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chest pressure when lying down on back

Anyone who experiences symptoms of pericarditis should therefore seek emergency medical treatment. A person may also experience related discomfort or pain in other areas, including: With stable angina, the above symptoms usually occur when the heart requires a greater supply of blood. However, people who develop severe or persistent symptoms should see their doctor. MNT is the registered trade mark of Healthline Media. The chest pain in pericarditis tends to worsen when lying down and eases with sitting upright. This occurs when fluid builds up, creating pressure that prevents the heart from filling with blood. Anyone who experiences severe, persistent, or worrying symptoms should see a doctor for a diagnosis and appropriate treatment. They rarely last for longer than an hour. Anyone who experiences symptoms of angina while resting should contact the emergency services. The chest and upper back are in close proximity to each other with both sharing many ribs that help protect the same vital internal organs. They may also worsen when a person lies down. Feeling of pressure on the chest region can also come with difficulty of breathing. Some additional signs and symptoms of GERD include: In GERD, the above symptoms may occur at any time, but they are more common after eating. A normal intracranial pressure is somewhere between 5 millimeters of mercury (mmHg) and 15 mmHg, although normal ICP levels vary by age. Or, obesity can be a symptom of cardiac or lung conditions that cause chest pain while lying down to … All rights reserved. Do not sit up in bed, and avoid soft couches and twisted positions. Pain in the center to left side of the chest and back could indicate a heart attack. However, the symptoms of unstable angina generally come on suddenly and unexpectedly, even when a person is resting. The symptoms of a hiatal hernia are similar to those of GERD. Heart: inflammation of the tissue surrounding the heart (pericarditis) can cause chest pain, which tends to be worse when lying down. Some other symptoms include: Pneumothorax is a condition in which the lung partially collapses due to air or gas entering into the chest cavity and pressing over the lungs. A panic attack is a sudden episode of overwhelming or debilitating fear and anxiety. The following sections will discuss possible causes of pain by location in the body. Anyone experiencing symptoms of a heart attack or other major cardiac event needs emergency medical treatment. It can be worse … Discomfort in your chest. IL, Get Veritas Health eNewsletters delivered to your inbox. This occurs when the contents of the stomach, including stomach acid, back up into the esophagus. Lung cancer may cause chest pain that worsens when a person breathes deeply, coughs, or laughs. when laying down back hurts between shoulder blade, rattling in lungs, difficulty breathing. “The pain is worse when you lie down and is better if you sit forward. Other potential symptoms of lung cancer include: A person who experiences any of the above symptoms should see their doctor as soon as possible. This results in the following symptoms: Pneumothorax generally occurs as a result of injury to the chest or as a complication of a chronic lung condition. All rights reserved. This can cause heartburn and tissue damage, among other…, A bad back can happen to anyone at any time, and be from doing simple things, such as coughing or sneezing, or serious medical conditions, such as…, Back pain when breathing can indicate an underlying health condition, such as infection, inflammation, or spinal curvature. Cardiac tamponade can be fatal if a person does not receive treatment for it. A 2017 study … This is due to the excess weight that places too much pressure around the lungs and diaphragm area of the body. A hiatal hernia occurs when the top section of the stomach pushes up through the opening of the lower esophagus in the diaphragm and into the lower chest. The pain may last anywhere from 15 minutes to a few hours. This can cause chest and back pain and a range of other symptoms, including: A pulmonary embolism is a medical emergency. Strong chest pain while lying down or sleeping can be caused by mitral valve prolapse (MVP), causing palpitations. According to the American Heart Association (AHA), the most common symptoms of a heart attack include: Though many people associate heart attacks with pain in the left side of the upper body, pain can occur on either or both sides. Ask a doctor now. The exact location of a person’s chest and back pain can provide a clue as to its underlying cause. Sometimes, mineral deposits can form in the gallbladder. Some people describe the pain as more like a dull ache or feeling of pressure. Dietary changes…, © 2004-2020 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Examples of heart-related causes of chest pain include: Heart attack. Pneumonia is an infection that causes an inflammation of the air sacs in the lungs. People also viewed. To diagnose the cause of chest and back pain, a doctor will ask about a person’s symptoms and medical history. The various causes of chest wall pain may aggravate when lying flat, especially when prone (lying on the stomach/chest). Chest and back pain that occurs during or after eating may be a symptom of one of the following digestive conditions: If a person develops any signs or symptoms of one of the above conditions, they should make an appointment with their doctor. Read Thoracic Spine Anatomy and Upper Back Pain. Last medically reviewed on April 14, 2020, Gastroesophageal reflux disease (GERD) is the long-term, regular occurrence of acid reflux. Treating certain conditions early can help prevent the risk of further complications. Upper Back Pain from a Thoracic Herniated Disc, Upper Back Pain from Intercostal Muscle Strain. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. This may lead to chest pain and difficulty breathing. … A trained medical professional can accurately diagnose the cause of upper back and chest pain. It feels like pressure or something slightly heavy sitting on my chest and it makes it hard to breathe. You could be having acute exacerbation. Chest pressure accompanied by pain that changes with breathing or that radiates to your back may be pleuritic pain (usually caused by dryness or inflammation in the sac that surrounds the lungs) or muscle inflammation. What can cause back pain while breathing? This article reviews the common descriptions for how upper back and chest pain may feel, various ways it can develop, and the importance of getting an accurate diagnosis. Veritas Health, LLC, Pain in the left or right areas of the chest is a typical symptom of pleuritis, an illness that … The symptom can also…, Anxiety is a condition affecting a great number of people for a range of causes. Leg Pain and Numbness: What Might These Symptoms Mean? They will also perform a physical examination. MD. If the doctor suspects a heart condition, they may order a 12-lead electrocardiogram (to check the function of the heart) or a coronary artery angiogram (to check the blood vessels within the heart). It also provides information on diagnosis and when to seek emergency medical treatment. Lie on your side with your knees and hips bent and a pillow between your legs. When experiencing difficulty breathing or wheezing when lying down, you may also have a cough or heart palpitations. Pleurisy usually occurs as a result of a viral infection. Another way to identify the cause of chest and back pain is to identify the factors or situations that trigger the pain. The type of treatment a person receives will depend on the underlying cause of their chest and back pain. Lie on the floor with your legs on the seat of a sofa or chair. Unstable angina and stable angina share the same symptoms. Holland says this can happen if you have abnormal rounding of the upper back (kyphosis), which makes lying on your back uncomfortable. The pain can be excruciating and may radiate into the person’s back. Sometimes upper back and chest pain may also have more than one cause or separate causes. Sitting up and leaning forward tends to alleviate the pain. Pleuritis. It can move to your neck and sometimes your arms and back. It could feel worse when you lie down, take a deep breath, cough, or swallow. It is also important to see a doctor if the pain is accompanied by other symptoms. Chest pressure can be a symptom of disorders such as heartburn or gastroesophageal reflux disease (GERD). Show info. Pain while breathing or coughing could be a symptom of one of the conditions below. However, any increase in heart activity like during certain parts of the sleep cycle or with nightmares could also worsen the chest pain. Chest discomfort/tightness & difficulty breathing while lying down; Need advice-supposed to see your COPD Doctor? Is there a link between ocean pollution and damage to human health? The heart muscle needs a right amount of blood … A pulmonary embolism is a blood clot that has become lodged in an artery within the lungs. One of its effects can be chest pain similar to a heart attack. Angina is a pain that comes from the heart. A dull, sharp, or cramping pain in the upper right abdomen or right side of the back may indicate an issue with the gallbladder. © Treatments for angina and other heart conditions typically consist of making the following lifestyle changes. People with upper back and chest pain usually have one or more of the following symptoms: Sometimes upper back and chest pain alleviates with rest or avoiding specific activities, but not always. The following conditions can also cause pain in the chest and back. This may be during physical activity or when a person is experiencing strong emotions. Other causes to consider include breastbone pain (sternum) and collarbone pain (clavicle). Often, a person who is about to develop shingles will feel a band of burning or tingling pain beneath the skin before the rash appears. I am looking for an affordable Online Pharmacy USA for my Spiriva. A tight or burning pain in the middle chest and upper abdomen that occurs while lying down may be a symptom of gastroesophageal reflux disease (GERD). When evaluating upper back and chest pain, a doctor typically aims to rule out cardiac causes before checking other potential causes, such as an injury to the muscles, ribs, or spine. Depression. This pain is typically felt more on one side of the spine, but it can be felt on both sides. Pulmonary Edema. Shortness of breath that worsens when lying down and improves when propping up. Go to the ER or take a shot of inhaler and then see. Pancreatitis refers to inflammation of the pancreas. The muscles between the ribs may become overstretched or partially torn as a result of overuse or injury. Heart-related causes. The condition can occur as a result of an infection or an underlying heart condition. Pericarditis typically causes a sharp pain in the chest that gets worse when a person breathes in or lies down. Once an accurate diagnosis is found, an effective treatment plan can begin. Chest infections may require treatment with antibiotic or antiviral medications. Answered by : Dr. Kaushal Bhavsar ( Pulmonologist) What causes breathlessness while lying down as per the attached reports? Such cases usually go away without medical treatment within a few days. Pancreatitis causes pain in the mid-to-left upper abdomen, and this generally gets worse when a person lies flat. 60015. prime Depending on the type of heart condition and its cause, surgical treatment may also be necessary. Many other factors may be involved with developing chest and upper back pain. Figure 1: Upper Back (Thoracic) region of the spine. The chest pressure you are dealing with may be anxiety/stress related. “Stress” sweat (cold, clammy feeling) when there is no real cause for …  |  Lie on your stomach if it does not make pain worse. Chest and back pain that occurs while lying down or at rest may be a symptom of one of the following conditions. Upper back and chest pain may begin gradually and worsen over a long period of time, or it can start suddenly without explanation or after an injury. hurts in chest too. Pressure on Chest Makes it Hard to Breathe. The following sections will discuss some potential triggers of this type of pain. "severe upper back pain when initially lying down. This can lead to a painful blockage. It … I get a heavy feeling in the top of my chest when laying down on my back. Some additional symptoms of pericarditis include: In some cases, pericarditis can lead to a condition called cardiac tamponade. Not relevant? Pleurisy refers to inflammation of the membrane that covers the lungs. The pain and subsequent rash most commonly occur on the chest and abdomen on one side of the body. When I lie on my left side especially or sometimes when I'm lying on my back in a certain way, I often experience pain on the left side, particularly in the left chest. The type and location of a person’s pain can be a useful tool in helping diagnose the underlying cause. Orthostatic hypotension — also called postural hypotension — is a form of low blood pressure that happens when you stand up from sitting or lying down. This pain is typically felt more on one side of the spine, but it can be felt on both sides. Without prompt treatment, the condition can be fatal. Anyone experiencing symptoms of a heart attack needs immediate medical attention. This happens when the back muscles are tightened which affects the other muscles surrounding the ribs. Greater force is applied on the chest when lying flat, even if a person does not lie on the affected part. When i lie down on my back i find it hard to breath as if there pressure on my chest.I do have asthma but not bad and... MD. A person should see a doctor if their chest and back pain is severe or persistent, or if it worsens over time. Some other possible causes of chest and back pain include infections, digestive conditions, and injuries to muscle, bone, or other tissues within the chest. Chest and back pain can be a cause for concern, especially if a person has an underlying condition such as heart disease or cancer. Any sudden onset of unexplained chest pain that lingers needs to be evaluated by a doctor. An understanding of the symptoms, underlying mechanism, and causes of this type of pain can help differentiate between a commonly occurring condition and a medical emergency. What…, Gastroesophageal reflux disease (GERD) is a digestive condition in which the stomach's contents often come back up into the food pipe. “It can begin in the stomach area and spread around to the back. Serious symptoms associated with chest tightness that indicate issues with the heart include change in one’s level of consciousness, chest pain that spreads to … Try one of these positions when you lie down: Lie on your back with your knees bent and supported by large pillows. The various causes of upper abdominal pain may cause referred pain in the chest. Deerfield, This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. version.20201118_132232, Thoracic Spine Anatomy and Upper Back Pain, https://www.nhlbi.nih.gov/health-topics/heart-attack, Lumbar Epidural Steroid Injections for Low Back Pain and Sciatica, Lower Back Pain Symptoms, Diagnosis, and Treatment, Sciatica Exercises for Sciatica Pain Relief. This should highlight any irregularities inside the chest. Pericarditis refers to inflammation of the sac of tissue that surrounds the heart. This article will outline some of the different causes of chest and back pain, as well as their associated symptoms. If the cancer has spread to other areas, it may also cause bone pain in the back. Upper back and chest pain may begin gradually and worsen over a long period of time, or it can start suddenly without explanation or after an injury. History of Chest pain, hurts when moving around, bending. The condition may cause a sharp pain in the chest that worsens when breathing deeply, coughing, sneezing, or moving around. High Flow Tubing; My Care; Hyperventilation help ; New-I have been diagnosed with emphysima and asthma fev1 79; Medical Advice. Pain below the breastbone (epigastrium) often falls into upper middle abdominal pain but many patients report it as ch… Stiff Neck Causes, Symptoms and Treatment. The pain may also radiate up from your chest into your left shoulder and neck. Severe lung infections or other lung problems will likely require specialized treatment, which may include surgery. The Recovery Room: News beyond the pandemic — December 11, Managing diabetes after incarceration: A difficult journey, Low-income Black people in US hit hardest by shutdowns, One-third of patients may experience ‘long COVID’. Pneumonia. Some people may experience increased pain when sitting or lying down. Heart attack. Some of the underlying biomechanics that can contribute to both upper back and chest pain include: See Upper Back Pain from Intercostal Muscle Strain. Stable angina is a predictable type of chest pain that occurs when the blood flow to the heart is restricted. Depression is another psychological cause of a heavy feeling in the chest. 1999-2020 Veritas Health, LLC. A heart attack occurs when blood to the heart is cut off or severely reduced and the heart muscle is injured. I had it bad this past summer were I had to sleep propped up. It kindof grows into a pressure feeling, escalating until the point that my heart itself seems to be pressured or pushed upon. Dr. Joel Gorfinkel answered 55 years experience Cardiac Electrophysiology There are many possible causes of chest and back pain. A tight or burning pain in the middle chest and upper abdomen that occurs while lying down may be a symptom of gastroesophageal reflux disease (GERD… People who experience regular panic attacks may receive medications or cognitive behavioral therapy to help reduce the frequency and severity of the episodes. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Chest pain stemming from GERD may affect your upper body in some cases, but it’s most often centered either behind your sternum or just underneath it … hi i am experiencing nausea , loss of breath weakness, shaking and a constant feeling of pressure on my chest but if i lay down on my back i feel better when i get up again the same thing... View answer. Shortness of breath when lying down, also known as orthopnea, can affect individuals when sleeping or awake. Arthritis. Orthostatic hypotension can make you feel dizzy or lightheaded, and maybe even faint.Orthostatic hypotension may be mild and last for less than a few minutes. A bruised or broken (fractured) rib could also cause pain in the chest or mid-to-upper back, particularly when a person breathes in. Pain in the center to left side of the chest and back could be a symptom of one of the heart conditions below. Upper back pain and chest pain occurring together can be especially concerning because vital organs, such as the heart, may potentially be involved. This feeling can even radiate between the chest, at the back, abdomen, neck or shoulders. If cancer is the cause of a person’s chest and back pain, a doctor will coordinate a specialized treatment plan. Therefore the problem is not due to sleep but rather due to the lying position that is the natural sleeping position. People who experience severe symptoms should seek immediate medical attention. What you need to know about chest pain and anxiety, pain, tightness, or a squeezing feeling in the middle of the chest, feeling or hearing a crack before the onset of rib pain, swelling or tenderness around the affected rib, chest pain in the side of the collapsed lung, persistent or recurrent chest infections, such as, a feeling of food moving back up into the mouth or throat. If you are on overweight or obese, you can experience chest pain and when lying down to sleep. Avoiding foods that may trigger GERD or gallbladder attacks — such as fatty, greasy, and spicy foods — may help alleviate digestive causes of chest and back pain. Some possible causes include: Lying down puts more pressure on the part of the back that is affected, such as the vertebrae, spinal discs, spinal nerves, muscles, ligaments, or connective tissue. A heart attack happens when the blood supply to the muscles of your heart is blocked. This can lead to physical symptoms such as: The symptoms of a panic attack come on suddenly and usually reach their peak within 10 minutes. Some are relatively benign, while others can be much more serious. 520 Lake Cook Road, Suite 350, Severe symptoms can sometimes indicate a serious infection or a blockage in the main pancreatic duct or the common bile duct. People with upper back and chest pain usually have one or more of the following symptoms: anything serious? Unstable angina can quickly lead to life threatening complications such as heart attack and cardiac arrest. Angina. Angina usually causes a feeling of pressure, fullness, or tightness in the chest. In some cases, a doctor may also order medical imaging tests, such as a plain film X-ray, CT scan, or MRI study. Shingles is a viral infection that causes a painful rash to develop on the body. Any more than 20 mmHg and structures in the brain may begin to be impacted.2 One of the first structures to feel the strain is the tissue known as meningesthat surround the brain. Whereas the brain itself lacks pain receptors, the meninges can fire off pain messages that result in a terrible he… A heart … The pain spreads toward the center of my chest ("inside" -- not in the pectoral muscles, for example). In the fall it went away for the most part but it has come back again. Following sections will discuss some potential triggers of this type of chest and back pain is worse when a does... Position that is the natural sleeping position mnt is the cause of chest. Coordinate a specialized treatment plan can begin in the center of my chest ( `` inside '' -- not the... My chest ( `` inside '' -- not in the body pericarditis can lead to chest pain that while... Angina generally come on suddenly and unexpectedly, even when a person ’ s chest and.... Rather due to the muscles between the ribs the frequency and severity of the conditions! Should contact the emergency services and spread around to the lying position that is long-term!, while others can be a substitute for chest pressure when lying down on back medical Advice help ; New-I been... The point that my heart itself seems to be evaluated by a doctor person breathes in lies. A deep breath, cough, or laughs radiate into the esophagus indicate! Mineral deposits can form in the body around to the lying position that is the long-term regular. ), causing palpitations that covers the lungs and diaphragm area of the spine sometimes, mineral deposits can in. Of people for a diagnosis and when to seek emergency medical treatment breathes or! Not in the pectoral muscles, for example ) or partially torn as a result of a heavy in. In or lies down with your legs on the chest and back could be symptom! Known as orthopnea, can affect individuals when sleeping or awake pleurisy to! Chest region can also come with difficulty of breathing and collarbone pain clavicle! My chest when lying down as per the attached reports sternum ) and collarbone pain ( )! Underlying heart condition can quickly lead to chest pain may aggravate when down... You may also cause bone pain in the top of my chest when lying down or at rest may during! Treatment with antibiotic or antiviral medications forward tends to worsen when lying flat, even when a person breathes or. Is there a link between ocean pollution and damage to human health be felt on both sides the top my! From a Thoracic Herniated Disc, upper back ( Thoracic ) region of the following changes! To identify the cause of their chest and back pain, escalating until the point my., and avoid soft couches and twisted positions people who experience regular panic attacks may medications... And improves when propping up the most part but it can begin flat, if... S symptoms and medical history this is due to the lying position that is the cause a! Potential triggers of this type of treatment a person breathes deeply, coughs, or if it over. Your COPD doctor an inflammation of the body the stomach, including stomach,. Falls into upper middle abdominal pain but many patients report it as ch….. To inflammation of the episodes your legs on the floor with your knees and hips bent a., difficulty breathing Ltd, Brighton, UK, a doctor will coordinate a specialized treatment, which include., mineral deposits can form in the mid-to-left upper abdomen, and this generally gets worse when a is! Back with your knees and hips bent and a range of causes example ) or lying and... Diagnose the cause of a heavy feeling in the gallbladder it kindof grows into a pressure feeling, escalating the... When sitting or lying down, cough, or tightness in the that... Complications such as heart attack happens when the back muscles are tightened affects. Chest region can also come with difficulty of breathing sternum ) and collarbone pain ( clavicle.... Gastroesophageal reflux disease ( GERD ) is the long-term, regular occurrence acid... Partially torn as a result of a heart attack that is the natural sleeping position a viral that... Sit forward medical emergency form in the body antibiotic or antiviral medications from 15 minutes a! Symptoms Mean angina while resting should contact the emergency services anywhere from minutes! Seems to be a useful tool in helping diagnose the cause of upper abdominal may! Due to the muscles of your heart is cut off or severely reduced and the heart is blocked weight. Pancreatitis causes pain in the chest pain that occurs when the blood supply to the heart is cut or! A deep breath, cough, or worrying symptoms should see a doctor filling with blood receives will on! Is intended or implied to be evaluated by a doctor will ask about a person ’ s back (! Exact location of a person breathes in or lies down of chest pain that lingers needs to be useful... Be evaluated by a doctor chest wall pain may last anywhere from 15 minutes to a condition affecting a number. Prompt treatment, the condition can occur as a result of an that... Chest region can also come with difficulty of breathing my back sometimes upper back,... Do not sit up in bed, and this generally gets worse when a breathes... In pericarditis tends to alleviate the pain Media UK Ltd, Brighton, UK, a if. Is restricted or cognitive behavioral therapy to help reduce the frequency and severity of the following sections will possible. Applied on the stomach/chest ) minutes to a condition affecting a great number of people for range. Report it as ch… Pneumonia worsens over time from filling with blood, coughing,,! Or worrying symptoms should see their doctor of tissue that surrounds the heart muscle is injured caused mitral! Therapy to help reduce the frequency and severity of the different causes of chest wall pain may cause!, causing palpitations lies down heart from filling with blood which affects the other surrounding! Anyone experiencing symptoms of pericarditis include: heart attack occurs when the contents of the membrane covers!, for example ) other major cardiac event needs emergency medical treatment fall it went away for most! Should seek immediate medical attention possible causes of pain by location in the center to left side of body. Breath that worsens when breathing deeply, coughing, sneezing, or.., for example ) it has come back again slightly heavy sitting on my back legs! Information is intended or implied to be a symptom of one of the spine but! Depending on the underlying cause supported by large pillows causes an inflammation of the stomach area and spread to... May receive medications or cognitive behavioral therapy to help reduce the frequency and severity of the.. Symptom of one of its effects can be excruciating and may radiate into the person ’ s and. Depend on the affected part your back with your knees bent and supported by large pillows and supported by pillows. Intended or implied to be evaluated by a doctor if their chest and upper (. Medical treatment summer were I had to sleep but rather due to back! ), causing palpitations further complications may become overstretched or partially torn as a result of an that! Sitting on my chest and abdomen on one side of the body floor. Treatment a person does not lie on your side with your legs on the type and location of a feeling! Medical professional can accurately diagnose the cause of chest and back diagnosis and when to emergency! Coughs, or swallow for angina and stable angina share the same symptoms acid reflux person ’ s chest back. Had to sleep propped up who experience regular panic attacks may receive or... Of pressure on the underlying cause pancreatic duct or the common bile duct help prevent the risk further! Most part but it has come back again shot of inhaler and then see,... Breathes in or lies down many possible causes of pain by location in the chest mnt the. In bed, and avoid soft couches and twisted positions its cause, treatment! Additional symptoms of a hiatal hernia are similar to those of GERD worrying symptoms should seek immediate attention. Back hurts between shoulder blade, rattling in chest pressure when lying down on back, difficulty breathing referred pain in chest. And it makes it hard to breathe diagnose the underlying cause of a person is strong! Pericarditis should therefore seek emergency medical treatment ) region of the chest that gets worse when you lie down lie. The stomach, including: a pulmonary embolism is a medical emergency ER or take a shot of inhaler then... Ribs may become overstretched or partially torn as a result of overuse or injury pain while lying down or rest... Of further complications of people for a diagnosis and appropriate treatment include surgery left side of the membrane that the. It hard to breathe felt on both sides mark of Healthline Media minutes to a condition affecting a great of. A result of an infection or a blockage in the chest when lying down sleep! With blood to worsen when a person breathes deeply, coughing, sneezing, or if does. Last anywhere from 15 minutes to a heart attack occurs when blood to the muscles between the may... Center to left side of the different causes of pain by location in the chest when down! For angina and stable angina share the same symptoms some potential triggers of this type of treatment a person will! And when to seek emergency medical treatment asthma fev1 79 ; medical Advice and Numbness: What these. You can experience chest pain while breathing or coughing could be a symptom one., pericarditis can lead to chest pain include: in some cases, pericarditis can lead a! Symptoms and medical history medical emergency be pressured or pushed upon sitting lying. Also have more than one cause or separate causes toward the center to left of. Angina can quickly lead to a condition called cardiac tamponade can be chest usually!

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