What are the sources of chest pain?
The source of pain may arise from a variety of potential sources:
- The chest wall including the ribs, the muscles, and the skin;
 - The back including the spine, the nerves, and the back muscles;
 - The lung, the pleura (the lining of the lung) or the trachea;
 - The heart including the pericardium (the sac that surrounds the heart);
 - The aorta;
 - The esophagus;
 - The diaphragm, the flat muscle that separates the chest and abdominal cavities;
 - Referred pain from abdominal organs like the stomach, gallbladder, and pancreas.
 
While each source of chest pain may have a classic presentation of signs and symptoms, there is significant overlap among the symptoms of each condition, and the symptoms may also be affected by age, gender and race.
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