You may feel it on the right side or the left side or in the middle. Almost all patients with heart failure have exertional dyspnea, so the absence of exertional dyspnea is helpful in ruling out this diagnosis.13. Emergency Medicine Journal. Patients with chest pain and a negative initial cardiac evaluation should have further testing with stress ECG, perfusion scanning, or angiography depending on their level of risk. ECG findings that most strongly suggest MI are ST segment elevation, Q waves, and a conduction defect, especially if such findings are new compared with a previous ECG. Available from: Adamich J, Howard A, Camp M. Do All Clavicle Fractures in Children Need To Be Managed by Orthopedic Surgeons? https://www.uptodate.com/contents/search. 2023 ICD-10-CM Diagnosis Code R07.2: Precordial pain - ICD10Data.com Hetmann F, Kongsgaard UE, Sandvik L, Schou-Bredal I. Post-thoracotomy pain syndrome and sensory disturbances following thoracotomy at 6- and 12-month follow-ups. Hollander JE, et al. Tumors in your posterior (back) mediastinum can place pressure on your spinal cord. Midsternal chest pain | HealthTap Online Doctor https://vascular.org/patients/vascular-conditions/aortic-dissection. With others, you may not experience symptoms or need treatment at all. Don't ignore the symptoms of a heart attack. Precordial catch syndrome. The sternum is located near the heart, so many people experiencing sternum pain may confuse it with more general chest pain. Accessed Dec. 21, 2022. Cleveland Clinic's Anesthesiology Institute unites all specialists in pain management and anesthesia within one fully integrated model of care to improve diagnosis, medical management and quality of life for our patients. Noncardiac chest pain can be related to depression, anxiety or stress. Therefore the nurse should administer supplemental oxygen to increase the myocardial oxygen supply, attach a cardiac monitor to help detect life-threatening arrhythmias, and take vital signs to ensure that the client isn't hypotensive before giving sublingual nitroglycerin for chest pain. Rajan E (expert opinion).