what type of patient may not report chest pain as a symptom

What is non-cardiac chest pain?

Non-cardiac chest pain (NCCP) is a term used to describe chest pain that resembles heart pain (also called angina) in patients who do not have heart disease. The pain typically is felt behind the breast bone (sternum) and is described as oppressive, squeezing or pressure-like.

How can I tell if my chest pain is caused by heart disease?

Paul: Exercise is a great way to determine whether chest pain could be arising from the heart. If somebody experiences chest pain or pressure with a predictable level of physical activity, such as walking up a flight of stairs, and the pain resolves with rest, it is likely to be due to a narrowing in a coronary artery.

How are the etiologies of chest pain classified?

Various schemes have been used to classify the etiologies of chest pain, but the most useful is to distinguish between acute and chronic patterns of pain. Patients with acute pain include those whose episodes are of recent onset or those who have had a recent increase in the intensity or frequency of recurrent pain.

When should I be concerned about chest pain?

You should be concerned about chest pain if you have severe pain, pressure, crushing, or squeezing in the chest that lasts more than a few minutes, pain that moves into the neck, left shoulder, arm, or jaw, or pain associated with breaking out in a sweat or feeling like you are going to pass out.

What symptom is not related to cardiac related chest pain?

People with noncardiac chest pain commonly have other symptoms of GERD, including heartburn and acid reflux. They also report a higher incidence of other gastrointestinal (GI) complaints, including sore throat, regurgitation and difficulty swallowing.

What symptoms will a patient complain of when they have chest pain?

It can feel tight, achy or sharp, among other sensations. It can spread to your back and arms. You should always take chest pain seriously and get medical attention quickly. Chest pain causes can range from heartburn or pneumonia to a heart attack.

What conditions can a patient present with chest pain?

Cardiovascular conditions such as myocardial infarction (MI), angina, pulmonary embolism (PE), and heart failure are found in more than 50 percent of patients presenting to the emergency department with chest pain,3 but the most common causes of chest pain seen in outpatient primary care are musculoskeletal conditions, ...

When should you refer to chest pain?

Indications for referral Patients with new onset chest pain suspected to be cardiac in origin. Patients with known ischaemic heart disease who have developed new onset or worsening symptoms, who have not been seen previously by a cardiologist.

What is the nursing diagnosis for chest pain?

Chest Pain also called Angina is a medical condition which involves chest pain due to the decrease in the blood supply to the heart. It is one of the definitive symptoms of coronary heart disease, and can also be a symptom for other cardiac issues.

What are the complications of chest pain?

ComplicationsPressure, fullness or a squeezing pain in the center of the chest that lasts for more than a few minutes.Pain extending beyond the chest to the shoulder, arm, back, or even to the teeth and jaw.Fainting.Impending sense of doom.Increasing episodes of chest pain.Nausea and vomiting.More items...•

How do you evaluate a patient with chest pain?

The four best independent predictors are absence of cough, stinging pain, pain that is reproducible on palpation, and localized muscle tension. In patients with three or four of these factors, there is a likelihood ratio of 3.0 that chest wall pain is the cause.

What are the main causes of chest pain in adults?

Possible causes of chest painMuscle strain. Inflammation of the muscles and tendons around the ribs can result in persistent chest pain. ... Injured ribs. ... Peptic ulcers. ... Gastroesophageal reflux disease (GERD) ... Asthma. ... Collapsed lung. ... Costochondritis. ... Esophageal contraction disorders.More items...

What's the cause of chest pain?

angina, which is chest pain caused by blockages in the blood vessels leading to your heart. pericarditis, which is an inflammation of the sac around the heart. myocarditis, which is an inflammation of the heart muscle. cardiomyopathy, which is a disease of the heart muscle.

What are the red flags for chest pain?

Red flags in chest painSudden onset.Exertional chest pain.Substernal or left-sided pain.Radiation to the left arm, jaw, and/or back.Quality of chest pain: crushing, pressure , tearing, and/or ripping.Associated symptoms: shortness of breath, diaphoresis, nausea, and/or vomiting.

When a patient complains of chest pain a 12 lead ECG must be taken within the first?

Acquire the 12 Lead ECG within 10 minutes of First Medical Contact. First Medical Contact (FMC) is the time of eye-to-eye contact between the STEMI patient and the caregiver capable of performing a 12 Lead ECG.

When do you refer to angina?

Referral Indications: Chest pain* due to suspected angina eg: constricting discomfort in centre of chest, jaw, arm. precipitated by exertion and stress.