Chest Pain: Different Causes and How to Differentiate

Chest pain can have various causes, ranging from mild to life-threatening. Differentiating the cause of chest pain is crucial for appropriate response. Our cardiologists at Sanjeevini Hospitals suggest no chest pain should be ignored or assumed to be of non-critical nature. We have some of the best Cardiologists in Bangalore who evaluate your case and guide you on the next course of action.

Here are some common causes of chest pain and how to differentiate them:

Cardiac Causes:

Angina: Angina is chest pain or discomfort caused by reduced blood flow to the heart muscle. It typically occurs during physical exertion or stress and is relieved by rest or medication. It may be described as a pressure or squeezing sensation in the chest.

Heart Attack (Myocardial Infarction): A heart attack occurs when there is a complete blockage of blood flow to a part of the heart muscle. The pain is severe, often described as crushing or squeezing, and may radiate to the left arm, jaw, or back. It is usually not relieved by rest. The best Heart Hospitals in Bangalore, have a team to attend these critical and crucial cases where every minute is a deal for life.

Pleurisy: Inflammation of the lining around the lungs (pleura) can cause sharp, stabbing chest pain that worsens with deep breathing or coughing.

Pneumonia: Chest pain can be a symptom of lung infections like pneumonia, often accompanied by cough, fever, and difficulty breathing.

Pulmonary Embolism: This occurs when a blood clot blocks a pulmonary artery. Chest pain may be sharp and worsen with deep breaths, and it’s often associated with shortness of breath and a rapid heart rate.

Gastroesophageal Reflux Disease (GERD): Acid reflux can cause a burning sensation in the chest (heartburn). It often occurs after eating and may worsen when lying down or bending over.

Esophageal Spasm: These spasms can cause chest pain that feels similar to cardiac pain. It may be triggered by hot or cold beverages or stress.

Musculoskeletal Causes:

Muscle Strain: Overuse or strain of the chest wall muscles can lead to localized chest pain, often worsened by movement or deep breathing.

Costochondritis: Inflammation of the cartilage that connects the ribs to the breastbone can cause sharp chest pain, which may mimic heart-related pain.

Psychological Causes:

Anxiety or Panic Attacks: Anxiety can manifest as chest pain, often described as a tightness or pressure. Panic attacks may include intense chest discomfort, shortness of breath, and a feeling of impending doom.

Rib Fractures: Injuries to the ribs can result in chest pain, especially when breathing or moving.

Shingles (Herpes Zoster): This viral infection can cause a localized rash and chest pain along the affected nerve pathway.

To differentiate the cause of chest pain, consider the following factors:

  • The location, quality, and radiation of the pain.
  • Triggers or exacerbating factors (e.g., exertion, eating).
  • Associated symptoms (e.g., shortness of breath, nausea).
  • Risk factors (e.g., smoking, family history of heart disease).

If you or someone experiences severe chest pain, especially with symptoms like shortness of breath, dizziness, or sweating, seek immediate medical attention.  Visit Sanjeeini, the best Cardiology Hospital in Bangalore for immediate attention and quick diagnosis. Chest pain can be a medical emergency, and timely evaluation is crucial for accurate diagnosis and treatment.


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