On the other hand, the development of tangible performance targets (i.e., objectives) and the. relationship between performance measures and agency decisionâmaking outside the asset. management areas appears inconsistent.
Pain that can be pinpointed with the top of one finger. Pain that can be reproduced by moving or pressing on the chest wall or arms. Pain that is constant and lasts for hours (although no one should wait hours if they suspect they are having a heart attack) Pain that is very brief and lasts for a few seconds. Pain that spreads to the legs.
Chest pain is also caused by irritation and swelling of the heart (myocarditis) or its outer covering (pericarditis). This inflammation can be caused by an infection or happen after heart attack or heart surgery. Pain from myocarditis or pericarditis is usually is sharp and in the center of the chest. It tends to get worse when you breathe, lie down, cough or swallow. Sitting or leaning forward sometimes reduces the pain.