Differential Diagnosis Of Chest Pain
Chest Pain Differential Diagnosis – Due to the vague nature of chest pain, it can be representative of a wide range of medical conditions.8 Chest pain differential diagnosis can be broken down into categories:
Cardiac : acute coronary syndrome, pericarditis, congestive heart failure, post-cardiac injury syndrome Hematologic : sickle cell anemia, pleural effusion Gastrointestinal : pancreatitis, inflammatory bowel disease, bacterial pleurisy Infections : abscesses to the liver, lung, or spleen, bacterial and viral infections
Other categories of chest pain differential diagnosis are iatrogenic, pulmonary, rheumatologic, and renal, Once a thorough examination has been performed, medical professionals should be able to accurately diagnose the causes of chest pain and recommend the appropriate treatment.
Contents
What is a differential diagnosis of non cardiac chest pain?
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),
What is the differential diagnosis for angina?
Differential Diagnosis – The differential diagnosis of angina can divide into body systems:
Gastrointestinal: gastroesophageal reflux, hiatal hernia, peptic ulcer disease Pulmonary: pneumothorax, pneumonia, pulmonary embolism Musculoskeletal: costochondritis, rib injury, muscle spasm, chest wall injury Psychiatric: panic attack, generalized anxiety Cardiac non-ischemic: pericarditis, myocarditis Vascular: aortic dissection
What is the difference between chest pain and heart pain?
How It Feels – Chest pain from a heart attack often feels like a large amount of pressure, tightness, burning, or squeezing in the chest, In comparison, chest pain that feels like a sharp or knife-like pain resulting from coughing or breathing is likely not due to a heart attack.
What kind of chest pain is concerning?
Chest tightness; Chest pressure; Chest discomfort Chest pain is discomfort or pain that you feel anywhere along the front of your body between your neck and upper abdomen. When people have chest pain, they’re often concerned they’re having a heart attack. I’m Dr. Alan Greene and I’d like to talk to you for a moment about the different kinds of chest pain and when it may be an emergency. It turns out, there are lots of different kinds of chest pain.
- In fact, almost everything in the chest can hurt in one way or another.
- Some of the causes are really nothing more than a minor inconvenience.
- Some of them though are quite serious, even life threatening.
- You can have chest pain sure from the heart, but also from pneumonia.
- You can have chest pain from asthma.
You can have chest pain from a blood clot in the lungs. It can be from nothing more than a strain of some of the muscles between the ribs, or nerves. You can also have chest pain that comes from acid reflux of from a stomach ulcer, gallstones. Many, many things can cause chest pain.
You want to call 911 if you are having sudden, crushing chest pain or if your chest pain radiates into the jaw or the left arm. You want to call 911 if your chest pain also causes shortness of breath, or dizziness, nausea, or vomiting. You want to call 911 if you know you have heart disease and you do occasionally have pain but your pain is getting significantly worse than it is ordinarily.
Or comes on with less activity than it does otherwise. But whatever the cause of chest pain, unless you’re sure what’s causing it, it’s worth contacting your physician to find out what may be going on. It’s not a symptom to ignore. Symptoms of a possible heart attack include chest pain and pain that radiates down the shoulder and arm. Some people (older adults, people with diabetes, and women) may have little or no chest pain. Or, they may experience unusual symptoms (shortness of breath, fatigue, weakness). Pain from a heart attack may sometimes radiate to the jaw and teeth. Chest pain is a major symptom of heart attack, but other symptoms such as weakness, shortness of breath, nausea, or vomiting may also occur. When people have chest pain, they’re often concerned they’re having a heart attack.
- I’m Dr. Alan Greene and I’d like to talk to you for a moment about the different kinds of chest pain and when it may be an emergency.
- It turns out, there are lots of different kinds of chest pain.
- In fact, almost everything in the chest can hurt in one way or another.
- Some of the causes are really nothing more than a minor inconvenience.
Some of them though are quite serious, even life threatening. You can have chest pain sure from the heart, but also from pneumonia. You can have chest pain from asthma. You can have chest pain from a blood clot in the lungs. It can be from nothing more than a strain of some of the muscles between the ribs, or nerves.
- You can also have chest pain that comes from acid reflux of from a stomach ulcer, gallstones.
- Many, many things can cause chest pain.
- You want to call 911 if you are having sudden, crushing chest pain or if your chest pain radiates into the jaw or the left arm.
- You want to call 911 if your chest pain also causes shortness of breath, or dizziness, nausea, or vomiting.
You want to call 911 if you know you have heart disease and you do occasionally have pain but your pain is getting significantly worse than it is ordinarily. Or comes on with less activity than it does otherwise. But whatever the cause of chest pain, unless you’re sure what’s causing it, it’s worth contacting your physician to find out what may be going on.
What can mimic chest pain?
Other causes of chest pain – The chest pressure that accompanies heart attack is often, It also may indicate:
Angina, when blood supply to the heart muscle is restricted but not blocked Lung issues, including infection (pneumonia) or a blood clot (pulmonary embolism) Muscle pain, such as inflammation or injury to the muscles in the chest wall Other digestive issues, such as inflammation or spasms in the pancreas, gallbladder or esophagus Panic attack, or very intense anxiety Tear in a blood vessel, such as aortic dissection
How can I tell if I’m having a heart attack or another condition?\r\n”}} id=text-2106300e9d class=cmp-text>
How to differentiate between cardiac and non-cardiac chest pain?
Can Chest Pain Be Prevented? – Many forms of chest pain can be prevented. This is true for both cardiac and non-cardiac chest pain. For example, cardiac chest pain may be prevented in individuals that choose not to smoke and live a healthy lifestyle that includes low-fat foods, fiber, and exercise,
- Individuals that have risk factors for cardiac disease can reduce their risk and concomitant chest pain by following the instructions and medications provided by their doctor.
- Reducing atherosclerosis, the most common cause of cardiac chest pain, results in chest pain prevention.
- Like cardiac chest pain, non-cardiac chest pain may be prevented by preventing the underlying causes of pain.
For example, avoiding situations that may increase your risk for pneumonia, chest muscle strain, or chest trauma are ways to prevent non-cardiac chest pain.
What is a differential diagnosis for myocardial infarction?
Differential diagnosis Cardiovascular: stable angina, another form of ACS (unstable angina or NSTEMI), acute pericarditis, myocarditis, aortic stenosis, aortic dissection, pulmonary embolism.
What is the gold standard in diagnosing angina?
Invasive coronary angiography is considered the ‘gold standard’ for the diagnosis of CHD involving the epicardial coronary vessels, but it is limited by its invasive nature, attendant risks, inability to assess the microcirculation, and cost.
What are the 3 criteria for typical angina?
Typical Chest Pain vs. Atypical Chest Pain
Typical (classic) angina chest pain consists of (1) Substernal chest pain or discomfort that is (2) Provoked by exertion or emotional stress and (3) relieved by rest or nitroglycerine (or both). Atypical (probable) angina chest pain applies when 2 out of 3 criteria of classic angina are present. Non-specific chest pain : If ≤ 1 of the criteria of classic angina is present, symptoms are classified as non-specific. Typical chest pain is also called definite angina, classic angina, or typical angina, Atypical chest pain is also called atypical/probable angina, Non-specific chest pain is also called non-ischemic chest discomfort, Reference
https://www.ncbi.nlm.nih.gov/pubmed/20494662 : Typical Chest Pain vs. Atypical Chest Pain
What is the hallmark of angina?
Angina is characterized by episodic chest (precordial) discomfort, pressure or pain lasting up to 15 minutes.
