The pain sometimes radiates to the back ( 4).ДЄortic dissection is relatively rare. Patients with acute aortic dissection usually present suddenly with severe, sharp pain in the chest. This may cause the outer wall of the aorta to rupture, causing fatal bleeding. The tear causes the inner and middle layers of the wall of the aorta to become separated. Aortic DissectionДЄortic dissection occurs when there is a tear in the inner layer of the aorta (the large blood vessel branching off the heart). If the patient stops exercising, the oxygen supply will again meet demands, and angina will resolve. If blood supply in a coronary artery is limited, usually because of blockage in a coronary artery, angina will occur. However, during exercise, the oxygen demands of the heart muscle will increase. Typically, a patient with angina will experience no symptoms at rest. Hence, in most cases, angina reflects underlying coronary artery disease ( 3).

It is a symptom usually caused by inadequate blood flow in a coronary artery. The discomfort may radiate to the shoulders, arms, neck, jaw, or the back region between the shoulder blades.ДЄngina pectoris is not a disease. Moreover, it may be associated with shortness of breath, cold sweats, dizziness or weakness, nausea, and vomiting.ДЄCS should always be treated as an emergency.ДЄngina pectoris is often described as a pressure or a squeezing sensation in the chest. If there is a complete blockage of a coronary artery, the pain may last for several hours. The pain usually lasts more than a few minutes. Sometimes there is searing pain that may radiate to the back, neck, jaw, shoulders, and arms, particularly the left arm. Patients with ACS typically experience pressure, fullness, or tightness in the chest. Heart Attack/ Acute Coronary Syndrome (ACS)/ДЄcute heart attack and acute coronary syndrome (ACS) are different terms used to describe the same phenomenon.ДЄCS covers a range of conditions associated with a sudden obstruction of blood flow in a coronary artery. Cardiac Causes вЂ“ Heart Conditions Causing Chest Pain 1. In addition, such pain is often well-localized and associated with tenderness on palpation (pushing on the spot). Pain made worse by swallowing is likely of esophageal origin.Д¬hest ache associated with body position or specific movements is likely to originate from muscles and tendons. Such pain is often left or right sided.Д¬hest pain provoked by exertion is typical of angina pectoris ( 3). The same is true for pain that is consistent over weeks to months ( 2).ДЇurthermore, if and how the pain may be provoked is of importance.ДЇor example, so-called pleuritic chest pain typically worsens with respiration. An abrupt onset may suggest pneumothorax and aortic dissection.Д¬hest ache that lasts only for a few seconds is unlikely to be caused by coronary artery disease. In addition, knowing the onset of pain is helpful. For example, pain due to coronary artery disease may radiate to the neck, jaw, and arms. In contrast, right or left sided chest pain often originates from the ribs or muscles and tendons in the chest cage.Д¬hest pain may also radiate to other parts of the body. Pain in the middle of the chest may be caused by heart disease or digestive disorders. The localization of the pain may also help determine its origin. In other cases, the pain may be sharp, ripping or tearing, or just a feeling of pressure, fullness, or tightness in the chest. Sometimes, there may be only a vague discomfort. The character or quality of pain is essential. History and physical examination are of crucial importance when determining the cause of chest pain. Nowadays, all chest pain is regarded as suspected heart disease until proven otherwise.ДЄctually, most emergency departments have chest pain units, a fast-track service for patients with chest pain. musculoskeletal (disorders of muscles, ligaments, tendons, and bones).gastrointestinal (caused by digestive disorders).It is practical to classify the underlying conditions causing chest pain into Such pain is often called musculoskeletal pain and is usually harmless.Дigestive disorders are also a common cause of chest ache. The cause of chest pain may vary from life-threatening conditions to those that are relatively harmless.Д¬hest pain is most commonly caused by disorders of muscles, ligaments, tendons, and bones. More than six million people visit hospital emergency departments in the United States each year because of chest pain ( 1). Chest pain is a common symptom associated withВ a variety of underlying causes.

Sudden chest pain in women