Small Business Owners Not All Chest Pain is Created Equal

Your best bet if you are experiencing chest pain: get good medical advice.


This is the part one of a two part series recognizing symptoms of stressed small business owners. In part two we’ll look at preventatives measures- Dr Eduardo Montana  

Every year around Mid-April physician’s offices, emergency rooms and urgent care centers across the U.S. experience a sharp rise in patient visits for a chief complaint of “new onset chest pain”. 

Over represented among those seeking medical treatment for this complaint are certainly small business owners just like you, overstressed, overcommitted and undercapitalized, secretly pleading that Uncle Sam will give you a (tax) break this year.  

Is this episode of “chest pain” heralding loudly that the time to meet your maker has arrived, or is the worn-out physical and emotional “self” screaming for an intervention?

We all reach a point in our lives where our world comes crashing down and suddenly we find ourselves with intractable symptoms of chest pressure or pain and maybe dizziness or nausea. 

Should we just wait it out and have an adult beverage? 

Probably the old physician axiom that “A doctor that treats himself has a fool for a patient” applies to all professionals.  Cancel your lunch appointment and get some good medical advice.

All chest pain is certainly not alike and while there are certainly several “non-cardiac” causes of chest pain, some more serious than others, it is important that we all understand what is commonly referred to as our “global lifetime risk” of a cardiovascular event.

Cardiovascular diseases remain the number one cause of death

First, we should recognize that cardiovascular diseases (CVD) remain the number 1 cause of death globally: more people die annually from CVDs than from any other cause.  

An estimated 17.5 million people died from CVDs in 2012, representing 31% of all global deaths. Of these deaths, an estimated 7.4 million were due to coronary heart disease and 6.7 million were due to stroke.   

Out of the 16 million deaths under the age of 70 due to non-communicable (non-infectious) diseases, 82% are in low and middle income countries and 37% are caused by CVDs. (WHO, World health statistics 2009. Geneva: World Health Organization; 2009e).  The World Health Organization (WHO) and about 20 million CVD deaths in 2015, accounting for 30 percent of all deaths worldwide (WHO, 2005).

These statistics should convince you further to consult your personal medical professional to determine if your acute chest symptoms are indicative of the “Big One”.  In this age where information is power, let us indulge ourselves with a 30,000 foot view of how the different causes of “acute chest pain” stack up and what they may possibly mean for you. 

Next- What is a true cardiac and event and what to do

Eduardo Montana
Eduardo Montana
Dr. Eduardo Montaña is a Preventive Pediatric Cardiologists and Lipidologist who in 2001 founded Children’s Cardiovascular Medicine, a private practice in the Metropolitan Atlanta area covering the needs of the infants, children and adolescents throughout the State Georgia. He currently serves as a National Hispanic Medical Association (NHMA)/National Hispanic Medical Foundation (NHMF) Physician Leadership Fellow in Washington DC where he participates in developing policy initiatives related to Culturally and Linguistically Appropriate healthcare Services (CLAS) for Latino Communities. He serves as Chair of the Board of Directors of the Hispanic Health Care Coalition of Georgia (HHCCG) supporting initiatives at addressing Obesity and Diabetes in Latino Communities through Health Education and Promotion Services. Dr. Montaña completed both his training in Preventive Medicine and Pediatric Cardiology at the Emory University School of Medicine as well as his Masters of Public Health at the Rollins School of Public Health. In the early nineties, Dr. Montaña was awarded and completed an appointment at the Centers for Disease Control and Prevention, Center for Environmental Health and Health Promotion in the Epidemiology Intelligence Service in Birth Defects Surveillance. He later served on faculty at Emory University School of Medicine, Department of Pediatrics and Pediatric Cardiology. Dr. Montaña earned his MBA in Healthcare Administration and Management from University of Colorado Executive Health Care Business School. He remains committed to positively impacting educational and health care disparities in Latin American youth.

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