 Hello friends, I am Dr. Rajneesh Sardana. I am Head of Cardiology at the Manipal Heart Institute. Today we are going to talk about chest pain when to worry. See, we get a lot of patients with chest pain in the young people, in the middle ages, in the elderly. We all recognize that the chest pain in the elderly is usually worrisome, but that does not mean a young person chest pain can be ignored. So, I would like to highlight what is the character of a cardiac chest pain. See, when we say chest pain, cardiac, we call it an angina. Angina is what? It's not a pain. We keep calling it a pain, but it's not a pain. The usual feeling in the heaviness, tightness or squeeze feeling in the chest where you feel everything is constricting and something is stuck. It may go to the arm, may not go to the arm. Usually it will last 3 to 4 minutes and then ease up. The same pain when it becomes more severe, it becomes a much more difficult person associated with breathlessness, perspiration, that can indicate a harder thing. So, I will again say, when we call a chest pain, it's never a pain. It's more of a feeling of squeezing, tightness, heaviness, pressure like feeling which will last few minutes. Usually it will come on exertion and get relieved on rest. There are patients who got chest pain and they said that when I walk, I feel better. Almost certainly if the pain is getting relieved by walking on exertion, it is non-cardiac. Pain which is pinprick, particular spot where it just pricks and goes, it's never a cardiac. So, these are markers which you can probably not get along, but there are others. Again, then we also look at it in the perspective of the risk factor. So, if anybody is a smoker, anybody who is a diabetic, the symptoms can be much lesser and they can be a subtle symptom of some pressure heaviness. The last thing I'd like to say is that a lot of patients when they start feeling that there is something stuck, like a gas feeling because they ate something. Let me tell you that the commonest mistake people make is when they keep calling it gas, gas stuck and they start burping and they feel better and they say, okay, it's something I ate. Why would a person who's never had acidity suddenly one day have gas? So remember, if there's anything that you feel is stuck, pressure is not allowing you to move to do certain things out of the blue. Always go to the emergency, get an ECG, get yourself cleared of it being a cardiac. So, cardiac pain is not a pain, it is more about the sensation of feeling tightness. Thank you so much.