Possible Causes for chest pain radiating to the arms Angina Pectoris Angina vs. heart attack Angina may have similar symptoms as a heart attack, such as a crushing, squeezing pain in the chest; a feeling of pressure in the chest; or pain radiating [stanfordhealthcare.org] Angina may have similar symptoms to a heart attack, such as a crushing, squeezing pain in the chest; a feeling of pressure in the chest; and pain radiating in the arms, shoulders [northeast.jeffersonhealth.org] Symptoms may include: A pressing, squeezing, or crushing pain, usually in the chest under the breast bone Pain radiating in the arms, shoulders, jaw, neck, and/or back The [stanfordhealthcare.org] Heart Failure The typical pain of angina is in the chest but it can often radiate to the left arm, shoulder or jaw. [world-heart-federation.org] Classic pain from a heart attack is described as chest pressure or tightness with radiation of the pain to the jaw and down the arm, accompanied by shortness of breath or [emedicinehealth.com] A heart attack manifests as severe central chest pain, which may also radiate to the left arm, shoulder or jaw. [world-heart-federation.org] Coronary Atherosclerosis Symptoms of coronary artery disease may include: heaviness, tightness, pressure, and/or pain in the chest - behind the breastbone pain radiating in the arms, shoulders, jaw [beaumont.org] It is characterized by a severe and rapid onset of symptoms that may include chest pain, often radiating to the left arm and left side of the neck, dyspnea, sweating, and [icd9data.com] For example: Fullness, uncomfortable pressure, squeeze in the middle of the chest Tightness, burning or a heavy weight over your chest Pain may radiate to your shoulders, [summitcardiology.com] Anxiety Disorder Anxiety disorders are among the most prevalent, persistent, disabling, and costly psychiatric disorders, yet they are often underdiagnosed and undertreated. Fortunately, there have been major advances in understanding and treating these conditions in recent years; this is one of the most exciting areas in modern[…] [books.google.com] Pulmonary Embolism pain that sometimes radiates through the shoulder, arm, neck, and jaw, and can worsen with breathing Blue, clammy skin Coughing or spitting up blood Lightheadedness Fast [upmc.com] The pain can be located anywhere in your chest and may radiate to your shoulder, arm, neck or jaw. [drweil.com] Chest pain that radiates to one or both shoulders or arms, chest pain that occurs with physical activity, chest pain associated with nausea or vomiting, chest pain accompanied [en.wikipedia.org] Gastric Ulcer We present a patient with thalassemia major who developed a gastric ulcer, probably related to the use of deferasirox. Although gastric ulcer is mentioned as infrequent adverse event in the scientific product information of deferasirox, in our current knowledge, this is the first case-report on this adverse drug[…] [ncbi.nlm.nih.gov] Diaphragmatic Hernia Abstract Posttraumatic diaphragmatic hernia is a rare cause of large bowel obstruction, and can present weeks or years after the initial trauma. Herein, we report the case of a 28-year-old man who presented with signs and symptoms of bowel obstruction nine months after he had a stab wound to his left chest.[…] [ncbi.nlm.nih.gov] Dilated Cardiomyopathy Dilated cardiomyopathy is characterized by a dilated and poorly functioning left ventricle and can result from several different etiologies including ischemic, infectious, metabolic, toxins, autoimmune processes or nutritional deficiencies. Carnitine deficiency-induced cardiomyopathy (CDIM) is an uncommon cause of dilated[…] [ncbi.nlm.nih.gov] Myocarditis In adults, they can sometimes mimic those of a heart attack - mild to severe pain in the center of the chest, which may radiate to the neck, shoulders, and upper arms. [healthcentral.com] Chest pain that radiates to one or both shoulders or arms, chest pain that occurs with physical activity, chest pain associated with nausea or vomiting, chest pain accompanied [en.wikipedia.org] [8][1] Chest pain may also radiate, or move, to several other areas of the body. [en.wikipedia.org] Pericarditis pains pain radiating into the left shoulder and arm pain that is aggravated by lying down or taking deep breaths. [betterhealth.vic.gov.au] The pain may radiate to the neck and shoulders, and occasionally, the arms and back. [webmd.com] […] temperature sweating and chills breathing problems, such as breathlessness dry cough abnormal heart rhythms, such as accelerated heartbeat (tachycardia) sharp and stabbing chest [betterhealth.vic.gov.au] Restrictive Cardiomyopathy Restrictive cardiomyopathy (RCM) is a form of cardiomyopathy in which the walls of the heart are rigid (but not thickened). Thus the heart is restricted from stretching and filling with blood properly. It is the least common of the three original subtypes of cardiomyopathy: hypertrophic, dilated, and restrictive.It[…] [en.wikipedia.org] Posterior Myocardial Infarction pain radiating into both arms. [bestbets.org] They may have radiation to the arms, jaw, or epigastrium. The sensation may be relieved with nitroglycerin. [statpearls.com] […] conservative management] at [reducing mortality and/or morbidity] Clinical Scenario A 68 year old gentleman attends the emergency department with two hours of ongoing central chest [bestbets.org] Tonsillitis Symptoms Pain, tightening, weight or discomfort in the middle of the chest Pain that may radiate out to the arm, neck, jaw, shoulders or back These symptoms may be associated [icm-mhi.org] Although the “classic” pain is described as chest discomfort that radiates down the arm or up the jaw, it can occur in many different ways. [wexnermedical.osu.edu] Many, many things can cause chest pain. You want to call 911 if you are having sudden, crushing chest pain or if your chest pain radiates into the jaw or the left arm. [mountsinai.org] Acute Myocardial Infarction Presentation Chest pain (central chest pain may not be the main symptom): Three quarters of patients present with characteristic central or epigastric chest pain radiating [patient.info] AMI typically presents with central chest pain which may radiate to the neck, left arm, jaw, and shoulders. [symptoma.com] The pain is described as substernal pressure, squeezing, aching, burning, or even sharp pain. Radiation to the left arm or neck is common. [patient.info] Myocardial Infarction Presentation Chest pain (central chest pain may not be the main symptom): Three quarters of patients present with characteristic central or epigastric chest pain radiating [patient.info] It is characterized by a severe and rapid onset of symptoms that may include chest pain, often radiating to the left arm and left side of the neck, dyspnea, sweating, and [icd9data.com] The pain is described as substernal pressure, squeezing, aching, burning, or even sharp pain. Radiation to the left arm or neck is common. [patient.info] Gastroesophageal Reflux Disease pain: radiating to shoulder, arm, neck or jaw, shortness of breath, sweating In pregnant women or nursing mothers Children 12 years of age for antacids/H 2 RA, or 18 years [worldgastroenterology.org] When to Refer Alarm symptoms - Refer to patient's primary care provider in a timely manner if any of the following are present: Chest pain typical of cardiac event - pain [medsask.usask.ca] […] if it radiates to your arm, neck, or back Vomiting followed by severe chest pain Vomiting blood Dark, tarry stools Difficulty swallowing Shortness of breath How is Acid Reflux [emedicinehealth.com] Anterior Myocardial Infarction A 50-year-old male with known dextrocardia and situs inversus presented with acute chest pain radiating to the right arm. [ncbi.nlm.nih.gov] Presentation Chest pain (central chest pain may not be the main symptom): Three quarters of patients present with characteristic central or epigastric chest pain radiating [patient.info] A sudden onset of chest pain that often radiates to the arm and neck accompanied by dyspnea, nausea, vomiting, weakness, and diaphoresis are some of the most common symptoms [symptoma.com] Esophagitis Pain is often midsternal, with radiation to the neck or arm, and may be associated with shortness of breath and diaphoresis. [emedicine.medscape.com] The patient may experience chest pain indistinguishable from that of coronary artery disease. [emedicine.medscape.com] Chest pain may be relieved with nitrates if esophageal spasm is involved, further confounding the diagnostic evaluation. [emedicine.medscape.com] Disorder of the Circulatory System Sever chest pain radiating down left arm spasm, blockage of one or more heart arteries resulting in ischemia to portion of heart muscle; associated with emotional stress, [quizlet.com] Typical symptoms of a heart attack include pain in the center or left side of the chest, pain that radiates to the jaw, shoulder, or arm, shortness of breath, nausea, sweating [belmarrahealth.com] or squeezing pain that radiates from the jaw, shoulder, arm, or across the back shortness of breath sweating nausea irregular heartbeat unconsciousness Women often experience [healthline.com] Infectious Mononucleosis This case report describes a 20-year-old immunocompetent man with an episode of chest pain radiating into both arms, an increase in the level of myocardial enzymes, electrocardiogram [ncbi.nlm.nih.gov] Coronary Artery Embolism pain radiating to the left arm and shoulder, which started 30 minutes before her arrival. [hippokratia.gr] Embolism in the coronary artery of the heart : Chest pain, nausea, vomiting, sweating, pain radiating to the left arm associated with anxiety. [belmarrahealth.com] Less common presentations include only shoulder pain, pain down both arms, left wrist pain, right-sided chest or jaw pain, radiation to the right arm, mid-thoracic pain and [healio.com] Arthritis […] discomfort Malaise Typical chest pain in acute MI has the following characteristics: Intense and unremitting for 30-60 minutes Substernal, and often radiates up to the neck [emedicine.medscape.com] shoulder, and jaw, and down the left arm Usually described as a substernal pressure sensation that also may be characterized as squeezing, aching, burning, or even sharp [emedicine.medscape.com] Patients with typical MI may have the following symptoms in the days or even weeks preceding the event (although typical STEMI may occur suddenly, without warning): Fatigue Chest [emedicine.medscape.com] Lumbar Disk Herniation Pain also may radiate into the arm, in a pattern characteristic of the particular root involved. In most cases, pain begins upon waking up. [uclahealth.org] Thoracic disc herniation presents most commonly as chest pain or spine pain, and occasionally in numbness, weakness, or spasticity. [uclahealth.org] Streptococcus Pyogenes Also, get emergency help immediately if you have chest pain, especially if you also have shortness of breath, jaw or back pain, pain radiating into your shoulder and arm, [mayoclinic.org] Polyps pain/tightness, which may radiate down left arm or into the jaw "silent" ischemia can occur in those with poor visceral sensation (diabetics, post-cardiothoracic surgery) [radiopaedia.org] The pain may radiate to the arms, back, neck, or jaw. Associated symptoms often include nausea, diaphoresis, and/or lightheadedness. [ncbi.nlm.nih.gov] […] discomfort Malaise Typical chest pain in acute MI has the following characteristics: Intense and unremitting for 30-60 minutes Substernal, and often radiates up to the neck [emedicine.medscape.com] Hypertensive Crisis pain radiating to the arms; widening of the mediastinum on chest X-ray; echocardiogram, CT scan or MRI indicating aortic dissection; physician-assigned diagnosis of aortic [fampra.oxfordjournals.org] […] tightness, chest pressure, with or without radiation to arms or jaw; physician-assigned diagnosis of unstable angina or acute coronary syndrome Aortic dissection Back or chest [fampra.oxfordjournals.org] Gastritis […] the highest likelihood ratio, is pain radiating to the right arm and shoulder.[26] Similarly, chest pain similar to a previous heart attack is also suggestive.[27] The pain [en.wikipedia.org] Pain radiates most often to the left arm, but may also radiate to the lower jaw, neck, right arm, back, and upper abdomen.[25] The pain most suggestive of an acute MI, with [en.wikipedia.org] Pain[edit] Chest pain is the most common symptom of acute myocardial infarction and is often described as a sensation of tightness, pressure, or squeezing. [en.wikipedia.org] Tendinitis It often radiates into the upper arm toward the chest. The pain is often worse at night and may interfere with sleep. Tennis elbow – Pain in the outer side of the elbow. [drugs.com] Other symptoms vary according to which tendon is affected: Rotator cuff tendonitis – Usually dull, aching shoulder pain that can't be tied to one location. [drugs.com] Cardiac Arrhythmia Symptoms of a heart attack include pain or pressure in the center of the chest, shortness of breath, nausea, vomiting, and pain that radiates from the chest into the teeth [colonialhealthcare.com] jaws, shoulders, or arms. [colonialhealthcare.com] Acute Coronary Syndrome Angina or chest pain is considered the cardinal symptom of ACS. [physio-pedia.com] History and Physical The classic symptom of ACS is substernal chest pain, often described as crushing or pressure-like feeling, radiating to the jaw and/or left arm. [ncbi.nlm.nih.gov] Symptoms Elderly ACS patients are less likely to present with typical ischemic chest pain (pressure-like quality, substernal location, radiating to jaw, neck, left arm/shoulder [ncbi.nlm.nih.gov]
