Left Chest Pain and Arm Numbness: Signs of Heart Issues? - Cardiology

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Sharp pain in the left chest and numbness in the arm, lasting for a while?


Recently, I have been experiencing sharp pain in my left chest.
However, there are no pain points when I take deep breaths, press, or stretch.
Sometimes the pain is more towards the outer side, and other times it is more towards the middle or inner side.
I also feel sharp pain in my back, which is variable in location but always on the left side and lasts for a short period.
Additionally, I have been experiencing a tingling sensation in my left arm.
I am concerned whether this could be a precursor to a myocardial infarction or other cardiovascular-related issues.

jinni, 20~29 year old female. Ask Date: 2022/07/04

Dr. He Dongjin reply Cardiology


Hello, the symptoms do not appear to be indicative of a myocardial infarction or other cardiovascular issues; they seem more related to postural problems causing muscular or neurological issues, or possibly mitral valve problems.
If discomfort persists, it is advisable to visit a cardiology clinic for further examination.
Changhua Hospital cares about your well-being.

Reply Date: 2022/07/04

More Info


Experiencing left chest pain and arm numbness can understandably cause concern, especially regarding potential heart issues. However, it is essential to approach this situation with a comprehensive understanding of the symptoms and their possible causes.

Firstly, it is important to note that chest pain can arise from various sources, not just the heart. Given your age and the absence of significant risk factors such as a history of smoking, high blood pressure, or diabetes, the likelihood of a serious cardiac condition like a myocardial infarction (heart attack) is relatively low. However, it is crucial to remain vigilant and seek medical evaluation to rule out any serious conditions.

The symptoms you describe—intermittent left chest pain, back pain, and numbness in the left arm—could be attributed to several non-cardiac causes. For instance, musculoskeletal issues, such as muscle strain or rib dysfunction, can lead to localized pain in the chest and back. Poor posture, especially during prolonged periods of sitting (like during online classes), can also contribute to muscle tension and discomfort in the upper body.

Additionally, anxiety and stress can manifest physically, leading to symptoms such as chest pain and numbness. The body’s response to stress can cause muscle tension, which may contribute to the discomfort you are experiencing. If you have been feeling anxious or stressed, this could be a contributing factor.

Another possibility is that the symptoms could be related to a condition known as costochondritis, which is inflammation of the cartilage that connects a rib to the sternum. This condition can cause sharp pain in the chest, which may worsen with certain movements or pressure.

Regarding the numbness in your left arm, it is essential to consider the possibility of nerve compression or irritation, which can occur due to poor posture or muscle tension. Conditions such as thoracic outlet syndrome can also cause similar symptoms, where nerves or blood vessels are compressed in the area between the collarbone and the first rib.

While your symptoms do not align perfectly with classic signs of a heart attack—such as severe, crushing chest pain, shortness of breath, or radiating pain down the left arm—it is still wise to be cautious. If you experience any new or worsening symptoms, such as significant chest pain, difficulty breathing, or prolonged numbness, you should seek immediate medical attention.

In conclusion, while your symptoms may not strongly indicate a heart issue, it is crucial to monitor them closely and consult with a healthcare professional for a thorough evaluation. They may recommend tests such as an electrocardiogram (ECG) or imaging studies to assess your heart's health and rule out any potential issues. In the meantime, consider lifestyle adjustments such as improving your posture, engaging in regular physical activity, and managing stress, which can all contribute to alleviating your symptoms.

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