Doctor insights on:
Angina Or Costochondritis
Angina is chest pain that is caused by poor blood flow to the heart muscle. Angina is not an actual disease, but rather a symptom of an existing heart problem. Most commonly, this underlying problem is due to an obstruction of the coronary blood vessels that surround the heart. There are different types of angina including stable angina, unstable ...Read more
Actually, yes: It's amazing what anxiety can do! Have medical tests and if results are negative for lung problems or heart issues - it leaves anxiety as a prime suspect. The good news will be that 1. you now know'll you are healthy in important ways and 2. CBT therapy works well for learning anxiety mgmt skills. It's a good thing! ...Read moreSee 1 more doctor answer
Not by itself: Stress does contribute to heart attacks, but does not directly cause them. Family history, diabetes, high blood pressure, hyperlipidemia and smoking are the known risk factors. Occasionally, even people without CAD will feel tightness in their chest when anxious, hyperventilating, or tightening their musculature. Of course, if their is any question, one should seek care by their pcp or er. ...Read moreSee 1 more doctor answer
Could pain of intercostals (back rib cage left side) be caused by or indicate an issue/condition of lungs? Like pleurisy, infection or otherwise?
Intercostal pain: Yes, it can be infection, strain, or injury. ...Read more
Possibly: If you have gerd with a sliding type hh, esophageal spasm can cause chest pain very similar to cardiac pain. A para esophageal hernia can also cause retrosternal pain. You should see your physician for an appropriate work up. Gb colic can also cause pain thought to be cardiac in origin. ...Read more
Yes: Hypertrophic cardiomyopathy can cause chest pain. It is a condition in which the heart muscle becomes thick, and obstruction to outflow may occur. Arrhythmias may occur as well. Patients may have severe symptoms, or no symptoms. It is a common cause of death in young athletes who seemed completely healthy. ...Read moreSee 1 more doctor answer
Yes: It certainly can be. Chest pain that is exertional in nature should be investigated by a stress test and if there is some suspicion or an abnormal ekg, possibly an imaging stress test. Several imaging tests will show the possibility of microvascular insufficiency of the heart (nuclear stress testing, pet, and mri). ...Read moreSee 1 more doctor answer
A heart attack or angina? What are the differences in symptoms between a heart attack and angina?
Angina : Angina and heart attack symptoms are both the result of reduced blood flow to heart muscle. Both can result in chest pain, pressure or squeezing that can radiate into the neck, jaw or arm and can be accompanied by other symptoms such as sweating, dizziness, or nausea. There are important differences though. Angina is brought on by exertion and relieved by rest or certain medications, such as nitroglycerin. It is the result of chronic cholesterol buildup in one or more of the coronary arteries, which restricts adequate blood flow to heart muscle during periods of increased activity. Angina usually resolves within 15 minutes of stopping activity or taking nitroglycerin. When someone experiences angina for the first time, or when their angina is provoked more easily this is called unstable angina and requires immediate medical attention. As opposed to angina, heart attacks happen suddenly and the symptoms can be more severe and persist much longer. Heart attacks are a result of a sudden blockage of the coronary blood vessel, typically by a ruptured cholesterol plaque. Heart attack symptoms persist until the blockage resolves, or if it does not resolve, until the heart muscle dies. Not all patients with heart attacks have angina prior. Heart attacks are a medical emergency and always require immediate medical attention. ...Read moreSee 1 more doctor answer