Chest discomfort?
Doctor, I have some questions to ask you.
I've been under a lot of stress these past couple of days, mostly self-imposed.
I don't know why, but last night I had no issues until I felt my heart racing in my dreams.
Soon after, I woke up and went to the bathroom.
While standing, I noticed my heart was beating very strongly.
When I lay back down, I checked my pulse, and it was regular but very forceful.
I kept telling myself to relax, and eventually fell asleep.
This morning, I went to practice basketball, and everything was fine until noon when I went out for a walk.
I started feeling a soreness in my chest, and my heart was beating strongly.
I had no trouble breathing, but my chest felt sore.
The main issue was that my heart was beating very forcefully.
I tried to breathe deeply while walking.
By the evening, my heart was still beating strongly, and I felt soreness in my left upper back.
I would like to ask you, doctor, what could be the problem? Four months ago, I had an electrocardiogram, and the doctor said everything was normal, as was my blood pressure.
However, I've been experiencing these symptoms lately: my heart rate isn't too fast or too slow, just very forceful.
Please help me, doctor!
456, 10~19 year old female. Ask Date: 2020/06/23
Dr. Chen Jili reply Cardiology
I recommend that you discuss the above situation with your attending physician (I had an electrocardiogram four months ago) to see if further examinations are necessary.
Thank you, and wishing you good health!
Reply Date: 2020/06/23
More Info
Understanding chest discomfort can be a complex issue, especially when it involves the heart. Based on your description, it seems that you are experiencing a combination of symptoms that could be related to anxiety, stress, or even physical exertion. Let's break down the potential causes and concerns regarding your heart health.
Potential Causes of Your Symptoms
1. Anxiety and Stress: You mentioned that you have been under significant stress, which can lead to various physical symptoms, including palpitations, chest discomfort, and changes in heart rate. Anxiety can trigger the body's "fight or flight" response, leading to increased heart rate and a feeling of tightness or discomfort in the chest.
2. Physical Activity: Engaging in physical activities, such as playing basketball, can also lead to temporary changes in heart rate and sensations in the chest. If you are not accustomed to regular exercise, your body may react more strongly to physical exertion.
3. Musculoskeletal Issues: The sensation of "soreness" in your chest and back could also be related to muscle strain or tension, especially if you have been under stress or have changed your physical activity levels. Musculoskeletal pain can often mimic cardiac pain, leading to confusion.
4. Cardiac Concerns: While your previous ECG and blood pressure readings were normal, it is essential to remain vigilant about heart health. Symptoms such as a pounding heart, chest discomfort, and changes in breathing patterns should not be ignored, especially if they persist.
Recommendations for Managing Your Symptoms
1. Relaxation Techniques: Since stress and anxiety seem to be significant factors in your symptoms, incorporating relaxation techniques such as deep breathing exercises, meditation, or yoga can be beneficial. These practices can help calm your mind and reduce physical symptoms.
2. Regular Exercise: Engaging in regular, moderate exercise can improve cardiovascular health and help manage stress. However, ensure that you gradually increase your activity level to avoid overexertion.
3. Healthy Lifestyle Choices: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reducing caffeine and alcohol intake can also help minimize anxiety and improve heart health.
4. Monitor Symptoms: Keep track of your symptoms, including when they occur, their duration, and any associated activities. This information can be valuable for your healthcare provider if you need to seek further evaluation.
5. Consult a Healthcare Provider: If your symptoms persist or worsen, it is crucial to consult a healthcare provider. They may recommend further testing, such as a repeat ECG, echocardiogram, or even a Holter monitor to assess your heart's rhythm over a more extended period.
Conclusion
While your symptoms may be related to anxiety and stress, it is essential to approach them with caution. The heart is a vital organ, and any persistent discomfort should be evaluated by a medical professional. By managing stress, maintaining a healthy lifestyle, and monitoring your symptoms, you can take proactive steps toward better heart health. If you experience any alarming symptoms, such as severe chest pain, shortness of breath, or fainting, seek immediate medical attention. Your health and well-being are paramount, and addressing these concerns early can lead to better outcomes.
Similar Q&A
Understanding Chest Discomfort: Causes and Concerns for Heart Health
As mentioned, when I distract myself, I don't feel anything, but as soon as I focus on the area near my heart, I experience a dull pain. Excessive tension seems to exacerbate the sensation. There were no abnormalities in the morning. Could this be caused by bloating or auton...
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 consumption of caffeinated beverages. It is advisable to...[Read More] Understanding Chest Discomfort: Causes and Concerns for Heart Health
Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
I experience tightness and pain in my chest, along with difficulty breathing and occasional dizziness. These symptoms occur briefly during work or exercise. When they happen, resting and taking a few deep breaths (3 to 4 times) helps me feel more comfortable, and my breathing bec...
Dr. Wu Xueming reply Cardiology
Chest pain associated with breathing is not a typical symptom of cardiovascular disease. It is recommended to follow up with a cardiologist to review the echocardiogram and exercise electrocardiogram reports to determine if there are any abnormalities.[Read More] Understanding Chest Pain and Breathing Issues: A Cardiovascular Perspective
Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Hello Dr. Huang, I have been experiencing chronic chest pain and intermittent palpitations, so I returned for an exercise electrocardiogram (ECG) examination. During the exercise, I felt fine, but after finishing, I went to have a meal and experienced several episodes of chest d...
Dr. Huang Yinghe reply Cardiology
Hello: The results of the exercise electrocardiogram show no significant cardiac ischemia. For paroxysmal palpitations, a 24-hour Holter monitor or a wearable device (such as an Apple Watch) can be used to record the electrocardiogram to check for arrhythmias. Many non-cardiac ca...[Read More] Understanding Chest Pain: Insights from Cardiology and Exercise Testing
Persistent Chest Discomfort: Exploring Causes Beyond High Cholesterol
Hello Dr. Hsiao: For the past six months, I have been experiencing a sensation in the center of my breasts, about the size of a fist. Initially, it felt like a pulsing, but now it is almost a constant dullness without pain, although I occasionally feel a burning sensation. I prev...
Dr. Xiao Yongxun reply Family Medicine
Dear Mr. BD: 1. Common differential diagnoses for chest tightness or chest pain include coronary artery disease, hypertension, hyperlipidemia, pulmonary embolism, aortic aneurysm, gastroesophageal reflux disease, gastritis, gastric ulcers, duodenal ulcers, gallstones, cholangit...[Read More] Persistent Chest Discomfort: Exploring Causes Beyond High Cholesterol
Related FAQ
(Cardiology)
Chest Tightness And Pain(Cardiology)
Chest Tightness(Cardiology)
Chest Discomfort(Pulmonology)
Chest(Cardiology)
Anxiety(Cardiology)
Breathing(Cardiology)
Chest Pain(Family Medicine)
Chf(Cardiology)
Palpitations(Cardiology)