Chest pain can occur in different States. May hurt the muscles, heart, pain may be related to intercostal nerves and pleura. Therefore, the choice of the physician to whom you need to contact depends on the nature of pain and body that "gives" pain impulse.


Since chest pain need to exclude first the most dangerous state, the first survey to be carried out, is electrocardiography or echocardiography. It is also necessary to make ultrasonic research of heart. These surveys will help determine the condition of the heart and to exclude such acute conditions as myocardial infarction, pulmonary embolism, dissecting aortic aneurysm. Another necessary examination — chest x-ray. X-ray determines the presence/absence of rib fractures, air or fluid in the pleural cavity.


If the ECG revealed any changes, that need a visit to the cardiologist. Usually chest pain is angina, a short paroxysmal pain in the chest, radiating to left arm or left shoulder blade. Stoped the pain "by Nitroglycerin". Angina is a common symptom of coronary heart disease, usually occurs during physical exertion or nervous strain. Therefore, people with unhealthy heart you need to follow a mental and physical rest, and to always have on hand a tablet of Nitroglycerin.

Diseases such as pulmonary embolism, dissecting aortic aneurysm, and myocardial infarction is urgent, life-threatening condition, they are treated only in specialized cardiology hospital. Therefore, with very strong pain in the chest that cannot be removed by taking nitroglycerin, you should immediately call an ambulance!


Another doctor-a specialist who can help with chest pain neurologist. With the defeat of the intercostal nerves appear girdle pain, very strong radiating often in the region of the heart. The pain is worse when breathing in and when moving, the skin on the affected intercostal space is red or, on the contrary, pale, pressure in this area causes severe discomfort. When intercostal neuralgia need to consult a neurologist who will be able to assign the necessary specific treatment.


A surgeon is required if there are rib fractures or a violation of the integrity of the pleural cavity. Fractures of the ribs, the pain constant, does not find a comfortable painless position, increases when breathing and any change of body position. With pressure on the chest there is crepitus — the sound "pohrustyvaniâ" broken ribs.

The pleura is a large area of connective tissue that one sheet covers the lungs and lines the other inside the chest. Between two sheets of pleura negative pressure that keeps the lungs in the expanded state and allow normal breathing. Pleura damage can be inflammatory (pleural effusion, pyothorax) and may be due to accumulation of air (pneumothorax or hemothorax). These two States clearly visible on x-rays. When pneumothorax is in the picture will be seen the accumulation of air in the upper part of the chest. When hemothorax blood accumulates in the lower parts of the pleural cavity. These diseases are treated in urgent order in surgical hospitals. The danger lies in the fact that the air and the blood draw in light and disturb his work. If not promptly remove the content and not spread easy, it can be saved. Collapsed lung not expanded fast enough off forever from the act of breathing.

Thus, the choice of the expert to which you want to apply for pain in the chest, depends on the affected organ. But in any case to delay the visit to the doctor is impossible.