About this condition
Coronary heart disease includes conditions in which the blood supply to the heart muscle does not meet its needs. Symptoms vary with the form of disease. Chest pain alone cannot establish the diagnosis.
Factors that increase risk
High blood pressure, abnormal cholesterol levels, diabetes, smoking, age and a family history of cardiovascular disease are important risk factors. Having a risk factor does not confirm coronary disease, but it helps guide an individual assessment.
Recurring symptoms versus an emergency
Repeated discomfort triggered by exertion and relieved by rest requires a planned cardiology assessment. New, severe or prolonged pain at rest, particularly with cold sweats, nausea or breathlessness, needs urgent evaluation rather than waiting for an appointment.
Preparing for a cardiology visit
Note when discomfort occurs, how long it lasts and whether walking, stairs or emotional stress triggers it. Bring a medication list, previous ECGs, blood test results and discharge summaries, if available.
Signs and symptoms
Exertion may cause pain, tightness or pressure behind the breastbone, sometimes spreading to the left arm, shoulder or shoulder blade. Breathlessness may also occur. Other conditions can cause similar symptoms.
Symptoms vary. The absence of typical chest pain does not rule out reduced blood supply to the heart, while chest pain itself does not prove coronary disease.
Diagnosis and tests
A cardiologist reviews symptoms, risk factors and previous health records. Depending on the assessment, an ECG, echocardiogram, blood tests or other investigations may be suggested.
The testing plan depends on age, risks, the nature of the pain and the likelihood of coronary disease. Not everyone needs identical investigations or exercise tests.
Care and treatment approaches
Treatment and prevention of complications depend on the confirmed diagnosis and other conditions. Self-treatment is not a substitute for medical evaluation.
A plan may include managing blood pressure and cholesterol, stopping smoking, individually prescribed medication and referral to specialist services where needed. Do not change treatment without medical advice.
When to seek urgent care
Sudden, severe or prolonged chest pain or pressure, especially with breathlessness, cold sweats, weakness or nausea, requires emergency medical care. Call 103 in Ukraine.
Frequently asked questions
Does all chest pain mean coronary heart disease?
No. Chest pain can have cardiac and non-cardiac causes. Assessment of symptoms, examination and appropriate tests are needed.
When should I call for emergency help?
Call immediately for sudden, severe or lasting chest pain or tightness, particularly with breathlessness, weakness, cold sweats or nausea.
Information sources
Medical source links used when preparing this article.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
