Boilers steam chest pressure while breathing

Chest pain

Chest pain call to mind the thought of a heart attack in many people. In principle, this is not wrong: Especially if the pain persists behind the breastbone or on the left side of the body and radiates into the shoulder, arm or stomach, you should alert a doctor as soon as possible.

This also applies in particular if the person concerned experiences such pain for the first time, if already existing heart problems classified by the doctor as angina pectoris attacks (see below) increase significantly in severity and duration or if they are at rest, without physical strain , to make noticable.

However, since these typical symptoms do not always have to be present, it is good to think about a possible infarction in the case of complaints in the chest area and to consult or consult a doctor sooner rather than later. This is also true because some other clinical pictures that can cause this symptom are also absolute emergencies.

Heart pain: mostly on the left or behind the sternum

The heart is often the cause of pain that is felt deeper in the chest. Heart pain is typically located just behind the sternum or on the left side of the rib cage, where this organ generally resides. Among other things, they can radiate into the upper abdomen, back, neck or left shoulder and left (rarely right) arm.

At a Infarct the pain is often felt as oppressive and oppressive or even devastating. Symptoms such as nausea, paleness, sweating and shortness of breath often occur at the same time. Chest pain that occurs with calcification of the coronary arteries (coronary artery disease) is expressed in a similar manner (Angina pectoris). Usually, however, they only last a short time.

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Cardiac arrhythmias can also cause tightness in the chest area, which may be experienced as painful.

Another possible cause of chest pain is inflammation of the pericardium (pericarditis). The chest pain is stabbing and rarely radiates to other areas.

Also Valvular heart disease or inflammation of the heart muscle can be accompanied by chest pain. This also applies to critical pressure increases in high blood pressure.

In addition to the localization of the pain and the nature of the pain, accompanying symptoms can also be an indication of a heart disease. Circulatory problems and a drop in blood pressure as well as a fast or irregular pulse can indicate a cardiovascular disease. Occasionally, however, there is also bleeding that weakens the circulation. Not least with an overactive thyroid, heart problems in the chest area (so-called palpitations), possibly combined with shortness of breath, can occur.

Main artery: Often devastating pain

The main artery (aorta), which supplies the body with blood, starts from the heart. This can tear off in the event of an accident or a blunt injury in the chest area (Aortic rupture). This results in life-threatening bleeding, which can only be stopped if the person concerned receives immediate medical attention, can be operated on in an emergency and can receive intensive medical care.

But also a tear in the vessel wall of the main artery (Dissection) can disrupt the blood flow in the body to such an extent that there is a danger to the patient. This can also lead to acute pain between the shoulder blades. Whether in the front or back of the chest: The pain is tremendously strong and is often experienced as "devastating". The cause of the tear can, for example, be a bulging of the main artery, a so-called aneurysm.

Most often, however, the bulges occur in the abdomen. If an aneurysm bursts freely into the body cavity (without any internal covering), life-threatening massive bleeding occurs, which must also be treated as an emergency (see above in this section).

Diseases of the lungs, pleura or lungs

In diseases of the lungs or the pleura and lungs, the pain is often breath-dependent, i.e. it increases when you inhale or exhale. If you experience shortness of breath or cough at the same time, this can also be an indication of this.

Possible causes are as diverse as bronchitis, pneumonia, lung cancer or one, for example Pulmonary embolism, a vascular occlusion in the lungs. The latter can be indicated, for example, by a bloody cough, shortness of breath and painful breathing. However, these symptoms do not have to be present in every case and can also belong to other clinical pictures. Risk factors for a pulmonary embolism include an existing cancer, previous surgery or venous thrombosis.

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If you suspect a pulmonary embolism, you should inform the emergency doctor immediately! If air gets into the space between the lungs and the pulmonary membrane due to an injury to the chest or lung disease, this can seriously impair breathing and even lead to the collapse of the lungs. Such a Pneumothorax must therefore also be treated immediately. It manifests itself in shortness of breath and stabbing pain in the chest, often the chest moves asymmetrically or only one-sided when breathing.

Middle skin diseases (Mediastinum), i.e. the space between the two lungs, the sternum and the spine, can also be a reason for chest pain.

Esophageal problems

But also problems of the esophagus (esophagus), like one Inflammation of the esophagus due to acid reflux from the stomach (reflux esophagitis) or a Disruption of esophageal mobility, can cause chest pain. Most of the time, the pain is more central behind the breastbone and in the lower chest or upper abdominal area. They can possibly be provoked by ingesting food.

With reflux esophagitis, but also with heartburn without detectable changes in the esophagus, the pain is often described as burning and ascending from the abdomen towards the neck. If the mobility of the esophagus is disturbed, it can lead to pain and difficulty swallowing, as well as belching or the backflow of food.

Also a Rupture of the esophagus, which can occur after violent vomiting, can cause pain in the sternum area. The same applies to esophageal cancer.