Bemaj Pharmacy

Tanya Jawab Ajukan pertanyaan Jadilah yang pertama mengajukan pertanyaan

Which doctor is best for chest pain?

Mayo Clinic doctors trained in heart conditions (cardiologists) and other specialists research causes, diagnosis and treatment of chest pain and other related conditions.

Should I see a cardiologist for chest pain?

When should you see a cardiologist? – Cardiologists often see people when they’re having chest discomfort or chest pain. “People experience this differently,” says Dr. Reed. “These symptoms often feel like indigestion, so they might write them off. Having chest pain or discomfort is a very serious symptom that patients should not ignore.

A feeling like your heart is racing very fast (often called heart palpitations). Feeling like you might faint. Shortness of breath that’s worsening. Chest discomfort or bad indigestion that’s not going away. Swelling in the legs. Noticeable weight gain.

These can also be common signs of heart failure and heart disease, Dr. Reed says, which is why it’s important to see a cardiologist or primary care physician.

What do they do in cardiology?

Cardiologists diagnose, assess and treat patients with defects and diseases of the heart and the blood vessels, which are known as the cardiovascular system.

Why do I have chest pain if my heart is healthy?

What is noncardiac chest pain? – Noncardiac chest pain is defined as recurring pain in your chest — typically, behind your breast bone and near your heart — that is not related to your heart. In most people, noncardiac chest pain is actually related to a problem with their esophagus, most often gastroesophageal reflux disease (GERD),

How do you know if your heart is OK?

Electrocardiogram – An electrocardiogram (ECG) is a test that records the electrical activity of the heart. The ECG reflects what’s happening in different areas of the heart and helps identify any problems with the rhythm or rate of your heart. The ECG is painless and takes around 5-10 minutes to perform. More about having an electrocardiogram

Why can’t doctors diagnose my chest pain?

Table 2 – Potential causes of chest pain

CARDIAC CAUSES

Atherosclerotic coronary artery disease

Congenital coronary artery disease

Coronary spasm

Systemic hypertension

Pulmonary hypertension

Aortic stenosis

Aortic insufficiency

Hypertrophic cardiomyopathy

Severe anemia

Severe hypoxia

Polycythemia

Aortic dissection

Aortic aneurysm

Pericarditis

Mitral valve prolapse

Myocarditis

Cardiomyopathy

GASTROINTESTINAL CAUSES

Nutcracker esophagus

Diffuse esophageal spasm

Nonspecific motility disorder

Achalasia

Gastroesophageal reflux

Mallory-Weiss syndrome

Esophagitis

Candida infection

Herpes

Irradiation-induced pain

Esophageal foreign body

Peptic ulcer disease

Pancreatitis

Biliary disease

Splenic infarction

Gaseous bowel distention

NEUROMUSCULOSKELETAL CAUSES

Thoracic outlet syndrome

Anterior scalenus hypertrophy

Cervical rib syndrome

Cervical disc disease

Costochondritis or Tietze’s syndrome

Chest wall trauma or rib fracture

Malignancy

Herpes zoster

Precordial catch syndrome

Entrapment of nerves by sternal wire sutures

Xiphodynia

Slipping rib syndrome

Ostealgia due to neoplasm

Intercostal neuritis

Costovertebral joint dysfunction

PULMONARY CAUSES

Pulmonary embolism

Pneumothorax

Pneumonia

Pleuritis

Bronchospasm

Pulmonary hypertension

Tracheitis or tracheobronchitis

Intrathoracic tumour

PSYCHIATRIC CAUSES

Depression

Anxiety

Panic attacks

Malingering

OTHER CAUSES

Cocaine use

Lymphoma

Diabetes

Uremia

Renal stones

Mondor’s syndrome

Mediastinitis

Mediastinal emphysema

Mediastinal neoplasm

Careful assessment of patients’ history is often the most helpful starting point. Historical features generally of greatest value include the quality, duration, and timing of pain, as well as its association with trauma, meals, respiration, or exertion.

Unfortunately, physicians are often unable to make an accurate diagnosis based solely on history because, for example, descriptions of chest pain of cardiac, upper gastrointestinal, or gallbladder origin can be identical.10 Hence, although patients’ history is a valuable starting point, it often fails to provide a definite diagnosis because symptoms generally have poor specificity in diagnosis of chest pain (level I evidence).11, 12 Similarly, physical examination rarely reveals clinical signs sufficiently specific to support an accurate diagnosis (level II evidence).11 The most common finding during examination of patients with chest pain is chest wall tenderness, 8 but this is another clinical feature of low value in excluding cardiac causes of symptoms.11, 13, 14 It has been reported that 51% of patients with proven acute myocardial infarction have chest wall tenderness.15 Diaphoresis, a third heart sound, or hypotension might support the presence of ischemic heart disease, but have insufficient sensitivity and specificity to be helpful in most cases.11 Cardiac risk stratification is of little use, given that even in the highest risk groups, most patients’ chest pain is not caused by cardiac conditions (level II evidence).2, 7, 8 Only 30% of patients admitted to hospital for chest pain are found to have cardiac origins of their symptoms.16, 17 Patients consulting primary care physicians for nonurgent assessment of chest pain are even less likely to have CAD.

A few carefully chosen diagnostic tests are often needed to support or refute a developing diagnosis. The importance of CAD as a cause of chest pain means clinicians often need to order electrocardiograms, serum troponin assays, and exercise stress tests when carefully searching for symptomatic CAD.

When should I go to the doctor for chest pain?

You should also visit the ER if your chest pain is prolonged, severe or accompanied by any of the following symptoms: Confusion/disorientation. Difficulty breathing/shortness of breath—especially after a long period of inactivity. Excessive sweating or ashen color.

At what age should I see a cardiologist?

At What Age Should I Seek a Cardiologist? – If you’ve never seen a cardiologist before, then the odds are high that the answer is ‘right now’. Most people wait until their 40s or 50s to see a cardiologist for their first appointment, but if you really want to be proactive about your heart health, you’ll want to start scheduling regular appointments as early as your 20s.

1. Understandably, most 20-year-olds aren’t thinking about cardiologists and heart disease.
2. However, seeing a cardiologist in your 20s and 30s is simply a good way to start tracking your heart health.
3. That way, if any warning signs appear early, you can catch them soon enough to avoid bigger health concerns in the future.

There’s no specific rule for what age you should start scheduling a cardiology appointment, but once you reach your 50s, you should start seeing a cardiologist at least annually. A number of different heart issues have the potential to appear before then, but if you’re watching your heart health closely, you can avoid other issues that tend to pop up as you age.

How do cardiologists check your heart?

Coronary angiogram – A coronary angiogram, sometimes called ‘cardiac catheterisation’, may be done after a heart attack or angina. A catheter (a small tube) is put into an artery in your groin, arm or wrist. The catheter is moved up inside the artery until it reaches your heart.

How many days chest pain is serious?

How do I know if my chest pain is serious? – If you have chest pain that lasts longer than five minutes and doesn’t go away when you rest or take medication, get immediate help. Call 911, your local emergency services number or have someone take you to the closest emergency room (ER) right away.

Sweating. Nausea or vomiting. Shortness of breath. Light-headedness or fainting, A rapid or irregular heartbeat, Pain in your back, jaw, neck, upper abdomen, arm or shoulder.

Will chest pain go away on its own?

Can chest pain go away on its own? – Depending on the underlying condition that is causing your chest pain, it is possible that it may go away on its own. The more serious the underlying causes of chest pain are, the more likely they will keep coming back.

• Eep in mind that there is not always a correlation between pain level and the seriousness of the root causes.
• Minor pain can mean big problems, and acute, severe pain doesn’t necessarily mean that you are having a heart attack.
• Regardless, chest pain caused by an underlying condition will often be experienced until its root cause is treated.

Chest pains that come and go are often caused by:

GI (gastrointestinal) issues like acid reflux, ulcers, or gallstonesInflammation in musclesPanic attacks

All chest pain should be taken seriously, even if it doesn’t send you running to the ER, and even if it goes away on its own.

Is it OK to have chest pain sometimes?

Sometimes chest pain is just chest pain. Sometimes it’s only a muscle strain, heartburn or bronchitis. More often than not there are benign reasons, but you should be evaluated by a healthcare professional if you’re worried. Chest pain can signal a serious condition, heart-related or otherwise.

Is it bad to have chest pain everyday?

Symptoms of a heart attack – Typical heart pain is a dull, pressure-like or burning sensation. Some people describe a heart attack as feeling like “an elephant is sitting on my chest.” It is sometimes associated with shortness of breath. Heart pain may radiate to the left arm or neck.

• If your pain is on your right side, a heart attack is unlikely.
• Heart attack pain may start with chest pressure that comes and goes, sometimes with exertion.
• If the pain becomes continuous, seek medical attention immediately and consider calling 911.
• If you have chest pain constantly for several days, weeks or months, it is unlikely to be caused by a heart attack.

Heart pain is usually not sharp or stabbing. In general, any pain that gets worse with movement is not from the heart. Chest pain that is aching, sharp or stabbing, may be caused by other conditions such as acid reflux or heartburn, pleurisy or joint and muscle pain.

Which doctor should I first contact when I have chest pain?

When to call a doctor – Dr. Zaban said you should see your family physician if you begin to notice a pattern in which your chest pain is recurrent and is associated with certain situations, like exercise or when your body is under strain. That might signal that you need to get a stress test to look for underlying heart disease.

Should I go to doctor for chest pain?

When should someone see a doctor for chest pain? – See a doctor anytime you are worried by your chest pain. We are very aware of the “Hollywood heart attack” where patients have light or heavy chest pain located in the center of their chest and can go down their left arm, signifying a heart attack.

Neck pain Jaw pain Back pain Abdominal pain Shortness of breath

Chest pain can be due to a number of causes, but if a patient has developed chest pain, especially while exercising, they should definitely see a doctor. In general, all chest pains should be evaluated by a physician unless there was a clear and reversible cause for it (mild trauma, cuts, burns, bruises, etc.).

• It should be noted that early stages of a heart attack are often misinterpreted as gas, indigestion or heartburn and pulmonary embolism (blood clots traveling to the lungs) are often misinterpreted as a variety of lung conditions such as asthma, pneumonia, pleurisy or emphysema.
• Chest pain that is persistent or worsening, increasing in intensity or frequency or associated with any of the above symptoms should be urgently evaluated.

Chest pain that is unremitting should prompt a call to 9-1-1.