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These features help differentiate different types of chest pain based on these characters.

SITE

RETROSTERNAL-

  • Angina

  • Myocaridial Infarction

  • Pericarditis

LEFT MAMMARY AREA-

  • Anxiety

 

RADIATION

LEFT ARM

  • Angina

  • Myocardial infarction

  • Pericarditis

  • Cervical Spondylosis

LOWER JAW

  • Angina

  • Myocardial Infarction

BACK OF CHEST

  • Dissection of Aorta

  • An Aortic Aneurysm

  • Angina

 

DURATION

LASTS FEW MINUTES

  • Angina

LASTS FEW SECONDS

  • Anxiety

  • Hiatus Hernia

LASTS HOURS

  • Myocardial infarction

  • Pericarditis

  • Dissection of Aorta

  • Anxiety 

 

PRECIPITATING FACTOR

EXERTION

  • Angina

COLD AIR

  • Angina

HEAVY MEAL

  • Angina

  • Oesophagitis

BENDING

  • Hiatus Hernia

  • Arthritis of thoracic spine

NECK MOVEMENT

  • Cervical Spondylosis

COUGHING

  • Pericarditis

  • Pleurisy

  • Nerve Root Irritation

EXHAUSTION

  • Anxiety

ARM MOVEMENTS

  • Thoracic outlet syndrome

 

PAIN RELIEF

WITH REST

  • Angina

LEANING FORWARD

  • Pericarditis

BREATH HOLDING

  • Pleuritic pain

ALKALIS

  • Oesophagitis

 

ACCOMPANYING SYMPTOMS

SWEATING/ NAUSEA/ VOMITING

  • Myocardial Infarction

BREATHLESSNESS

  • Angina

  • Left Ventricular failure

  • Pulmonary embolism

  • Pneumothorax

HEMOPTYSIS

  • Pulmonary embolism

  • Lung Carcinoma

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