Not all chest pain comes from a disturbance in the organ jantung.Namun, chest pain is a typical symptom of the illness jantung.Menurut Dr. Hary Utomo, Sp. JP, chest pain due to abnormalities jantungdiakibatkan imbalance between demand and supply of oxygen to the heart muscle.
Imbalance could be due to increased oxygen demand orsupply is too low, it could be a combination of both. In patients with coronary arteriosclerosis (blood vessels that supply the food), automatic blood drainage is limited.
"If the patient requires more oxygen consumption, such as when exercising or when faced with stressful situations, such as anger, one might expect the onset of symptoms of angina or chest pain before," said cardiologist and blood vessels of Gatot Subroto Army Hospital, Jakarta. These symptoms may get worse when a blood vessel accompanied by cramps commonly referred to spasm.
Could end up fatalSensation of chest pain from coronary heart disease can vary. Usually a sense of suppressed weight, feel gripped, nausea or feel sick, burning sensation burning, or choking feeling in the neck.
Parts of the body have been complaints that could be in the middle of the chest, solar plexus, and between the shoulder blades, with propagation to the left arm, neck and jaw. These symptoms occur when the patient initially perform strenuous physical activity.
The complaints usually disappear after the patient at rest. However, if the disease is allowed to grow blood vessels, the complaint will also appear at the break.
Increased severity of the disease make chest pain lasts longer and can be accompanied by cold sweats, anxiety, cold hands and feet, and even convulsions and decreased consciousness. If you do not get immediate medical help, the case could end up fatal.
The death rate for cardiogenic shock was more than 95 percent.Even if the patients were helped, often experience residual symptoms ofneurological disorders or renal failure.
More Early TestsIn hospitals, patients with chest pain will undergo a physical examination, laboratory and x-rays. If it takes too doelectrocardiography and echocardiography. Having ascertainedthe narrowing of coronary arteries will be performed angiography.
As of early detection efforts, Dr. Hary suggested that those who35-year-old began to undergo testing exercise test (treadmill) every year. If you have high risk factors such as smoking, diabetes mellitus, dyslipidemia (abnormal blood lipid profiles), high blood pressure, family history, should do the test again at a younger age.
Examination can also choose a combination of echocardiography and exercise test test called stress echocardiography. This method can visualize cardiac wall segments that allegedly impaired oxygen supply.
Examination is a relatively new Magnetic Resonance Angiography (MRA). To find the area where the heart is impaired blood supply can be examined by radio isotope thallium or Technicium. Catheterization is an invasive technique such as the sensitivity is almost 100 percent, but it should be done only when a more positive indication of having CHD.
The main complaintChest pain is also closely linked to lung disease and gastrointestinalbreathing. For example, pulmonary TB (tuberculosis), bronchitis, pneumonia, bronchial asthma, lung fungus, COPD (chronic obstructive pulmonary disease), lung disease work, and lung cancer. Chest pain, cough, and shortness of breath merupakam main complaint of patients with chronic respiratory disease and lung cancer.
Pimples, boils and bruises on the chest can also cause chest pain. "Shingles is very painful chest pain, despite defects in the skin has not happened," said Dr. Alexander K. Ginting S., doctor of Gatot Subroto Army Hospital.
Stimulation or pressure in the parietal pleura (lining of the chest cavity also cause chest pain. Irritation of the bronchi caused by smoke, dust, and chemicals are also often lead to complaints of heartburn.
Smoking contributes to the occurrence of disease is very largeChronic respiratory and lung cancer. It is known that inside there are 63 components of cigarette smoke that are carcinogenic or cancer causing substances.
Chest pain was also a typical symptom of an increase in stomach acid and other stomach acid into tonggorokan. Similarly, according to Dr. H. Syafruddin A.R. Lelosutan, Sp.PD., from theSubGastroenterologi-Hepatology Department of Internal Medicine, Gatot Subroto Army Hospital, Jakarta. The disorder called gastroesophageal reflux diseaseGastroesophageal (PRGE).
Patients with chest pain due to PRGE actually quite a lot. However, many people are more likely to think about the heart and lungs, when experiencing chest pain.
A study in Orlando, USA, in 1995 found that 40 percent PRGE occurs in the adult population. The incident was increased in the age group over 40 years and occurs more frequently in men.