What Causes Chest Pain Upon Exertion?

Posted on Wed, 15 Jun 2016

Question: Today i have still pain in my chest, i was waking then i feel like my chest was compressed, and i have pain around my both shoulders but mostly my left shoulders, i also feel nausea and feel realy bad...Im really thinking i have some cardiac issues, maybe the previous exams i have done (EKG, EKG stress test, and hotler, echo 6 months ago) dont have show anything...my condition is worst day after day and ii really have pain...the pain have passed a bit with voltaren and painkiller but i still feel like i have a weight on my chest...its really tiring and i want to finish with it...Hospital i have to pay all the times and its dispressed me to go again...do anxiety can really give daily pain like this and increase during effort? also have tachycardia all the time, i make small effort and tachycardia stop its really boring cannot enjoy my life

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on the description of your symptoms, though anxiety is a possible cause but its less likely in my view. The reason being that the pain is worsened with exertion. Worsening chest pain with exertion, signifies an ischemic cause. The EKG should be repeated with troponins , CK MB and LDH levels. ETT can also be repeated. If its clear then the tachycardia or palpitations should be addressed reaching an adequate beta blockade effect. Atenolol dosing should be adjusted to have the heart rate at around 60. The age of 28 makes it less likely to be a cardiac cause so if the above workup is negative on repeating then alternative diagnosis such as costochondritis , generalized anxiety disorder and GERD should also be taken into consideration.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

So for you its possible to have cardiac problems even i have done all the exams not so long ago??and i should repeat it again?

Answered by Dr. Dr. Muhammad Sareer Khalil (5 hours later)

Brief Answer:
explained

Detailed Answer:
Hello again.

Yes its possible and you can ask for repeat investigations, in consult with your doctor.

Thanks

Dr. M.S.Khalil

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar