Ignoring chest pain can be fatal

Romen Dutta

“Action separates the heroes from the spectators. The faster one reaches for help, the better are the chances of the victim’s recovery. In a medical crisis, rush to a multispecialty emergency specialist, preferably, any hospital closest to you,” should be the norm followed judiciously.
Are you feeling a sudden discomfort in your chest or restlessness that makes you weary? It might be due to acidity or an early signs of angina pain that one can suffer from. Just don’t ignore this warning sign as this can be an enduring cardio-vascular complication that can be fatal if not treated on time. You need prompt medical intervention and need to call the doctor on emergency duty at the nearest hospital.
Emergency medicine plays the most pivotal role in the treatment of patients suffering from acute illness, injuries or accidents in the country. It is one of the most specialised departments equipped to save lives of patients on a daily basis. According to Dr Arijit Bose, Senior Consultant at Apollo Gleneagles Hospital, Kolkata, one of the best centres of excellence in emergency treatment in Kolkata, “As pioneers of emergency care in India, we have a 24 hours emergency care and we offer highest levels of skill, expertise and infrastructure. We are equipped to meet all medical and surgical emergencies, including polytrauma. In addition we have well equipped ambulances manned by trained personnel and doctors.” 
With a team of specialists, trained medical staff and modern imaging systems, Apollo Gleneagles Hospital is prepared to help arrest chest pain and diagnose life-threatening causes of chest pain. So treatment for such underlying conditions can start immediately. The centre is also well-equipped to handle any potential cardiac emergencies, and has a round-the-clock team dedicated to ensuring that one gets the best and right kind of care at the right time.
In case one develops a sudden chest pain or breathing difficulty, Apollo has a dedicated Chest Pain unit. According to Dr Bose it would make a difference and save lives of cardiac patients who visit here for similar complications.
In such critical cases, POC Test is being conducted which is kind of a blood test. Echo is also conducted for same as it takes about 15 minutes to know the risks with regard to Chest Pain. 128 slice CT scan is the latest technology for best results and prognosis. In the initial 0-4 hours of Chest Pain, people show normal ECG which might vary from time to time depending upon the severity of the disease.
If a person is having chest pain and does not know the cause, they should be immediately evaluated by emergency medical personnel. Chest discomfort or pain may be a key warning symptom of a heart attack. Heart attack symptoms may include chest pain or pressure, or a strange feeling in the chest, sweating, shortness of breath, nausea or vomiting, pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms, lightheadedness or sudden weakness, a fast or irregular heartbeat.
Although there are many causes of chest pain, the two large groups of causes are cardiac-related problems and non-cardiac causes. Cardiac chest pain is caused by an imbalance between the blood supply to the heart and oxygen needs of the heart muscle. Cardiac chest pain is most commonly a result of atherosclerosis (leading to fixed narrowing of coronary arteries), but also can be caused by coronary spasms that narrow the arteries intermittently. Cardiac chest pain is also referred to as angina or angina pectoris.
This signs the symptoms of cardiac chest pain are chest discomfort, including pressure, squeezing, heaviness, or burning sometimes associated with a sensation of choking or shortness of breath. The discomfort is often described as ranging from sharp to dull and is usually located in the upper abdomen, back, neck, jaw, left arm, or shoulders. It can be precipitated by exertion, eating, exposure to cold, and/or emotional stress and usually lasts about 1 to 5 minutes. For some, this pain is relieved by rest or from taking the medication nitroglycerin. The pain intensity usually doesn't change with respiration, cough or position change. Classically, cardiac chest pain is in the left chest. However, it may occur in the center or right chest.
Non-cardiac chest pain may have many of the above symptoms. However, non-cardiac chest pain may change with respiration, cough, or position. Regardless, chest pain is not normal and should be diagnosed by a doctor because it can represent a serious health risk.
Women may have somewhat different cardiac chest pain symptoms including more nausea and vomiting, lightheadedness, and pain or discomfort in one or both arms. Pregnant women may experience chest pain from heartburn, indigestion, enlarged breasts, pressure (baby putting pressure on diaphragm/ribs), widening of the rib cage, and stress. In children and teens, chest wall pain is the most common cause of chest pain. Rarely is there a heart problem in these ages, but it can occur with conditions such as Marfan syndrome or tearing of the aorta.
Non-cardiac chest pain has many causes, ranging from infections and muscle or bone problems to conditions such as lung tumors, lung collapse, chest trauma, upper abdominal pain, and gastric reflux. Although some of the non-cardiac causes of chest pain may require emergency care (for examples, lung collapse and severe chest trauma), most do not.
Chest pain can occur in a variety of ways, ranging from a sharp stab to a dull ache. In certain cases, the pain can seem crushing or burning, while in other cases, it can travel up one’s neck, into the jaw, and radiate through back or one or both of the problems. Many different problems can cause chest pain. At Apollo, proper diagnosis is done to know the accurate result.

Sunday, 2 July, 2017