Left Chest Pain: Is It Related to Myocarditis? - Cardiology

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Left chest tightness and pain?


Hello Doctor: For the past two to three weeks, I have frequently experienced body aches that feel similar to the muscle soreness associated with a cold or fever.
Additionally, I have a slight feeling of chills that has persisted for some time, and I lack motivation to do anything.
I also experience mild dizziness, and in recent days, I have felt a pressure and pain in my left chest, sometimes accompanied by difficulty breathing.
I have a history of a deviated septum on the left side, which often causes nasal congestion and thick postnasal drip.
Could this be a sign of myocarditis? I am unsure if the left chest pain is related to the body aches and chills.
My body temperature has been normal, not exceeding 37 degrees Celsius, and my heart rate is generally between 60-80 beats per minute.
I have a history of anxiety and tend to overthink things.
A year ago, during a health check-up, I had an electrocardiogram and echocardiogram that were normal.
I am a bit worried and would like to know if I should see a cardiologist.
Thank you, Doctor.

Andrew, 20~29 year old female. Ask Date: 2017/11/01

Dr. He Dongjin reply Cardiology


Hello, it doesn't seem like myocarditis; it appears to be symptoms caused by an allergy.
If you're still concerned, you can visit a cardiologist for follow-up.
Changhua Hospital cares about you.

Reply Date: 2017/11/01

More Info


Left chest pain can be a concerning symptom, especially when it is accompanied by other sensations such as fatigue, dizziness, and difficulty breathing. Your description of experiencing a generalized achiness, chills, and left chest discomfort over the past few weeks raises several important considerations.
First, it is essential to understand that chest pain can originate from various sources, including cardiac, musculoskeletal, gastrointestinal, and psychological factors. Given your history of anxiety, it is possible that some of your symptoms may be related to anxiety or stress, which can manifest as physical symptoms, including chest discomfort and a sense of breathlessness.

Regarding your specific question about myocarditis, this condition is an inflammation of the heart muscle, often caused by viral infections. Symptoms of myocarditis can include chest pain, shortness of breath, fatigue, and sometimes flu-like symptoms. However, myocarditis typically presents with more severe symptoms, and the fact that your heart rate is stable (60-80 beats per minute) and your temperature remains normal is reassuring. Additionally, your previous cardiac evaluations, including an electrocardiogram (ECG) and echocardiogram, were normal, which further reduces the likelihood of a significant cardiac issue like myocarditis.

Your symptoms of nasal congestion and post-nasal drip due to a deviated septum could also contribute to your feelings of chest tightness and difficulty breathing. When the nasal passages are obstructed, it can lead to shallow breathing or increased effort in breathing, which may cause discomfort in the chest area. Furthermore, the sensation of chills and generalized body aches could indicate a viral infection or another systemic condition, but since you have not experienced a fever, this is less likely to be a severe infection.

Given your anxiety history, it is also worth noting that anxiety can lead to physical symptoms that mimic cardiac issues. Panic attacks, for example, can cause chest pain, palpitations, and a feeling of breathlessness. If you find that your symptoms worsen during periods of stress or anxiety, this could be a significant factor to consider.

In summary, while your symptoms warrant attention, they do not strongly suggest myocarditis based on the information provided. However, it is always prudent to consult with a healthcare professional, especially if your symptoms persist or worsen. A follow-up with a cardiologist may provide additional reassurance, and they can perform further evaluations if necessary. Additionally, addressing your anxiety through therapy or counseling may help alleviate some of your physical symptoms.
In conclusion, while your left chest pain and associated symptoms are concerning, they are more likely related to non-cardiac causes, particularly given your normal cardiac evaluations and the presence of anxiety. Monitoring your symptoms and seeking medical advice if they change or escalate is the best course of action.

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