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Pericarditis: Chest Pain That’s Worse Lying Down
Conditions Pericarditis: Chest Pain That’s Worse Lying Down Pericarditis is inflammation of the sac around the heart. The pain is sharp, worse lying flat, better sitting forward, and alarming enough to mimic a heart attack. Here is what causes it and what the evidence supports.
Prof. Peter Barlis · Jul 31, 2026
Aortic Dissection: The Chest Pain That Cannot Wait
Conditions Aortic Dissection: The Chest Pain That Cannot Wait Most cardiac emergencies build gradually. An aortic dissection does not. It arrives at full force in people who felt perfectly well moments earlier, and recognising the pain is what gets you to hospital in time.
Prof. Peter Barlis · Jul 17, 2026
What Is a Troponin Test, and Why Is It Used for Chest Pain?
Tests & Procedures What Is a Troponin Test, and Why Is It Used for Chest Pain? Troponin is the blood test at the heart of chest pain assessment. If you have been to emergency with chest pain, here is what it measures and what the result means.
Kathy Marinias RN · Jun 19, 2026
Chest Pain: Understanding Symptoms, Causes and Evaluation
Symptoms Chest Pain: Understanding Symptoms, Causes and Evaluation Chest pain has many possible causes, some cardiac, some not. Here is how doctors approach the assessment and which features matter most.
Prof. Peter Barlis · Jan 29, 2025
Chest Tightness and the Heart: Why This Symptom Demands Attention
Symptoms Chest Tightness and the Heart: Why This Symptom Demands Attention Chest tightness, pressure, squeezing, heaviness across the chest, is the hallmark description of angina. Here is why chest tightness always warrants assessment, and what the investigation involves.
Prof. Peter Barlis · Jun 28, 2025
What is a Muscle Bridge?
Conditions What is a Muscle Bridge? You have a muscle bridge. For most people that sentence means nothing needs doing. For a minority it explains real chest pain, and new research shows how the troublesome ones can be treated.
Prof. Peter Barlis · May 31, 2026
Angina: What It Is, What It Feels Like, and How It’s Treated
Conditions Angina: What It Is, What It Feels Like, and How It’s Treated Angina is chest pain caused by reduced blood flow to the heart, a signal that deserves attention. Here is what it feels like, what causes it, and how it is treated.
Kathy Marinias RN · Feb 20, 2025
Recovering After a Coronary Angiogram: What to Expect
Tests & Procedures Recovering After a Coronary Angiogram: What to Expect Most people are home within hours of a coronary angiogram, but knowing what to expect from the TR band, the results conversation, and the days after makes a real difference.
Prof. Peter Barlis · Sep 3, 2026
T Wave Inversion on Your ECG: What It Actually Means
Tests & Procedures T Wave Inversion on Your ECG: What It Actually Means T wave inversion describes a small wave on the tracing pointing down instead of up. In several of the heart's twelve viewpoints that is completely normal. What matters is which ones, and whether it is new.
Prof. Peter Barlis · Aug 27, 2026
Infective Endocarditis: The Fever That Needs Explaining
Conditions Infective Endocarditis: The Fever That Needs Explaining Infective endocarditis is an infection of the heart's inner lining, usually settling on a valve. It is uncommon, but the early signs are vague enough that it is often missed. Knowing who is at risk is most of the answer.
A/Prof. Nagesh Anavekar · Aug 8, 2026
Clot-Busting Drugs: When a Heart Attack Is Hours From Help
Conditions Clot-Busting Drugs: When a Heart Attack Is Hours From Help Most towns do not have a catheter laboratory. When someone has a heart attack there, a clot-dissolving drug goes in first and the journey comes second. Here is why that order is the right one.
Prof. Peter Barlis · Aug 1, 2026
When Blood Pressure Won’t Come Down: What Happens Next
Conditions When Blood Pressure Won’t Come Down: What Happens Next Blood pressure that stays high despite three or more medications has a name, and in most cases an explanation. What clinicians check first, why spironolactone is usually the fourth medicine added, and how narrow the role of renal denervation really is.
Prof. Peter Barlis · Jul 29, 2026

Pericarditis: Chest Pain That’s Worse Lying Down

pericarditis

Pericarditis is inflammation of the sac around the heart. The pain is sharp, worse lying flat, better sitting forward, and alarming enough to mimic a heart attack. Here is what causes it and what the evidence supports.

What is a Muscle Bridge?

Muscle bridge

You have a muscle bridge. For most people that sentence means nothing needs doing. For a minority it explains real chest pain, and new research shows how the troublesome ones can be treated.