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Levine's sign is a clenched fist held over the chest to describe ischemic chest pain. [1]It is named for Samuel A. Levine (1891–1966), an influential American cardiologist, who first observed that many patients with chest pain made this same sign to describe their symptoms.
Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
Symptoms include chest pain or pain that comes and goes, radiating to the jaw and either arm, fatigue, heart palpitations (myocarditis can cause heart arrhythmias), lightheadedness, shortness of ...
Treatment is usually via reassurance, as the pain generally resolves without any specific treatment. Occasionally it goes away after a couple of breaths. [1] The pain is agitated by expansion and contraction of the chest. Taking a deep breath and allowing the rib cage to fully expand can relieve the pain, however it will feel unpleasant initially.
Concerned your chest pain might be heart-related? Look for these signs to know what you're dealing with — and whether you need reach out to your doctor ASAP.
As the causes of chest pain vary, so do the treatments. For example, chest wall pain from arthritis or muscle strain might be treated with over-the-counter or prescription medications for pain and ...
If someone with chest pain also has known risk factors for a heart attack (such as high blood pressure, high cholesterol, diabetes, or smoking), "the likelier it is that it could be a heart attack ...
A key symptom of coronary ischemia is chest pain or pressure, known as angina pectoris. [4] Angina may present typically with classic symptoms or atypically with symptoms less often associated with heart disease. [19] Atypical presentations are more common in women, diabetics, and elderly individuals. [8] Angina may be stable or unstable.