Left Chest Pain: Causes and Concerns for Heart Health - Cardiology

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Left chest pain?


Hello, Doctor.
I would like to ask about a recent issue I've been experiencing.
Occasionally, I feel a dull pain near my heart on the left side of my chest, close to the ribcage.
This discomfort varies throughout the day; sometimes it hurts all day long, similar to the pain one feels when pressing on a rib.
When I press on that area, I can also feel a sensation that seems to radiate outwards.
The pain intensity fluctuates when I press on it, but the discomfort is always present.
I had an echocardiogram in August last year and an electrocardiogram in April this year, both of which showed no issues.
I'm quite worried that it could be related to my heart or another organ.
Could you please explain why I experience this intermittent left chest pain? Each time I feel something unusual on the left side, my heart rate inexplicably speeds up.
I have a mostly sedentary job, and I wonder if poor posture over time could contribute to this, or if the left side of my body is more sensitive neurologically.
I sincerely appreciate your guidance.
Thank you.

Wang, 40~49 year old female. Ask Date: 2022/05/24

Dr. He Dongjin reply Cardiology


Hello, the unexplained rapid heartbeat seems to be related to autonomic nervous system issues.
The pain in the left chest sounds like it may be caused by long-term poor posture leading to muscular and neurological problems.
It would be advisable to schedule a further examination with a neurologist.
Take care, and we at Changhua Hospital are concerned about your well-being.

Reply Date: 2022/05/24

More Info


Left chest pain can be a concerning symptom, especially when it occurs near the heart area. However, it is essential to understand that not all chest pain is related to heart problems. Given your age and the fact that you've had normal cardiac evaluations, such as echocardiograms and electrocardiograms, it's less likely that your symptoms are due to a serious heart condition.
The pain you're describing, which is intermittent and can be reproduced by pressing on the area, suggests that it may be musculoskeletal in nature. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum) or intercostal muscle strain can cause localized pain that feels sharp or aching and may worsen with certain movements or pressure. Poor posture, especially if you have a sedentary job, can contribute to muscle tension and discomfort in the chest area.
Additionally, anxiety can manifest physically, leading to symptoms such as increased heart rate and chest discomfort. It's not uncommon for individuals to experience heightened awareness of bodily sensations when they are anxious, which can lead to a cycle of worry and increased symptoms.
In your case, the fact that the pain is not constant and can vary in intensity suggests that it may not be related to a serious cardiac issue. However, it's crucial to monitor your symptoms. If you experience any of the following, you should seek immediate medical attention:
1. Severe Chest Pain: If the pain is intense and feels like pressure or squeezing.

2. Radiating Pain: Pain that spreads to your arms, back, neck, jaw, or stomach.

3. Shortness of Breath: Difficulty breathing or feeling like you can't catch your breath.

4. Sweating: Unexplained sweating, especially if accompanied by other symptoms.

5. Nausea or Vomiting: Feeling sick to your stomach or actually vomiting.

Given your concerns about your heart health and the family history of heart issues, it may be beneficial to discuss your symptoms with a healthcare provider who can evaluate your risk factors and possibly recommend further testing if necessary.
In the meantime, consider the following strategies to help manage your symptoms:
- Posture Correction: Ensure that your workspace is ergonomically set up to reduce strain on your neck and shoulders.

- Regular Exercise: Engage in regular physical activity to strengthen your cardiovascular system and improve overall muscle tone.

- Stress Management: Techniques such as mindfulness, yoga, or deep-breathing exercises can help reduce anxiety and its physical manifestations.

- Hydration and Nutrition: Maintain a balanced diet and stay hydrated, as dehydration can sometimes contribute to muscle cramps and discomfort.

If your symptoms persist or worsen, or if you have any new symptoms, it is essential to follow up with your healthcare provider for a thorough evaluation. Your health is paramount, and addressing any concerns early can help prevent more significant issues down the line.

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