Chest Pain During Exercise: When to Seek Medical Attention?

Q: Chest Pain During Exercise: When to Seek Medical Attention?

Hello： 1. If the pain persists, you should see a pulmonologist for an examination. 2. Aortic dissection usually has no warning signs; the pain can manifest as anterior chest pain and pain behind the chest. It is typically severe and described as tearing pain.

Chest pain during exercise?

Today in physical education class, we did some fitness exercises and ran two laps around the field.
I felt that it was easier than before, but I also felt more fatigued.
I'm not sure if it's because I haven't exercised in a long time.
After running, we started playing volleyball.
Normally, I don't have any issues playing, but today after about half an hour in the sun, I felt a sharp pain in the center of my chest (around the area connecting the nipples).
However, the pain went away about five minutes after finishing the game.
When I got home, I felt even more fatigued than before, but I have no other discomfort.
Should I seek medical attention for this? Additionally, I would like to know what the warning signs of aortic dissection are...
Are there any symptoms to watch for, and how can it be prevented? Thank you, doctor.

Gaozhongsheng, 10~19 year old female. Ask Date: 2021/03/16

Dr. Jian Shuntian reply Pulmonology

Hello: 1.
If the pain persists, you should see a pulmonologist for an examination.
2.
Aortic dissection usually has no warning signs; the pain can manifest as anterior chest pain and pain behind the chest.
It is typically severe and described as tearing pain.
Preventive measures should consider whether there is a family history of cardiovascular disease, and it is advisable to control lipid levels by reducing the intake of fried and high-calorie foods.

Reply Date: 2021/03/16

More Info

Experiencing chest pain during exercise can be concerning, and it's essential to understand when to seek medical attention. Based on your description, it seems that you recently engaged in physical activities after a period of inactivity, which could contribute to your feelings of fatigue and discomfort. However, the nature of your chest pain, its duration, and associated symptoms are critical factors in determining whether medical evaluation is necessary.

When to Seek Medical Attention
1. Nature of the Pain: If the chest pain is sharp, stabbing, or feels like pressure, especially if it radiates to the arms, neck, jaw, or back, it could indicate a more serious condition, such as angina or a heart attack. In your case, you mentioned that the pain was located in the center of your chest and subsided after a few minutes. While this may not be alarming, it is essential to monitor any recurring symptoms.

2. Duration and Frequency: If the chest pain persists, recurs frequently, or is accompanied by other symptoms such as shortness of breath, dizziness, or sweating, you should seek medical attention immediately. These could be signs of a cardiovascular issue that requires prompt evaluation.

3. Underlying Conditions: If you have a history of heart disease, high blood pressure, or other cardiovascular risk factors, it is advisable to consult a healthcare provider even for mild symptoms.

4. Response to Activity: Since you mentioned feeling fatigued and experiencing chest pain after physical exertion, it may be beneficial to consult a physician to rule out any underlying cardiovascular issues, especially if you have not been active for a while.

Understanding Aortic Dissection
Regarding your question about aortic dissection, it is a serious condition that occurs when the inner layer of the aorta tears, allowing blood to flow between the layers of the aorta wall. Here are some potential warning signs and preventive measures:
1. Symptoms of Aortic Dissection:
- Sudden, severe chest or upper back pain, often described as a tearing or ripping sensation.

- Pain that may migrate to the neck, jaw, or abdomen.

- Shortness of breath or difficulty breathing.

- Symptoms of stroke, such as weakness or numbness on one side of the body.

2. Risk Factors: High blood pressure, connective tissue disorders (like Marfan syndrome), a history of heart surgery, or a family history of aortic dissection can increase the risk.

3. Prevention: Managing blood pressure through lifestyle changes (diet, exercise, and medication) is crucial. Regular check-ups with a healthcare provider can help monitor and manage risk factors effectively.

Conclusion
In summary, while your symptoms may not immediately indicate a severe problem, it is wise to remain vigilant. If you experience any recurrence of chest pain, especially with the characteristics mentioned above, or if you have any new symptoms, seek medical attention promptly. Additionally, discussing your concerns about aortic dissection with a healthcare provider can help you understand your risk and the necessary preventive measures. Regular physical activity is beneficial, but it should be approached gradually, especially after a period of inactivity, to avoid undue stress on your cardiovascular system.

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