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Causes of Retrosternal chest pain

Retrosternal chest pain  causes are given below
  • Ischaemic heart disease.
  • Oesophagitis or diffuse oesophageal spasm.
  • Acute dry percardltis.
  • Acute mediastinitis.
  • Diaphragmatic hernia.
  • Aneurysm of the aorta.
  • Dissecting aneurysm.
  • Psychogenic.
Causes of upper retrosternal Pain
It is a momentary pain which increases in intensity on coughing and subsides when the cough becomes productive. This is seen in acute tracheitis.
Mid or Lower Retrosternal Pain in mediastinal disease
Character resembling cardiac pain, radiate to neck and arms, unrelated to exertion.
This pain is constrictive in character and may be present in:
  • Acute mediastinitis
  • Mediastinal tumour
  • Mediastinal emphysema
  • Reflux esophagitis
  • Achalasia cardia.