Chest Pain: When to See a Doctor for Heart Issues

Q: Chest Pain: When to See a Doctor for Heart Issues

Hello： Please visit the pulmonology department for evaluation by a physician.

Pain in the center of the chest and on the outer side of the right chest?

I have issues with mitral valve prolapse and regurgitation.
On the morning of September 14th, I suddenly experienced chest pain, but it was not continuous.
The pain occurs when I change positions in bed or cough, and I also feel pain in the middle of my chest and the right side when pressed.
From Tuesday to today, Friday, the pain has been occasional, but there have been several instances of intense, unexpected pain.
Sometimes, my left fingers also feel numb.
Since I received the AstraZeneca vaccine on July 26th, my family is concerned about the possibility of a blood clot, so I would like to ask which specialty I should consult if I see a doctor.

Julia, 40~49 year old female. Ask Date: 2021/09/17

Dr. Zhou Ziguang reply Pulmonology

Hello: Please visit the pulmonology department for evaluation by a physician.

Reply Date: 2021/09/17

More Info

When it comes to chest pain, especially in the context of existing heart conditions like mitral valve prolapse and regurgitation, it is crucial to approach the situation with caution. Your symptoms, which include sudden chest pain, pain when coughing or changing positions, and occasional numbness in your left fingers, warrant a thorough evaluation by a healthcare professional.

Understanding Chest Pain
Chest pain can arise from various causes, ranging from benign issues to serious medical conditions. Given your history of heart issues, it is essential to consider cardiac-related causes first. The pain you describe as intermittent and sometimes severe could be related to your heart condition, especially if it is accompanied by other symptoms like numbness in your fingers. This could indicate that your heart is under stress or that there is a potential issue with blood flow.

When to See a Doctor
1. Severity and Duration: If the chest pain is severe, lasts more than a few minutes, or is accompanied by other symptoms such as shortness of breath, sweating, nausea, or dizziness, you should seek immediate medical attention. These could be signs of a heart attack or other serious cardiovascular issues.

2. Associated Symptoms: The numbness in your left fingers could be concerning, especially in the context of heart problems. This could suggest that there is a neurological component or that there is reduced blood flow to that area, which can be serious.

3. Changes in Pain Patterns: If the pain changes in intensity or frequency, or if you develop new symptoms, it is essential to consult a doctor.
4. Post-Vaccination Concerns: Since you mentioned receiving the AZ vaccine, it is understandable to have concerns about potential side effects, including thrombosis. While the risk of blood clots is low, it is still a valid concern, especially if you have a history of cardiovascular issues.

Recommended Specialist
Given your symptoms and medical history, it would be advisable to see a cardiologist. A cardiologist specializes in heart-related issues and can perform the necessary tests, such as an electrocardiogram (ECG), echocardiogram, or stress tests, to assess your heart's function and rule out any serious conditions.
Additionally, if your symptoms are also suggestive of anxiety or stress-related issues, which can manifest as chest pain, you might also consider consulting a psychologist or psychiatrist. They can help address any underlying anxiety that may be contributing to your symptoms.

Conclusion
In summary, your symptoms should not be taken lightly, especially given your existing heart conditions. It is crucial to seek medical advice promptly. A cardiologist will be able to evaluate your symptoms in the context of your medical history and provide the appropriate care. If necessary, they may refer you to other specialists based on their findings. Always prioritize your health and do not hesitate to seek help when experiencing concerning symptoms.

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