Dizziness and Left Chest Pain: Should You Be Concerned? - Cardiology

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Dizziness and pain on the left side of the heart?


I have been feeling dizzy every morning for the past three days when I get out of bed, as if my surroundings are spinning.
I also experienced this at work in the morning, along with some nausea.
This morning, I was suddenly awakened by a sharp pain on the left side of my chest, but it only lasted for a moment.
Should I get this checked? Could this be a sign of a heart attack?

Lin, 20~29 year old female. Ask Date: 2016/08/03

Dr. He Dongjin reply Cardiology


Hello, your symptoms seem more like those caused by vestibular dysfunction rather than a precursor to a myocardial infarction.
If you still feel unwell, consider consulting a neurologist.
Take care from Changhua Hospital.

Reply Date: 2016/08/03

More Info


Experiencing dizziness and left chest pain can be concerning, and it is important to take these symptoms seriously. While I cannot provide a diagnosis, I can offer some insights into what these symptoms may indicate and the steps you should consider taking.

Dizziness, especially when it occurs upon standing, can be a sign of orthostatic hypotension, which is a drop in blood pressure that happens when you stand up too quickly. This can lead to feelings of lightheadedness or dizziness. Other potential causes of dizziness include dehydration, anemia, inner ear issues, or even anxiety. If the dizziness is accompanied by nausea, it could suggest a more systemic issue, such as a gastrointestinal problem or even a vestibular disorder.

The left chest pain you described, particularly if it is sharp and sudden, can be alarming. While it is easy to jump to conclusions about serious conditions like a heart attack or myocardial infarction, it is essential to consider other possibilities as well. Chest pain can arise from various sources, including musculoskeletal issues, gastrointestinal problems (like acid reflux or esophageal spasms), or even anxiety and panic attacks. However, given that you mentioned the pain woke you up, it is crucial to evaluate this symptom further.

The combination of dizziness and left chest pain warrants a thorough medical evaluation. Although it is not possible to determine the exact cause without a physical examination and appropriate tests, there are several steps you should take:
1. Seek Immediate Medical Attention: Given the nature of your symptoms, especially the left chest pain, it is advisable to visit an emergency room or urgent care center. They can perform an electrocardiogram (ECG) to assess your heart's electrical activity and rule out any acute cardiac issues.

2. Provide a Detailed History: When you see a healthcare provider, be prepared to discuss your symptoms in detail. Include when they started, their frequency, any associated symptoms (like shortness of breath, sweating, or palpitations), and any relevant medical history (such as previous heart issues, high blood pressure, or anxiety).

3. Consider Diagnostic Tests: Depending on your initial evaluation, your doctor may recommend further tests, such as blood tests to check for markers of heart damage, a chest X-ray, or a CT scan if necessary. These tests can help rule out or confirm conditions that may be causing your symptoms.

4. Monitor Your Symptoms: Keep track of when your symptoms occur, their duration, and any activities that seem to trigger them. This information can be valuable for your healthcare provider in determining the underlying cause.

5. Lifestyle Modifications: While waiting for your appointment, consider making some lifestyle changes that may help alleviate your symptoms. Staying hydrated, avoiding sudden changes in position, and managing stress through relaxation techniques can be beneficial.

In conclusion, while dizziness and left chest pain can stem from various causes, it is crucial to err on the side of caution and seek medical evaluation. Early intervention can be key in addressing any serious underlying conditions. Remember, your health is paramount, and it is always better to be safe and get checked out by a professional.

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