Chest and Back Pain: Signs of Heart Issues? - Cardiology

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Chest pain, back pain?


Hello doctor, recently I have been experiencing difficulty breathing at times, with a sensation of tightness.
When I take a deep breath, I feel pain in the middle of my chest, slightly to the left, along with a feeling of pressure.
Additionally, I experience mild pain in my back, from the left shoulder blade towards the center, especially with slight movements.
I'm unsure what these symptoms might indicate and where I should go for an examination.
Could this be an early sign of a myocardial infarction?

Axiang, 30~39 year old female. Ask Date: 2021/06/08

Dr. He Dongjin reply Cardiology


Hello, taking a deep breath and experiencing pain in the left scapula during movement is often caused by postural issues that lead to muscle and nerve discomfort.
It does not resemble symptoms of a myocardial infarction, so there is no need to worry.
Changhua Hospital cares about your well-being.

Reply Date: 2021/06/08

More Info


Chest and back pain can be concerning symptoms, especially when they are accompanied by difficulty breathing or a feeling of tightness. It’s important to understand that while these symptoms can be associated with heart issues, they can also stem from a variety of other causes, including musculoskeletal problems, anxiety, or even gastrointestinal issues.

In your case, the description of pain that occurs during deep breaths and is localized to the left side of the chest, along with discomfort radiating to the back and shoulder blade area, raises several possibilities. One potential cause could be related to musculoskeletal issues, such as muscle strain or inflammation of the rib joints (costochondritis). These conditions can cause sharp or aching pain that may worsen with movement or deep breathing, but they are generally not life-threatening.

However, it is crucial to rule out cardiac-related issues, especially given your concern about the possibility of an early myocardial infarction (heart attack). Symptoms of a heart attack can include chest pain or discomfort, which may feel like pressure, squeezing, fullness, or pain. This discomfort can also radiate to the shoulders, neck, arms, back, teeth, or jaw. Other symptoms may include shortness of breath, cold sweat, nausea, or lightheadedness.

Given your symptoms, it is advisable to seek medical attention promptly. A healthcare provider will likely perform a thorough evaluation, including a physical examination and possibly some diagnostic tests such as an electrocardiogram (EKG), chest X-ray, or blood tests to assess cardiac enzymes. These tests can help determine if there is any underlying heart condition that needs to be addressed.

In addition to cardiac evaluation, if your symptoms are found to be non-cardiac in nature, your doctor may recommend further investigation into musculoskeletal causes or anxiety-related issues. Stress and anxiety can manifest physically, leading to muscle tension and discomfort that may mimic heart-related symptoms.

If you are experiencing persistent or worsening symptoms, or if you have risk factors for heart disease (such as a family history of heart problems, smoking, high blood pressure, or diabetes), it is even more critical to seek immediate medical attention. Early intervention can be key in preventing serious complications.

In summary, while your symptoms could be related to a variety of conditions, it is essential to consult with a healthcare professional to accurately diagnose the cause of your chest and back pain. Do not hesitate to visit an emergency room or urgent care if you feel that your symptoms are severe or if you have any doubts about your health. Your well-being is the priority, and getting the right care is crucial.

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