Left chest tightness and pain, feeling the heart beating, but heart rate is normal?
Hello Doctor, I have been feeling down at times recently.
Two days ago, after crying a lot, I experienced palpitations (irregular heartbeat, occasionally strong beats), but my heart rate was within the normal range.
In the following days, even though I have moved past the low mood, I still occasionally feel left-sided chest tightness and the aforementioned palpitations, but my heart rate remains normal.
I would like to know if my issues are related to my emotions or if I need to see a cardiologist.
Thank you, and Happy New Year!
JJJ, 20~29 year old female. Ask Date: 2018/01/01
Dr. He Dongjin reply Cardiology
Hello, it seems that emotional issues may have triggered autonomic nervous system dysfunction.
It is advisable to observe the situation first.
If discomfort persists, you can visit a cardiology clinic for further examination.
Changhua Hospital cares about your well-being.
Reply Date: 2018/01/01
More Info
Experiencing left chest pain and palpitations can be concerning, especially when they occur alongside emotional distress. Based on your description, it seems that your symptoms may indeed be related to emotional factors, but it is essential to approach this situation with caution and thorough evaluation.
Emotional stress can significantly impact the cardiovascular system. When individuals experience intense emotions such as sadness, anxiety, or anger, the body releases stress hormones like adrenaline and cortisol. These hormones can lead to physiological changes, including increased heart rate and heightened awareness of bodily sensations, which may manifest as palpitations or irregular heartbeats. Additionally, emotional distress can lead to muscle tension, particularly in the chest area, which can contribute to feelings of tightness or pain.
The fact that your heart rate remains within the normal range is reassuring, but it does not entirely rule out the possibility of an underlying issue. Palpitations can be benign, especially if they are infrequent and not associated with other concerning symptoms such as dizziness, shortness of breath, or fainting. However, persistent left chest pain, even if it is mild, warrants further investigation to rule out any potential cardiac or other medical conditions.
Given your symptoms, it would be prudent to consult a healthcare professional, particularly a cardiologist, to conduct a thorough evaluation. This may include a physical examination, an electrocardiogram (ECG), and possibly an echocardiogram or a Holter monitor to assess your heart's rhythm over a period. These tests can help determine if there are any underlying cardiac issues that need to be addressed.
In addition to a cardiac evaluation, it may also be beneficial to explore the emotional aspects of your symptoms. Stress management techniques such as mindfulness, meditation, or counseling can be effective in alleviating symptoms related to emotional distress. Cognitive-behavioral therapy (CBT) is particularly useful for addressing anxiety and depression, which can contribute to physical symptoms like chest pain and palpitations.
It's also important to consider lifestyle factors that can influence both emotional well-being and cardiovascular health. Regular physical activity, a balanced diet, adequate sleep, and social support can all play significant roles in managing stress and improving overall health. Engaging in activities that you enjoy and that promote relaxation can also help mitigate emotional distress.
In summary, while your symptoms may be emotionally driven, it is crucial to rule out any potential cardiac issues through proper medical evaluation. Consulting with a cardiologist will provide you with the necessary insights and peace of mind. Additionally, addressing the emotional aspects of your health through stress management techniques can be beneficial. Remember, taking care of both your physical and emotional health is essential for overall well-being. Wishing you a happy and healthy new year!
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