Pressing Pain in the Chest

What is it?

Pressing pain in the chest is a sensation of pressure or squeezing in the chest area. This symptom can be caused by various conditions, including problems with the cardiovascular system, lungs, or digestive tract.

Causes of Pressing Pain in the Chest

• Myocardial infarction. One of the most serious causes of pressing pain in the chest is a myocardial infarction, which occurs when blood flow to the coronary arteries of the heart is blocked.
• Angina pectoris. This condition is characterized by pain and pressure in the chest due to insufficient blood supply to the heart.
• Esophageal problems. Acid reflux or esophagitis can cause painful sensations in the chest that feel like pressure.
• Pulmonary embolism. A clot in the lungs can cause sharp chest pain, shortness of breath, and cyanosis.
• Intercostal neuralgia. Inflammation or irritation of the nerves between the ribs can cause sharp or pressing chest pain.
• Pneumothorax. A condition where air enters the pleural cavity, causing squeezing chest pain and difficulty breathing.
• Muscular and skeletal causes. The pain may be caused by muscle strain, rib injuries, or cartilage damage.

When to see a doctor?

• If the chest pain is accompanied by difficulty breathing, dizziness, or sweating.
• If the chest pain appears suddenly, intensifies, and does not subside after a few minutes.
• If the pain is associated with physical activity or emotional stress.
• If the pain is accompanied by nausea, vomiting, or radiates to the left arm or jaw.
• If the pain occurs after an injury or blow to the chest.

Diagnosis and Treatment

• Medical examination. The doctor will conduct an examination and ask about symptoms to determine the possible cause of the pain.
• ECG. Electrocardiography helps detect heart rhythm disturbances and signs of myocardial infarction.
• Chest X-ray. To diagnose lung conditions such as pneumothorax or pneumonia.
• Chest CT scan. May be ordered to detect pulmonary embolism and other serious conditions.
• Blood tests. To assess platelet levels, inflammation markers, and other indicators that may point to infection or inflammation.
• Treatment. Depending on the diagnosis, treatment may include blood thinners, anti-anginal drugs, analgesics, or surgical intervention.