What's the pain in the upper chest?
Recently, the health topic about "upper chest pain" has become increasingly popular on major social platforms and search engines. Many netizens reported feeling anxious after experiencing such symptoms, fearing that they were related to heart disease or other serious diseases. This article will combine the hot discussions and medical information on the Internet in the past 10 days to provide you with a systematic analysis of possible causes, symptom characteristics, and response suggestions.
1. Analysis of common causes

| possible causes | Proportion (approximate value) | Typical symptoms |
|---|---|---|
| gastroesophageal reflux | 35%-40% | Burning sensation, aggravated after meals, obvious when lying down |
| Costochondritis | 20%-25% | Local tenderness, pain when taking deep breaths |
| Angina pectoris | 15%-18% | Pressure, radiating to the left shoulder, induced by activity |
| anxiety disorder | 10%-12% | accompanied by palpitations and hyperventilation |
| Others (pneumonia, herpes zoster, etc.) | 8%-10% | Specific accompanying symptoms |
2. Recent hot topics on the Internet
1.Discussion on "Sequelae of COVID-19": Some recovered patients report retrosternal discomfort, which may be related to inflammatory response or muscle strain.
2.Workplace health topics: Thoracic facet joint disorders caused by prolonged sitting at work have become a new focus, and the relevant popular science video has been played more than 2 million times.
3.Young people are worried: Non-cardiac chest pain caused by people aged 25-35 due to staying up late and being stressed has aroused widespread resonance.
3. Symptom identification guide
| red flag | Recommended actions |
|---|---|
| Sudden severe pain + profuse sweating | Call emergency number immediately |
| No relief lasts 30 minutes | Emergency department visit |
| With hemoptysis/dyspnea | Prioritize diagnosis of pulmonary embolism |
| Regular pain after meals | Gastroenterology Clinic |
4. Latest medical advice
1.Advances in Diagnostic Technology: The "chest pain center" multidisciplinary joint diagnosis and treatment model promoted by tertiary hospitals can shorten the diagnosis time by 40%.
2.Home self-assessment method: Change your body position and observe changes in pain. Relief of symptoms after drinking warm water may indicate digestive tract problems.
3.Precautions: Basic suggestions such as maintaining a correct sitting posture, avoiding overeating, and regular work and rest are repeatedly emphasized.
5. Special reminder from experts
The director of the Thoracic Surgery Department of Peking Union Medical College Hospital pointed out in a recent live broadcast: "People under 40 years old who have chest pain should first rule outMusculoskeletalquestions andgastroesophageal reflux. But any mergehigh blood pressure,diabetesPatients with underlying diseases should seek medical treatment promptly. "
Note: The data in this article are synthesized from public information on Baidu Index, Weibo hot searches, Zhihu hot lists and professional medical websites. The statistical period is November 1-10, 2023. Please refer to the clinician’s judgment for specific diagnosis and treatment.
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