Chest Pain During Exercise: Causes and Concerns

Pain near the heart?

Recently, I visited a doctor due to feeling unwell and underwent some tests.
Additionally, I experienced gastrointestinal discomfort and consulted a clinic.
Based on my family physician's advice, I was encouraged to start jogging, so I began to run slowly and gradually increased the intensity.
I have been running for 3 days plus 1 day of walking.
Previously, I had an episode of overexertion that made me uncomfortable, and I had stopped exercising for about 6 months due to preparing for graduate school exams, which also disrupted my routine.
Before starting to exercise again, I had issues with poor peripheral circulation.
My general condition was as follows: "I felt that the blood flow in my fingers and toes was slower than before after experiencing pressure, and I often had unusual sensations.
Additionally, my heart rate would increase rapidly with even slight pressure." Therefore, upon the recommendation of other specialists, I consulted a cardiologist and explained my situation in detail.
On that day, my blood pressure readings were [SYS-133/DIA-92/PUL-17x] and [SYS-13X/DIA-99/PUL-16x], and I couldn't calm down.
The doctor advised me to undergo tests and prescribed Concor 1.25 mg [one tablet daily] and a tablet to take at bedtime, stating that it would help protect my heart.
A 24-hour Holter monitor was arranged for me.
The next day, I experienced severe bloating and returned to see my family physician, inquiring whether the heart medication could affect my gastrointestinal health.
The doctor slightly adjusted my prescription and again encouraged me to jog.
[Questions] 1.
Could this be related to the medication I am taking? 2.
Can I continue exercising? 3.
Are these pains normal? 4.
If necessary, what tests should I undergo?

Li Guanting, 20~29 year old female. Ask Date: 2016/04/27

Dr. He Dongjin reply Cardiology

Hello, you may be experiencing paroxysmal arrhythmia.
We will discuss the 24-hour Holter monitor report later.
For pain relief, medications can be taken.
Symptoms such as those associated with mitral valve prolapse can be evaluated further.
Please ask your physician to arrange for an echocardiogram for further examination.
Changhua Hospital cares about your health.

Reply Date: 2016/04/27

More Info

Understanding chest pain during exercise is crucial, especially for individuals who have recently started a new exercise regimen or have underlying health concerns. Based on your description, it seems you have been experiencing a range of symptoms, including chest discomfort, heart palpitations, and a sensation of pressure in your extremities. These symptoms can be concerning, particularly when they occur during physical activity.

1. Possible Connection to Medication: The medication you mentioned, Concor (bisoprolol), is a beta-blocker commonly prescribed for managing hypertension and certain heart conditions. Beta-blockers can affect heart rate and blood pressure, potentially leading to a feeling of fatigue or unusual heart sensations during exercise. They may also mask some of the typical signs of exertion, making it harder for you to gauge your physical limits. If you suspect that the medication is contributing to your symptoms, it is essential to discuss this with your healthcare provider. They may consider adjusting your dosage or switching to a different medication.

2. Continuing Exercise: Given your symptoms, it is vital to approach exercise cautiously. While physical activity is generally beneficial, especially for cardiovascular health, your current experience suggests that you may need to modify your routine. Starting with low-intensity activities, such as walking, and gradually increasing intensity while monitoring your body's response is advisable. If you experience chest pain, significant discomfort, or other alarming symptoms, it is crucial to stop exercising and seek medical attention.

3. Normalcy of Pain: The chest pain you describe, particularly the sharp sensations and pressure, is not typical and should not be ignored. While some discomfort can occur with exercise, especially if you are not accustomed to it, persistent or severe pain, especially in the context of your medical history, warrants further investigation. The fact that you have had this pain for an extended period (approximately six months) raises concern, and it is essential to have it evaluated by a healthcare professional.

4. Recommended Tests: Given your symptoms and medical history, several diagnostic tests may be appropriate. These could include:
- Electrocardiogram (ECG): To assess the electrical activity of your heart and identify any irregularities.

- Echocardiogram: An ultrasound of the heart to evaluate its structure and function.

- Stress Test: To monitor your heart's response to exercise under controlled conditions, which can help identify any exercise-induced cardiac issues.

- Holter Monitor: A 24-hour ECG monitoring to capture any irregular heart rhythms that may occur during your daily activities.

In summary, while exercise is beneficial, your symptoms indicate that you should proceed with caution. It is crucial to communicate openly with your healthcare provider about your experiences, medication, and any changes in your symptoms. They can help tailor an exercise plan that is safe and effective for your condition, ensuring that you can improve your health without compromising your safety. Always prioritize listening to your body and seeking medical advice when in doubt.

Similar Q&A

Chest Pain in Athletes: Causes and Management During Running

I am experiencing sudden chest pain while running as an athlete, and I feel discomfort when breathing. How should I handle this?

Dr. Zhou Ziguang reply Pulmonology
Hello: There are many causes of chest pain, such as muscle strain, neuropathic pain, cardiac issues, pneumothorax, and others. It is advisable to first visit a pulmonologist for a chest X-ray and further evaluation. Sincerely, Dr. Chou Tzu-Kuang, Internal Medicine Specialist.

Understanding Exercise-Induced Chest Pain in Young Athletes

A 14-year-old male athlete with no family history of heart disease has been engaging in regular exercise. Around the fourth grade, he reported experiencing chest pain, which recurred every two to three months during physical activity. At that time, it was attributed to musculoske...

Dr. He Dongjin reply Cardiology
Hello, let's wait for the report from the nuclear medicine examination. Theoretically, athletes without a history of heart disease should not have organic issues; factors such as growth periods or stress and tension should also be taken into consideration. Changhua Hospital ...

Understanding Chest Pain: Insights from Cardiology and Exercise Testing

Hello Dr. Huang, I have been experiencing chronic chest pain and intermittent palpitations, so I returned for an exercise electrocardiogram (ECG) examination. During the exercise, I felt fine, but after finishing, I went to have a meal and experienced several episodes of chest d...

Dr. Huang Yinghe reply Cardiology
Hello: The results of the exercise electrocardiogram show no significant cardiac ischemia. For paroxysmal palpitations, a 24-hour Holter monitor or a wearable device (such as an Apple Watch) can be used to record the electrocardiogram to check for arrhythmias. Many non-cardiac ca...

Chest Pain and Breathing Difficulties During Exercise: What to Know

I would like to ask about experiencing pain and discomfort in the sternum area during light exercise or when climbing slopes, along with a feeling of shortness of breath. However, I do not feel uncomfortable during regular daily activities. I am about to enlist in the military an...

Dr. Wang Zhenjie reply Pulmonology
It is recommended that you schedule an appointment for further examination and evaluation.