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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

Heart Monitors - What Every Patient Needs To Know.

M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Durgapur
Heart Monitors - What Every Patient Needs To Know.

Heart palpitations have been one of the most common health issues that patients complaints and consult a physician for. In most cases, they are quite benign. But sometimes they could be symptomatic of an underlying heart condition. To diagnose them though, your heart activity needs to be monitored for a period of time. Hence, the use of a heart monitor to make a diagnosis is vital. Heart monitors are diagnostic tools that read the heart’s electrical activity which can be used to prescribe specific therapies and medications.

Types of Heart Monitors-

  1. Holter Monitors
  2. Event Monitors

A portable battery operated device can be worn for a period of 24-48 hours. With wires that have silver coin-sized electrodes that can be attached to your skin comfortably, they record your ECG continuously.

An event monitor records the patient’s heart rhythm and rates for a few weeks up to 30 days to determine the cause of a transient event. It is used to monitor patients whose symptoms are infrequent and unpredictable, to allow for a greater chance to capture an irregularity.

Worn throughout the day or two days, it is used to detect cardiac conditions like atrial fibrillation or a possible stroke When experiencing symptoms, the recording is initiated by the patient for a brief period to record the event.

How do heart monitors work?
Irregular heart rhythms can come and go. Heart monitors record heartbeat over a long period of time as you go about your daily, normal activities. It helps evaluate if your medications are working, if you have other symptoms like faintness, or if your heart is getting enough oxygen.

Difference between a fitness tracker and a heart monitor
A fitness tracker will only record your heart rate. A heart monitor tracks heart rate and also the more specific ECG information and heart rhythm.

Risks of heart monitors
There are no risk factors involved with the use of a heart monitor. Since the electrodes are taped to your chest with adhesives, if you allergic it may cause some mild skin irritation.

How to use a heart monitor?
A trained technician will attach the electrodes to your chest. You might have to shave a patch of chest hair to ensure that the electrodes attach firmly. Since they are portable, you will be able to carry it in your pocket quite easily or sling it across your shoulders. You will be required to keep a diary of your activities through the day. You will also have to make a note in your diary if you experience any symptom like dizziness, shortness of breath or chest pain. These notes will then be compared to the changes in your ECG recorded by your heart monitor.

Precautions
Since they are basically electromagnetic devices there are a few simple precautions one needs to take when wearing a heart monitor. They are-

  1. Remove the heart monitor before you take a bath or a shower, or go for a swim.
  2. Do not take an X-ray test while wearing the monitor.
  3. Keep away from high voltage areas, large magnets and metal detectors.

If the rhythm and rates of the monitor show an underlying symptom, your cardiac physician can then diagnose it. They are also helpful in diagnosing patients with severe anxiety and panic disorders. And since these monitors are connected to a database, they offer diagnostics in real time and with higher accuracy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3177 people found this helpful

Can Smoking Affect Your Heart?

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. In case you have a concern or query you can always consult an expert & get answers to your questions!

2338 people found this helpful

Sudden Loss Of Consciousness - Ways You Can Cope With It!

Non Invasive Services
Cardiologist, Mohali
Sudden Loss Of Consciousness - Ways You Can Cope With It!

When you see someone faint all of a sudden, it leads to chaos around, and you are perplexed not knowing the reason. The sudden fainting or loss of consciousness is Syncope. Syncopal episodes are generally prompted by an unexpected, momentary fall in the flow of blood to the brain, leading to a person passing out and losing muscle control.

Falling causes blood flow to return to the brain, resulting in the person regaining consciousness. The duration of Syncopal episodes is generally for a few seconds or minutes, and it can happen to anyone regardless of age. It does sound scary to lose consciousness suddenly but educating yourself about the signs and symptoms, and the possible causes are the best ways to cope with Syncope.

Symptoms
The trademark sign of syncope is that the patient regularly passes out. The symptoms leading to such a black out episode include:

  1. Legs feeling heavy
  2. Blurry vision
  3. Being puzzled
  4. Rising body temperature
  5. Dizziness and the person going pale
  6. Epigastric distress
  7. Nausea
  8. Sweating
  9. Vomiting
  10. Drop in blood pressure
  11. Weak pulse

However, the extreme symptoms include exertion, chest pains, labored breathing, lower back pain, heart palpitations, constant headaches, central neurologic shortfalls, diplopia and slurred speech.

Causes
Syncope can be triggered by an unresolved medical ailment or from sudden changes in the environment. Falling unconscious can also be caused by emotional stress. Other causes include severe pain or an uncharacteristically low blood sugar. Many people faint when they see blood. Syncope can also be prompted by extreme dehydration coupled with low blood sugar. Syncope can be due to a genetic disorder and can also be caused by a medicinal side-effect.

Ways to cope with Syncope
A person who has had syncopal episodes earlier must know a few things especially when he/she lives alone or while at work or outside. A few tips to manage when you feel a syncope episode is approaching:

  1. When you start feeling the symptoms react with anti-gravity approaches instantly. Either sit down with your head in between knees or lie down so that the blood flow to the brain is recovered.
  2. Seek for a safe and secure place to faint. This is crucial so that you are least hurt in case you fell unconscious.
  3. If you had fainted, when you regain consciousness take time to get on foot. Lie down for some more time and ensure that the blood flow is restored.
  4. Stay hydrated after the episode and it is a good practice to stay well-hydrated always.

Syncope is fairly common, but it is generally people above eighty face a larger risk of being hospitalized due to it the problem. In case one thinks that he or she is facing syncopal episode, they must consult a doctor immediately and get all the necessary tests done to handle it properly.

3856 people found this helpful

An Effective Guide To Bradycardia!

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
An Effective Guide To Bradycardia!

Bradycardia is a condition which in basic terms means slow beating of the heart. In most cases, the typical rate is 60 to 100 beats in a minute when the person is at rest. In case your heart beats less than 60 times in a minute, then it is slower than normal. But a slow heart rate is not always a health concern even though sometimes it could indicate issues with of the heart.

What could bradycardia mean?
Some people with slow heart rate or bradycardia tend to be very fit, and they have no underlying health issues. Athletes and healthy young adults often have a heart rate lower than 60. But in others, bradycardia indicates that the natural pacemaker of the heart is not working well, or the electrical pathways have been disrupted. In severe forms of the problem, the heart may beat so slowly that it fails to pump adequate blood for meeting the needs of the body. This may show some symptoms and could be fatally dangerous.

What are the causes of bradycardia?
There are various causes of bradycardia, and some of them include:

  1. Alterations in the heart which results from aging
  2. Health conditions that slow down the electrical impulse through the heart. This may include electrolyte imbalance, low thyroid levels, and others.
  3. Diseases which may disrupt the electrical system of the heart including heart attack, coronary artery disease, and myocarditis.
  4. Certain medications that are used for treating heart problems like high blood pressure or hypertension, arrhythmia, and beta-blockers, and digoxin.

What are the symptoms of bradycardia?
When a person has very slow heart rate, he or she may experience lightheadedness or dizziness, feeling short of breath, having difficulties in doing normal activities or exercising, having chest pain, feeling tired and fatigued. In some cases, it is seen that the person may have palpitations, feeling confused, trouble in concentrating and fainting.

What’s worse, some people don’t have any symptoms at all, or their symptoms are so negligible that they think they are caused just because of aging. The best way to understand whether you have this problem is to take the pulse, and in case, it is slow or uneven, you must talk to a doctor.

How is bradycardia diagnosed and treated?
Bradycardia tends to come and go from time to time, and therefore, a standard EKG is not always able to detect it. A standard ambulatory electrocardiogram is used for detecting the condition, and sometimes, blood tests are also necessary.

The treatment of bradycardia is entirely dependent on the cause of the problem and its symptoms. It is worthy of mention here that in case the problem is not causing any symptoms, then they would not be treated under usual circumstances.

2154 people found this helpful

Heart Attack - Did You Know Your Body Starts Giving You Signs A Month Before?

Multi Speciality
Cardiologist, Delhi
Heart Attack - Did You Know Your Body Starts Giving You Signs A Month Before?

A heart attack can wreak havoc, throwing a person's life completely off balance. The condition, also known as Myocardial Infarction, often catches a person unaware. As per a survey, close to 7.35 lakh people (both men and women) suffer from a cardiac arrest and associated disorders in the US every year. Early diagnosis and preventive measures can make a world of difference. Unfortunately, many people ignore or tend to miss out on the early symptoms of a heart attack.

A heart attack can be very much averted. All you need to do is, listen to your body and pay attention to the following warning signs. Act before it is too late.

  1. Indigestion, nausea: Nausea, vomiting or indigestion is important, yet most commonly ignored early symptoms of a heart attack. More common in women than their male counterparts, the symptoms are often mistaken for over exhaustion or stomach upset. Nausea, in particular, can be triggered by many conditions and hence the negligence. A person may also complain of stomach ache or heart burns.Though the symptoms may appear to be nothing serious, seeking an immediate medical assistance will not hurt either. A little alertness will only help you in the long run.
  2. Pain and discomfort in the chest: This is a warning that should be taken seriously by all means. The symptom can be an indication of a condition as serious as a blocked artery, an important trigger for a heart attack.
  3. Dizziness: Seldom will you find people losing their sleep over something as common as dizziness. While the lack of a sound sleep can make a person feel dizzy and light headed, the symptom (often accompanied by chest pain) could also be an outcome of a low BP (triggered by improper functioning of the heart). Look for the symptoms carefully and act accordingly.
  4. Sharp pain episodes: Many people experience a sharp pain that originates in the chest and gradually spreads outward towards the arms. The symptom is a clear indication of a heart problem, ignoring which will only spell doom. Sometimes the pain can also spread to the jaw or the throat.The symptom is a strong warning that your heart needs immediate care and attention.
  5. Sudden and unexplained sweating: Sweating due to hot and scorching summer is understood but unexplained sweating can be dangerous.
  6. Over exhaustion: If small or regular chores that you could do in the wink of an eye are suddenly leaving you tired and exhausted (climbing the stairs for instance), it is time for you to consult a doctor.
  7. Irregular heartbeat: The irregular beating of the heart can also be an indication of a heart problem.
  8. Swollen feet: A heart problem can interfere with the ability of the heart to pump blood. As a result, the affected person may have swollen feet, ankles, and legs.
  9. Cough: A cough that lingers for long (often accompanied with a pink mucus) is an important indication of a damaged or diseased heart. If you wish to discuss about any specific problem, you can consult a Cardiologist.
7802 people found this helpful

Popular Questions & Answers

I am suffering from anxiety from last two years. I feel like I am going to die soon. This is worst. I had chest pains .I gone through lots of eggs and tests but all came normal. How can I come out from this.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi lybrate-user First of all anxiety never kills any body Second seek treatment consult me or any psychologist for anxiety management You will be fine All the best.
7 people found this helpful

My friend is 24 years old and he is having BP problem hes BP not coming under control. He feels dizzy and unconsciousness type and he has pain in chest. What should he do. Please help me. How shud it be cured?

DM - Cardiology, MD - Medicine
Cardiologist, Bangalore
Uncontrolled BP at Such young age usually has some secondary causes. Kindly visit a cardiologist and get thoroughly evaluated for Resistant Hypertension. Get evaluated and treated in time, as over long term high BP can damage other organs like Kidneys, heart and brain too.
4 people found this helpful

I am suffering from allergic bronchitis with rhinitis. Symptoms are shortness of breath, blocked nose and mild chest pain occasionally. I have taken medicine but condition do not seem to improve. What is the best treatment for it?

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
laba and ICS combination by inhalation with spacer, use INS for blocked nose with montelukast with levocetrizine combination as oral tab

Sir, my body shivers often since seven years (like this require to sprout but a resistance occurs) I feel in middle inside chest, paining or effecting. I feel weakness for this chest effect. I am bicycle rider to move, it could unbalance me. I also can expect prescribes, please help. Age-35.

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
Get a checkup with physician or Cardiologist including ecg BP and general examination. You may be prescribed tests like Echo and TMT based on the results.
1 person found this helpful

I have acid problems. My stomach too much heavy after eat. My tummy always feeling like burning inside. Feeling suffocated and pain in chest. High heart beat and bp. Chakkar atay hai.Please kuch suggest kare.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
What you are having is Gastroesophageal reflux disease Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak backwards from the stomach into the esophagus (the tube from the mouth to the stomach). This can irritate the esophagus and cause heartburn and other symptoms. Causes When you eat, food passes from the throat to the stomach through the esophagus. A ring of muscle fibers in the lower esophagus prevents swallowed food from moving back up. These muscle fibers are called the lower esophageal sphincter (LES). When this ring of muscle does not close all the way, stomach contents can leak back into the esophagus. This is called reflux or gastroesophageal reflux. Reflux may cause symptoms. Harsh stomach acids can also damage the lining of the esophagus. The risk factors for reflux include: Use of alcohol (possibly) Hiatal hernia (a condition in which part of the stomach moves above the diaphragm, which is the muscle that separates the chest and abdominal cavities) Obesity Pregnancy Scleroderma Smoking Symptoms can also be caused by certain medicines Common symptoms of GERD include: Feeling that food is stuck behind the breastbone Heartburn or a burning pain in the chest Nausea after eating Less common symptoms are: Bringing food back up (regurgitation) Cough or wheezing Difficulty swallowing Hiccups Hoarseness or change in voice Sore throat Symptoms may get worse when you bend over or lie down, or after you eat. Symptoms may also be worse at night. If you are overweight or obese, in many cases, losing weight can help. Avoid drugs such as aspirin, ibuprofen, or naproxen. Take acetaminophen to relieve pain. Take all of your medicines with plenty of water. When your doctor gives you a new medicine, ask whether it will make your heartburn worse. You may use over-the-counter antacids after meals and at bedtime, although the relief may not last very long. Common side effects of antacids include diarrhea or constipation. Other over-the-counter and prescription drugs can treat GERD. They work more slowly than antacids, but give you longer relief. Your pharmacist, doctor, or nurse can tell you how to take these drugs. Proton pump inhibitors (PPIs) decrease the amount of acid produced in your stomach H2 blockers also lower the amount of acid released in the stomach Anti-reflux surgery may be an option for people whose symptoms do not go away with lifestyle changes and medicines. Heartburn and other symptoms should improve after surgery. But you may still need to take drugs for your heartburn.
3 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Chest Pain
Here are Causes, Symptoms, and Treatment of Chest Pain

Good evening friends, I am Dr. Bharat B. Kukreti. I am a CI consultant intervention Cardiology at Paras Hospitals, Gurgaon. Today, we will discuss heart problem manifestation, chest pain.

We all have experienced chest pain at some point in time. It is such a common syndrome that everybody has gone through it at some point. The important thing here is that chest pain may be associated with a wide variety of disease which may range from a very simple gastritis to a very lethal heart attack. So the problem with chest pain is that we can t identify whether we are going through a heart attack or just another chest pain. So, this is what we will be discussing today.

First of all, How your chest pain occurs in a heart attack? A heart attack patient will typically about chest pain in a sensation of heaviness or squeezing or burning in the central chest or the left side of the chest which is radiating to either one arm or both arm or shoulders or jaw. It may be associated with a very profuse sweating and a sensation of restlessness, breathing difficulty or the sometimes patient may just faint. These all will be the symptoms of an ongoing heart attack.

Important thing is that these symptoms can be because of a heart attack but sometimes heart attack can occur even without the proper symptom which you can identify. Then, it becomes a difficult situation to identify how we know that it is a heart attack. So, once somebody is having a chest pain, you should first consult a doctor and get an E. C. G. done and to see whether the chest pain seems to be of heart region or something else. So, what can this something else be? This something else, that is a differential diagnosis of the chest pain may be apart from heart these other structures like lungs, they may be bone, they may be the muscular origin and the chest pain may be of neurological origin and sometimes just simple gastritis can give you a very severe chest pain also.

So, out of all these probabilities, the heart disease probability is the most dangerous. So that s why once somebody has chest pain, it s important to rule out the heart problem first so that life can be saved. So, if somebody is having chest pain, the first thing to be done is E. C. G. and it is to be seen by a qualified doctor to see whether the E. C. G. is suggestive of a heart problem or not. There is one interesting fact here. Up to 50% of the first E. C. G.s of the heart patients may be normal. So the first normal E. C. G. does not rule out a heart attack. Diagnosis for ruling out a heart attack is a systematic approach which includes Serial ECGs; Serial ECG means ECG now, ECG at half an hour, ECG at one hour, ECG at two hours, thus several ECGs and then afterward Cardiac Enzyme Test is done.

So, we will discuss this diagnosis and treatment part of chest pain or rather heart attack in our subsequent video, ok? You can contact me for chest pain problems or any other cardiac related problems into Paras Hospital, Gurgaon or you can contact me through Lybrate.


Play video
Know More About Chest Pain
Causes of Chest pain
Play video
Difference Between Chest Pain & Heart Attack
Here are some differences between chest pain and heart attack

Hello everyone, my name is Dr. Hanish Gupta. I m a specialist in internal medicine and mainly an expert in diabetes and cardio vascular diseases. Today I m here with you to discuss a very important symptom of Chest pains.
It is a very worrisome symptom for any patient. It is very frustrating for the family members because they believe that every chest pain could be a hall mark of a heart attack. But my friends, this is not the case every single time. Chest pain is a pathogenic symptom of heart attack but all heart attacks do not necessarily come with chest pains and vice versa. It is most importantly found in patients of gastric diseases like Peptic Ulcer disease by which a patient suffering from hyper acidity would also come to his doctor with the same complaint. So if your chest pain is related to food, meals or associated with feelings of vomiting like nausea then definitely this could be related to the gastro-intestinal diseases. Moreover some patients come to us and say that they have a pin point chest pain which can be pointed at any part of the chest specially if they are pressing on that part and fuelling that same act of pain, then perhaps there is a muscular-skeletal chest pain which deals with muscles and the rib cage other than the heart itself.


Having said that, chest pain which is related to the Heart attack is almost always related to breathlessness. Nobody ever had a heart attack without having breathlessness. So this is a very important symptom to be noted in the patient that if he is having breathlessness associated with chest pains then it is a definite symptom which is going towards a red flag sign of heart attack. Moreover I d like to point out here that some of the patients of diabetes can present to us without having chest pain and just presenting to us with breathlessness. This is primarily so that just like there is a feeling of numbness in the limbs of a diabetic patient. Similarly there is a numbness id the muscles and nerves around the rib cage due to which this patient may have a silent heart attack which presents only with breathlessness and chest pain. That is why in patients of diabetes only breathlessness itself is a hall mark of heart attack.

If a person has chest pain which is related specially to activity, example: climbing up the stairs, walking, jogging, swimming or running or any kind of strenuous activity and that is the time when the pain but goes away when the patient is resting. This kind of a chest pain could be related to the ischemic heart diseases or the coronary artery disease that leads to heart attack in future.

This is known as Angina pectoris and if you have further enquires, you are free to call me or contact me at Lybrate or at my clinic which is located in Delhi by the name of Life aid clinic.
Having issues? Consult a doctor for medical advice