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What Causes Sharp Pain In The Right Side Of The Chest?

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Posted on Mon, 5 Dec 2016
Question: Sharp pain on right side of pacemaker feels like a heartbeat. Should I be concerned. Happened last night and once today
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Answered by Dr. Ilir Sharka (39 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would like to know if your symptoms are triggered by respiration, deep breathing or body movements. This would indicate possible musculo-skeletal pain, non related to the pacemaker.

Sharp pain that is modulated by respiration or body movements are not typical of any cardiac disorder (including myocardial ischemia). It is more indicative of extra-cardiac causes (like musculo-skeletal pain, inflammation, pleuritis, pericardial inflammation etc.).

I recommend taking ibuprofen or acetaminophen for the pain.

If the problems persist, I would recommend going to the ER for a careful physical exam and some tests:

- a resting ECG and cardiac enzymes
- a cardiac ultrasound
- a chest X ray study
- complete blood count and inflammation tests (PCR, sedimentation rate).

Hope to have been helpful!

Feel free to ask me again whenever you need!

Kind regards,

Dr. Iliri
Note: For further follow up on related General & Family Physician Click here.

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

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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What Causes Sharp Pain In The Right Side Of The Chest?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would like to know if your symptoms are triggered by respiration, deep breathing or body movements. This would indicate possible musculo-skeletal pain, non related to the pacemaker. Sharp pain that is modulated by respiration or body movements are not typical of any cardiac disorder (including myocardial ischemia). It is more indicative of extra-cardiac causes (like musculo-skeletal pain, inflammation, pleuritis, pericardial inflammation etc.). I recommend taking ibuprofen or acetaminophen for the pain. If the problems persist, I would recommend going to the ER for a careful physical exam and some tests: - a resting ECG and cardiac enzymes - a cardiac ultrasound - a chest X ray study - complete blood count and inflammation tests (PCR, sedimentation rate). Hope to have been helpful! Feel free to ask me again whenever you need! Kind regards, Dr. Iliri