Not necessarily a heart attack
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Chest Pain
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According to the Mayo Clinic, the most common causes of chest pain are:
- Cardiac problems, such as heart attacks, angina (pain from reduced blood flow to the heart), and pericarditis (inflammation of the heart)
- Musculoskeletal problems, such as injuries to the ribs or costochondritis (inflammation of cartilage of the ribs)
- Lung conditions, such as pleurisy (inflammation of the lining of the chest cavity), pneumonia, and pulmonary embolism (a blood clot in the lungs)
- Digestive problems, such as heartburn, swallowing disorders, and gallstones
- Shingles, a viral infection of the nerves that leads to skin blistering
- Psychological problems, such as panic attacks.
A crushing pain in the chest, accompanied by a sensation of intense pressure, shortness of breath, dizziness, nausea or vomiting, sweating, or chest pain that radiates from the chest to other parts of the body can indicate a heart attack. Any chest pain that does not resolve quickly should be considered a medical emergency; in the case of a heart attack, "time is muscle," and delays in medical evaluation can lead to serious and permanent heart damage.
American Heart Association advice: If you think you might be having a heart attack, call 911 and chew two aspirin while waiting for the ambulance. Aspirin has proven effective in heading off blood clots which cause or complicate heart attacks; chewing helps it enter the bloodstream more quickly.
More AMA advice: DON'T attempt "cough CPR," coughing to compress the heart and prevent cardiac arrest. Performed incorrectly, coughing can make a heart attack more serious.
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