Chest Pain: When to Seek Medical Attention - Cardiology

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Chest pain?


I currently do not have any chronic diseases, but in the past month, I have experienced sharp pains lasting about 1-2 seconds in the left chest area, particularly over the heart, whenever I perform movements that involve changes in position, such as lying down, getting up, or exercising.
The pain is most noticeable when lying down.
Initially, I thought it might just be due to work-related stress, but I have noticed a correlation with specific movements.
I would like to inquire about possible causes and whether I should seek medical evaluation.

Sasa, 20~29 year old female. Ask Date: 2022/12/04

Dr. He Dongjin reply Cardiology


Hello, issues related to specific movements are mostly associated with neuromuscular problems and are less related to the internal organs.
It is advisable to observe the situation first.
Changhua Hospital cares about you.

Reply Date: 2022/12/04

More Info


Chest pain can be a concerning symptom, and understanding when to seek medical attention is crucial for your health. Based on your description, it seems that you are experiencing brief episodes of sharp pain in the left chest area, particularly during certain movements or positions, such as lying down or getting up. While it is good to hear that you do not have any chronic illnesses, it is still important to consider various potential causes for your symptoms.

Firstly, the nature of your pain is significant. Sharp, fleeting pain that lasts only a few seconds can be associated with musculoskeletal issues, such as muscle strain or costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum. These conditions can often be exacerbated by movement or certain positions, which aligns with your experience of pain during specific activities.

However, it is essential to rule out more serious causes of chest pain, especially since you mentioned that the pain is located near the heart. Conditions such as angina (chest pain due to reduced blood flow to the heart), pericarditis (inflammation of the lining around the heart), or even gastrointestinal issues like acid reflux can also present with chest pain. Although these conditions often have additional symptoms (such as shortness of breath, sweating, nausea, or pain radiating to the arm or jaw), it is still prudent to be cautious.

Given that your symptoms have persisted for about a month and are associated with specific movements, it would be wise to consult a healthcare professional. A thorough evaluation can help determine the underlying cause of your chest pain. This may include a physical examination, a review of your medical history, and possibly diagnostic tests such as an electrocardiogram (ECG), chest X-ray, or echocardiogram to assess heart function and rule out any cardiac issues.

In addition to seeking medical attention, consider the following recommendations:
1. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any associated activities or positions. This information can be helpful for your healthcare provider.

2. Avoid Strain: If certain movements exacerbate your pain, try to avoid them until you have been evaluated by a doctor.
3. Stress Management: Since you mentioned work-related stress, consider incorporating stress-reducing techniques such as deep breathing exercises, yoga, or meditation into your routine.

4. Stay Active: While you should avoid activities that trigger your pain, maintaining a gentle exercise routine can help keep your muscles strong and may alleviate some discomfort.

5. Seek Immediate Care if Necessary: If you experience worsening symptoms, such as prolonged chest pain, difficulty breathing, or any other alarming signs, do not hesitate to seek emergency medical attention.

In conclusion, while your symptoms may be benign, it is always better to err on the side of caution when it comes to chest pain. A healthcare professional can provide a comprehensive assessment and guide you toward the appropriate management for your condition. Remember, your health is paramount, and addressing any concerns early can lead to better outcomes.

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