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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]
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.
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]
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 symptoms of SVT include palpitations, feeling of faintness, sweating, shortness of breath, and/or chest pain. [1] These abnormal rhythms start from either the atria or atrioventricular node. [2] They are generally due to one of two mechanisms: re-entry or increased automaticity. [3]
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.
Signs of shock include cold, sweaty skin, as well as rapid breathing and a weak, rapid pulse. Call 911 if you notice signs of shock, as it needs immediate medical attention. 12.
Pulsus alternans is diagnosed by first palpating the radial or femoral arteries, feeling for a regular rhythm but alternating strong and weak pulses. Next, a blood pressure cuff is used to confirm the finding: the cuff is elevated past systolic pressure and then slowly lowered cuff towards the systolic level.