Chest pain is one of the most common reasons that people 15-years-old and older visit the emergency department. In fact, the number of non-injury emergency department visits, where chest pain was the primary reason, was 5.5 million in 2007–2008.
Emergency department visits can be expensive and time consuming, and since many people assume that all heart attacks involve sudden severe chest pain a common reaction is to seek immediate medical attention. However, severe chest pain only occurs in about half of all heart attack cases.
In a 2005 survey taken by the Center for Disease Control and Prevention, 92 percent of respondents recognized chest pain as a symptom of a heart attack, but only 27 percent were aware of all the major symptoms and knew to call 9-1-1 when someone was having a heart attack. Chest pain is a common symptom of heart attacks, angina, panic attacks and heartburn.
So how do you know when to take an antacid or when to call 9-1-1? In order to prevent sudden cardiac death, the MemorialCare Heart & Vascular Institute at Long Beach Medical Center recommends you learn the common symptoms of a heart attack. Learning the major symptoms can save your life, or the life of a loved one.
Coronary artery disease (CAD), the most common type of heart disease develops when plaque — a waxy substance made up of cholesterol deposits — builds up in the arteries that supply blood to the heart. When buildup continues, your arteries can narrow over time, making it harder for blood to reach the heart. This causes lack of oxygen to the heart muscles. This slow process, called atherosclerosis, can eventually lead to a section of the heart muscle dying or being severely damaged. In other words, a heart attack.
If you think you may be experiencing a heart attack, it is important to call 9-1-1 right away so that treatment can start as soon as possible. Do not drive yourself or wait for a ride from a friend or family member. Have an ambulance take you to a hospital that is a cardiac receiving center right away.
Designated Cardiac Receiving Centers
Another symptom of CAD that may lead to a heart attack is angina pectoris, a common type of chest pain or discomfort that also happens when the heart muscle is not receiving enough oxygen-rich blood. Angina may feel like pressure or squeezing in your chest. The pain also can occur in your shoulders, arms, neck, jaw or back. The pain is a message telling your body that there is a shortage of blood to the heart.
Angina pectoris is often referred to as stable angina because with rest and the proper medical attention it can be predictable and manageable. This type of angina usually occurs during periods of high emotions, stress or physical activity. The difference between stable angina and a heart attack is that angina doesn't permanently damage the heart muscles.
However, chest pain that occurs unexpectedly and while during periods of rest is a sign of unstable angina, also known as acute coronary syndrome. Unstable angina is a result of reduced blood flow to the heart muscles when arteries become narrowed by plaque buildup similar to the blockage that causes a heart attack. If you are experiencing severe unexpected chest pain, seek immediate medical attention.
Panic attacks can be so intense, and the symptoms so similar, that many people believe they’re experiencing a heart attack. Many people will experience at least one panic attack in the course of their lifetime. There are no known medical causes for panic attacks, but factors like sudden changes, traumatic events or significant stress often are at the core of an attack. Panic attacks usually come with no warning signs and most peak within 10 minutes, while heart attack symptoms can start slow and last for longer periods.
Most people will experience the occasional heartburn brought on by triggers like pregnancy, certain foods, alcohol and some medications. Heartburn is a non-cardiac chest pain that occurs when stomach acid backs up into your esophagus — the tube that carries food from your mouth to your stomach — and irritates it. Most heartburn can be relieved with over-the-counter medicine.
The occasional heartburn is common but consistent heartburn, more than twice a week, may signify gastroesophageal reflux disease (GERD), a chronic digestive disease. With GERD, the muscles at the end of your esophagus do not close tightly enough. This allows contents of the stomach to back up, or reflux, into the esophagus and irritate it. If left untreated overtime, GERD can lead to more serious complications.
Knowing the reason behind your chest pain can be life-saving, but don't let a heart attack be your first sign of heart disease. To find out if you're at risk for heart disease, take our quick heart disease risk assessment.
Specialists at the MemorialCare Heart & Vascular Institute at Long Beach Medical Center help patients determine their risks for cardiovascular disease and peripheral vascular disease, and provide them with valuable preventive strategies. Individualized screening programs also are offered to measure risks for heart attack, stroke and other related diseases, at a low-cost.
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