Concerns About My Dad's Chest Pain: Is It Heart-Related? - Cardiology

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I'm worried about my dad, so I'm asking about chest tightness?


My dad is currently 58 years old and occasionally feels a tightness in his chest.
He mentioned that this just started recently and suspects it might be due to the cold weather or the physical labor he has been doing.
If I remember correctly, there is no relevant medical history in the family.
I found online that it could possibly be effort-induced coronary heart disease.
He went to the hospital for an examination today, but he is worried, so I came here to ask.
Thank you, doctor.

An An, 20~29 year old female. Ask Date: 2021/01/13

Dr. He Dongjin reply Cardiology


Hello, there are many causes of chest pain.
It's important to have it checked at the hospital.
Let's hear what the doctor has to say, and try not to worry too much.
We are praying for your peace at Changhua Hospital.

Reply Date: 2021/01/13

More Info


It's understandable to be concerned about your father's chest pain, especially given his age and the nature of the symptoms. At 58 years old, while he may not have a known family history of heart disease, it's important to consider various factors that could contribute to his condition.
Chest pain can arise from a multitude of causes, and not all of them are heart-related. Given that your father has recently started experiencing this discomfort, it could indeed be influenced by environmental factors, such as cold weather, or by physical exertion related to his work. Labor-intensive jobs can lead to musculoskeletal pain, which might be perceived as chest pain, especially if the discomfort is located in the upper chest or back area.

However, it’s crucial to rule out cardiac issues, particularly since he is experiencing symptoms like a feeling of tightness or heaviness in the chest. Conditions such as angina, which is chest pain caused by reduced blood flow to the heart, can manifest as a sensation of pressure or squeezing. This is often triggered by physical exertion or stress and can improve with rest.
Since your father has already undergone a medical evaluation, including tests like an electrocardiogram (EKG) and possibly imaging studies, and if those results came back normal, it’s a positive sign. However, if the chest pain persists or worsens, or if he develops additional symptoms such as shortness of breath, dizziness, or radiating pain to the arms or jaw, it would be prudent to seek further medical attention immediately.

In addition to cardiac concerns, other potential causes of chest pain include gastrointestinal issues, such as acid reflux or esophageal spasms, which can mimic heart-related pain. Anxiety and stress can also lead to physical symptoms, including chest tightness, which may be exacerbated by worrying about health issues.

Given your father's symptoms and the recent onset of his chest discomfort, it may be beneficial to keep a symptom diary. Documenting when the pain occurs, its duration, any associated activities, and how it responds to rest or medication can provide valuable information for healthcare providers.
If you remain concerned about the possibility of underlying heart disease, consider discussing the option of seeing a cardiologist for a more comprehensive evaluation. This could include stress testing or advanced imaging techniques to assess heart function more thoroughly.
In summary, while your father's symptoms could be related to his physical activity or environmental factors, it is essential to remain vigilant and proactive about his health. Regular follow-ups with healthcare providers and open communication about any changes in his symptoms will help ensure that any potential issues are addressed promptly. Your concern for your father's health is commendable, and seeking further clarification and reassurance from medical professionals is always a wise approach.

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