is called stable angina when it occurs at fairly predictable times, usually with activity or exertion. It is relieved by rest and may continue without much change for years. Stable angina develops after a predictable amount of exertion or emotion and usually lasts 1 to 5 minutes. A change in the usual pattern of stable angina means that the blood flow has become more impaired (called unstable angina). It is a warning sign that a heart attack may soon occur.
- 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.
- Costochondritis is an inflammation of the joints formed by the
cartilage connecting the ribs to the breastbone (sternum). The inflammation could
be caused by an injury to the chest, but often the reason for the inflammation
is not known.
- 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 or bruised lung 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.