Heart Pain and Symptoms After a Cold: Is It Myocarditis?

Chest pain with a cold?

Hello, I am currently 16 years old.
Last winter, I had a cold and experienced symptoms of chest pain, along with my entire left arm feeling numb and my little finger and ring finger being tingly.
I also had some chest tightness and an unusual heartbeat.
Later, I had blood tests that came back normal, and the doctor didn't provide a clear explanation, only mentioning that I might have myocarditis and prescribed anti-inflammatory medication.
After taking the medication, I unknowingly felt better.
However, I caught another cold a few days ago, and since yesterday, my left arm has started to feel numb again, along with some chest tightness, an unusual heartbeat, chest pain, and pain in the lymph nodes under my armpit.
I later found out that these symptoms could indicate myocarditis.
I am wondering if it is possible that I have myocarditis or something else?

Niming, 10~19 year old female. Ask Date: 2017/03/05

Dr. He Dongjin reply Cardiology

Hello, the likelihood of myocarditis is low.
It may be caused by a cold leading to a systemic inflammatory response, or it could be due to autonomic nervous system instability.
You can monitor your condition or take some B vitamins.
If you still feel unwell, it is advisable to visit an outpatient clinic for further examination.
Changhua Hospital cares about your well-being.

Reply Date: 2017/03/05

More Info

When it comes to heart pain and symptoms following a cold, particularly in a young individual like yourself, it is essential to consider several factors. You mentioned experiencing heart pain, left arm numbness, chest tightness, and an unusual heart rhythm after a cold. These symptoms can indeed be concerning, especially when they recur after a recent illness.

Firstly, myocarditis, which is an inflammation of the heart muscle, can occur after viral infections, including those caused by common cold viruses. Symptoms of myocarditis can include chest pain, fatigue, shortness of breath, and palpitations. The fact that you experienced similar symptoms last winter and were treated with anti-inflammatory medication suggests that your healthcare provider was considering this possibility at that time.
However, it is important to note that not all cases of chest pain or discomfort are due to myocarditis. Other conditions, such as musculoskeletal pain, anxiety, or even gastrointestinal issues like acid reflux, can also cause similar symptoms. Given your age and the fact that you have had normal blood tests, the likelihood of a serious heart condition is generally lower, but it is not impossible.

The recurrence of your symptoms after another cold raises some questions. It is possible that your body is reacting to the viral infection again, leading to inflammation. The numbness in your left arm and fingers could be related to nerve compression or anxiety rather than a direct cardiac issue, especially if it resolves with movement. However, it is crucial to take these symptoms seriously, particularly since they involve your heart and neurological function.

You mentioned experiencing lymph node pain in your armpit, which could indicate a response to infection or inflammation. This symptom, combined with your other complaints, warrants further investigation.
Given your history and current symptoms, I strongly recommend that you consult a cardiologist for a thorough evaluation. This may include an electrocardiogram (ECG), echocardiogram, and possibly blood tests to check for markers of inflammation or heart damage. These tests can help determine if there is any underlying heart condition, such as myocarditis or another issue that needs to be addressed.

In the meantime, it is essential to monitor your symptoms closely. If you experience severe chest pain, shortness of breath, or any other alarming symptoms, seek immediate medical attention. Additionally, managing stress and anxiety, which can exacerbate physical symptoms, may also be beneficial.

In summary, while your symptoms could be related to myocarditis following a viral infection, they could also stem from other less serious conditions. A thorough evaluation by a healthcare professional is necessary to rule out any serious issues and to provide you with the appropriate care. Your health and peace of mind are paramount, so do not hesitate to seek help.

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