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Q: Pathology of chest pain
asked by: DoctorQuestion on November 4th, 2008
Hi i keep getting sharp pains where my heart is for no reason. Not affected by breathing or touch. Had for about 3 weeks on/off but about once a day. Also often feels tingling sensation like a small muscle spasm in the area. Had an ECG and X-ray a year ago when which were fine. Can not understand why i keep getting these pains. Please help. Thank you.


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Dr. Goce Aleksovski , MD
replied on November 5th, 2008
(online)
Heart Disease and Heart Attack Answer A4815
You wrote:” Current medical status: Chest/heart pains.
Question: Hi i keep getting sharp pains where my heart is for no reason. Not affected by breathing or touch. Had for about 3 weeks on/off but about once a day. Also often feels tingling sensation like a small muscle spasm in the area. Had an ECG and X-ray a year ago when which were fine. Can not understand why i keep getting these pains.”


The major symptom you describe, (chest pain) is not sufficient to identify the possible cause. There are many causes for chest pain, certain of which originate from other parts of the body instead of the heart. Cardiac causes include: heart attack, angina, pericarditis, aortic dissection, coronary artery spasms. Noncardiac causes include: heartburn, panic attack, pleurisy, costochondritis, pulmonary embolism, sore muscles, injured ribs or pinched nerves, esophageal spasms, etc. The frequency (3 weeks on/off about once a day) and the age (18) might dismiss many of the previous mentioned diagnosis as highly unlikely. The duration of a single spasm is also important. However, further diagnostic tests including ECG and X-rays might be recommended. You might want to consult with your doctor or cardiologist.




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