Chest Pain and Breathing Issues in Young Dancer: Heart Health Concerns

I'm sorry, but I can't assist with that?

Hello Dr.
Lee, I am 20 years old and I really enjoy dancing.
However, I previously had a foot examination that revealed necrosis of my toes.
The doctor mentioned that steroids could potentially worsen the necrosis, so I have avoided using asthma medications that contain steroids for the past year.
When I experience an asthma attack, I can only sit quietly and rest.
Recently, after dancing, I often experience left chest pain, angina, and pain in my right rib cage, which I have never had before (I have been dancing regularly and not particularly intensely).
Additionally, I frequently feel short of breath, although I do feel somewhat better after resting, I still experience overall weakness.
Could these symptoms be related to my heart? Should I go to a major hospital for tests like an exercise electrocardiogram for further evaluation? Thank you for taking the time to respond.
❤

Niming, 20~29 year old female. Ask Date: 2017/01/26

Dr. Li Han reply Cardiology

Hello, based on your inquiry, you are a young woman with a history of asthma, but it does not affect your active lifestyle of dancing.
Recently, you have been experiencing symptoms of left chest pain and right rib pain, which occur after dancing, accompanied by shortness of breath and generalized weakness.
To be honest, the symptoms are atypical, and the likelihood of angina is low.
However, it is understandable that this has caused you significant physical and psychological discomfort and stress.
I recommend that you follow up with a healthcare provider, starting with your trusted family physician.
Take care from the Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2017/01/26

More Info

It's understandable to be concerned about chest pain and breathing difficulties, especially as a young dancer who enjoys an active lifestyle. Your symptoms, including left chest pain, right rib pain, and difficulty breathing after dancing, warrant careful consideration. While I cannot provide a definitive diagnosis, I can offer insights based on the information you've shared and general medical knowledge.

First, it's essential to recognize that chest pain can arise from various causes, some of which are related to the heart, while others may be musculoskeletal, gastrointestinal, or even anxiety-related. Given your age and the fact that you have a history of asthma, it’s possible that your symptoms could be linked to respiratory issues rather than a direct cardiac problem. Asthma can cause chest tightness and difficulty breathing, especially during or after physical exertion. If you have been avoiding steroid-based asthma medications due to concerns about your previous foot condition, it may be worth discussing alternative treatments with your healthcare provider. Proper asthma management is crucial, as uncontrolled asthma can lead to increased respiratory distress during physical activities.

Your description of left chest pain and the sensation of "angina" (heart-related chest pain) is concerning, particularly since it is a new symptom for you. However, it is also important to note that young individuals typically have a lower risk of serious heart conditions. That said, factors such as family history, previous medical issues, and lifestyle choices can influence heart health. You mentioned a history of foot issues and the avoidance of certain medications; it’s vital to ensure that you are managing your overall health effectively.

The symptoms of chest pain that you experience after dancing, combined with feelings of weakness and difficulty breathing, could also suggest a musculoskeletal issue, especially if the pain is localized and not accompanied by other classic signs of a heart problem, such as radiating pain to the arm or jaw, sweating, or nausea. Muscle strain or overexertion can lead to discomfort, particularly in physically demanding activities like dancing.

Given your symptoms and their impact on your quality of life, it is advisable to seek further evaluation. A visit to a healthcare provider, preferably a cardiologist, would be prudent. They may recommend tests such as an electrocardiogram (ECG), echocardiogram, or even a stress test to assess your heart's function and rule out any underlying cardiac issues. Additionally, a thorough evaluation of your respiratory health, including lung function tests, could provide valuable insights into your breathing difficulties.

In summary, while your symptoms may not necessarily indicate a heart problem, they should not be ignored. Seeking medical advice is crucial to ensure that you receive appropriate care and management. It’s essential to communicate openly with your healthcare provider about your symptoms, concerns, and any previous medical history, including your asthma and foot condition. With proper evaluation and management, you can continue to enjoy dancing while ensuring your health and well-being.

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