Aa
Aa
A
A
A
Close
Avatar universal

time tested diagnosis of pains related to heart

As everybody gets vague pains in and around  heart some time or other  , many will have fear that these pains related  to  an impending heart attack. For the benefit of our Forum, I request your good selves  to please give detailed  pain symptoms which are related to heart and  pain symptoms which are not related to heart. It will be of great help to the forum and they can avoid unnecessary panic and fear about their heart working condition.I thank you very much in anticipation
2 Responses
Sort by: Helpful Oldest Newest
976897 tn?1379167602
I don't really think it's easy to say which pains are not associated with the Heart unless I am experiencing them at the time. So many pains are believed by experts not to be heart originated by experts and are thus misdiagnosed. Due to misdiagnosis of a Stomach disorder, maybe ulcer, I was on gaviscon for a year. I continually had warning signs of chest pains and throat discomfort for all that period of time until finally having a heart attack which shocked everyone. ECGs were revealing nothing wrong, Echocardiograms were showing a perfect heart and blood tests were revealing no abnormalities.
During my heart attack(s) (several over 2 days) I honestly believed it must have been chronic indigestion. Symptoms....
Sweating, tight cramp in lower area of rib cage which felt like stomach pain, but severe.
Nausea, vomitting, shortness of breath.
Finally on the last episode I could stand it no longer and went to A&E by car. You can imaging my shock when blood tests revealed high Troponin. Still ECGs were looking normal.
Main reason for attacks, blocked Circumflex.

So there are no rules which you can use apart from go to A&E if you feel any chest area pains, to be on the safe side. So many people die because they believe they are having stomach pains and don't bother phoning an ambulance.
Helpful - 0
159619 tn?1707018272
COMMUNITY LEADER
OK, here's what I have;


Typical angina pain:

Is precipitated on exertion

Becomes worse as the exertion continues

Is felt across a wide area in the middle of the chest (not in the cardiac apex), is tight and constrictive in nature and makes the patient to slow down or stop the physical activity

May be transmitted to the neck, jaw, arms, epigastric region, or back

May become worse in cold weather, after a heavy meal, or during static work

Is relieved in a few minutes by rest or glyceryl trinitrate

However, only about half of all patients have a typical presentation of the symptoms.
Atypical angina

Is more common in female patients

Is felt as dyspnoea or fatigue and exhaustion on exertion

May have a burning character

The patient's history of pain is more reliable for diagnosis in men than in women aged less than 50 years. The probability of CHD in males over 55 with typical symptoms is 90%.



Atypical Chest Pain Not Suggestive of Coronary Heart Disease (CHD):

Appears also at rest

Exercise tolerance is good despite pain

Continues for hours or days

Is associated with breathing or chest wall movements

Is sharp in character

Is displaced laterally towards the apex

May be felt on palpation

Is experienced as palpitations or occasional ectopic beats

Is felt in the upper abdominal region or below the left costal arch

Is not relieved with glyceryl trinitrate within a few minutes


Hope it helps,

Jon
Helpful - 0
Have an Answer?

You are reading content posted in the Heart Disease Community

Top Heart Disease Answerers
159619 tn?1707018272
Salt Lake City, UT
11548417 tn?1506080564
Netherlands
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.