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Initial treatment often includes the medications aspirin and nitroglycerin. [1] [4] The response to treatment does not usually indicate whether the pain is heart-related. [1] When the cause is unclear, the person may be referred for further evaluation. [3] Chest pain represents about 5% of presenting problems to the emergency room. [3]
The term derives from Latin angere 'to strangle' and pectus 'chest', and can therefore be translated as "a strangling feeling in the chest". An urgent medical assessment is suggested to rule out serious medical conditions. [5] There is a relationship between severity of angina and degree of oxygen deprivation in the heart muscle.
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.
The heartbeat may feel hard, fast, or uneven in their chest. [1] [2] Symptoms include a very fast or irregular heartbeat. Palpitations are a sensory symptom. [1] They are often described as a skipped beat, a rapid flutter, or a pounding in the chest or neck. [1] [2]
Supraventricular tachycardia (SVT) is an umbrella term for fast heart rhythms arising from the upper part of the heart. [2] This is in contrast to the other group of fast heart rhythms – ventricular tachycardia, which start within the lower chambers of the heart. [2]
Treatment of pulmonary hypertension is determined by whether the PH is arterial, venous, hypoxic, thromboembolic, or miscellaneous. If it is caused by left heart disease, the treatment is to optimize left ventricular function by the use of medication or to repair/replace the mitral valve or aortic valve . [ 68 ]
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Symptoms vary from none to feeling tired, leg swelling, and shortness of breath. [2] It may also result in chest pain or fainting. [2] Complications can include heart failure, heart valve disease, or an irregular heartbeat. [3] [4] Causes include genetics, alcohol, cocaine, certain toxins, complications of pregnancy, and certain infections.