[25F] Experiencing sharp chest pain, difficulty breathing, and dizziness

Patient Description

A 25-year-old female is reporting a sharp, crushing chest pain in the middle of the chest with associated difficulty breathing described as a sensation of being squeezed. The patient rates the chest pain as a 6 out of 10 and the difficulty breathing as a 9 out of 10 in severity. The symptoms have been present for 2 days, and the shortness of breath occurs after the chest pain starts. The patient also experiences dizziness, arm numbness, and heaviness, with no relief upon raising the arms. There is a reported feeling of chills over the body, but no nausea, sweating, or radiating pain. Palpitations have been noted. No recent trauma or prolonged immobility was reported. There are no other symptoms mentioned.

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Arora's Assessment

What might be happening

Based on the information you've provided, you are experiencing symptoms that could be indicative of serious conditions. Here are some possibilities:

  • Acute Coronary Syndrome (Heart Attack): Your symptoms of chest pain, shortness of breath, dizziness, and numbness in the arm could be indicative of a heart attack. Even though you are young and female (which decreases your risk), it's important not to ignore these symptoms.

    • Treatment typically involves medications to break up clots, reduce heart workload, and prevent future clots. In some cases, procedures to restore blood flow to the heart may be necessary.
  • Panic Disorder: This is a type of anxiety disorder characterized by recurrent unexpected panic attacks. Panic attacks often cause feelings of impending doom, shortness of breath, chest pain, and heart palpitations.

    • Treatment usually involves cognitive behavioral therapy and medications such as SSRIs or benzodiazepines.
  • Pneumothorax (Collapsed Lung): This condition can cause sudden chest pain and shortness of breath. It's more common in tall, thin individuals and smokers.

    • Treatment involves removing air from the chest with a needle or chest tube to allow the lung to re-expand.

What you can do

Given the severity and nature of your symptoms, it's crucial that you seek immediate medical attention. Please call an ambulance or have someone take you to the emergency department immediately.

What you should look out for

Please monitor your symptoms closely and seek immediate medical attention if:

  • Your chest pain or shortness of breath worsens
  • You experience confusion, fainting, or severe dizziness
  • You develop a rapid or irregular heartbeat

Please remember that while I strive to provide accurate information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of a heart attack in young women?

Common symptoms of a heart attack in young women can include chest pain or discomfort, shortness of breath, nausea, lightheadedness, and pain or discomfort in one or both arms, back, neck, jaw, or stomach. Women may experience symptoms differently than men, sometimes with less obvious signs.


How can panic disorder mimic heart attack symptoms?

Panic disorder can mimic heart attack symptoms because both can cause chest pain, shortness of breath, palpitations, dizziness, and a sense of impending doom. The key difference is that panic attacks often occur suddenly and are not related to physical exertion, whereas heart attack symptoms may worsen with activity.


What are the risk factors for a pneumothorax?

Risk factors for a pneumothorax include being tall and thin, smoking, having a history of lung disease, or experiencing a sudden change in air pressure. It can also occur spontaneously without any apparent cause, especially in young, healthy individuals.


When should someone seek emergency medical attention for chest pain?

Emergency medical attention for chest pain should be sought if the pain is severe, persistent, or accompanied by symptoms such as shortness of breath, dizziness, fainting, rapid or irregular heartbeat, or if the pain radiates to other parts of the body like the arms or jaw. Immediate evaluation is crucial to rule out life-threatening conditions.


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