CHEST PAIN

CHEST PAIN

Chest pain is the most common presentation of both cardiac and

pulmonary disease. Less frequently, it is also caused by musculo-
skeletal disorders and diseases of the gastrointestinal system.

Common causes of chest pain

Cardiac causes
• angina pectoris, pericarditis.
Pulmonary causes
• pneumonia, tuberculosis, tracheitis, pneumothorax.
Musculoskeletal
• trauma.
Gastrointestinal causes
• cholecystitis, oesophagitis.
Difference between cardiac and pulmonary chest pain

Cardiac chest pain Pulmonary chest pain

• Chest pain is centrally located, usually on • Chest pain may be located anywhere
the left side of the chest wall. in the chest wall.

• Pain radiates to the left shoulder, arm, neck • Usually no radiation of pain.
and
jaw. • Pain is aggravated by coughing and
deep inspiration.
• Exertion and emotion aggravate pain.

• Pain may be associated with sweating,

nausea, etc.

Note: If pain is not relieved with one or two doses of Tab. Paracetamol, refer the patient to
hospital.
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