Left Chest Pain: When to Seek Medical Attention

Left chest tightness and pain?

Hello Doctor, recently the weather has changed significantly, and I've suddenly felt a tightness in my left chest.
Sometimes when I change positions, I experience a sharp pain in one area of my heart, but it's not a constant pain; however, my left chest remains uncomfortable.
A while ago, during the cold winter, I felt pain in my heart while riding my bike to class, which takes about 30 minutes.
I also have a habit of slouching, which can lead to chest pain.
I usually lift dumbbells every 2 to 3 days (I've been doing this for three weeks), but I stopped a few days ago due to the heart pain.
Additionally, I play golf during physical education class.
I wondered if it could be a muscle strain, as my father had a myocardial infarction and has a stent and is on medication.
Also, when I was younger, I had an electrocardiogram due to heart cramps, but it showed no issues.
Since the symptoms have persisted for three days without a clear reason, should I seek medical evaluation?

Ryan, 10~19 year old female. Ask Date: 2021/03/25

Dr. He Dongjin reply Cardiology

Hello, pain in certain areas when changing positions is often caused by poor posture or muscle strain.
If the symptoms have persisted for three days, it is advisable to rest and observe the situation.
Avoid heavy training for now.
If discomfort continues, please visit a cardiologist for further examination.
Changhua Hospital cares about your well-being.

Reply Date: 2021/03/25

More Info

Left chest pain can be a concerning symptom, especially given your family history of heart disease and your previous experiences with heart-related discomfort. It’s important to approach this situation with caution and to consider several factors that could be contributing to your symptoms.

From your description, it seems that the pain is not constant but rather intermittent, which can sometimes be associated with musculoskeletal issues, especially if you have a history of poor posture (like slouching) and physical activities that may strain your muscles. Activities such as lifting weights or playing golf can lead to muscle strain, which might manifest as discomfort in the chest area. However, given your family history of myocardial infarction (heart attack) and your own past experiences with heart-related symptoms, it is crucial to rule out any cardiac issues.

Here are some key points to consider regarding your symptoms:
1. Nature of the Pain: You mentioned that the pain is not persistent and occurs with certain movements or positions. This could suggest a musculoskeletal origin, such as muscle strain or costochondritis (inflammation of the cartilage connecting a rib to the sternum). However, any chest pain should be evaluated carefully, especially if it is new or different from what you have experienced before.

2. Associated Symptoms: If you experience additional symptoms such as shortness of breath, dizziness, nausea, or radiating pain to the arm, neck, or jaw, these could indicate a more serious condition, such as angina or a heart attack. In such cases, immediate medical attention is warranted.

3. Family History: Your father’s history of heart disease is a significant risk factor. Family history can increase your likelihood of developing similar conditions, so it’s essential to be vigilant about any symptoms that could suggest cardiac issues.

4. Physical Activity: You mentioned that you have recently started weightlifting and have been physically active. While exercise is generally beneficial for heart health, it can also lead to muscle strain, especially if you are not accustomed to the intensity or type of exercise. It’s important to ensure that you are using proper form and not overexerting yourself.

5. Duration of Symptoms: Since your symptoms have persisted for three days, it is advisable to seek medical attention. Even if the pain is not severe, the duration and your concerns about your heart health warrant a professional evaluation. A healthcare provider can perform a thorough assessment, including a physical examination and possibly an electrocardiogram (ECG) or other diagnostic tests to rule out any cardiac issues.

In conclusion, while your symptoms may be related to muscle strain or poor posture, given your family history and previous heart-related symptoms, it is prudent to consult a healthcare professional. They can provide a comprehensive evaluation and determine whether further testing is necessary. It’s always better to err on the side of caution when it comes to chest pain. Seeking medical attention can provide peace of mind and ensure that any potential issues are addressed promptly.

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