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What Causes Mild And Sharp Chest Pain?

Posted on Tue, 12 May 2015

Question: I my father died on 18th march 2015.I was in hospital the day he admitted in hospital(ICU).he got heart attack when we admitted him hospital after angiography he got again another attack and in emergency his angioplasty operation completed .As per doctor his heart pumping was not proper so he got 4 DC shocks and finally he died in hospital.I saw all this incidence very closely ,from the date he got first DC shock i have started chest pain and it still continues.I have checked with cardiologist and done ECG,Stress test,2D-echo all are normal. He said you have anxity problem nothing problem with heart disease but now i dont think about my father i forgot everthing but still pain persist .I am living normal life no anxity but sharp pain in chest continously whenever i get busy pain is not present there but otherwise mild sharp pain is there.
my family heart attack histroy.
1.my uncle died due to heart attack and he has high blood pressure,diabetics,sugar problem
2.my father died due to heart attack.

Please tell me the reason of my mild and sharp chest pain from more than month.
same issue faced by my borther ......
your response will be so valueable for me

Answered by Dr. Anantharamakrishnan (2 hours later)

Brief Answer:
Muscle pain from stress

Detailed Answer:
Hi friend
Welcome to Health Care Magic

Your symptoms do not suggest Coronary Artery Disease (CAD)
TMT (Treadmill Exercise ECG) is the ideal non-invasive way to evaluate ischemia and it has EXCLUDED the problem. Normal ECHO adds up to confirm.
The pain is NOT FROM THE HEART.
It is from muscles of the chest wall… spasm from stress and/or posture. The fact that you do not feel when busy – is highly suggestive of stress.
Rest, hot packs, Over The Counter (OTC) Non-Steroidal Anti Inflammatory Drug (NSAID) like Ibuprofen can help / Muscle relaxants help – but may need prescription / Proton Pump Inhibitor like Omeprazole or H2 antagonist like ranitidine can help reflux…
Psychological assessment and assistance (Counselling) helps.
The treating doctor could conclude and help better based on total clinical picture…

Good luck
God bless you

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

Follow up: Dr. Anantharamakrishnan (14 hours later)

My chest pain is not at one place...its keeps on changing....some times in between chest ..sometime above or below...please will you tell me the reason behind this..why its not at one place....

Answered by Dr. Anantharamakrishnan (3 hours later)

Brief Answer:
Psychosomatic

Detailed Answer:
Hi

That is typical of stress – pain at differing places, differing times, differing types, differing duration or intensity. That is called PSYCHO-SOMATIC. Mind perceives pain, without an underlying physical cause. That is why, the counselling – psychological assessment and assistance – helps.

Regards

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

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