What can cause chest pain?

Written in association with: Dr Deepak Goyal
Published: | Updated: 03/11/2024
Edited by: Conor Lynch

Chest pain is a common yet concerning symptom that can result from various underlying conditions, ranging from minor issues to serious health concerns. Many people associate chest pain with heart-related issues, but it can also be due to problems with the lungs, muscles, digestive system, or even anxiety. Understanding the cause is critical, as prompt diagnosis and treatment can often prevent complications.

 

The heart is often the first concern with chest pain, as it may signal a heart attack, angina, or other cardiovascular issues. Heart attack pain is usually intense, with a sensation of pressure or squeezing that radiates to the arm, jaw, neck, or back.

 

Angina, caused by reduced blood flow to the heart, feels similar but tends to occur during physical exertion and eases with rest. Other heart-related causes include pericarditis (inflammation of the lining around the heart), aortic dissection (tear in the aorta), or mitral valve prolapse.

 

Non-cardiac causes of chest pain are also common. Gastroesophageal reflux disease (GERD) or acid reflux can lead to a burning sensation that mimics heart pain, particularly after eating. Pulmonary conditions, like pulmonary embolism, pneumonia, or pleurisy, can cause sharp, stabbing pain that intensifies with breathing or coughing.

 

Additionally, muscular strain, especially from overuse or injury, can lead to localised chest pain, which worsens with movement or touch. Stress or anxiety-induced chest pain, often called a panic attack, may present similarly to a heart attack but generally subsides as stress decreases.

 

It's essential to take chest pain seriously, especially if accompanied by symptoms such as shortness of breath, sweating, nausea, dizziness, or radiating pain. These could indicate a life-threatening emergency, requiring immediate medical attention. However, if the pain is mild, localised, or related to specific activities, a non-emergency doctor’s visit may be appropriate.

 

If experiencing unexplained or recurring chest pain, consulting with a healthcare professional is essential. Diagnostic tests such as ECG, chest X-rays, or blood tests can help determine the cause and guide treatment. Recognising the symptoms and seeking timely care can make a significant difference in managing chest pain and ensuring overall health and safety.

By Dr Deepak Goyal
Cardiology

Dr Deepak Goyal is an extensively trained consultant interventional cardiologist based in Birmingham. He manages a wide cardiology practice, including the diagnosis, investigation and treatment of coronary artery diseasehypertension, heart failure, hyperlipidaemia, interventional cardiology and coronary angiography.

Dr Goyal is fully trained in a wide variety of complex percutaneous interventional techniques including the use of adjunctive devices like intravascular ultrasound, pressure wire evaluation, aspiration thrombectomy, laser thrombectomy, rotational atherectomy and distal embolic protection devices.

Dr Goyal currently practises privately at Midland Health Birmingham, a leading private health clinic. Dr Goyal offers consultations in English, Hindi, Punjabi and Urdu.

Dr Goyal originally qualified from Banaras Hindu University then pursued cardiology training in West Midlands Deanery. After completing his CCT in 2011, Dr Goyal became a consultant interventional cardiologist at the Royal Shrewsbury Hospital, and later at Worcester Royal Hospital.

Over his career Dr Goyal has performed over 2500 percutaneous coronary interventions with nationally recognised excellent clinical outcomes. He has published a number of original articles and editorials on several areas of clinical cardiology.

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