Chest Pain Near the Heart: Causes and Concerns - Cardiology

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Pain near the heart?


Hello, doctor: I would like to ask about some symptoms I'm experiencing.
I sometimes feel sharp pain near my heart on the left side of my chest, as well as in my left armpit and shoulder area.
Occasionally, the pain occurs below the heart and feels like a pressure sensation, similar to being pressed on a bruise.
The episodes last about 2 to 5 seconds.
Additionally, after running, when I take a deep breath, I experience noticeable pain and pressure in my left chest, as if my breath is obstructed.
I also occasionally feel pain while sitting and breathing normally, but the duration is shorter and the intensity is less.
Could this be a sign of an underlying condition or disease?

Youzi, 20~29 year old female. Ask Date: 2010/02/02

Dr. He Dongjin reply Cardiology


Based on your description, it could be a neuromuscular issue or possibly associated with mitral valve prolapse.
Generally, this should not pose a life-threatening risk.
It is advisable to consult a cardiologist for a face-to-face examination and diagnosis.
Changhua Hospital cares about your health.

Reply Date: 2010/02/02

More Info


Chest pain, especially when localized near the heart, can be a source of significant concern for many individuals. Understanding the potential causes and implications of such pain is crucial for both reassurance and appropriate management. Based on the symptoms you've described, it is essential to consider various factors that could contribute to your discomfort.

Firstly, the nature of your pain—sharp, brief episodes lasting a few seconds, often accompanied by a sensation of pressure—can be indicative of several conditions. Given your age and the absence of chronic health issues, it's less likely that your symptoms are due to a serious cardiac condition. However, it is essential to rule out any potential heart-related issues, especially if the pain is recurrent or worsening.

One common cause of chest pain in younger individuals is musculoskeletal in nature. This can include muscle strain, costochondritis (inflammation of the cartilage connecting the ribs to the sternum), or even nerve-related pain. Activities such as running, which you mentioned, can sometimes exacerbate these conditions, leading to pain that may feel like it's originating from the heart.

Another possibility is that your symptoms could be related to anxiety or stress. Emotional factors can manifest physically, leading to sensations of tightness or pain in the chest area. Given your mention of pressure and discomfort during deep breaths, it’s plausible that anxiety could be contributing to your symptoms, especially if you have been experiencing stress in your life.

Additionally, your lifestyle factors, such as irregular sleep patterns, lack of exercise, and possibly a diet low in fruits and vegetables, can also play a role in your overall cardiovascular health. Poor lifestyle choices can lead to increased anxiety and physical discomfort, which may exacerbate your symptoms.

It's important to note that while your symptoms may not currently suggest a serious heart condition, they should not be ignored. If you experience any of the following, you should seek immediate medical attention: persistent pain, pain radiating to the arm, neck, or jaw, shortness of breath, or any other alarming symptoms.
In terms of next steps, I recommend scheduling an appointment with a healthcare provider, preferably a cardiologist, to discuss your symptoms in detail. They may suggest further diagnostic tests, such as an electrocardiogram (ECG), echocardiogram, or stress testing, to rule out any underlying heart conditions.
In the meantime, consider adopting some lifestyle changes that may alleviate your symptoms. Regular physical activity, even light exercises such as walking or stretching, can improve your overall cardiovascular health and reduce stress. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga can help manage anxiety and may reduce the frequency and intensity of your chest pain.

In conclusion, while your symptoms may not immediately suggest a serious cardiac issue, they warrant further investigation to ensure your peace of mind and health. By addressing both the physical and emotional aspects of your well-being, you can work towards alleviating your symptoms and improving your quality of life.

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