Chest Pain: When to Seek Medical Help After Vaccination - Pulmonology

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Sharp pain in the left and right chest?


Hello, doctor.
I have received two doses of the AZ vaccine and have mitral valve prolapse.
For the past month, I have been experiencing intermittent sharp pain in the center of my chest.
I have not engaged in any strenuous exercise or had a cold recently.
I would like to know what the possible issues could be and which specialist I should see for this condition.
Thank you!

evelyn, 20~29 year old female. Ask Date: 2021/09/24

Dr. Zhou Ziguang reply Pulmonology


Patients with mitral valve prolapse may occasionally experience mild chest discomfort, but it is still advisable to consult a cardiologist for evaluation and management.

Reply Date: 2021/09/24

More Info


Chest pain after vaccination can be concerning, especially for individuals with pre-existing heart conditions such as mitral valve prolapse. It is essential to understand the potential causes of chest pain and when to seek medical help.

Firstly, it is important to note that chest pain can arise from various sources, including musculoskeletal issues, gastrointestinal problems, anxiety, and cardiac conditions. In your case, since you have a history of mitral valve prolapse, it is crucial to consider cardiac-related causes, although not all chest pain is heart-related.

Mitral valve prolapse (MVP) is a condition where the mitral valve does not close properly, which can lead to palpitations, chest pain, and sometimes anxiety. The pain you are experiencing could be related to MVP, especially if it is accompanied by palpitations or a feeling of anxiety. However, it is also possible that the pain is musculoskeletal, especially if it is sharp and intermittent.

Given that you have received two doses of the AZ vaccine, it is worth mentioning that some individuals may experience side effects such as muscle pain, fatigue, or even anxiety, which can manifest as chest discomfort. However, if the pain is persistent, worsening, or accompanied by other symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw, it is essential to seek medical attention promptly.

In your situation, since the chest pain has been ongoing for about a month and is localized, it would be advisable to consult a healthcare professional. The most appropriate specialist to see would be a cardiologist, given your history of mitral valve prolapse and the nature of your symptoms. A cardiologist can perform a thorough evaluation, including an electrocardiogram (ECG), echocardiogram, or other necessary tests to rule out any cardiac issues.

If the cardiologist determines that your heart is functioning well and there are no significant concerns, they may refer you to a primary care physician or a specialist in musculoskeletal medicine or pain management for further evaluation of the pain.

In summary, while chest pain after vaccination can be common and often benign, your history of mitral valve prolapse necessitates a careful approach. If the pain persists or worsens, or if you experience any alarming symptoms, do not hesitate to seek medical attention. It is always better to err on the side of caution when it comes to heart-related symptoms.

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