How Are Heart Attacks Detected ?
Thanks for writing to us.
Having pain in the left side of your chest covering the left arm can be due to cardiac problem like ischemia even if your blood pressure and other parameters are normal.
The symptoms of heart attack include squeezing type of chest pain with sweating and nausea/vomiting. The predisposing factors include smoking, stress, obesity, hypertension, diabetes, increased cholesterol, etc.
Heart attack is unlikely to develop at a young age like yours.
Still it would be better to get the following investigations done to rule out cardiac related problems.
1. Troponin -T and CPK-MB
2. ECG in all leads with a rhythm strip in lead 2
3. Echocardiography
4. Tread mill test
5. Thallium scan (Myocardial perfusion scintigraphy)
The other possibilities that need to be ruled out with the help of your physician are muscular pain, GERD, Pleuritis, etc.
The pain also could be due to musculoskeletal inflammation - This can be diagnosed if the pain increases on specific movements or on direct pressure on the affected area. Such pain can respond to medications like Ibuprofen 400 mg taken three times a day. This generally resolves within a week.
Pneumonitis Or Pleuritis : Here the pain increases on XXXXXXX breaths and is associated with symptoms like cough, expectoration of mucus or purulent sputum, etc.
GERD: This condition too presents with the similar symptoms as described by you and usually subsides after taking Antacids or proton pump inhibitors group of drugs.
It is important to rule out the exact cause after physical examination and investigations. Hence, please see your Primary Doctor for complete examination and the treatment would follow according.
I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.
Wishing you good health.
Regards.