Chest pain of recent onset

My name is Sanjay Gupta and I am a cardiologist in York. If you would like to speak with me, you can do so via www.yorkcardiology.co.uk or my Facebook - [e-mail]
Hi Guys
Today’s video is on the subject of chest pain of recent onset
On a daily basis I go to work and go on my coronary care unit to meet the patients who were admitted from the day before.
Many of them have had heart attacks and that is why they have been admitted.
And when I speak to them, I often hear patients say that they had been getting some discomfort a few days before but they thought it was indigestion or muscular or something else and therefore had chosen to ignore it off rather than seek help and I often end up berating them that they should have sought help earlier.
However when I am driving back home I often think in my own mind as to what I would do if I developed chest pains at night and if I was completely truthful it is very likely that I would do the same as my patients (despite knowing better!)
The problem is that all too often we put things off and hope they symptoms will just get better and also our healthcare system is so flawed that it can take ages to see a GP in the first instance.
So I wanted to do a video to help people make a more balanced and educated decision about when to ask for help
There are 3 things that you should take into account when you get chest discomfort:
1) The nature of the discomfort.
2) Your age
3) Whether you have risk factors such as smoking/ high blood pressure or high cholesterol
And all 3 have to be considered carefully
Lets talk about the nature of the discomfort first:
Typical Angina:
Constricting discomfort in the chest, back, shoulders, arms
Which gets worse with physical exertion
And gets better with rest or GTN spray
Atypical angina are if you only have 2 of the 3
Non angina chest pain if you have none of the following!
Risk factors:
If you have any of them, you should consider yourself at higher risk
Finally your age:
And your risks go up substantially from the age of 55 and above.

[@sarahgordon2597]

so grateful for your channel, just discovering my POTS, dizzy and faint daily, tonight dealing with angina, cardioligist says my heart is good, i have low HR, low BP, echo is normal, my coritsol through the roof. i am hypothyroid but being treated with 25mg levoxyrhtine, and 50mg on weekends. i was thinking my body cant handle the increased thyroid but also dealing with so so much stress and depression due to the POTS

[@deborahcuriel]

I am your fan. You are an incredible doctor and an incredible human being for putting all this out here just to help others. THANK YOU SO MUCH

[@YorkCardiology]

How very kind ..thank you so much!

[@CalmVibesVee]

Excellent teaching, reassuring, and inspiring to do our best. ⭐️ Thank you for your generous honorable work.

[@minh7777]

You are the best doctor I ever seen. Thank you for your video.

[@jdmjoey06]

wow once again your information makes me feel and understand my conditions way better! you are an absolute truly amazing person for your knowledge that you give to us. you are way better than my own cardiologist here in the USA.. LOL keep doing what you're doing doc.

[@wendyastbury8430]

I have all the risks factors, plus genetics.. Still trying to get help

[@ellencausey6317]

Thank you, I have had for the last two days these very unsettling sharp kinda stabbing pain only on my left side right above my left breast!! Never have I experienced anything like this!

[@anyhowsay8659]

Omg. That's exactly what happened to me. Not a heart attack I can go home.

[@jeffturner8927]

I started getting angina back In July last year. My age, 63, probably put me in a higher risk group but I had no other risks I thought and was reasonably fit. My first thoughts were, "no, it couldn't be". Only a week or so before I had been exercising quite vigorously with no problems. I had a stent inserted and have resumed a normal life. I haven't had angina since but I'll know it when I do. To me, it wasn't a truly severe pain in the chest. I'd actually bruised my ribs a few months earlier and to me that pain was much more severe. So yes, don't ignore any possible signs. I managed to escape a heart attack but I was just on the edge of having one.

[@cnasaraha.2140]

thanks Dr.sanjay, your videos shure are very healpfull. I never really new this until now thanks for putting out this vidio. I'll definitely share it. lots of luck!!! and best regards!😊

[@brodak08]

thank you doc for this very helpful video.

[@MsFishingdog]

great video. thanks

[@denishawkes2528]

Wow ❤ your the best help I've had after having my heart attack 1.5 yes ago.. had bad muscle pains from the the early days from tablets .. feeling like I'm having a heart attack. Have cut out statins . . And most other tablets. Still the pain. Not breathless. . On phone to 15 different doctors over time . Spending my time telling my life story .. nothing gets done. 5mins are up 🙄 thank god you are the to help and guide me 🤗😊

[@iandaniel2153]

Thank you Doctor from Oz for explaining these risk factors so well. I will put my GP onto this vid as I presented with stable angina symptoms two years ago which have improved sort of over time and am 68 y/o Type 2 diabetic who managed the first 15 years by diet and exercise but now on tabs with exercise. My insistence on a heart check recently had my GP 98% certain it was digestion related. The risk factors as you presented them reverses this on it's head. Thank you again and am now informed and will pass it on.

[@user-wh3hr3oz6l]

Another amazing video

[@shashimoghe3920]

Dr gupta sir chest pain risk of heart problem well described serious situations and symptoms thanks and good wishes. 24/11/2019

[@sorrenable]

thanks for your incredible information, keep then videos coming please!!

[@SproutyPottedPlant]

Great video!! I love learning about the heart!

[@esterherschkovich6499]

Agree..I am a Nurse..chest pains,like a stake through my heart.Was in A+E last week,pain,nausea+feeling really I'll.I left it,had fatigue,I do have pernicious anaemia and low ferritin and was told its lake of Iron,my heart is under strain.🤔I left itI am 62 only high cholesterol

[@Infp996]

Valuable knowledge! Million thanks doctor 🙏 Are keto diet and strong family history risk factors in 42 y.o woman ? I ve been having non agina (from your description) symptoms

[@kazimbozca5530]

stress test* and that everything wad OK*

[@Sherirose1]

Thank you so much. Do i use 'oldcart' or PQRST to assess the nature of discomfort?

[@4evaavfc]

Thank you Doctor Sanjay. Why is it some people with CAD are asymptomatic?

[@brodak08]

is 2d echo helpful for finding out if you have narrowing of coronary arthery? thank you doctor. i'm 28 male. have mild mitral valve regurgitation 1/4. do have palpitations and dizziness. sometimes stabbing chest pain.

[@jejayolee3937]

3weeks ago I have chest pain ,/angina when I'm on gym treadmill 5days in a row. But I notice when I stop walking in treadmill cools off my pain 🥺 Decided to went on ER ,then they give me 3x EKG ,8vial of blood to test and they Cardiologist told me to stay. Two days and perform a stench on me. Told me my Toponin getting higher. But free 6hours idecided to cancelled for I'm not ready for stench. They told me just call 911if got this chest paiñ again. 😲 After 2weeks pass my chest pain lower and sometimes I felt vomit for acid reflux goes up thru my chest. Then I eat some antacids and cool down. Couple day felt muchseens my angina better and my pain subsided. Still my Dr. Advice to check with cardiologist on 09/ 09/21 . What you think 🤔??

[@tobiasbrown1882]

In my experience, a basic problem is with the family doctors -- who know they have an individual with family CVD risks but do not inform them of angina symptoms, which can be very subtil, as you say here. So, a person could go years with symptoms and not be diagnosed until it's too late.

[@jasonkopmels6274]

Thanks doc

[@justinkincade4855]

Can Adderall cause angina?

[@kazimbozca5530]

im 20 and i have pain in my left arm and left side of my jaw. i have been to a cardiologist and i did a bike (stess stess) and my doctor said that everythng was. ps what is a positive st elevation. thx for your videos

[@jeasyyoutube63]

Kazim Bozca Google 'pqrst' heart waves. It shows that your ST segment is raised(elevated), at that particular moment.

[@jeasyyoutube63]

ECGpedia and ECGclopedia or similar will have some indepth info with credible sources.

[@kazimbozca5530]

Jeasy KZbin an elevated st segment isnt a good thing from what i have been reading, is it?

[@jeasyyoutube63]

It all depends Kazim, I understand that you would like to have a decisive answer on your situation. Ofcourse any morphology isn't a sign of something good nor does it HAVE to be a sign of something bad. If you still feel unsure about your testresults, please contact your GP. There are too many variables to this to make any informed suggestions so I can't help you with that (nor am I a cardiologist). I doubt dr. Gupta can help you, based on just 'ST-elevation'. It is best to contact your GP or cardiologist. Best of luck to you.

[@dannyalcazar5946]

Angina in 29 year old male?

[@YorkCardiology]

unusual unless there is a history of cocaine use

[@dekelsey1]

Great information! Very appreciated. I'm 65 and have been blessed with excellent health, and I think much of that is partly due to a very active lifestyle for my mileage. From what I heard, you may be interested in my effort to journal what my recent experience with slight chest pain: MNEUMNIC - SIORAAA for diagnosing heart pain S - SITE of the pain : Upper chest center, about 4 fingers width above solar plexus I - INTENSITY of the pain (1 - 10) : About a 1, probably not a 2 Q - QUALITY of the pain : Feels like a dull ache O - ONSET of the pain : I’ve started noticing this pain about 4-6 weeks ago, have not seen a doctor yet (I don’t have a lot of trust of the medical community - sorry). No known trigger, except first started noticing when doing Sprint 8 on the treadmill, which also got heart rate as high as 153 bpm at the most intensive part of the Sprint. R - RADIATION of the pain : None that I can detect. It seems like a small area, maybe about the size of a half dollar. A - ASSOCIATED FACTORS : Exercise? Can’t be the only thing. Sometimes I notice the pain come on very slowly when I’m just sitting, working on a computer. Again, not a great deal of pain. A - ALLEVIATING FACTORS : None that I have discerned. A - AGGRAVATING FACTORS - None that I have discerned. Other Notes: My typical blood pressure, that I check regularly, is usually close to, or about, 110 over 65 with a typical resting heart rate of about 55 to 65. I do exercise quite regularly. Every year (for about the last 6-7 years) before spring typically, I get a health screening by LifeLine Screening. When they scan my arteries for plaque, my typical report on that test is Light to Moderate plaque. This past March 2022, my report just said light plaque. Now, interestingly, I do realize since I’ve been working out much more this year than last, I’ve also been eating much more protein, and from sources that I used to eat less often, including, honestly, much more sausage and bacon, ham, and beef. I ramped up this more meat in my diet about 6 months ago. Of course, I also eat lots of chicken and fish. I do love vegetables too. Thank you for reading... Blessings