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

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Myocardial infarction


For the past couple of months, I have been experiencing a tight feeling in my chest muscles every day.
When I do chest stretches or raise my arms, the tightness subsides.
Occasionally, I feel a sharp pain near my left chest (close to the heart) and recently, I've also experienced some pain on the left side of my jaw, left upper back, and left arm (shoulder, elbow, and neck).
I had a similar experience about six months ago, but it resolved in about a week.
This year, I have been working from home in front of a computer for long periods, which has led to some rounded shoulders.
After exercising, I don't feel any pain in my heart, but I have read online that these could be symptoms of a myocardial infarction.
I have no family history of heart disease.
Is there a risk of myocardial infarction at my age? Thank you.

tan, 20~29 year old female. Ask Date: 2021/08/08

Dr. Chen Jili reply Cardiology


It is recommended that you visit a cardiology outpatient clinic to determine if any relevant examinations are necessary.
Thank you, and wish you good health!

Reply Date: 2021/08/08

More Info


Understanding chest pain is crucial, especially when it comes to distinguishing between benign discomfort and potential signs of a heart attack. Your symptoms, including tightness in the chest muscles, occasional sharp pain near the heart, and discomfort radiating to the left side of your body (including the jaw, back, and arm), can understandably cause concern.
Chest pain can arise from various sources, and not all of them are related to the heart. In your case, given the context of prolonged computer use, poor posture (like rounded shoulders), and muscle tightness, it’s possible that your symptoms may be musculoskeletal in nature. Conditions such as muscle strain, tension, or even anxiety can manifest as chest discomfort. However, the specific location of your pain, especially near the heart, warrants careful consideration.

The left side of the chest is particularly sensitive because it houses the heart, and pain in this area can sometimes be misinterpreted as a heart-related issue. The fact that you experience pain radiating to your left arm, jaw, and back is also noteworthy, as these are classic signs of a heart attack. However, it’s essential to consider the overall context of your symptoms. If the pain is sharp and fleeting, it might be more indicative of a muscular issue rather than a cardiac event.
You mentioned that you have been sedentary for an extended period, which can contribute to muscle tightness and discomfort. Prolonged sitting can lead to poor circulation and muscle stiffness, particularly in the upper body. Engaging in regular physical activity, including stretching and strengthening exercises, can help alleviate these symptoms. It’s also important to maintain good posture while working at a computer to reduce strain on your muscles.

While you do not have a family history of heart disease, it’s still important to be aware of risk factors that can contribute to heart issues, such as high blood pressure, high cholesterol, smoking, diabetes, and obesity. Even at a younger age, lifestyle factors can play a significant role in heart health.
Given your symptoms and concerns, it would be prudent to consult a healthcare professional for a thorough evaluation. They may recommend tests such as an electrocardiogram (EKG), stress testing, or imaging studies to rule out any underlying cardiac issues. Additionally, discussing your symptoms with a doctor can help determine if further investigation is necessary or if lifestyle modifications could alleviate your discomfort.

In summary, while your symptoms could potentially indicate a heart issue, they may also be related to musculoskeletal problems stemming from poor posture and sedentary behavior. It’s essential to seek medical advice to ensure that any serious conditions are ruled out and to receive guidance on managing your symptoms effectively. Regular exercise, maintaining good posture, and addressing any anxiety or stress can significantly improve your overall well-being and reduce the likelihood of chest discomfort.

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