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Doctor insights on: Costochondritis Or Heart Attack

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Have fibromyalgia/costochondritis. Terrified of heart attack. Multiple docs say I'm ok. Pains only come on at rest, not during cardio. Is that normal?

Have fibromyalgia/costochondritis. Terrified of heart attack. Multiple docs say I'm ok. Pains only come on at rest, not during cardio. Is that normal?

Fibromyalgia pain: Must patients with fibromyalgia have pains that are difficult to explain. Usually, pains associated with heart attach become worse with exercise. Your doctors are the only ones who can discern between cardiac pain and fibromyalgia pain. Read more

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Dr. Creighton Wright
1,180 Doctors shared insights

Myocardial Infarction (Definition)

Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more


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Symptoms today are horrible indigestion, numb arm, shortness of breath, feeling weak. I have costochondritis. Is this normal? Heart attack?

Symptoms today are horrible indigestion, numb arm, shortness of breath, feeling weak. I have costochondritis. Is this normal? Heart attack?

Doubt it, but...: No one symptom definitively indicates a heart attack is or is not in progress (many people make the fatal mistake of waiting out atypical heart pain). In fact, "heart pain" is often indistinguishable from esophageal, pericardial, mediastinal, gastric, & chest wall distress. By the same token, where in your gut you have problems may result in very different sensations. See doctor to be reassured. Read more

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How do I know if I have costochondritis pain and not a heart attack?

How do I know if I have costochondritis pain and not a heart attack?

Character of pain: If pain is alongside your breast bone (sternum) and is worsened by pressing along the ribs there, or worsened by coughing or deep breathing, more likely costochondritis and less likely heart attack. .. If worsened by activity, and associated with nausea, sweating, arm or neck pain, lightheadedness, shortness of breath and not with touching the ribs near the sternum, then possibly angina. Read more

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How can I tell difference between costochondritis and a sign of heart attack?

How can I tell difference between costochondritis and a sign of heart attack?

Heart Attack: Costochondritis is inflammation of the bone to cartilage of the sternum (breastbone). The pain is worse when you push on this area. A heart attack on the other hand is from the heart muscle not getting enough blood supply (and oxygenated blood). Heart attack pain is not made worse by pressing on the sternum. It often feels like a huge pressure on the chest, and may radiate into the jaw or arm Read more

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How can I know difference between costochondritis and a sign of heart attack?

How can I know difference between costochondritis and a sign of heart attack?

Costochondritis: Costochondritis is inflammation along the breast bone where the cartilage attaches to bone. Does it hurt to press on your sternum? If so, that suggests Costochondritis. Heart attack symptoms often involve a pressure feeling on the chest, nausea, shortness of breath, pain in the haw or the arm. When in doubt, seek medical attention immediately. Read more

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Does using voltaren (diclofenac) gel for costochondritis increase your risk for heart attack and stroke.?

Does using voltaren (diclofenac) gel for costochondritis increase your risk for heart attack and stroke.?

Not likely: I understand the blood levels of diclofenac are about 7% of blood levels when it's taken orally. Of course check with your physician, and be specially careful if you have heart failure already. Read more

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I was diagnosed with costochondritis. How can I distinguish the sharp pain I have all the time vs a heart attack? Also my heart seems to race at times

I was diagnosed with costochondritis. How can I distinguish the sharp pain I have all the time vs a heart attack? Also my heart seems to race at times

Physical exam: Physical exam is usually beneficial in differentiating between the two. Palpating on the costchondral junction should completely reproduce the symptoms of costochondritis, where it won't at all for a cardiac event. Certainly if there is concern, a cardiac workup can be done to rule out a cardiac cause. Read more

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Costochondritis is not going away. All the NSAID and anti inflammatory do not work. I keep thinking costo will eventually lead to a heart attack?

Costochondritis is not going away. All the NSAID and anti inflammatory do not work. I keep thinking costo will eventually lead to a heart attack?

Costochondritis: If truly a Costochodritis, this will NOT lead to a heart attack. Try seeing the doctor and keep plugging away. Trigger point injections are always an option and even Acupuncture or Chiropractic or Osteopathic manipulation can benefit you. Good luck. Read more

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Was having sever chest pain today. I feared it was a heart attack. I figured it was costochondritis or returning pericarditis. What to do? 18 y/o

Was having sever chest pain today. I feared it was a heart attack. I figured it was costochondritis or returning pericarditis. What to do? 18 y/o

Definitely see a DR: This complaint requires a face to face visit to evaluate all aspects of your history and physical. As it turns out the best place to go is to an emergency room for history, physical, EKG and other tests if appropriate. Good luck. Read more

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Was having severe chest pain today. I feared it was a heart attack. I figured it was costochondritis or returning pericarditis. What to do? 18 y/o

Was having severe chest pain today. I feared it was a heart attack. I figured it was costochondritis or returning pericarditis. What to do? 18 y/o

Seek Help: You are too young to have a heart attack although not knowing your complete history along with family history, I would recommend seeing a cardiologist regarding your concerns. Read more

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Does costochondritis really feel like your having a heart attack? So how can I know which one? Normal 2decho, ecg, stress test, chest xray

Does costochondritis really feel like your having a heart attack? So how can I know which one? Normal 2decho, ecg, stress test, chest xray

With all those tests: You should feel pretty confident of the diagnosis. Pain at yourcostochondral joints is generally reproducible with pressure on the joint (s) affected by the inflammation. And yes, the pain can feel very much like a heart attack. Read more

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Define a heart attack?

Define a heart attack?

See below: A heart attack occurs when blood flow to a part of your heart is blocked for a long enough time that part of the heart muscle is damaged or dies. The medical term for this is myocardial infarction. Read more

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Is heart attack painful?

Is heart attack painful?

Often yes: It can be painless in about 25% of cases (50% in people with diabetes) but the more typical presentation is with discomfort which can become quite painful for some. Read more

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Symptom of heart attack?

Symptom of heart attack?

Lots of things: Chest pain, with or without radiation to the arms, back, shoulders or jaw, sweating, nausea, vomiting, low blood pressure and shortness of breath tend to be the most common. Read more

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How to stop a heart attack?

How to stop a heart attack?

Revascularization: The only way to stop a myocardial infarction is to re open the obstructed or nearly obstructed coronary artery. That is why if the coronary artery can be reopened within minutes after the obstruction the early and long term survival is improved. Read more

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What are heart attack symptoms?

What are heart attack symptoms?

Chest Pain: The following are suspicious for a heart attack; tight, dull, or heavy pain lasting longer than 15 minutes in the chest (retrosternal or left chest); and/or arms, back or jaw associated with nausea and vomiting, marked sweating, breathlessness Read more

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How can a heart attack happen?

How can a heart attack happen?

Gradual blockage: Avoid by: good personal habits no smoking regular exercize monitor blood pressure check cholesterol and general physical features know your family history the atherosclerosis is established over time and deposits and gets to the critical stage and clots, or the plaque disrupts like a trap door causing acute blockage and threatened or damaged heart muscle. Read more

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What's the sign of heart attack?

What's the sign of heart attack?

Chest pain: Chest pressure, pain, tightness. Some radiation to you're arm, jaw, shoulder may be present. Typically lasting >10min, maybe accompanying by sweeting, shortness of breat or nausea. My advice, don't take chanses and call 911or your doctor. Read more

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What causes sudden heart attack?

Sudden blockage: Heart attack occurs when there is a mismatch between amount of oxygen the heart needs and amount it can get through the blood vessels. A sudden blockage can occur when cholesterol deposits in the arteries break off and expose tissue that causes clots to form. That is a heart attack. The degree of damage is related to the area supplied by the occluded vessel, the specific location and duration. Read more

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Dr. Creighton Wright
3,964 Doctors shared insights

Heart Attack (Definition)

A life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more


Dr. Christopher Piller
421 Doctors shared insights

Costochondritis (Definition)

A medical term to describe an inflammatory condition that occurs in the junction of the cartilage and the bone portions of a long bone. It is most commonly used to describe these changes in the ribs, which is a cause of ...Read more