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What are the causes of acute chest pain?

The causes of acute chest pain are the following
  • Ischaemic heart disease (HID), ie. angina pectoris or acute myocardial infarction: aortic stenosis.
  • Acute dry pleurisy due to any cause (tuberculosis, pneumonia commonly)
  • Spontaneous pneumothorax.
  • Diffuse oesophageal spasm (may be food-related) : gastro-oesophageal reflux disease.
  • Acute pulmonary thromboembolism, tracheobronchitis, mediastinilis.
  • Abscess, furuncle on the chest wall/myositis/fibrositis.
  • Trauma to the chest wall, eg. rib fracture.
  • Costoeondritis (Tietzes syndrome)
  • Malignant deposits on the ribs, multiple myeloma.
  • Acute dry percarditis.
  • Intercostal myalgia (Bornholm disease—intercostal muscle involvement by Coxsackie  virus infection).
  • Herpes zoster on the chest wall.
  • Dissection of ascending aorta.
  • Anxiety states /psychogenic  (cardiac neurosis)
  • Abdomina disorders like hiatal hernia ,gall bladder stones, acute  pancreatitis, splenic flexure syndrome