The patient described in the question is having a heart attack ("myocardial infarction").
Chest pain is a medical emergency and it is often difficult to distinguish between benign causes of chest pain, such as a muscle strain, and more severe causes, such as a heart attack. Deadly causes of chest pain include myocardial infarction (heart attack), pulmonary embolism (blood clot in the lung), pneumothorax (collapsed lung), cardiac tamponade (fluid around the heart), aortic dissection (tear in the large blood vessel in the chest), and more.
Whenever in doubt, it is best to treat chest pain as a medical emergency. Consider taking aspirin by mouth (325 mg) and seek immediate medical attention. Aspirin has been shown to improve outcomes in patients having a heart attack.
Why are the other answers incorrect?
A) Wait 30 minutes and reassess your pain
If a heart attack or other emergency is occurring, time is of the essence. Waiting could make the problem worse.
B) Take ibuprofen
Ibuprofen is an appropriate treatment for minor musculoskeletal pains. However, the pain described in the question is concerning for an emergency cause.
C) Disregard the pain, as it is unlikely from a serious cause
The pain described in the question has features that suggest a cardiac cause. Chest pain with the following factors is more likely to be caused by a heart attack:
Only your Duration Health provider can decide, based on your medical history and other factors, whether it is medically appropriate for you to receive prescriptions.
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Only your Duration Health provider can decide, based on your medical history and other factors, whether it is medically appropriate for you to receive prescriptions. We do not sell prefabricated bags of pharmaceuticals. Each Duration Health Med Kit that contains prescription medications is custom assembled, tailored to each individual patient's needs.
Duration Health is not a pharmacy, is not a nonprescription retailer, and does not sell medications directly. To be able to deliver a customized kit of medications, Duration Health has partnered with a third-party mail order pharmacy. You may request that any prescriptions be sent to an alternate pharmacy. Duration Health charges an administrative convenience fee for its services, but Duration Health does not sell prescription or over-the-counter ("OTC") drugs, mark-up the cost of prescription or OTC drugs, or retain any portion of the fees our affiliated pharmacy charges to you. Nor does Duration Health provide medical advice about or prescribe OTC medications. In states where Duration Health’s physician consultation services are not offered, Duration Health only offers OTC products and does not provide clients with access to obtain a physician consultation. Clients are free to purchase OTC medications of their choice as an OTC-only kit.
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