Sternum Pain: Is It a Heart Issue?

Sternal notch discomfort or pain?

I experienced sudden pain beneath the sternum last night (which I have never had before), especially worsening with deep breaths and when supporting myself with my hands on the bed.
There was no difference in pain when sitting, standing, or lying flat.
This morning, the pain has lessened but there is still a slight dull ache and a feeling of pressure in the sternum area.
However, I no longer feel pain with deep breaths.
I am unsure if this could be related to a heart issue.
Thank you.

Ann, 30~39 year old female. Ask Date: 2017/03/15

Dr. He Dongjin reply Cardiology

Hello, it seems more like muscle nerve pain, and you can observe it for now.
If you still feel unwell, please visit the outpatient clinic for further examination.
Changhua Hospital cares about you.

Reply Date: 2017/03/15

More Info

Sternum pain can be concerning, especially when it occurs suddenly and is accompanied by specific movements or activities. However, it is essential to understand that not all sternum pain is indicative of a heart issue. The sternum, or breastbone, is located in the center of the chest and can be affected by various conditions, some of which are not related to the heart.

Given your description of the pain being exacerbated by deep breathing and certain movements, it is possible that your discomfort may be musculoskeletal in nature. Conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum, can cause localized pain that worsens with movement or pressure. This type of pain is often sharp and can be mistaken for cardiac pain, but it typically does not radiate to other areas like the arms or jaw, which are more common in heart-related issues.

Another possibility is a muscle strain or injury, particularly if you have engaged in activities that involve heavy lifting or unusual physical exertion. Muscle strains can lead to localized pain that may feel worse with certain movements, such as pushing against a surface or taking deep breaths.

While your symptoms may not immediately suggest a heart issue, it is crucial to consider other factors. For instance, if you have risk factors for heart disease, such as a family history, high blood pressure, high cholesterol, or lifestyle factors like smoking or a sedentary lifestyle, it would be prudent to consult a healthcare professional for a thorough evaluation.
In your case, since the pain has lessened with time and does not seem to be associated with other concerning symptoms such as shortness of breath, sweating, or radiating pain, it may not be an acute cardiac event. However, it is always wise to err on the side of caution. If the pain persists, worsens, or is accompanied by other symptoms, seeking medical attention is advisable.

To further assess your situation, a healthcare provider may recommend diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or even blood tests to rule out any cardiac issues. If these tests return normal, and if your pain is determined to be musculoskeletal, treatment may include rest, ice application, over-the-counter pain relievers, and possibly physical therapy.

In conclusion, while sternum pain can be alarming, it is not always a sign of a heart problem. Understanding the nature of your pain, considering your overall health, and consulting with a healthcare professional will help you determine the best course of action. If you have any doubts or if your symptoms change, do not hesitate to seek medical advice. Your health and peace of mind are paramount.

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