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Going to the ER with chest pain? Here’s what to expect:

Updated: Jun 3



Woman clutching chest with pain. Red heart and ECG line overlay. Monochrome medical setting, conveying urgency and concern.
Woman experiencing chest pain, seeking immediate medical attention at the emergency room.

Going to ER with Chest Pain?


Minutes can make a difference when it comes to your heart. Choosing to head to the ER for that chest discomfort was a wise move. However, it's essential to recognize that chest pain can manifest in various ways and may not always be straightforward.


Symptoms to Consider


Chest pain is not the only symptom to be aware of. Other signs that could indicate a heart issue include:

  • Lingering acid reflux

  • Unusual tightness in your throat

  • Jaw discomfort

  • Arm pain

  • Upper belly pain

Any of these symptoms could be masking a heart issue, warranting immediate medical attention.


Your Experience in the ER


Once you arrive at the ER after dialing 911, you will likely be connected to a heart rhythm monitor, and an ECG (electrocardiogram) will be performed. Within minutes, the ER doctor will assess the ECG results and inform both you and the heart team if a major heart attack is underway. If that is the case, quick action may lead you to a heart catheterization procedure.


Further Evaluation


In certain situations, the diagnosis may not be immediately clear. You might undergo a series of blood tests and ECGs spaced out over a few hours to determine if you're experiencing a milder form of heart attack. If so, you will receive blood thinners and other medications to ease the stress on your heart and prevent clot expansion. Hospital admission will follow, and a heart catheterization (along with additional tests) could be scheduled within a few days.


What If It's Not a Heart Attack?


If it turns out that you are not experiencing a heart attack, the cause of your symptoms might be something unrelated, such as acid reflux or a muscle strain. However, if you have risk factors for heart problems, it may be wise to see a cardiologist for an evaluation.


Next Steps in Your Heart Health Journey


Often, the next step could involve a stress test. Depending on your risk level and the specifics of your situation, a cardiologist may recommend a heart catheterization or a CT angiogram of your heart. Expect your cardiologist to guide you through your heart attack risk and provide personalized advice on how to reduce it. Your heart health journey is important, and understanding your options can make all the difference.


FAQs


  • What should I do if I experience chest pain?


    Call 911 or go to the nearest ER immediately.


  • What tests will be done in the ER for chest pain?


    You will likely undergo an ECG and may have blood tests to assess your heart health.


  • How can I tell if my chest pain is serious?


    If you have risk factors for heart disease or experience severe symptoms, it’s crucial to seek immediate medical help.


  • What happens if my tests show I’m not having a heart attack?


    Further evaluation may be needed to determine the cause of your symptoms, and you may be referred to a specialist.


  • What are the risk factors for heart problems?


    Common risk factors include high blood pressure, high cholesterol, smoking, diabetes, and a family history of heart disease.

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