What kind of chest pain is more “dangerous”?

Chest pain is a relatively common uncomfortable symptom in life. Clinically, pain is the main manifestation of many diseases, many of which are related to cardiovascular diseases.

High-risk chest pain must not be tolerated

Clinically, 50% to 80% of people will have warning signs a few days before acute myocardial infarction, the most important of which is pain. When the following types of pain occur, it indicates a high risk of myocardial infarction and must be paid close attention to.

1. Chest pain at night

Chest pain often occurs at night and does not occur during daytime activities. It is often see in variant angina.

This kind of pain is mainly due to myocardial ischemia caused by epicardial coronary artery spasm. If the spasm lasts for more than 30 minutes, it is likely to cause myocardial infarction or even sudden death.

2. Progressive chest pain

For people who have had angina pectoris in the past, if their pain symptoms have gradually worsened, lasted longer, occurred more frequently, and their pain range has become larger in the past month, they should be highly vigilant about an imminent myocardial infarction.

In addition, if angina pectoris attacks and cannot be effectively relieve within 15 to 20 minutes after taking nitroglycerin under the tongue, you should also be alert to myocardial infarction.

3. Persistent and intolerable chest pain

If the pain lasts for more than 30 minutes, is severe, unbearable, and cannot be relieve by rest or taking nitroglycerin, you should be alert to an acute myocardial infarction.

4. Chest pain without obvious cause

Stable angina attacks often have fixed triggers, such as fast walking, fatigue, nervousness, heavy meals, cold weather, straining to defecate, etc.

If pain occurs without triggers and occurs at rest, this often indicates that the plaque is unstable and may be a precursor to myocardial infarction, and it is necessary to seek medical attention in time.

5. Tearing chest pain

If the patient has arteriosclerosis, he or she needs to be alert to aortic dissection when pain appears suddenly, is tear-like in nature, radiates to the back, lasts for a long time, or feels that the range of pain expands to the surrounding area.

6. Chest pain accompanied by palpitation and breathlessness

If the patient has a recent history of surgery, cancer, or long-distance business trips. And suddenly develops pain accompanied by palpitation and shortness of breath. He or she needs to be alert to pulmonary embolism.

Once high-risk chest pain occurs, don’t think that “it will just pass”. You should call 120 immediately and wait for professional rescue. If the pain is not cause by cardiac causes after investigation, you can go to other specialists for treatment.