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Overview

Chest Pain: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Chest ache is a sudden sharp, piercing pain which often heralds the signs of a serious heart-related issue. Chest pain could vary depending on the intensity, duration, location and quality. Aside from heart attack which occurs due to blocked blood flow, chest pain could also be a cause of various other heart related disorders. These are- angina, which occurs as a result of blocked blood vessels; pericarditis, swelling of the pericardium sac membrane encircling the heart; myocarditis, swelling of the myocardium heart muscle; cardiomyopathy, a disease of the heart that causes it to become enlarged; aortic dissection, tearing of the aorta. Chest pain can also be caused as a result of heartburn, esophagus disorders, pneumonia, blood clot, chronic pain and the inflammation of the pancreas.

The treatment for chest pain includes both surgical procedures as well as taking of medications such as nitroglycerine (which is an artery relaxer, that enables the blood to flow more easily through these narrow spaces), aspirin, drugs that help to bust clots (these drugs dissolve the clot that is inhibiting the blood flow to the heart), blood thinners, acid suppressing medications and antidepressants. The surgical procedures include angioplasty, balloon and stent placement treatment. All of these methods open the blocked blood vessels after a narrow tube is inserted into the largest blood vessel in the groin region. Other procedures include bypass surgery (in case of a blocked artery this surgical method creates another route for the blood to flow), dissection repair (in case of aortic dissection, this method repairs the ruptured artery carrying the blood) and lung reinflation (this method inflates the lung by inserting a tube).

How is the treatment done?

On experiencing chest pain it is advised that you call for an ambulance or your health care provider. Explain the symptoms, your medical history and the medications that you may be already taking. At the outset you will be required to undergo physical assessment tests that involve doing an ECG (electrocardiogram), some blood tests, Chest X-ray and CT scans to determine whether your chest pain is due to a heart attack. On the basis of the results of these tests you will be required to undergo certain follow up tests such as echocardiogram, computerized tomography (CT scan), stress tests and coronary catheterization (angiogram). At the hospital your caregiver will administer certain drugs (such as aspirin, heparin) to you to arrest the formation of blood clots. These medications prevent the already formed clots from getting any larger. Due to their working nature these drugs are known as anti-coagulants.

During the post-emergency phase depending on the seriousness of the chest pain your doctor will prescribe the medications to you. If you are diagnosed with angina you might be prescribed nitroglycerine. These are nitrates that relax the arteries by allowing more blood to flow and also help to reduce the chest ache. When taking this drug you need to dissolve one tablet under the tongue or use a spray.

Who is eligible for the treatment? (When is the treatment done?)

People who suffer from chest ache and are within the age group of 45-65 years are eligible for treatment of chest pain which includes taking medications and other surgical procedures.

Who is not eligible for the treatment?

Those who are below 45 years and above 65 years should take caution when undergoing treatment for chest pain. Also people who are allergic to certain drugs and especially nitroglycerine should avoid going for this kind of treatment and instead discuss alternatives with your doctor. Also people who are diabetic or those with a weak heart muscle should avoid opting for an angioplasty treatment.

Are there any side effects?

Side effects of taking nitroglycerine include headache, rapid heartbeat, feeling of nausea and vomiting, skin rash and dizziness. Serious side effects include a rapid fall in blood pressure levels.

Angioplasty though effective in reducing the chances of a heart attack does involve some risks. For example people may experience continuous narrowing of the arteries. There is the risk of damaging your coronary arteries, to your kidney. There is risk of having a stroke while undergoing treatment. There is risk of bleeding which may require you to take blood transfusion. There is the risk of blood clots as well as irregular heartbeat.

in case of bypass surgery you may experience reactions such as infection and bleeding at the site of the surgery, fever, stroke or even death and adverse reactions to anaesthesia.

What are the post-treatment guidelines?

There are certain post-treatment guidelines for chest pain. If you have undergone an angioplasty treatment for example, you need to take your medications regularly. Ensure to never stop taking your anti-clotting medicines before discussing with your doctor as these are extremely essential to keep the chances of heart attacks or strokes in check. It is necessary that you go for a physical check-up that comprising of an ECG and some laboratory tests, a week after completing the treatment. You should avoid any high-impact exercises or lifting any heavy objects for at least a month after the treatment. Adopting a healthy lifestyle and diet is also of utmost importance. Should you experience any pain in the chest or any side effects to the medications you are taking you should immediately go see your doctor.

How long does it take to recover?

Post an angioplasty treatment it takes about 4 days for the patient to resume normal activities. Avoid lifting heavy objects for at least 4 weeks after the treatment. You can resume your sexual activities at least 4 days after.

What is the price of the treatment in India?

An angioplasty treatment in India for example could cost you about 2-4 lakh on an average. And if you’re a foreigner looking to treat yourself or anyone you know in India, the cost of angioplasty will be at least 50 % more as compared to an Indian treating himself/herself in India.

Are the results of the treatment permanent?

If you have undergone an angioplasty treatment then the effects of the treatment could last long enough to prevent the chances of a stroke or heart attack for a considerable period of time. However you may experience the narrowing of arteries once again. In certain cases where people adopt a healthy lifestyle then the results of the treatment may be permanent.

What are the alternatives to the treatment?

If you are looking for more natural or herbal options as opposed to medications to treat your chest pain problem then you need to exercise on a more or less regular basis to keep your heart healthy. You should immediately stop the habit of smoking (i.e., if you have it), have a more nutritious diet consisting of fresh onion and garlic, whole grains, fruits, vegetables, lean proteins and fish high in omega 3 fatty acids.

Safety: Low Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Very High Time For Recovery: Medium Price Range: Rs.100000- 300000

Popular Health Tips

Can Smoking Affect Your Heart?

Dr. Anupam Goel 87% (39 ratings)
MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
Can Smoking Affect Your Heart?
Smoking can affect your health in all respects, and it is no different when it comes to your heart. Smokers are almost twice as likely to have heart problems compared to individuals who do not smoke. How does smoking cast an impact on your cardiac health? Smoking increases the risk of developing various kinds of cardiovascular issues such as stroke and coronary heart disease. It damages the lining of the arteries which, in turn, paves the way for building up of fatty substances called atheroma which narrows down the artery. This may lead to heart attack, stroke, and angina. Tobacco contains carbon monoxide which reduces the amount of oxygen in the blood. This indicates that the heart has to work harder for supplying the required amount of oxygen. Cigarettes also contain nicotine which stimulates the production of adrenaline. This instigates the heart to beat at a faster pace and raises the blood pressure. The chemicals present in the smoke of tobacco can harm your blood cells and retard the normal functioning of the heart. When not inhibited, it can lead to atherosclerosis. Atherosclerosis is an ailment in which a waxy material, termed as plaque builds up in the arteries and limits the flow of blood to different parts of the body. When plaque builds up for a long span of time, it causes coronary heart disease, and you are likely to experience symptoms such as heart failure, chest pain, heart attack, arrhythmia and heart failure and even death. Smoking is a major risk factor for another fatal ailment called the peripheral artery disease or PAD. PAD is a clinical condition where the accumulation of plaque in the arteries inhibits carriage of oxygen-rich blood to the head, different organs, and limbs. With regular smoking, the blood is more susceptible to clotting which surges the risk of having a stroke or heart attack. Is there any effect of second-hand smoking? Second-hand smoking, also referred to as passive smoking means inhaling the smoke ejected while smoking. When a person is regularly exposed to smoke, he or she is likely to have low levels of good cholesterol, damaged heart tissues, and high blood pressure. Various researchers are of the opinion that second-hand smoke of tobacco is a viable cause of heart ailments in nonsmokers. This means, if you are a smoker, you are definite to harm the members of your surroundings. Why should you quit smoking? One of the best ways to decrease the risk of having cardiac ailments is to stop smoking. In case you have never smoked, you should never think of starting it for the same reason. You should also try to avoid second-hand smoke by avoiding going to a smoking zone. It would be a great idea to avoid the company of smokers for the periods when they are smoking. Stay away from smoking for your heart health.

4 Signs Of Heart Attack in Women!

Dr. Sunil Beniwal 88% (50 ratings)
MBBS, MD - Internal Medicine, DM - Cardiology
Cardiologist, Jaipur
4 Signs Of Heart Attack in Women!
Women, who have been thinking that cardiac diseases are something that doesn t need much attention, then you have tragically mistaken. As a matter of fact, these are the diseases which most women aren t too aware of. However, it is affecting a lot of women all over the world. The most common issue in cardiology, particularly among women is a heart attack. The first thing that we should know is that Cardiovascular diseases like heart attack are killing as many women as men. Studies show that women are suffering from heart attack three times more than that of breast cancer. The main reason that creates this higher toll is that the disease may be different in women. However, in the case of men, it stays more localised. In the case of women, the disease is diffused and spread out, but it can be treated. You cannot seek immunity only through pills: We should be aware of the fact that pills will help you to curb the chance of having a heart attack, but again doctors claim that the risk does hike quite significantly after the menopause in women. The pills in such case can create various side effects and eventually trigger more cardiac diseases. The formation of clots in blood are created by different kinds of hormonal contraception, which is the main reason for a potential heart attack in women. Heart attack symptoms in women: We all know that the classic heart attack symptoms include severe pressure on the chest and extreme chest pain. However, these symptoms can be quite subtle in case of women. So, here we are listing down 4 of the most common symptoms of heart attack for women and those are: Fatigue Shortness of breath Throat pain and jaw pain Pain in arms may be in one or both If you experience any one of these symptoms even, make sure that you go for a check immediately. Take quicker action as each minute that goes on during a heart attack is creating the death of a heart muscle. Smoking doubles the risk of a heart attack in women According to experts in cardiology, the most important fact that triggers a heart attack in women is smoking, which increases the blood pressure and causes the blood to pile up in your blood vessels, reducing the good HDL cholesterol which clots the blood and eventually results in a heart attack. You must be wondering about the favourable chances of having a heart attack for women. The fifth and final thing to know about a heart attack is that women who are weighing thirty pounds or more have more chances of heart attack.
11 people found this helpful

Achalasia - Can Autoimmune Disorders be the Reason Behind it?

DM - Gastroenterology, MD - General Medicine, DNB (Medical), MBBS
Gastroenterologist, Delhi
Achalasia - Can Autoimmune Disorders be the Reason Behind it?
The tube that carries food to your stomach from your throat is called the oesophagus. When the muscular valve (lower oesophagus sphincter) in the oesophagus fails to relax and carry the food to the stomach, the condition is termed as achalasia. Achalasia has a variety of causes, and can be difficult for your doctor to diagnose the exact cause. Some common causes of achalasia include: 1. Hereditary predispositions 2. Autoimmune disorders (The immune system erroneously destroys healthy cells in the body) 3. Nerve degeneration in the oesophagus There other medical conditions that often lead to symptoms identical to achalasia, such as oesophageal cancer and Chagas disease (an infectious disease caused by a parasite). Other symptoms of achalasia include: The most prominent symptom of achalasia is dysphagia, which is characterised by swallowing difficulties or sensations of food stuck in the oesophagus. Dysphagia often triggers coughing and shortness of breath or choking on food. 1. Discomfort or pain in the chest 2. Weight loss 3. Heartburn 4. Intense discomfort or pain after eating Some of the treatments include: Most of the methods to treat achalasia focus on the lower oesophageal sphincter (LES). The treatments used can either permanently alter the sphincter s function, or reduce symptoms. 1. Oral medications such as calcium channel blockers or nitrates are prescribed, which can relax the LES to let food pass through with more ease. Your doctor may also treat the LES with Botox. 2. For a more permanent treatment, the sphincter can be dilated or altered. In dilation, a balloon is inserted into the oesophagus and it is inflated. This will stretch out your oesophagus to improve function. 3. To alter the oesophagus, oesophagomyotomy is performed. It is a kind of surgery where minimal incisions are made to gain access to the LES, and then it is carefully altered to improve flow of food to the stomach. Unlike dilation, which can cause complications such as tears in the oesophagus, oesophagomyotomy has a greater success rate. However, certain complications may still arise, such as: 1. Acid reflux 2. Respiratory conditions that are caused by food entering your windpipe

How Homeopathy Helps Manage Chest Pain?

Dr. Anupam Kumar 89% (132 ratings)
B.H.M.S., P.G.Diploma in Maternal & Child Healthcare, Advance Paediatric
Homeopath,
How Homeopathy Helps Manage Chest Pain?
Chest pain is a common problem that most people experience. Chest pain can signal anything from a muscle cramp to even an impending heart attack. You should never ignore symptoms of chest pain as it can signal a serious underlying disorder. The details about chest pain are not described here as it is beyond the scope of this article. The focus is on various homeopathic remedies to treat symptoms of chest pain. Why homeopathy? Homeopathy is an alternative system of medicine that was started in the year 1796, by Samuel Hahnemann. It is based on the premise that the substance that causes a disorder, if introduced in the right quantity in the body, will cure the same disease. Compared to mainstream medicine, homeopathy products are not synthetic and are free from any side effect. Homeopathic remedies for chest pain: The homeopathic remedies that are given below not only treat pain effectively but also get rid of the actual cause of the pain. The best thing about these remedies is that they are completely free from any side effect, whatsoever. The various homeopathic remedies for chest pain are: Rhus Tox: This remedy is effective in treating pain that spreads to the shoulders from the chest; these symptoms tend to worsen in damp and cold weather. Arnica Mont: If you experience chest pain along with soreness in the body, this remedy is prescribed. Ranunculus B: In case of intercostal rheumatism wherein you experience pain in the muscle between the ribs, this remedy is usually recommended by the practitioner. Kali carb: Kali carb is used to treat stitching pain in the chest that worsens during the early hours of the morning. Rumex C: This remedy is used to treat pain that develops in the left lung, followed by coughing. Bryonia: For a stabbing or a burning chest pain that worsens when you move, Bryonia is considered to be the appropriate remedy. Phosphorus: This remedy is recommended when you experience heavy coughing and chest pain caused by pneumonia or tuberculosis. Carbo-veg: Carbo-veg is used to treat chest pain resulting from acidity, gas and indigestion. Robinia: This remedy is used to treat symptoms of chest pain that originates from behind the sternum (breastbone) as a result of acidity.
3338 people found this helpful

Tuberculosis - What Are The Reasons Behind It?

Dr. Prashant Saxena 89% (32 ratings)
MBBS, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine
Pulmonologist, Gurgaon
Tuberculosis - What Are The Reasons Behind It?
Although your body is already in possession of the bacteria leading to tuberculosis, your immune system is able to prevent you from becoming sick. Doctors have made a distinction between latent and active tuberculosis (TB). In case of latent TB, the bacteria in the body in a passive state and it causes no symptoms, and therefore it is not contagious. But, in the case of active TB, you would become sick and may even spread the disease to others. It can take place in the first few weeks or even after several months of being infected with TB bacteria. What are the symptoms of active TB? If you are coughing for over three weeks and sometimes even coughing up blood, it can be a sign of TB. Chest pain and pain while coughing and breathing along with fatigue, fever, chills and night sweat are the common symptoms of TB along with loss of appetite and unintentional weight loss. TB may even affect other organs of your body, including your brain, spine and kidneys. When TB takes place outside the lungs, then the signs of TB can vary as per the organs that are involved. For instance, TB in the spine can cause back pain and that in kidneys may cause blood in the urine. What are the causes of TB? TB is stemmed from a bacteria which spreads from individual to individual via the microscopic droplets that are released into the air. This may happen when an affected person is left untreated and he speaks or sneezes or coughs or laughs. Though the disease is contagious, it is not easy to be affected by it. As a result, you are much more likely to get affected with active tuberculosis from a person you live with or come in regular contact with, rather than a stranger. It is important to note here that people who are affected with TB and going through proper medications for over two weeks are no more contagious. Right from the 1980s, the number of individuals affected with TB has increased dramatically, owing to the spread of HIV, which is the virus known for causing AIDS. A person infected with HIV has a weak immunity system as a result of which it becomes difficult for the body to deal with TB bacteria. So those who have AIDS are more likely to be affected with active TB and sometimes the latent form also progresses to an active one very quickly. Therefore, it is important to seek medical assistance and detect if you have any such health complications concerning TB.
3244 people found this helpful

Popular Questions & Answers

There is something discomfort on left side of my chest area. My bones are paining in the middle of the chest area if lift weights or apply pressure. I have recently done ecg it’s normal. I am not understanding what to do. Why there is a discomfort in my left side of chest n why pain in chest bones I consulted many doctors they are saying need not worry but this discomfort n pain are worrying me.

Dr. Ambadi Kumar 93% (1393 ratings)
MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Pain in the chest may be due to several causes like cardiac, lung,muscle, bones,joints, thyroid disease, anxiety to name a few. The pain in the chest might not be originating from the chest. It may be a referred pain from your gut due to digestive issues ,wrong eating habits ,eating processed garbage foods not sleeping well, not exercising, not having bowel movement, stress at work and home history of smoking /tobacco / alcohol/ soft drink consumption eat home food / outside food cooking oil used. Vitamin deficiency needs to be ruled out minerals deficiency needs to be ruled out the problem the drs you have met have told you that nothing is there is because 1) They have not taken a detailed history of at least 1 hour to figure out what is your problem 2) they do not have any knowledge of nutrition and hence I presume they have not ruled out certain things 3) They do not think outside the box they have treated your symptom-chest pain with a temporary band aid fix they should have addressed the root cause of your problem which might be elsewhere which is a permanent fix what are the tests you have done and what are the results what is your job and the nature of your job without all these information no Dr. Can give any specific advice You will require certain supplements. Your Gut is your gateway to health. So take a consult after sharing name and working number and solve your issue naturally without medicines with diet and lifestyle changes Remember You cannot fix your health without fixing your diet.

Sir I tested my cbc at thyrocare in 23 Jan 2018 My TLC 5.24,RBC-5.52, HB-17.4 MCHC-34. 6TPC-305 & OTHERS ARE WITHIN REFERENCE RANGES again ON 16 -02-2018 at S.C.B medical college THE RANGES ARE WBC-8.68,RBC-5.48,HGB16. 1,HCT-45.4% MCV82. 8 MCH-29.4 MCHC-35.5 PLT-386 RDW SD-38.5 RDW-CV-12.8 PDW-11.5 MPV-10.0 PLCR -25.9 PC TO. 39+ NEUT-6.08 LYMPH-2.15 Mono-0.28 EO 0.15 BASO-0.02 Dear Dr. my symptoms are Pain in my neck, shoulder,upper back both side of spine. Lower back ,hips&legs. Tingling pin prick all over. Trembling of muscles ,chest pain, breathing problem, dizziness ,lightheadedness, always flu like with mild temperate body (99-100) degree occasionally night sweat in past. Vertigo,balance problem, headache, head heaviness, nasal congestion, sometimes hoarse voice ,unable to see an object pointedly. Burning sensations all over ,body hot. Stress anxiety&depression, unable to sleep deep etc then several abdominal issues like upper abdominal pain with bloating, gas formation, sour eructation, sever indigestion, sour&dry mouth &tongue sever acid reflux ,loss of appetite etc My HAL B27 negative, crp,RA FACTOR negative EMG&NCV ,ECHO, ECG,TMT xray of pelvis spine &CHEST were ok last yr. REALLY I am very very serious about it. Whether it be cancer or any other please guide me without any delay. My age is 35 years. Regards.

Mr. Gnanaranjan Das 88% (363 ratings)
Occupational Therapy (OT)
Occupational Therapist, Jaipur
1- Mr. lybrate-user first & foremost thing is leave worries and feel good you are free from all disease according to science but according to you it's different. Your condition is somatization/ depression/ stress. So don't go for further medical investigation as all will come normal. 2- But nobody helps to send you the place where you should consult because you might feel discrimination. 3- Don't hesitate to consult a Psychiatrist, SCB medical college Cuttack is having well equipped Department. 4- Meet a psychologist so that you might avoid medicine that doesn't mean you should not take medication but make sure for first few days you go for few medication. 5- Enjoy life with your friends and try to leave life as a flow, talk to your close one whomever you share your emotions and try to leave life's recent adverse conditions as it is.

I am suffering from dry cough and chest pain please help me and solve my problem.

Dr. Col V C Goyal 94% (8917 ratings)
CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on 6. No smoking 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids medicine can not be advised for open question for medicine contact on private chat Good luck.

Hello Doctor, I am 29 years old. Last two days my left chest (heart side) is paining and my back shoulder blade also. But no sweating and breathing well. And self has taken ECG. Seems to be normal. But in a single point if I am touching it is paining. I am pleasing your help.

Mr. Mangala Roy 92% (418 ratings)
Master of Hospital Administration, DTM&H, MBBS
General Physician, Kolkata
Get hot &cold water on the left shoulder &if needed exercise on the left side, might take one pain killer after food.

Health Quizzes

Chest pain - How to manage it?

Dr. Sidharth Verma 88% (36 ratings)
MBBS, MD - Anaesthesiology, DNB Anaesthesiology, PDCC - Pain Management
Pain Management Specialist, Mumbai
Heavy exercise can lead to a heart condition that causes chest pain. True or False? Take this quiz to know now.
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Chest pain- Top things to keep in mind!

Dr. Jitesh Arora 91% (55 ratings)
MD - Cardiology, PG Diploma In Clinical Cardoology
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The symptoms of heart attack can have huge variations. True or False. Take this quiz to know now!
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Chest Pain - Can Bad Lifestyle Lead To It?

Madhavbaug Clinic 88% (22 ratings)
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Your lifestyle plays a large role in your risk of chest pain. True or false? Take this quiz to know more.
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Chest pain and homeopathy

Dr. Rushali Angchekar 95% (53876 ratings)
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Consuming aerated drinks can cause the symptom of chest pain. True or False? Take this quiz to find out.
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Chest Pain - What To Do?

Dr. Balaji Ramagiri 89% (183 ratings)
MBBS, DM - Cardiology, MD
Cardiologist, Hyderabad
Acid reflux can lead to chest pain. True or false. Take this quiz to know more.
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