HEART PATIENTS WITHOUT HEART DISEASE

Sounds interesting .but  it is true.There are many people with no heart disease ,but walk around with a label of heart disease.This is because many of these patients will have some ecg changes and chest pain due to some noncardiac reasons and will be wrongly labelled as heart patients

Chest pain is usually used synonymous with Heart Attacks.But,the fact that all chest pains need not be heart related .The reason may be due to the undue anxiety regarding their heart which has been hyped to the ultimate by medias and medical professionals alike.There are yet another class of people who attribute trivial importance to their chest pain regarding it as some sort of gas formation.Both these tendencies are erroneous despite considering that all chest pain can not be related to heart.

The first class of people considers the heart to be the only organ situated inside the muscle mass.The very same location provides platform for many other organs and tissues is a matter they tend to ignore.The acid reflux from the the stomach can also lead to chest pain.According to a recent research ,of the 80 percent people who are subjected to detailed investigations  for chest pain only one in three persons do suffer from real heart diseases.The insufficient investigatory procedures  paving the way to wrong diagnosis can only be stated as a curse of advancing technology.

The following points will definitely help you to make a first hand assessment of your status with regard to chest pain.But never forget to ignore the warning signals which can turn to be  fatal.

Chest pain may not be cardiac related if :

1.         you can exactly point out the location of pain and pain is precipitated by firm pressure at the point

2.         pain is similar to thunder stroke.

3.         if you have a pricking  or catching sensation sensation  which increases with deep inspiration.

4.         Pain lasting 30 seconds or less.

Usually heart related chest pain occurs in the middle part of the chest  or  on the left side and the patient feels that  some  heavy weight has been placed over  it.There are chances for the pain to spread towards left arm or to the neck pain .

There are more than 400 causes of chest pain , the most important ones only have been quoted herewith.They are:

1.Gastro oesphageal.(Oesophageal perforations,Oesophageal spasm,reflux oesophagitis,Pancreatitis,Cholecystitis,neoplasms,peptic ulcer,forceful vomiting,infections due to Candida Albicans)

2.Musculoskeletal(Costochondritis,rib fracture,myalgia)

3.Pulmonary.(Pleuritis,Pneumothorax,pulmonary

embolism,dyspnoea,cough,Haemoptysis,tachycardia)

4.Herpes Zoster.

Since chest pain is a common presenting complaint in acute care situations the responsibility of differentiating cardiac pain (Angina) and non-cardiac pain vests in the concerned medical professional.The history and physical examination becomes a significant pointer of the potential cause of chest pain guiding further management.

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