Chest pain: Difference between revisions
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imported>Robert Badgett (New page: In medicine, '''chest pain''' is "pressure, burning, or numbness in the chest."<ref>{{MeSH}}</ref> ==Treatment== Among patients who have chest pain without any identifiable cause, [[a...) |
imported>Howard C. Berkowitz No edit summary |
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In [[medicine]], '''chest pain''' is "pressure, burning, or numbness in the chest."<ref>{{MeSH}}</ref> | {{subpages}} | ||
In [[medicine]], '''chest pain''' is "pressure, burning, or numbness in the chest."<ref>{{MeSH}}</ref> Chest pain can be caused by an extremely wide range of conditions, including some, such as [[myocardial infarction]], which, if untreated, could lead to death within minutes or hours. Other causes may be less urgent, while others can indicate self-limiting disease. There are idiopathic chest pain syndromes that have no apparent cause. | |||
==Diagnosis== | |||
===Workup of emergent chest pain=== | |||
{{seealso|Acute cardiac syndrome}} | |||
==Treatment== | |||
Strong analgesics such as [[morphine]] are usually indicated in sudden, severe chest pain, with care to avoid depressing respiration. If the etiology is cardiac, morphine may improve survival as well as relieve pain. | |||
== | Since chest pain is a symptom rather than a disease, diagnosis and treatment need to focus on the underlying disease(s). | ||
===Idiopathic chest pain=== | |||
Among patients who have chest pain without any identifiable cause, [[antidepressant]]s, either [[tricyclic antidepressant]]s<ref name="pmid8159194">{{cite journal| author=Cannon RO, Quyyumi AA, Mincemoyer R, Stine AM, Gracely RH, Smith WB et al.| title=Imipramine in patients with chest pain despite normal coronary angiograms. | journal=N Engl J Med | year= 1994 | volume= 330 | issue= 20 | pages= 1411-7 | pmid=8159194 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8159194 }} </ref> or [[second-generation antidepressant]]s<ref name="pmid20332772">{{cite journal| author=Lee H, Kim JH, Min BH, Lee JH, Son HJ, Kim JJ et al.| title=Efficacy of venlafaxine for symptomatic relief in young adult patients with functional chest pain: a randomized, double-blind, placebo-controlled, crossover trial. | journal=Am J Gastroenterol | year= 2010 | volume= 105 | issue= 7 | pages= 1504-12 | pmid=20332772 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20332772 | doi=10.1038/ajg.2010.82 }} </ref> may reduce [[pain]]. | Among patients who have chest pain without any identifiable cause, [[antidepressant]]s, either [[tricyclic antidepressant]]s<ref name="pmid8159194">{{cite journal| author=Cannon RO, Quyyumi AA, Mincemoyer R, Stine AM, Gracely RH, Smith WB et al.| title=Imipramine in patients with chest pain despite normal coronary angiograms. | journal=N Engl J Med | year= 1994 | volume= 330 | issue= 20 | pages= 1411-7 | pmid=8159194 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8159194 }} </ref> or [[second-generation antidepressant]]s<ref name="pmid20332772">{{cite journal| author=Lee H, Kim JH, Min BH, Lee JH, Son HJ, Kim JJ et al.| title=Efficacy of venlafaxine for symptomatic relief in young adult patients with functional chest pain: a randomized, double-blind, placebo-controlled, crossover trial. | journal=Am J Gastroenterol | year= 2010 | volume= 105 | issue= 7 | pages= 1504-12 | pmid=20332772 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20332772 | doi=10.1038/ajg.2010.82 }} </ref> may reduce [[pain]]. | ||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 09:56, 22 September 2010
In medicine, chest pain is "pressure, burning, or numbness in the chest."[1] Chest pain can be caused by an extremely wide range of conditions, including some, such as myocardial infarction, which, if untreated, could lead to death within minutes or hours. Other causes may be less urgent, while others can indicate self-limiting disease. There are idiopathic chest pain syndromes that have no apparent cause.
Diagnosis
Workup of emergent chest pain
- See also: Acute cardiac syndrome
Treatment
Strong analgesics such as morphine are usually indicated in sudden, severe chest pain, with care to avoid depressing respiration. If the etiology is cardiac, morphine may improve survival as well as relieve pain.
Since chest pain is a symptom rather than a disease, diagnosis and treatment need to focus on the underlying disease(s).
Idiopathic chest pain
Among patients who have chest pain without any identifiable cause, antidepressants, either tricyclic antidepressants[2] or second-generation antidepressants[3] may reduce pain.
References
- ↑ Anonymous (2024), Chest pain (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Cannon RO, Quyyumi AA, Mincemoyer R, Stine AM, Gracely RH, Smith WB et al. (1994). "Imipramine in patients with chest pain despite normal coronary angiograms.". N Engl J Med 330 (20): 1411-7. PMID 8159194.
- ↑ Lee H, Kim JH, Min BH, Lee JH, Son HJ, Kim JJ et al. (2010). "Efficacy of venlafaxine for symptomatic relief in young adult patients with functional chest pain: a randomized, double-blind, placebo-controlled, crossover trial.". Am J Gastroenterol 105 (7): 1504-12. DOI:10.1038/ajg.2010.82. PMID 20332772. Research Blogging.