Severe Chest Pain: When to Seek Medical Help - Cardiology

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Severe chest pain?


While lying in bed, I suddenly felt my heart racing and almost stopping, as if I was about to faint.
I was extremely scared.
After walking around, my heart rate slowed down a bit.
However, throughout the entire process, I felt very uncomfortable in my left chest, as if a heavy stone was pressing down on it.
I'm really scared; what should I do? Thank you for your help.

Cheng, 10~19 year old female. Ask Date: 2016/04/04

Dr. He Dongjin reply Cardiology


Hello, it is recommended to visit the hospital for further examination.
Changhua Hospital cares about you.

Reply Date: 2016/04/04

More Info


Experiencing severe chest pain, especially when accompanied by sensations of rapid heartbeat or feelings of impending doom, can be alarming and may indicate a serious medical condition. It is crucial to understand when to seek medical help and what steps to take in such situations.


Understanding Chest Pain
Chest pain can arise from various causes, ranging from benign issues like muscle strain or anxiety to life-threatening conditions such as heart attacks, pulmonary embolisms, or aortic dissections. The nature of the pain, its duration, and accompanying symptoms are critical in determining the urgency of the situation.

1. Nature of the Pain:
- Sharp or Stabbing Pain: This may suggest a musculoskeletal issue or pleuritic pain (related to the lungs).

- Pressure or Tightness: Often described as a feeling of heaviness or a "weight" on the chest, this type of pain can be indicative of cardiac issues.

- Radiating Pain: Pain that spreads to the arms, neck, jaw, or back can be a sign of a heart attack.

2. Accompanying Symptoms:
- Shortness of Breath: Difficulty breathing can indicate a serious condition.

- Sweating: Profuse sweating, especially if cold and clammy, can be a sign of a heart attack.

- Nausea or Vomiting: These symptoms can accompany cardiac events.

- Dizziness or Lightheadedness: Feeling faint or weak can indicate a drop in blood pressure or cardiac output.


When to Seek Medical Help
Given your description of feeling as if your heart was about to stop and the sensation of pressure in your chest, it is essential to take these symptoms seriously. Here are guidelines on when to seek immediate medical attention:
- Seek Emergency Care Immediately if you experience:
- Severe chest pain that lasts more than a few minutes or goes away and comes back.

- Pain that radiates to the arms, back, neck, or jaw.

- Shortness of breath, especially if it occurs with chest pain.

- Sweating, nausea, or lightheadedness.

- Any sudden change in your health that feels alarming.


What to Do While Waiting for Help
If you find yourself in a situation where you are experiencing severe chest pain:
- Stay Calm: Anxiety can exacerbate symptoms. Try to breathe deeply and remain as calm as possible.

- Sit or Lie Down: Find a comfortable position that alleviates the pain. Avoid exertion.

- Avoid Food or Drink: If you suspect a heart issue, it’s best not to eat or drink anything until evaluated by a healthcare professional.

- Call for Help: If symptoms persist or worsen, do not hesitate to call emergency services.


Conclusion
In summary, severe chest pain is a symptom that should never be ignored. Given your experience of feeling a rapid heartbeat and discomfort in your left chest, it is advisable to seek medical attention promptly. Understanding the signs and symptoms associated with chest pain can empower you to take appropriate action and potentially save your life. Always err on the side of caution when it comes to your health, and do not hesitate to reach out for help when you feel something is wrong.

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