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How Long Does Non Cardiac Chest Pain Last

by Amy

Chest pain is one of the most common complaints that leads people to seek medical attention. While it can be alarming, especially when it occurs in the chest area, not all chest pain is related to heart problems. Non-cardiac chest pain (NCCP) is a term used to describe chest discomfort that isn’t caused by heart disease. It is crucial to understand what NCCP is, its causes, how long it may last, and when medical intervention is needed.

Understanding Non-Cardiac Chest Pain (NCCP)

Non-cardiac chest pain is pain that originates from structures other than the heart. These can include the esophagus, lungs, muscles, ribs, or nerves in the chest wall. It’s estimated that approximately 25% to 30% of people with chest pain have no underlying cardiac issue, making NCCP an important diagnosis to consider.

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Although the pain can be intense and mimics the sensation of a heart attack, it is typically not linked to any significant heart disease. However, it is essential to rule out cardiac causes before diagnosing NCCP, as heart-related chest pain can be life-threatening.

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Causes of Non-Cardiac Chest Pain

Several factors can contribute to the occurrence of non-cardiac chest pain. Some of the most common causes include:

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Gastroesophageal Reflux Disease (GERD): GERD occurs when stomach acid backs up into the esophagus, causing irritation and inflammation. This can result in a burning sensation or chest discomfort.

Esophageal Spasms: The esophagus can experience involuntary contractions that lead to sharp, severe chest pain. This is often mistaken for a heart-related issue.

Musculoskeletal Issues: Muscle strain, rib injury, or inflammation in the muscles of the chest wall can result in localized chest pain.

Anxiety and Stress: Emotional stress or anxiety can cause chest tightness or discomfort, which may feel similar to heart pain.

Panic Attacks: These sudden episodes of intense fear or discomfort can cause chest pain, along with other symptoms like shortness of breath, dizziness, and heart palpitations.

Nerve Pain: Intercostal neuralgia, a condition involving nerve irritation in the ribcage area, can cause sharp, shooting chest pain.

Pulmonary Issues: Conditions such as pleuritis (inflammation of the lung lining) or a pulmonary embolism (blood clot in the lung) can cause chest pain that might be confused with heart problems.

Each of these conditions can produce chest pain, but understanding the underlying cause is key to determining how long the pain will last.

How Long Does Non-Cardiac Chest Pain Last?

The duration of non-cardiac chest pain can vary significantly depending on the underlying cause. While some people may experience brief episodes, others may endure persistent discomfort over time. Below is a breakdown of how long NCCP can last, based on common causes:

Gastroesophageal Reflux Disease (GERD): In cases where acid reflux is the cause, chest pain can last from a few minutes to several hours. The discomfort typically improves with antacid medications or after eating. However, if GERD is chronic, episodes of chest pain may occur frequently.

Esophageal Spasms: These spasms can last anywhere from a few seconds to a few minutes. However, in some cases, the pain may persist longer, especially if the spasm is severe.

Musculoskeletal Pain: When the chest pain is due to muscle strain or rib injury, it can last for a few days to a few weeks. The pain typically worsens with movement or palpation of the chest wall and improves as the muscles or ribs heal.

Anxiety and Stress: Chest pain related to stress or anxiety usually comes on suddenly and can last for several minutes to an hour. Once the emotional triggers are addressed, the pain typically resolves. However, if anxiety or stress is chronic, episodes of chest pain can recur.

Panic Attacks: Chest pain during a panic attack is usually short-lived, often lasting anywhere from 10 to 30 minutes. The intensity of the pain often subsides as the panic attack resolves.

Nerve Pain: Chest pain caused by nerve irritation, such as intercostal neuralgia, can last for days or even weeks. The pain can be sharp and intermittent, and it may worsen with certain movements or positions.

Pulmonary Conditions: Conditions like pleuritis can cause chest pain that lasts for hours or even days, depending on the severity of the inflammation. A pulmonary embolism, which is a more serious condition, can cause sudden and severe chest pain that typically lasts until treated.

How Can Non-Cardiac Chest Pain Be Treated?

Treatment for non-cardiac chest pain depends on the underlying cause. Once a doctor determines that the pain is not heart-related, they will focus on addressing the root cause of the discomfort. Common treatment strategies include:

Medications for GERD: Proton pump inhibitors (PPIs) or H2 blockers can help reduce stomach acid and relieve GERD-related chest pain.

Antidepressants and Anti-Anxiety Medications: If anxiety or stress is the cause, medications like selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines can help manage symptoms. Cognitive-behavioral therapy (CBT) may also be recommended.

Pain Relievers for Musculoskeletal Pain: Non-steroidal anti-inflammatory drugs (NSAIDs) or acetaminophen can help reduce inflammation and pain from muscle strain or rib injuries.

Treating Esophageal Spasms: Medications that relax the muscles of the esophagus, such as calcium channel blockers, can help relieve spasms. In some cases, surgery may be necessary for severe cases.

Nerve Pain Management: If nerve irritation is the cause, treatments like corticosteroid injections, physical therapy, or nerve blocks may be used to alleviate pain.

Pulmonary Conditions: If the chest pain is caused by conditions like pleuritis or a pulmonary embolism, appropriate treatments like anti-inflammatory drugs, blood thinners, or antibiotics may be required.

When Should You Seek Medical Attention?

While non-cardiac chest pain is generally not life-threatening, it is essential to seek medical attention to rule out serious heart conditions. You should seek immediate medical care if:

The chest pain is sudden and severe, especially if it is accompanied by shortness of breath, dizziness, or sweating.

The pain radiates to the left arm, jaw, back, or neck, which are typical signs of heart-related pain.

You have a history of heart disease, high blood pressure, or diabetes.

The chest pain lasts for an extended period or becomes progressively worse.

In most cases, once a doctor confirms that the pain is non-cardiac in origin, you can work together to manage the underlying cause.

However, it is always better to be cautious and seek professional advice when you are unsure of the cause of your chest pain.

Conclusion

Non-cardiac chest pain can last anywhere from a few minutes to several days, depending on its cause. While it is typically not life-threatening, it can be uncomfortable and concerning. Understanding the potential causes of non-cardiac chest pain and seeking medical attention when necessary can help ensure that the pain is properly addressed. If you experience recurrent or persistent chest pain, it’s essential to consult with a healthcare provider to determine the best course of action for managing your symptoms and improving your quality of life.

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