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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 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]
Palpitations are a sensory symptom and are often described as a skipped beat, rapid fluttering in the chest, pounding sensation in the chest or neck, or a flip-flopping in the chest. [ 1 ] Palpitation can be associated with anxiety and does not necessarily indicate a structural or functional abnormality of the heart, but it can be a symptom ...
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.
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The doctor injects a local anesthetic into the area of the chest wall outside where the fluid is. A plastic tube is then inserted into the chest between two ribs. The tube is connected to a box that suctions the fluid out. A chest x-ray is taken to check the tube's position. A chest tube is also used to drain blood and air from the pleural space.