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What Causes Intermittent Substernal Chest Pain?

Posted on Sat, 14 Mar 2015

Question: I have chest pain for 5 months, it is substernal, mainly at night but happens during daytime occasionally , lasts for 5-8 hours , comes and goes , it happens sometimes when I stand up and walk for a short period but when I get on the treadmill and run for 30 minutes it totally goes away , I had EKG, CXR and they were normal , I had stress echo which was normal , d dimer was normal , no HTN , no DM , no family hx up to my knowledge , never smoked , LDL 155, HDL 37, on Statin for the last 3 months , concerned about cardiac cause

Answered by Dr. Lilit Baghdasaryan (37 minutes later)

Brief Answer:
Not a cardiac problem

Detailed Answer:
Dear Sir,

Your complaints are not caused by cardiac problems.
They can be caused by costochondritis, spine or joint problem, or it can be simply muscle pain.
I would advise you not to worry and visit a specialist and check for above mentioned problems.

Hope I could help you

Wishing you good health

In case of further questions don't hesitate to ask

Regards,

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

Follow up: Dr. Lilit Baghdasaryan (37 hours later)

But why the chest pain gets worse with exertion mainly ?

Answered by Dr. Lilit Baghdasaryan (2 hours later)

Brief Answer:
Not cardiac cause

Detailed Answer:
Dear Sir,

Cardiac cause was ruled out with cardiovascular tests.
Sometimes joint and spine problems also have some relationship with physical exertion.
As you have pain during night, I would advise you to see gastroenterologist as well, because oesophagitis also can cause similar pain.

Hope this was helpful

Wishing you good health

In case of further questions don't hesitate to ask

Regards,

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

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