How are chest pain and heart attacks related?

Written in association with: Dr Navin Chandra
Published:
Edited by: Karolyn Judge

Pain or discomfort in the chest can be a worrying symptom and should never be ignored. There are many structures in the chest including the heart, lungs, oesophagus, major blood vessels and the sternum/ribs all of which can cause discomfort.

 

We speak to leading consultant cardiologist Dr Navin Chandra about the connection between chest pain and heart attacks in this informative article.

Close up of a man with chest pain that could be related to a heart attack

What causes chest pain in myocardial infarction?

Pain due to the heart is called angina and occurs due to narrowing of a blood vessel supplying the heart muscle.

 

A heart attack (myocardial infarction) is a more severe form of this pain that occurs when a blood vessel supplying the heart muscle is completely blocked by clot.

 

 

What are the characteristics of chest pain in myocardial infarction? 

Typically, the chest pain during a heart attack is described as ‘heaviness’ or ‘tightness’ in the centre of the chest that is worse with exertion and relieved with rest.

 

The pain may radiate to other areas including the:

  • Left arm;
  • Neck, or;
  • Jaw.

 

There can also be associated symptoms of shortness of breath, sweating or sickness.

 

 

How are heart attacks treated?

This is a medical emergency and requires urgent attention by a cardiologist to unblock the blood vessel using a combination of medications and placement of a ‘stent’ inside the blood vessel to restore blood flow to the heart muscle.

 

Once blood flow is restored the chest pain will begin to subside and the extent of damage to the heart can be assessed by ultrasound scans (echocardiogram) prior to further optimisation of medical therapy and assessment of risk factors for heart disease.

 

 

If you’d like to discuss concerns you may have regarding chest pain or any other cardiology issues, arrange an appointment with Dr Chandra today.

By Dr Navin Chandra
Cardiology

Dr Navin Chandra is a leading consultant cardiologist at Frimley Health NHS Foundation Trust and an honorary consultant cardiologist at Royal Brompton and Harefield NHS Foundation Trust. He manages all aspects of adult cardiology in the emergency, acute and chronic setting. Dr Chandra specialises in interventional cardiology including diagnostic coronary angiography, percutaneous coronary intervention (PCI), transcatheter aortic valve implantation (TAVI) and permanent pacemaker implantation (PPM).

Dr Chandra qualified from Guy’s, King’s & St. Thomas’s School of Medicine in 2004 with MBBS and BSc (Hons) degrees and achieved full Membership to the Royal College of Physicians (MRCP UK) in 2007. He also completed an MD (Res) from the University of London in 2014 and maintains a strong academic background. His award winning research has focused on ‘Sports Cardiology & Inherited Cardiac Conditions’ where he was regularly reviewing elite athletes. This led to numerous high impact peer-reviewed publications and international conference presentations.

Dr Chandra undertook specialist training in cardiology in the London Deanery (North-West Thames Rotation) and subspecialty training in interventional cardiology at Royal Brompton & Harefield NHS Foundation Trust. Following this, he was awarded the prestigious British Cardiovascular Interventional Society (BCIS) International Fellowship in Vancouver Island, Canada. This training developed his expertise in managing complex patients with heart disease, including those conventionally considered ‘high-risk’. He is passionate about incorporating the use of technology, physiology and imaging in the management of heart disease to optimise patient care and maximise patient outcomes.

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  • Related procedures
  • Heart attack
    Arrhythmia
    Hypertension (high blood pressure)
    Pericarditis
    Heart failure
    Injury valves
    Heart murmur
    Echocardiogram
    Electrocardiogram
    Ambulatory electrocardiogram (Holter)
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