Chest pain
Hello, doctor.
Recently, I've been experiencing sharp pain around my left chest (the area surrounding the chest).
Sometimes it feels sharp, and other times it feels like pressure.
I do not experience shortness of breath or coughing, and the pain lasts no more than one minute, but it occurs 2 to 3 times within an hour.
I have a history of anemia and asthma.
I read online that similar symptoms in adolescents, resembling angina, are generally benign.
However, I'm uncertain, which is why I'm seeking your advice.
I would like to know if this is directly related to the heart and whether it could suddenly lead to a myocardial infarction.
Since I have a weaker constitution, I tend to get particularly anxious about any bodily issues.
My grandmother had heart disease; is it possible that I could inherit this condition? Thank you, doctor.
Jian Tongxue, 10~19 year old female. Ask Date: 2023/03/30
Dr. He Dongjin reply Cardiology
Hello, at this age, it is unlikely to suddenly experience a myocardial infarction.
Even if there is a family history of heart disease, it is not unusual for a teenage girl to experience chest pain.
If you are concerned, please have a parent bring you in for an examination.
We care about your well-being at Changhua Hospital.
Reply Date: 2023/03/30
More Info
Understanding chest pain can be a complex issue, especially for young individuals who may experience anxiety about their health. Your symptoms of sharp and pressure-like pain in the left chest area, occurring intermittently and lasting less than a minute, can be concerning, but it’s important to consider several factors before jumping to conclusions about serious heart conditions.
Firstly, the nature of your pain is crucial. The fact that it is brief and does not accompany symptoms such as shortness of breath or coughing is a positive sign. Chest pain can arise from various sources, including musculoskeletal issues, gastrointestinal problems, anxiety, and, less commonly, cardiac conditions. Given your age and the absence of other alarming symptoms, it is less likely that your pain is due to a serious heart condition like myocardial infarction (heart attack).
Your history of anemia and asthma may contribute to your overall health status, but they are not direct indicators of heart disease. Anemia can lead to fatigue and increased heart rate, which might make you more sensitive to bodily sensations, including chest discomfort. Asthma, on the other hand, can cause chest tightness, but it typically presents with respiratory symptoms.
You mentioned that you have read online that similar symptoms in adolescents are often benign. This is generally true; many young people experience chest pain that is not related to heart disease. However, it is essential to differentiate between benign causes and those that require medical attention. Conditions such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum), anxiety-induced chest pain, or even gastroesophageal reflux disease (GERD) can mimic heart-related pain.
Regarding your family history of heart disease, genetics can play a role in your risk for cardiovascular issues. However, it is important to note that having a family history does not guarantee that you will develop heart disease, especially at a young age. Lifestyle factors, such as diet, exercise, and stress management, also significantly influence heart health.
To address your concerns about the possibility of a heart attack, it is crucial to consider risk factors such as smoking, high blood pressure, high cholesterol, diabetes, and lifestyle choices. Since you are young and presumably without these risk factors, the likelihood of experiencing a heart attack is low. However, if your symptoms persist, worsen, or are accompanied by other concerning signs (such as severe pain, prolonged duration, or additional symptoms), it would be wise to seek medical evaluation.
In conclusion, while your symptoms may be alarming, they are not necessarily indicative of a serious heart condition, especially given your age and the nature of the pain. It is always best to consult with a healthcare professional who can perform a thorough evaluation, including a physical examination and possibly further testing, to rule out any serious conditions. Meanwhile, focusing on a healthy lifestyle, managing stress, and maintaining regular check-ups can help you stay proactive about your heart health.
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