Left Chest Pain: When to Seek Medical Attention - Cardiology

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When it comes to left chest pain, especially in the context of your existing health conditions and medication, it is crucial to approach the situation with caution. Your symptoms, including the sensation of electric-like pain in your heart, variable pain locations, and muscle contractions in the left chest, warrant thorough evaluation.
Given that you are taking a medication like Sertraline (known as Zoloft), which can have side effects such as palpitations and anxiety, it is essential to consider how these factors may be contributing to your symptoms. The fact that you experience a sensation of your body shaking in rhythm with your heartbeat could indicate heightened anxiety or panic, which can often mimic or exacerbate physical symptoms, including chest pain.
However, it is also important to rule out any serious cardiac issues, especially since you describe the pain as deep and sometimes accompanied by muscle contractions. The variability in pain location and the nature of the pain (sharp, electric-like) can be indicative of different underlying causes, including musculoskeletal issues, nerve pain, or even cardiac-related problems.
You mentioned that you visited the emergency room and were told it was likely nerve pain, but the prescribed pain medication did not alleviate your discomfort. This lack of improvement is a significant factor to consider. If the pain persists or worsens, or if you experience additional symptoms such as shortness of breath, dizziness, or radiating pain to the arm or jaw, you should seek immediate medical attention.
In terms of whether to visit an outpatient clinic, it is advisable to do so, especially if the pain continues. A follow-up with a healthcare provider can help clarify the diagnosis and ensure that any potential cardiac issues are thoroughly evaluated. It is better to err on the side of caution when it comes to chest pain, as it can sometimes indicate serious conditions that require prompt intervention.

In your case, a comprehensive evaluation may include an electrocardiogram (ECG) to assess your heart's electrical activity, blood tests to check for markers of heart damage, and possibly imaging studies like a chest X-ray or echocardiogram to visualize the heart and surrounding structures. Additionally, a referral to a cardiologist may be warranted for further assessment.

If the pain is determined to be of musculoskeletal origin or related to anxiety, your healthcare provider may suggest physical therapy, relaxation techniques, or adjustments to your medication regimen to help manage your symptoms.
In summary, while nerve pain can be a possibility, the nature of your symptoms and their persistence suggest that further evaluation is necessary. Do not hesitate to seek medical attention, as it is essential to ensure your safety and well-being. Your health is paramount, and addressing these symptoms with a healthcare professional will provide you with the clarity and care you need.