Non-cardiac chest pain refers to discomfort or pain in the chest that is not related to the heart or its blood vessels. This type of chest pain can have various causes, such as muscle strain, inflammation of the chest wall, digestive issues like acid reflux or esophageal spasms, anxiety or panic attacks, and other non-cardiac conditions. Non-cardiac chest pain can often mimic the symptoms of a heart attack, such as a tightness or pressure sensation in the chest, but it typically does not indicate a serious heart problem. However, it is essential to seek medical evaluation to determine the exact cause of chest pain and rule out any cardiac-related issues.

Symptoms

Symptoms of non-cardiac chest pain can vary depending on the underlying cause. Some common symptoms may include:

1. Chest Discomfort: This can range from a dull ache to a sharp or burning sensation in the chest.
2. Pain Location: The pain may be localized to a specific area of the chest or may radiate to the back, neck, jaw, or arms.
3. Pain Triggers: Certain activities or positions, such as bending over, lying down, or eating, may trigger or worsen the chest pain.
4. Pain Duration: The pain may be intermittent or persistent and can last for minutes to hours.
5. Difficulty Breathing: Some people may experience shortness of breath or a sensation of tightness in the chest.
6. Relief with Rest: Chest pain that improves or resolves with rest or changes in position is common in non-cardiac causes.
7. Other Symptoms: Depending on the cause, individuals may also experience symptoms like acid reflux, swallowing difficulties, nausea, or anxiety.

It’s essential to note that while non-cardiac chest pain is often benign, it can be concerning and should be evaluated by a healthcare professional to rule out any serious conditions, especially if there is a history of heart disease or risk factors for heart problems.

At ABC Neurohub Clinic, we approach non-cardiac chest pain with a comprehensive assessment and treatment plan that focuses on addressing the underlying factors contributing to the pain. Here’s an overview of how we treat non-cardiac chest pain in our clinic:

1. Initial Assessment: Thorough medical history review, physical examination, and diagnostic tests to rule out cardiac causes.
2. Psychological Evaluation: Assessing emotional well-being and identifying underlying mental health conditions.
3. Biofeedback: Utilizing techniques to control physiological responses and reduce stress and anxiety levels.
   • Stress Reduction: Teaching relaxation techniques like deep breathing and progressive muscle relaxation.
   • Muscle Relaxation: Helping patients consciously relax tense muscles in the chest, shoulders, and back.
4. Cognitive-Behavioral Therapy (CBT): Modifying negative thought patterns and behaviors contributing to chest pain.
5. Medication Management: Prescribing medications when necessary, such as antidepressants or anxiolytics.
6. Lifestyle Modifications: Educating patients on diet, exercise, smoking cessation, and stress management techniques.

This multidimensional approach addresses both physical and psychological aspects of non-cardiac chest pain, promoting holistic healing and improved quality of life for patients.