Chest Pain and Discomfort: Causes and Solutions - Cardiology

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Chest tightness or chest pain?


Hello Doctor: Recently, I have been experiencing frequent chest tightness and sometimes pain.
Although the episodes do not last long, usually only a few minutes, they feel quite intense and are accompanied by a sense of pressure.
After the pain subsides, I feel fine.
However, when I am running or cycling, the pressure sensation becomes more severe, preventing me from continuing my activity, and once I stop, it often turns into pain.
Sitting down and resting helps alleviate the discomfort after a while.
Could you please explain what might be happening? I also sometimes experience dizziness and headaches; could this be related? Thank you for your response.

ivy, 20~29 year old female. Ask Date: 2008/02/01

Dr. Bu Shiyun reply Cardiology


Hello: Young women rarely experience cardiovascular diseases.
There are many causes for chest tightness and pain, with stress or muscle soreness and nerve pain being more common in younger individuals.
It is advisable to ensure adequate sleep, avoid staying up late, maintain a regular lifestyle, and limit computer usage time.
Spending too long in front of the computer can often lead to shoulder and neck pain, and even chest pain.

Reply Date: 2008/02/01

More Info


Chest pain and discomfort can be concerning symptoms that may arise from various underlying causes. It is essential to understand the nature of your symptoms, their triggers, and their relationship with other symptoms such as headaches and dizziness.
From your description, it seems that you experience episodes of chest tightness and pain, particularly during physical activities like running or cycling. This discomfort is often accompanied by a feeling of pressure and can last for a few minutes before subsiding with rest. While it is good that the pain resolves relatively quickly, the fact that it intensifies with exertion warrants further investigation.

One potential cause of your symptoms could be related to cardiovascular issues. Angina, which is chest pain due to reduced blood flow to the heart muscle, often presents as a feeling of pressure or squeezing in the chest. It typically occurs during physical exertion or stress and improves with rest. Given that your symptoms worsen with exercise, it is crucial to rule out any cardiac conditions, especially if you have risk factors such as a family history of heart disease, high blood pressure, high cholesterol, or lifestyle factors like smoking or obesity.

Another possibility is that your symptoms could be musculoskeletal in nature. Conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the breastbone, can cause sharp chest pain that may worsen with certain movements or deep breaths. This type of pain is usually localized and can be reproduced by pressing on the affected area.

Additionally, anxiety and stress can manifest as chest discomfort. Anxiety can lead to hyperventilation, which may cause a feeling of tightness in the chest and can also be associated with dizziness and headaches. If you find that your symptoms are related to stress or anxiety, addressing these underlying issues through relaxation techniques, counseling, or medication may be beneficial.

Regarding the connection between your chest pain and headaches or dizziness, it is possible that they are related. For instance, tension headaches can occur due to muscle tightness in the neck and shoulders, which can also contribute to feelings of pressure in the chest. Dizziness can stem from various causes, including dehydration, low blood sugar, or even anxiety, and may exacerbate the perception of chest discomfort.

Given the complexity of your symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. A physical examination, along with diagnostic tests such as an electrocardiogram (ECG), stress test, or imaging studies, may be necessary to determine the exact cause of your chest pain.
In the meantime, consider keeping a symptom diary to track when your symptoms occur, their duration, and any associated activities or stressors. This information can be invaluable for your healthcare provider in diagnosing your condition.
To summarize, while your symptoms may be benign, it is essential to take them seriously, especially given their relationship with physical activity. Seeking medical advice will help ensure that any potential underlying issues are addressed promptly, allowing you to manage your symptoms effectively and maintain your overall health.

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