Left Chest Pain: Causes and When to Seek Help - Cardiology

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Left chest (heart) pain


Hello, doctor! One morning around 4 AM, I was suddenly awakened by sharp pain in my left chest, accompanied by chills.
For the entire day, I experienced discomfort in my left chest whenever I took a deep breath or made large movements.
It eased somewhat by the afternoon, but when I lay down to sleep at night, I experienced another episode of chest discomfort, which subsided after a few minutes.
The next day, the pain seemed to diminish significantly, although I still experienced occasional discomfort.
Could you please explain why this happened? Thank you.

Mr. Zhang, 20~29 year old female. Ask Date: 2018/09/08

Dr. He Dongjin reply Cardiology


Hello, you may be experiencing discomfort due to autonomic nervous system dysfunction.
If the discomfort persists, it is advisable to visit a cardiology clinic for further examination.
Changhua Hospital cares about your well-being.

Reply Date: 2018/09/08

More Info


Left chest pain can be a concerning symptom, and understanding its potential causes is crucial for determining when to seek medical help. Based on your description, it seems that the pain you experienced was acute and associated with certain movements, such as deep breathing or physical activity. This type of pain can arise from various sources, and it's essential to consider both musculoskeletal and cardiac causes.


Possible Causes of Left Chest Pain
1. Musculoskeletal Issues: One of the most common causes of left chest pain, especially if it worsens with movement or deep breathing, is musculoskeletal strain. This could be due to muscle strain, rib injury, or inflammation of the cartilage connecting the ribs to the sternum (costochondritis). If you have recently engaged in physical activity or experienced any trauma, this could be a likely cause.

2. Gastrointestinal Causes: Conditions such as gastroesophageal reflux disease (GERD) or esophageal spasms can also lead to chest pain. These conditions often present with discomfort that can mimic heart-related pain and may be exacerbated by certain positions or activities.

3. Cardiac Causes: While less common in younger individuals without risk factors, cardiac issues such as angina or myocardial infarction (heart attack) can present as left chest pain. Symptoms may include pressure, tightness, or a squeezing sensation, often accompanied by other symptoms like shortness of breath, sweating, or nausea. Given that your pain was associated with deep breathing and movement, cardiac causes are less likely, but they should not be completely ruled out, especially if you have risk factors such as a family history of heart disease, smoking, or high blood pressure.

4. Pulmonary Causes: Conditions affecting the lungs, such as pneumonia or pleuritis (inflammation of the lining of the lungs), can also cause chest pain that worsens with breathing. If you experienced any respiratory symptoms like cough or fever, these could be contributing factors.


When to Seek Medical Help
Given the nature of your symptoms, it is essential to monitor them closely. Here are some guidelines on when to seek medical attention:
- Persistent or Worsening Pain: If the chest pain persists, worsens, or is accompanied by other concerning symptoms such as shortness of breath, dizziness, or radiating pain to the arm, neck, or jaw, you should seek immediate medical attention.

- New or Unexplained Symptoms: If you experience new symptoms that you cannot explain, especially if they are different from your usual experiences, it is advisable to consult a healthcare professional.

- Risk Factors: If you have any risk factors for heart disease (such as obesity, smoking, high cholesterol, or a family history of heart disease), it is prudent to have a medical evaluation.


Conclusion
In summary, while your left chest pain could be due to musculoskeletal issues or gastrointestinal causes, it is essential to remain vigilant for any signs that may indicate a more serious condition. If the pain recurs or you develop new symptoms, do not hesitate to seek medical evaluation. A healthcare provider can perform a thorough assessment, which may include a physical examination, imaging studies, or other diagnostic tests to determine the underlying cause of your symptoms and provide appropriate treatment. Remember, it is always better to err on the side of caution when it comes to chest pain.

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