It’s always best to seek immediate treatment from top heart doctor in NYC for sudden, intense chest pain. If you begin to notice small, barely perceptible symptoms, seek the advice of an experienced cardiologist in Midtown NYC, such as the doctors at Manhattan Cardiovascular Associates, for a thorough examination, cardiac tests and a treatment plan.
Our diagnostic facility in Midtown NYC is nationally accredited by the Intersocietal Accreditation Commission (IAC) for testing services, including echocardiography, nuclear cardiology and vascular ultrasound. Our NYC cardiologists are best in region and ranked on top nationally.
When it comes to your heart, there is no symptom too small to ignore.
Every individual experiences chest pain — or an abnormal sensation in the chest, shoulder, arm or jaw — differently from others. While there are many potential causes of chest discomfort, some of the most important are related to the cardiovascular system.
According to the American Heart Association, leading cardiovascular doctors, cardiovascular diseases account for more than 17 million deaths each year in the United States, which equates to one in seven deaths. Heart attacks and other heart-related problems cause more deaths than all cancers combined. And it’s one of the most common complaints in emergency room visits.
The symptoms vary among patients, however. Some characteristics to discuss with your cardiovascular doctor or cardiologist are:
- How strong the pain feels
- Where the pain is located
- How long the pain lasts
- What best describes the pain, such as:
- Hot and burning
- Crushing pressure
- Dull aching
- Sharp stabbing
- Shortness of breath
Causes Vary as Much as Symptoms
Chest pain doesn’t always mean that you’re having a heart attack. It could be a symptom of a lingering ongoing health issue, a recent injury or even a digestive disorder such as heartburn. Chest pain also may be caused by lung diseases, muscle cramps, a broken rib, shingles or an emotional disorder leading to a panic attack.
Based on top cardiovascular doctors the most common conditions that lead to various levels of chest pain include:
- Coronary artery disease is a condition that leads to clogged or damaged arteries. Over time, plaque builds up in your arteries, eventually blocking the flow of blood to your heart. One of the most common causes of chest pain, coronary artery disease develops slowly over a long period of time.
- Arrhythmias, though often described as ‘fluttering’ or skipped beats, can also cause an abnormal sensation in the chest due to fast or irregular heart rhythms.
- Pericarditis occurs when the membrane that surrounds your heart becomes inflamed and irritated. This typically is an acute disorder that comes on quickly and sharply and can dissipate just as quickly with immediate treatment. Untreated, however, the condition may become chronic.
- Marfan Syndrome, Aortic disease refers to a range of disorders that present as acute and/or chronic. Some of the conditions that fall under this category include aortic aneurysms, dissections, and certain genetic diseases.
- Heart failure, also referred to as congestive heart failure, happens when your heart becomes too weak to pump properly. While many forms of heart failure cannot be healed completely, early intervention and the right kind of treatment can extend the time and the quality of your life significantly.
- Pulmonary disease, or lung disease, can severely restrict your breathing and lead to excruciating chest pains that feel like the air is being squeezed right out of you. Some forms of pulmonary disease that can lead to chest pains include pulmonary embolism, asthma, emphysema, pneumonia and chronic obstructive pulmonary disease (COPD).
- Gastrointestinal disease includes any condition that refers to your digestive system. The term “heartburn” came about because the effects of gastroesophageal reflux disease, commonly known as GERD, sometimes feels as if your heart is literally on fire. Other digestive disorders can lead to similar attacks.
- Musculoskeletal disease sometimes is the diagnosis when little else is uncovered to explain your chest pain. There are numerous bones and muscles surrounding your heart, any one of which can lead to chest pains if it’s been damaged, stressed or diseased.
Because there are so many potential causes of chest pain, your cardiovascular doctor or NYC heart doctor takes an in-depth medical history and runs a number of tests to find the exact source of your pain. It’s only then that treatment can begin.
At Manhattan Cardiovascular Associates under management of a leading cardiologist in Midtown NYC, Dr. Ghalchi, we perform all standard and state-of-the-art cardiovascular diagnostic testing cardiology procedures to diagnose, treat and monitor cardiac and vascular diseases. Our diagnostic center is equipped with latest up to date equipment to produce the most accurate diagnostic information for cardiovascular diseases.
Some of the tests that can lead to a firm diagnosis and offered by Midtown NYC cardiologist include:
- Electrocardiogram, commonly called an EKG or ECG, is a test that monitors the beating of your heart. The test is painless and noninvasive, but it can help your cardiovascular doctor determine a number of chest pain causes.
- Echocardiogram cardiovascular doctor takes pictures of your heart in much more detail than a simple X-ray. Also called a TTE, the echocardiogram can show your heart’s structure and function in real time.
- Stress test is an exercise test coupled with a diagnostic modality, usually echocardiography. The objective is to raise your heart rate so your cardiovascular doctor can monitor how it performs under duress. You may be asked to do an activity like riding a stationary bike or fast-walking on a treadmill.
- Heart Monitor can be worn over days. It constantly monitors your heart rhythm to diagnose heart rhythm abnormalities.
If you visit Manhattan Cardiovascular Associates, and best rated NYC heart doctor Dr. Ghalchi, you’ll undergo one or more of these tests. If your NYC heart specialist determines that your chest pain isn’t directly related to your heart or any cardiac causes, he’ll work with you to figure out the cause of your discomfort and refer you to another specialist if necessary.
Varying Patterns of Chest Pain
One of the most common causes of chest pain is called angina. While not a disease, the condition is a symptom of coronary heart disease. Nearly seven million people live with the chest pain from angina. It feels as if there is a heaviness or tightness around your chest or that your chest is being squeezed.
Angina is caused by the blood flow to your heart being restricted. Unstable angina doesn’t follow any typical pattern and can be life-threatening. Seek emergency treatment if you have a sudden attack. Stable angina, on the other hand, is more predictable — and manageable. Your cardiologist can help you determine what kind of angina you have and teach you how to recognize your triggers. Types of triggers include:
- Physical labor at work
- Sexual relations
- Playing sports
- High levels of stress
No matter which type of angina you have, however, any kind can lead to a heart attack. So seek the advice of a cardiologist at Manhattan Cardiovascular Associates, where you’ll get help adjusting a new lifestyle and using medications to treat your underlying heart problems.
Ease Your Chronic Pain
Once your cardiologist in NYC has determined the cause of your chest pain, you can begin a treatment regimen to ease your discomfort. One of the first lines of defense to help you find pain relief is through a variety of different medications. The treatment you receive depends on your diagnosis, but commonly prescribed medicines used to treat chest pain include:
- Aspirin may be the first medication prescribed. When your doctor discovers that your chest pain is directly related to malfunctioning in your heart, your doctor may recommend that you take a daily dose of aspirin.
- Statins are medications used to lower cholesterol that have been found to have cardioprotective and stabilizing properties regardless of the presence of high cholesterol
- Nitroglycerin helps relax the arteries leading from your heart, making it easier for blood to flow through narrowed vessels. You typically take nitroglycerin in tablet form. You place it under your tongue when you have chest pains.
- Blood thinners can help if tests to find the source of your chest pain reveal a blood clot in your lungs or heart. The blood thinners stop the clot from growing and to reduce the risk of more clots forming.
Dr. Michael Ghalchi, Cardiologist (Cardiologist NYC, Midtown)
New York, NY10010
(Between Madison Ave & Park Ave)
☎ (212) 686-0066