Chest pain causes

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

There are many organ systems, that when affected, can lead to the symptoms of chest pain. The most common organs involved are the heart, lungs, and the digestive system. Psychiatric disorders, can also lead to the perception of chest pain. The most important facet of diagnosis is distinguishing the life-threatening causes of chest pain, to the more benign causes.

Causes

Common Causes

• Heartburn or indigestion
• Angina
• Chest wall pain, or costochondritis
• Myocardial infarction
• Esophageal spasm
• Aortic dissection
• Biliary colic or other gallbladder disease
• Anxiety or panic attacks

Causes in Alphabetical Order

1,1-Dimethyl hydrazine 1,2-Dibromo-3-chloropropane Abdominal distension Accelerated hypertension Acetonitrile Achalasia Acromegaly Acrylonitrile Actinomyces Acute Aortic Dissection Acute Coronary Syndrome Acute intermittent porphyria Acute spinal cord injury Adenosine Affective disorders (e.g., depression) Air embolism Alveolar hydatid disease Amonafide Amphetamine Ankylosing spondylitis Ankylostomiasis Anthracosis Anxiety disorders Aortic Aneurysm Aortic Stenosis Arryhthmias Arsenic dioxide Arsenicals Asbestosis Asthma Atopy Atrial flutter Atrial fibrillation Atrial myxoma Autoimmune hemolytic anemia Barotrauma Barotrauma Barret’s esophagus Bechterew's Disease Bergman syndrome Bernheim syndrome Bland-White-Garland Syndrome Blood transfusion complication Bone tumor Bornholm disease Bronchial carcinoma Bronchiectasis Bronchogenic carcinoma Bronchogenic cyst Carbon monoxide Carcinoma Carcinomatous Cardiac syndrome X Cardiomyopathy Cardiopulmonary resuscitation Chagas disease Chest wall injuries Chest wall pain syndrome Cholecystitis Cholelithiasis Chronic fatigue syndrome Chronic Obstructive Pulmonary Disease (COPD) Chronic Stable Angina Cocaine Collagen vascular disease with pleuritis Conn's Syndrome Cor pulmonale Coronary artery dissection Coronary Heart Disease Costochondritis Costocondrial tendinitis Costosternal tendinitis Cryptococcosis

CS/TS osteochondrosis Cytosine arabinoside syndrome Da costa's syndrome Decompression sickness Degenerative changes of cervical spine Diverticulitis Dressler's syndrome (postpericardiotomy) Drugs to treat migraine headache Duodenitis Eisenmenger syndrome Empyema Esophageal cyst Esophageal rupture Esophageal spasm Esophagitis Fabricated or induced illness Fabry disease Factitious disorders (e.g. Münchausen syndrome) Familial mediterranean fever Fibromyalgia Foreign body aspiration Foreign body Fractured rib Functional disorders Gastritis Gastroesophageal reflux (GERD) Gemeprost Glatiramer acetate Glycogenosis Goodpasture's syndrome Heller-Dohle disease Hemothorax Hepatitis Herpes zoster Hiatus Hernia Histoplasmosis HIV infection Hospital addiction syndrome Hyperthyroidism Hyperventilation syndrome Hypochondria Hypothyroidism Impacted stone Infliximab Intercostal muscle spasm Intercostal neuralgia Interstitial fibrosis Interstitial lung disease Ischemic heart disease Kawasaki disease Langerhans' cell histiocytosis Laryngotracheitis Lassa fever Lead Left ventricular hypertrophy Legionnaires' disease Liver abscess Liver cancer Lung Abscess Lung Cancer Lymphangiomyomatosis Lymphoma Mallory-Weiss Syndrome Mastalgia Mediastinitis Mesothelioma Mesothelioma Metastatic tumor Mitral valve prolapse Muscle strain or spasm Myocarditis Myofascial pain Myostitis Naratriptan Neoplasm

Neuritis Neurofibroma non ST elevation MI Nutcracker's esophagus Nylidrin Pancreatitis Panic attack Peptic ulcer disease Perforated ulcer Pericardial tamponade Pericarditis Periostitis Peritonitis Pheochromocytoma Pleural Effusion Pleural fibroma Pleuritis Pleurodynia Plummer-Vinson Syndrome Pneumoconiosis Pneumomediastinum Pneumonia Pneumoperitoneum Pneumothorax Porfimer Pott's Disease Precordial catch syndrome Prinzmetal angina Pulmonary embolism Pulmonary infarction Radiculitis Recurrent hereditary polyserositis Regadenoson Respiratory alkalosis Retropharyngeal abscess Rib pain Rizatriptan Rumination disorder SAPHO syndrome Shingles Shoulder bursitis Shoulder tendinitis Sickle cell anemia Silicosis Somatization disorder Somatoform disorders Splenic enlargement Splenic infarction ST elevation MI Myocardial infarction Sternoclavicular arthritis Strain of pectoralis muscle Stress cardiomyopathy Subdiaphragmatic abcsess Subphrenic abscess Sumatriptan Tabes dorsalis Takotsubos cardiomyopathy Tension pneumothorax Thoracic Outlet Syndrome Thought disorders (e.g., fixed delusions) Thymoma Tietze's syndrome Tracheitis Tracheoesophageal abscess Trauma Trichinella spiralis Tuberculosis Soft tissue sarcoma or tumor unstable angina Vertebrogenic thoracic pain Wegner granulomatosis Whipple's Disease Xiphodynia Zolmitriptan