Chest Pain and Anxiety: Heart Health Concerns for Young Adults - Cardiology

Share to:

Cardiac issues - frequent sharp pain in the left chest, rapid heartbeat, difficulty breathing, and numbness in the left side of the face?


Hello Dr.
He,
I am currently 21 years and 9 months old, with a height of 178 cm and a weight of approximately 95 kg (slightly overweight).
I have no family history of hereditary diseases.
For the past four years, I have had a smoking habit, averaging about three packs a week.
I rarely drink alcohol, only smoking when I feel down or stressed.
I am a law student currently interning at a law firm, which adds to my academic and work-related stress.
In recent months, I have often felt like I can't get enough air, and my heart sometimes races, occasionally accompanied by intermittent sharp pain on the left side of my chest.
I understand this could be due to anxiety, as I tend to be more nervous.
However, I still worry frequently.
Yesterday, while sitting at the computer for three to four hours, I suddenly felt a tingling sensation on the left side of my body (only in my left hand, left arm, left side of my face, and left half of my lip) and experienced sharp pain in my heart (left chest), as if someone was squeezing it (but it wasn't a pressure-type pain and didn't radiate elsewhere).
I became very anxious and noticed my heart was racing again! I almost picked up my phone to call emergency services, thinking I might be having a heart attack! This symptom lasted about two minutes and then subsided.
I haven't experienced this situation again since then.
I would like to ask Dr.
He why this happened.
Is it simply a case of autonomic nervous system dysregulation, or is there a real risk of heart disease? I am truly concerned! I hope Dr.
He can provide some guidance.
Thank you for taking the time to read this! Thank you!

Elliott Hsu, 20~29 year old female. Ask Date: 2018/05/31

Dr. He Dongjin reply Cardiology


Hello, it seems that your symptoms of hyperventilation syndrome and palpitations may be caused by autonomic nervous system dysfunction.
If you are still concerned, it is advisable to quit smoking and consult a cardiologist for further examination.
Changhua Hospital cares about your well-being.

Reply Date: 2018/05/31

More Info


Hello! Thank you for sharing your concerns regarding your health. It’s understandable to feel anxious about symptoms like chest pain and rapid heartbeat, especially given your current lifestyle and the pressures you face as a law student.
From what you’ve described, it seems that your symptoms may be related to anxiety and stress rather than a serious heart condition. Anxiety can manifest in various physical symptoms, including chest pain, palpitations, and feelings of breathlessness. These symptoms can be quite alarming, especially when they occur suddenly and are accompanied by sensations like numbness or tingling in the left side of your body.
The left-sided chest pain you mentioned, particularly if it feels like a squeezing or tightness rather than a sharp or stabbing pain, is often associated with anxiety. The fact that your symptoms resolved after a couple of minutes and did not recur throughout the day is also a good sign. Heart-related issues, such as a heart attack, typically present with more persistent and severe symptoms, often accompanied by other signs like shortness of breath, sweating, or radiating pain to the arm, neck, or jaw.

Your history of smoking is a risk factor for cardiovascular disease, but at your age, it is less likely to be the primary cause of your symptoms, especially since you do not have a family history of heart disease. However, it is still important to consider reducing or quitting smoking, as it can contribute to anxiety and other health issues over time.

Given your current lifestyle, including the stress from your studies and work, it’s crucial to find effective ways to manage stress and anxiety. Here are some strategies that might help:
1. Regular Exercise: Engaging in physical activity can significantly reduce anxiety levels and improve overall heart health. Aim for at least 30 minutes of moderate exercise most days of the week.

2. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help calm your mind and reduce anxiety. These techniques can also help you become more aware of your body and its responses to stress.

3. Healthy Lifestyle Choices: Eating a balanced diet, staying hydrated, and getting enough sleep are essential for both mental and physical health. Avoiding excessive caffeine and nicotine can also help reduce anxiety symptoms.

4. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and can provide you with tools to manage your symptoms.

5. Limit Internet Searches: While it’s natural to seek information about your symptoms, excessive searching can lead to increased anxiety. Try to limit your online research and instead focus on consulting with healthcare professionals.

6. Regular Check-ups: Since you have experienced concerning symptoms, it may be beneficial to schedule a visit with a healthcare provider for a thorough evaluation. They can perform necessary tests to rule out any underlying conditions and provide reassurance.

In summary, while your symptoms are likely related to anxiety and stress, it’s essential to take them seriously and seek professional advice if they persist or worsen. By adopting healthier lifestyle habits and managing your stress effectively, you can improve your overall well-being and reduce the frequency and intensity of your symptoms. Remember, you are not alone in this, and there are resources available to help you navigate these challenges. Take care!

Similar Q&A

Understanding Anxiety and Palpitations: A Guide for Young Adults

Hello, doctor. I am 18 years old and currently not attending school as I am waiting to enroll next year. Recently, I have been experiencing intercostal neuralgia, sharp pain near the sternum, palpitations, tightness and discomfort in my head and neck, and difficulty breathing. A ...


Dr. Yu Quanxun reply Psychiatry
Hello, as you mentioned, your physical discomfort seems to be causing psychological stress, and the anxiety from these concerns appears to be exacerbating some of your physical symptoms. When this cycle continues, it creates a burden on your physical and mental well-being, as wel...

[Read More] Understanding Anxiety and Palpitations: A Guide for Young Adults


Understanding Heart Health: Addressing Anxiety After Cardiac Tests

Doctor, on March 23rd, I experienced shortness of breath and called an ambulance to the hospital. Afterward, the ECG and chest examinations showed no issues, but I have been feeling anxious and worried about the possibility of having an acute myocardial infarction. Just hearing t...


Dr. Wu Xueming reply Cardiology
Due to your young age and absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable...

[Read More] Understanding Heart Health: Addressing Anxiety After Cardiac Tests


Understanding Health Anxiety: Coping with Fear of Illness

Hello, doctor. I apologize for bothering you. Since I entered my senior year of high school, I have hardly slept well (only 3-5 hours a day). Shortly after school started, I went to get vaccinated, and while I was in the observation area, I began to experience chest pain. Then th...


Dr. Lin Mianzhang reply Psychiatry
Hi, Lanyu: You have really been through a lot! Based on the symptoms you described, it does seem to be a case of health anxiety. This condition often arises in relation to psychological stress. You mentioned that your sleep has not been good since entering your senior year of hig...

[Read More] Understanding Health Anxiety: Coping with Fear of Illness


Understanding Chest Pain in Teens: When to Seek Medical Attention

Hello, doctor. I am 16 years old, and my blood pressure is normal, but sometimes I feel pain in my chest. Sometimes it’s on the left side, and sometimes on the right side, but I don’t have shortness of breath. Today, I even felt weakness and numbness in my left arm. Could this be...


Dr. Wu Xueming reply Cardiology
Due to your young age and lack of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is recommended to ad...

[Read More] Understanding Chest Pain in Teens: When to Seek Medical Attention


Related FAQ

Anxiety

(Cardiology)

Chest Pain

(Cardiology)

Chest Tightness And Pain

(Cardiology)

Angina

(Cardiology)

Sharp Chest Pain

(Cardiology)

Chest Pain

(Family Medicine)

Breathing

(Cardiology)

Afib

(Cardiology)

Chest Pain

(Pulmonology)

Palpitations

(Cardiology)