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Published on: 5/6/2025

How Is Pleuritic Chest Pain Different From Other Types of Chest Pain?

Pleuritic chest pain is different from other types because it usually worsens with breathing or movement, and it is typically sharp and well-localized.

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Explanation

Pleuritic chest pain comes from inflammation of the pleura, which is the lining around your lungs. When this lining becomes irritated, each breath can cause a sharp, stabbing pain that is often focused in one area of the chest. Unlike other types of chest pain that might feel like pressure or heaviness and could be related to heart problems, pleuritic pain usually changes with deep breaths, coughing, or movement. Because the pain is linked to the lung’s movement, it tends to be more noticeable when you take a deep breath or cough. In contrast, chest pain from a heart attack or costochondritis might be more constant or related to physical exertion but not specifically tied to the act of breathing. Emergency doctors often use these differences to help figure out what is causing the pain. If you have pleuritic chest pain, combined with other symptoms like cough or fever, it might point to conditions like pleurisy, pneumonia, or pulmonary embolism rather than a heart problem.

(References)

  • Reamy BV, Williams PM, Odom MR. Pleuritic Chest Pain: Sorting Through the Differential Diagnosis. Am Fam Physician. 2017 Sep 1;96(5):306-312. PMID: 28925655.

  • Murata GH. Evaluating chest pain in the emergency department. West J Med. 1993 Jul;159(1):61-8. PMID: 8351907; PMCID: PMC1022160.

  • Kass SM, Williams PM, Reamy BV. Pleurisy. Am Fam Physician. 2007 May 1;75(9):1357-64. PMID: 17508531.

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