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Medical Treatment for Chest Pain: Aortic Dissection, Pulmonary Embolism and Spontaneous Pneumothorax

In our previous article, we had written about the medical treatment for chest pain, especially for heart attack and angina. Inside this article, we will continue to write about medical treatment for chest pain with focus on aortic dissection, pulmonary embolism and spontaneous pneumothorax.

Aortic Dissection
A chest pain patient with suspected aortic dissection usually receives treatment with the main purpose of reducing his/her blood pressure.

The most frequent and widely used are the medications that make the heart rate slower and widen the arteries.

Points of focus:

  • Lowering patient’s blood pressure too far can be dangerous. Therefore, a close monitoring is needed to avoid the risk.
  • For all dissection which involves the upward (ascending) portion of patient’s aorta, surgical repair is needed.

Pulmonary Embolism
A chest pain patient with a documented or presumed pulmonary embolism has to be taken to the hospital.

Points of focus:

  • Treatment for chest pain patient with pulmonary embolism mostly is supplemental oxygen along with medication to prevent and stop further coagulation of blood. Heparin is the most typical medication.
  • In case the embolism is too large, clot-busting medications will be given in specific conditions to dissolve the clot.
  • Small number of chest pain patients have surgery to place a filter which is like an umbrella in his/her blood vessel to avoid blood clots moving to the lungs (considered as the lower extremities).

Spontaneous Pneumothorax
Spontaneous pneumothorax patients with no symptoms need six hours of hospital observation along with frequent chest X-rays.

Points of focus:

  • When your pneumothorax’s size does not change, at most times you will be discharged with a continuous appointment in one whole day (24 hours).
  • If the size of pneumothorax enlarges or you develop more symptoms, you will be taken to a hospital. You will have catheter aspiration (chest tube) inserted to reinstate negative pressure inside your lung sac.

In the next article, we still continue to present information about medical treatment for chest pain.

You should consult with your doctor and other health care professionals to get a better knowledge and information about medical treatment for chest pain.

Kindly bear in mind, this article is not solely intended as the only source of information about medical treatment for chest pain.

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