[46M] Experiencing sharp chest pain and heart palpitations

Patient Description

A 46-year-old male has been experiencing persistent sharp chest pain for a month, located at the sternum or left side, with a severity rated as 3 out of 10. The pain is not affected by activities, movements, or positions and does not change with deep breaths or coughing. Additionally, the patient reports heart palpitations and a feeling of faintness, with pain radiating to the left arm. There are no accompanying symptoms such as shortness of breath, sweating, nausea, or vomiting. The patient has no known allergies, adverse reactions to medications, or pre-existing conditions, and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Angina: This is a type of chest pain caused by reduced blood flow to the heart. Angina is a symptom of coronary artery disease. It often presents as discomfort, heaviness, tightness, pressure, aching, burning, numbness, fullness, or squeezing that can be mistaken for indigestion. It is often felt in the chest or sometimes in the left arm and shoulder.

    • Treatment usually involves lifestyle changes, medication, and sometimes, surgery.
  • Heart attack: A heart attack occurs when blood flow to a part of the heart is blocked, often by a blood clot. This can damage or destroy part of the heart muscle. A heart attack can cause chest pain, pain radiating to the arm, and heart palpitations.

    • A heart attack is a medical emergency. Treatment involves reopening the blocked artery and restoring blood flow to the heart muscle.
  • Arrhythmia: This is a problem with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm. This can cause heart palpitations and chest pain.

    • Treatment depends on the type and severity of the arrhythmia. It can range from lifestyle changes and medications to implantable devices and surgery.

What you can do

Given the potential seriousness of your symptoms, it's important that you seek immediate medical attention. You should not attempt to drive yourself to the hospital. Instead, call for an ambulance.

What you should look out for

Watch out for any worsening of your symptoms, such as:

  • Increasing intensity of chest pain
  • Shortness of breath
  • Sweating
  • Nausea or vomiting
  • Lightheadedness or fainting

These could be signs of a heart attack, which is a medical emergency. If you experience these symptoms, call for an ambulance immediately.

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of angina?

Common symptoms of angina include chest pain or discomfort that may feel like pressure, squeezing, fullness, or pain. It can also radiate to the shoulders, arms, neck, jaw, or back. Angina is often triggered by physical exertion or stress and usually subsides with rest or medication.


How can I differentiate between a heart attack and other types of chest pain?

A heart attack often presents with more severe symptoms than other types of chest pain, such as intense pressure or squeezing in the chest, pain radiating to the arm, neck, or jaw, shortness of breath, sweating, nausea, or lightheadedness. If you suspect a heart attack, seek emergency medical help immediately.


What are the potential causes of heart palpitations?

Heart palpitations can be caused by stress, anxiety, caffeine, nicotine, or alcohol. They can also result from more serious conditions like arrhythmias, thyroid problems, or heart disease. If palpitations are frequent or accompanied by other symptoms like chest pain or fainting, medical evaluation is recommended.


When should I seek medical attention for chest pain?

You should seek medical attention for chest pain if it is severe, persistent, or accompanied by symptoms such as shortness of breath, sweating, nausea, fainting, or pain radiating to the arm or jaw. These could be signs of a heart attack, which requires immediate medical intervention.


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