What to do if you have chest pain

Chest pain is a common clinical symptom with complex etiologies, involving multiple organs and systems. The clinical manifestations and risks of acute chest pain vary greatly.

For life-threatening and dangerous diseases, such as acute coronary syndrome, aortic dissection, pulmonary embolism, etc., proper diagnosis and treatment need to be made in a short time. If misdiagnosis or missed diagnosis can lead to serious or even fatal consequences.

Read the full text, Changde Fourth People’s Hospital experts teach you how to deal with chest pain when someone around you has chest pain.

What is chest pain

Chest pain refers to discomfort in the chest area, including tightness , Needle-stinging pain, burning, tightening, squeezing, etc., sometimes can radiate to the cheeks and jaws, pharynx and neck, shoulders, back, upper limbs or upper abdomen, showing soreness, numbness or heaviness.

What causes chest pain

It is usually caused by chest diseases, including chest wall skin, Subcutaneous tissue, sternum or ribs, pleura, internal organs (lung, heart, esophagus, etc.), blood vessels, nerves, mediastinal tumors, etc., cardiac neurosis caused by mental and psychological factors are also more common. The causes of chest pain are complex, and the cause should be found after a comprehensive evaluation by a doctor.

What may be high risk of chest pain

1, confusion or loss of consciousness.

2, cyanotic lips, difficulty breathing, hemoptysis.

3. Severe abnormal blood pressure.

4. Tachycardia or bradycardia.

5. Pale complexion, profuse sweating and cold limbs.

6. Pain that does not respond to drugs.

What to do if you have acute chest pain

1. Dial 120 to call the emergency center immediately, The sooner the doctor seeks treatment, the better for the patient.

It is worth noting here that the 120 emergency personnel must hang up first and then hang up the phone to ensure that the emergency personnel obtain sufficient and effective information.

2. The patient should stop all activities immediately, lie down and rest and wait for the emergency doctor. Some patients can relieve themselves.

3. If there is no previous disease, it is best not to take drugs indiscriminately.

What will the medical staff in the emergency department of Changde Fourth People’s Hospital do for you

1. We will conduct a rapid assessment according to the priority of the patient’s condition, and quickly complete the determination of vital signs after admission. Complete ECG detection and judgment within ten minutes.

2. If myocardial infarction is suspected, the medical staff in the emergency department will quickly start a chest pain pre-conversation and complete the signing process. (Patients should try not to delay too much time in signing.) We will guide patients to take myocardial infarction-related drugs in a timely manner and make relevant preparations for PCI.

3. The nurse will draw blood for the patient, complete the rapid determination of troponin, and preoperative blood draw.

4. Contact the chest pain center of the hospital for the patient at the first time, and quickly start the chest pain procedure. Try to complete it as soon as possible.

5. The fees for all the above operations will be charged later.

We should follow the basic principle of “first treatment and then charging” for patients with chest pain.

How to prevent risk

1. Control blood pressure, blood lipids, blood sugar, etc.

2. Quit smoking, control your weight, and maintain a good lifestyle.

3. Avoid factors that are easy to induce chest pain, such as fatigue, exercise, full meal, cold, emotional agitation, etc.

4. Avoid prolonged bed rest.

5. Patients who are taking immunosuppressants or immunodeficiency, strengthen nutrition, pay attention to exercise, and avoid herpes zoster due to low immune function.

(edited by Rainbow. Some pictures are from the Internet, invaded and deleted)

Special author of Hunan Medical Chat: Pantene, Emergency Department, Southern District, Changde Fourth People’s Hospital