Cardiology

Chest Pain: Recognising the Warning Signs

Some causes are emergencies, others are benign.

Dr. Marc Aubry

Cardiologist

6 min read
Medical illustration of Chest Pain: Recognising the Warning Signs

In simple terms

Chest pain is among the most anxiety-provoking symptoms. Quick triage saves lives without overwhelming hospitals.

What you need to remember

  • Other serious causesPulmonary embolism (sudden breathlessness)
  • Benign causesMusculoskeletal (reproducible with palpation), gastro-oesophageal reflux, anxiety/panic attacks.
  • InvestigationECG, troponin, sometimes chest imaging.

Central, oppressive, radiating to arm or jaw, triggered by exertion, accompanied by sweating, nausea, breathlessness — call emergency services.

Other serious causes

  • Pulmonary embolism (sudden breathlessness)
  • Aortic dissection (tearing pain to back)
  • Pneumothorax (sudden one-sided pain)
  • Pneumonia, pericarditis

Benign causes

Musculoskeletal (reproducible with palpation), gastro-oesophageal reflux, anxiety/panic attacks.

Investigation

ECG, troponin, sometimes chest imaging. Stress testing or coronary CT for ongoing suspicion.

When in doubt, call emergency services: ruling out a heart attack is straightforward in hospital and dangerous at home.

The words explained

Medical terms used above, in everyday language.

Anxiety
Ongoing worry or fear that is strong enough to affect daily life.

When should you see a doctor?

  • Your symptoms last more than a few weeks or keep coming back.
  • They get worse quickly, or stop you doing everyday things.
  • You notice sudden pain, breathing trouble, fainting or bleeding — seek urgent care.
  • You already take medication and want to change anything about it.

This article explains general health information. It does not replace advice from your own doctor.

Frequently asked questions

What is Chest Pain: Recognising the Warning Signs?
Chest pain is among the most anxiety-provoking symptoms. Quick triage saves lives without overwhelming hospitals.
What are the main symptoms or signs of Chest Pain: Recognising the Warning Signs?
Common signs vary from person to person. The article above lists the symptoms to watch for, how they progress, and when they need medical attention.
When should you see a doctor for Chest Pain: Recognising the Warning Signs?
See a doctor if symptoms last more than a few weeks, get worse quickly, stop you doing everyday things, or if you notice sudden pain, breathing trouble, fainting or bleeding.