Understanding Main Causes of Chest Pain Understanding Main Causes of Chest Pain
Preventive Care
Heart Health

Understanding the Main Causes of Chest Pain

04 November 2025 · 5 mins read

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Chest pain may result from heart issues like angina or heart attacks, or from conditions such as GERD, anxiety, or lung problems. Prompt diagnosis is crucial.

Chest pain refers to discomfort or pain in the chest area that may radiate to the arms, neck, jaw, or upper back. It may present as a sharp, dull, tight, or pressure-like sensation, and can vary in duration—from a few minutes to several hours or even persist over time. The pain may intensify during physical exertion and subside with rest, although it can also occur when at rest.

Chest pain should always be taken seriously, as it may signal a life-threatening condition such as a heart attack. Prompt medical attention is essential.

Common Causes of Chest Pain

Chest pain is a symptom that can arise from numerous conditions, both cardiac and non-cardiac in nature.

Cardiac-Related Causes

  • Angina: Caused by restricted blood flow to the heart muscle, typically due to narrowed arteries. It is often triggered by physical activity or stress.
  • Myocardial Infarction (Heart Attack): Occurs when blood supply to part of the heart is blocked, resulting in chest pain that may be accompanied by shortness of breath, nausea, or cold sweats.

Non-Cardiac Causes

  • Gastroesophageal Reflux Disease (GERD): Acid reflux can produce a burning sensation or discomfort in the chest that may mimic heart pain.
  • Musculoskeletal Issues: Inflammation or strain in the chest wall or ribcage can cause localised pain.
  • Pulmonary Conditions: Disorders such as pneumonia, pleuritis, or pulmonary embolism may cause sharp, stabbing pain, particularly when breathing deeply.
  • Anxiety or Panic Attacks: Often present with chest tightness, rapid heartbeat, sweating, and a sense of impending doom.

Recognising Chest Pain Linked to Heart Problems

Chest pain is often a key indicator of underlying heart conditions. It is crucial to identify warning signs early, such as:

  • A sensation of pressure, fullness, or tightness in the chest
  • Pain radiating to the arms, neck, jaw, or back
  • Shortness of breath, nausea, light-headedness, or cold sweats

Chest pain that is sudden, intense, or occurs during physical activity requires immediate medical evaluation. Early diagnosis and treatment of conditions such as unstable angina or heart attacks can be lifesaving.

Early Identification of Heart Conditions

Proactive heart health monitoring and recognition of early warning signs can help prevent complications.

Symptoms to Watch For:

  • Persistent or unexplained chest pain, even at rest
  • Fatigue and generalised weakness
  • Irregular or rapid heartbeat (palpitations)
  • Swelling in the ankles, feet, or legs

Key Risk Factors:

  • Hypertension, diabetes, and high cholesterol
  • Family history of cardiovascular disease
  • Smoking, obesity, and physical inactivity

Diagnostic Tools:

  • Electrocardiogram (ECG): Detects abnormalities in heart rhythm
  • Blood Tests: Identify cardiac-specific biomarkers
  • Stress Testing: Evaluates heart function during physical exertion

Preventing Heart Conditions

Adopting a heart-healthy lifestyle significantly reduces the risk of cardiovascular disease.

Dietary Habits

  • Emphasise whole grains, fruits, vegetables, lean proteins, and healthy fats
  • Reduce consumption of saturated fats, trans fats, and added sugars
  • Limit sodium to help manage blood pressure

Physical Activity

  • Aim for at least 150 minutes of moderate aerobic activity weekly
  • Incorporate strength training exercises twice per week

Smoking Cessation

  • Smoking damages blood vessels and accelerates plaque build-up
  • Seek medical support or nicotine replacement therapies to quit

Stress Management

  • Engage in relaxation practices such as meditation, yoga, or breathing exercises
  • Maintain a healthy work-life balance

Regular Health Screening

  • Monitor blood pressure, cholesterol, and glucose levels regularly
  • Discuss any family history of heart disease with a medical professional

Weight Management

  • Maintain a healthy Body Mass Index (BMI)
  • Implement gradual and sustainable changes for weight loss if necessary

Alcohol Moderation

  • Excess alcohol intake can elevate blood pressure and triglyceride levels
  • Adhere to guidelines: no more than one drink per day for women, two for men

Quality Sleep

  • Aim for 7 to 9 hours of sleep each night
  • Address sleep disorders, as poor sleep can increase cardiovascular risk

Schedule an Appointment at Gleneagles Hospitals

Chest pain should never be ignored, as it may signify a serious underlying condition. At Gleneagles Hospitals, our team of highly trained cardiologists offers expert evaluation, advanced diagnostic testing, and personalised treatment plans to safeguard your heart health.

To schedule an appointment or for more information, please visit our official website or download the MyHealth360 application from the Google Play Store or the Apple App Store. We are committed to delivering exceptional care for your well-being.

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