Chest Pain

When it comes to chest pain, most people start panicing relating the chest pain to heart pain and heart attack (a type of tissue necrosis or death caused by obstruction in the bloodstream). However, we should know that this is not the reason of the chest pain most of the time. What you will read in this post:


chest pain


What causes chest pain?

How do we know what is causing our chest pain?



What causes chest pain?

We need to know that chest pain can have so many non-cardiac causes. In this article, we will introduce you to the different causes of chest pain.

  1. Chest pain with cardiac origin
  2. Chest pain with gastrointestinal origin
  3. Chest pain with pulmonary origin
  4. Chest pain with neuromuscular origin
  5. Chest pain due to skin infections


Chest pain with cardiac origin:

sometimes, the chest pain has cardiac origins and need to be treated immediately. The main causes of chest pain in this category are:

  • Ischemic heart disease
  • Coronary artery disease
  • Myocardial infarction (chest pain in this case is called angina pectoris)
  • Myocarditis
  • Pericarditis
  • Mitral prolapse
  • Aorta dissection
  • Vascular dissection
  • Hypertrophic cardiomyopathy


Chest pain with gastrointestinal origin:

Chest pain may also have gastrointestinal origins like:

  • Gastroesophageal reflux disease
  • Blowing
  • Hiatus hernia
  • Gastric ulcer
  • Small bowel ulcer (duodenal ulcer)
  • Gallbladder diseases
  • Pancreatitis


Chest pain with pulmonary origin:

If you have a chest pain, you should know that sometimes the chest pain is because of its pulmonary origins. These may include:

  • Pulmonary hypertension
  • Pneumonia
  • Lung abscess
  • Pulmonary embolism
  • Pneumothorax
  • Pleuritis
  • Asthma
  • Viral and bacterial infections
  • TB

chest pain


Chest pain with neuromuscular origin:

Chest pains with neuromuscular origins may be because of: 

  • Rib fracture
  • Rib Impact
  • Inflammation of the rib cartilage (costochondritis)
  • Chest muscle strain 


Chest pain due to skin infections:

Although it sounds weired, sometimes the chest pain is because of skin infections. These infections are: 

Herpes zoster

Panic attack

It should be noted that the characteristics of chest pain and associated symptoms are quite different in each of the above cases and this is why it is better to see a doctor when experiencing the chest pain.



How do we know what is causing our chest pain?

Your doctor will determine the cause of your chest pain by taking your detailed history and examining your body. Pain caused by ischemic heart disease has burning, stabbing, and pressing feelings in general. This pain is felt from the top of the navel to the lower jaw. Sometimes the patient only feels heaviness in the chest. When a heart attack occurs the associated pain will last for fifteen to twenty minutes so if you have been in pain for days to weeks, it cannot be because of coronary heart disease. It is important to know that tingling pain is often not due to coronary artery disease either. If the shooting and tingling of the heart worsens with a change in the patient's position or breathing, it may rarely be related to ischemic heart disease or stroke.






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