Left Chest Pain: Is It a Sign of Heart Issues? - Cardiology

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Pain on the left side of the chest with kyphosis?


Hello, Doctor: Recently, I have been experiencing occasional tightness and pain in my left chest, especially when bending my body (the location of the pain seems to vary each time, sometimes near the heart and other times closer to the side ribs).
This has been ongoing for about a week.
I wonder if it is related to sitting for long periods during online classes.
There was also an instance when I experienced a sudden sharp pain while slouching, which went away when I sat up straight.
Yesterday, I noticed that extending my left arm and turning it to a certain angle also causes pain.
The pain seems to radiate from my elbow to my chest, and I have been quite worried that it might be related to my heart, especially since it is all on the left side.
I found online that heart disease can sometimes cause referred pain to the left arm.
Could this be a sign of heart disease? Thank you, Doctor, for your hard work.

hai, 10~19 year old female. Ask Date: 2021/07/03

Dr. Wu Xueming reply Cardiology


Due to your young age and the absence 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 intake of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is still recommended to visit a hospital for an electrocardiogram (ECG) examination.

Reply Date: 2021/07/03

More Info


Left chest pain can be a concerning symptom, especially for someone who is worried about potential heart issues. However, it is essential to understand that not all left chest pain is indicative of heart problems. Given your age (19 years old) and the nature of your symptoms, it is more likely that your discomfort is related to musculoskeletal issues rather than cardiac conditions.


Possible Causes of Left Chest Pain
1. Musculoskeletal Issues: Prolonged sitting, poor posture, and activities that strain the muscles can lead to pain in the chest area. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum) or muscle strain can cause localized pain that may feel sharp or dull and can vary in intensity.

2. Nerve Compression: If you have been sitting for long periods, especially in a slouched position, you may be compressing nerves in your neck or upper back, leading to referred pain in the chest or down the arm. This could explain the pain you feel when bending or twisting your body.

3. Anxiety and Stress: Psychological factors can also manifest as physical symptoms, including chest pain. Anxiety can lead to muscle tension and hyperventilation, which may cause discomfort in the chest area.

4. Cardiac Issues: While less likely at your age, it is still important to consider cardiac causes. Conditions such as mitral valve prolapse or other structural heart issues can cause atypical chest pain. However, these are usually accompanied by other symptoms like palpitations, shortness of breath, or significant fatigue.


When to Seek Medical Attention
You should seek immediate medical attention if you experience any of the following symptoms:
- Severe chest pain or pressure that lasts more than a few minutes or goes away and comes back.

- Pain that radiates to the arm, jaw, or back, especially if accompanied by sweating, nausea, or shortness of breath.

- Sudden onset of severe headache or dizziness.

- Any other symptoms that feel unusual for you.


Recommendations
1. Posture Correction: Pay attention to your posture while sitting, especially during long online classes. Use ergonomic chairs and take regular breaks to stretch and move around.

2. Physical Activity: Engage in regular physical activity, which can help strengthen your muscles and improve your overall cardiovascular health. Activities like walking, swimming, or yoga can be beneficial.

3. Stress Management: If you suspect anxiety is contributing to your symptoms, consider techniques such as mindfulness, meditation, or talking to a counselor.

4. Follow-Up: Since you have already consulted with healthcare professionals and undergone tests that returned normal results, it may be helpful to keep a symptom diary. Note when the pain occurs, its intensity, and any associated activities. This information can be valuable for your healthcare provider in assessing your condition further.

In conclusion, while left chest pain can be alarming, especially when it is localized near the heart, it is often related to non-cardiac causes, particularly in younger individuals. However, it is always best to err on the side of caution and consult with a healthcare professional if you have concerns about your symptoms. Regular check-ups and open communication with your doctor can help ensure that any potential issues are addressed promptly.

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