When chest pain, a lot of people immediately think of a heart attack. This complaint is Often marked symptoms of heart disease. Apparently a lot of one type of disease is chest pain indications, Including cell lung cancer, breast cancer and Increased gastric acid.
Not all chest pain comes from a disturbance in the heart organ. However, chest pain is a typical symptom of heart disease. According to Dr. Hary Utomo, Sp. JP, chest pain due to abnormal heart caused by imbalance between demand and supply of oxygen to the heart muscle.
Imbalance that could be due to Increased oxygen demand or supply is too low, it could be a combination of both. In Patients with coronary arteriosclerosis (blood vessels that supply the food), automatic blood drainage is limited.
“If the patient requires more oxygen consumption, such as when exercising or when faced with stressful situations, such as anger, can be estimated onset of symptoms of angina or chest pain before,” said cardiologist and blood vessels of the Gatot Subroto Army Hospital, Jakarta. These symptoms can get worse when accompanied by cramps blood vessels called spasm.
Can be fatal
The sensation of chest pain due to coronary heart disease can vary. Usually in the form of suppressed feeling heavy, feeling gripped, nausea or nauseated, hot feeling burning, or choking feeling in the neck.
The body parts that may have complaints in the chest, heartburn, as well as between the shoulder blades, with spreading to the left arm, neck and jaw. These symptoms occur when the patient initially Strenuous physical exertion.
Complaints are Usually disappear after the patient rested. However, if the disease is allowed to grow blood vessels, the complaint will also Appear at the break.
Increased severity of illness makeup chest pain lasts longer and can be accompanied by sweating, restlessness, cold feet and hands, and even seizures and Decreased consciousness. If you do not get immediate medical attention, the case could end up fatal.
The death rate for cardiogenic shock is more than 95 percent. If Patients were helped, Often experience residual symptoms such as neurological disorders or kidney failure.
More Early Tests
In hospitals, chest pain Patients will undergo a physical examination, laboratory and x-rays. If needed also performed Electrocardiography and echocardiography. Having ascertained the narrowing of coronary arteries will be performed angiography.
As early detection, Dr. .. Hary suggested that their 35-year-old Began to undergo exercise test (treadmill) every year. If you have high risk factors such as smoking, diabetes mellitus, dyslipidemia (abnormal blood lipid profile), high blood pressure, family history, you should do the test again at a younger age.
Can also choose a combination of echocardiography examinations and tests exercise stress test called echocardiography. This method can visualize the heart wall segment suspected impaired oxygen supply.
Inspection is a relatively new magnetic resonance angiography (MRA). To Determine roomates areas of the heart with impaired blood supply can be Examined with a radio isotope thallium or Technicium. Invasive techniques such as catheterization is nearly 100 percent sensitivity, but it should be done only when indicated more positive experience CHD.
The main complaint
Chest pain is also closely linked to lung disease and respiratory tract. For example, pulmonary TB (tuberculosis), bronchitis, pneumonia, bronchial asthma, pulmonary fungal, COPD (chronic obstructive pulmonary disease), lung disease work, and lung cancer. Chest pain, cough, and shortness of breath merupakam major complaint of Patients with chronic respiratory disease and lung cancer.
Acne, boils and bruises on the chest can also cause chest pain. “Shingles is a very painful chest pain, although not occur in skin disorders,” said Dr. Alexander K. Ginting S., physician Gatot Subroto Army Hospital.
Stimulation or pressure in the parietal pleura (the lining of the chest cavity also cause chest pain. Irritation of the bronchi Caused by smoke inhalation, dust, and chemicals cause heartburn Often complaints.
Smoking contributes huge to chronic respiratory disease and lung cancer. It is known that in the 63 components of cigarette smoke are carcinogenic or cancer Causing Substances.
Chest pain is a typical symptom was also an increase of in stomach acid and other stomach acid into the throat. Similarly, According to Dr. H. Syafruddin A.R. Lelosutan, Sp.PD., from the SubGastroenterologi-Hepatology Department, Gatot Subroto Army Hospital in Jakarta. The disturbance called gastroesophageal reflux disease (PRGE).
Patients with chest pain due to PRGE actually quite a lot. However, many people growing niche to think of heart and lung disorders, when experiencing chest pain.
A study in Orlando, USA, in 1995 found that 40 percent PRGE occur in the adult population. The Increased incidence was in the age group over 40 years and is more common in men.