Brief Answer:
Please describe the pain in detail

Detailed Answer:
Hello,

judging from your description, the pain is unlikely to be something serious. But I would need more information about it to make a more accurate "guess". For example:
- how long did it last?
- what were you doing when it started?
- was there anything that made the pain worse or relieving it?
- was the pain following the respiratory movement?

Heart related pain usually won't last for moments. It may last from minutes to hours. It commonly has a squeezing character or feels like pressure. Sharp pain that lasts for seconds is not a common presentation and it actually makes heart disease unlikely.
With the information that you've given, I think that the elbow "tightness" has nothing to do with the chest pain.

Kind Regards!

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Brief Answer:
It doesn't sound serious

Detailed Answer:
Hi,

thanks for the input. Correct me if I'm wrong: you felt pain for an instant and no pain on the intervals and started feeling heartburn after having taken the aspirin. Right?
I can't give an explanation about your pain (although I'll tell you my opinion), but the description sounds - as I've mentioned in my previous answer - like nothing serious. Serious causes won't usually last for an instant. I've described some of the characteristics of the coronary artery syndrome.
Other serious causes like pulmonary embolism, pericarditis, pleuritis etc have different presentations and are not suspected with this description.
Associated symptoms may make a serious diagnosis more likely. Such symptoms are cold sweating, faintness, nausea or vomiting etc.
Sometimes - this is a possible explanation - musculoskeletal pain may present this way, particularly if you can reproduce the pain with certain movements or you can detect a tender area on your chest with palpation.

I hope I've helped!
If you'd like more details, please let me know.

Kind Regards!

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Brief Answer:
I still believe what I've told you before

Detailed Answer:
Hi,

thanks for the correction. When I said "intervals" I meant the time between the poking pains. I just wanted to make sure that the pain was instant - not ongoing.

The presentation you've described doesn't sound like you've got something serious. Despite that, if the symptoms persist, investigation with an electrocardiogram and chest X-ray would be helpful.

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Brief Answer:
Thank you very much!

Detailed Answer:
... and the same to you!
Nice talking to you Thanasis!

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