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Anxiety related chest pain and elevated heartbeat - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2481 Questions
User :   I'm a 19 year old male, 6'2" and 175 lbs. for the last 3 days I've been experiencing sudden, sharp pain in the center of my chest, behind the breatbone, that radiates to my lower neck. I know it is definitely my heart. It only lasts a few seconds, and then goes away, leaving me with horrible anxiety. It happens here and there, but always intense, stabbing pain.
Doctor :   Hi
Doctor :  
Let me read it
User :   okay
Doctor :   Ok

Doctor :  
Is this the first time you are having such pain?
User :   yes
Doctor :   Ok

Doctor :  
Does the pain increase or decrease with exercise?
User :   hmm
User :   I haven't figured it out yet
Doctor :   Ok

Doctor :  
Do you have any breathing issue along with the pain?
User :   no I breathe fine
User :   but when the pain occurs I feel like I lose my breathe a little
User :   and my heart speeds up
Doctor :   Ok
Doctor :  
Are you able to do your routine activities?
User :   yeah
Doctor :  
thats fine
User :   but the past three days I have been lazy
Doctor :  
Now I would just ask you one thing, to do now
User :   okay
Doctor :  
take a deep breath
User :   okay
User :   okay
User :   nothing happens
Doctor :   No change with the pain?

User :   no
User :   the pain isn't constant
Doctor :  
Ok
User :   it happens maybe once or twice a day
User :   behind my breatbone
User :   center of chest
Doctor :  
Can you pinpoint with your finger like where the pain is?
User :   no
User :   it's the general area
Doctor :   Ok

User :   in the center of my chest
Doctor :  
If you take some trouble in pressing the area, now
Doctor :  
it would be better
Doctor :  
Can you do it?
User :   no
Doctor :   Because if you press the area and if the pain increases

User :   oh no it's not that
Doctor :  
then it suggests a muscular or a soft tissue pain
Doctor :  
Ok
User :   it radiates to my neck and sometimes my shoulders
Doctor :   Ok

Doctor :  
Do you have any gastric related problem?
User :   no I don't think so
Doctor :   Ok

User :   I hardly burp or pass gas, and no crampy pain
Doctor :  
Do you have a family history of cardiac issue?
User :   yes
User :   a strong line of it
Doctor :   Ok

User :   my grandpa had a heart attaack
User :   at age 32
Doctor :  
Now since I could not attribute the pain to a muscular or a gastric origion
Doctor :  
I would recommend you to get a ECG done
User :   ok
Doctor :  
from a preventive point of view
User :   I've had 3 of them done
User :   with nothing
Doctor :  
when was that?
User :   a year ago
User :   I'm currently seeing a cardiologist as well
Doctor :   Ok

User :   I;'ve had and ultrasound as well
User :   and worn heart moniters
Doctor :  
A year ago, is not of use to rule out or diagnose the pain at present
User :   but this is a new pain
User :   okay
Doctor :  
So you shall need to repeat it now
User :   okay
Doctor :  
But the positive side of it is that you are not having supportive symptoms
Doctor :  
so we just need to rule out a cardiac pain first
User :   okay
Doctor :  
which can be done with a ECG
Doctor :  
after that, it is better for you to keep a check on your Lipid profile and also get a Stress test or Treadmill test done
Doctor :  
as you have a family history
User :   yes
User :   I also get a random squeezing in my chest with each beat
User :   usually when I stand up too fast
Doctor :   Ok

User :   or too much excertion in the morning
Doctor :   How is your stress level?
User :   I'm not sure
Doctor :   Ok

Doctor :  
attacks of anxiety and/or depression also give a similar presentation
User :   but sometimes when I exert a lot of energy
Doctor :  
thats the reason I asked
User :   I get a series of heart palpitations in a fow
User :   *riw
User :   really?
Doctor :   Yes

Doctor :  
Nevertheless ECG is recommended
User :   yes
User :   I have an apt set it with my dr for next tuesday
User :   but I'm not sure if it's soon enough
Doctor :   it is late for you to get a ECG done

Doctor :  
that shouldn't be delayed so long
User :   because this pain is starting to scare me
Doctor :  
Hope you are getting the point
Doctor :  
No need to be scary about it as well
Doctor :  
get the check up done
User :   yes
Doctor :  
and stay more relaxed
User :   I'm also taking adhd meds
User :   and they always make my heart beat fast
User :   concerta
Doctor :   Yes, they do have a effect on the cardiovascular system

Doctor :  
but since this is the first time you are getting it
Doctor :  
nothing is certain about it for now
User :   yes
User :   as this sudden temporary pain only started 3 days ago
Doctor :   Right

Doctor :  
Is there any thing else I can help you with?
User :   well I guess not
User :   thank you for your time
Doctor :   Do not make a delay to get the ECG done
User :   okay
User :   I'll call my dr tomorrow morning
User :   and ask if I can do a walk-in or something
Doctor :   Thats good enough

Doctor :  
Please fill the feedback form say done when done.
User :   okay
User :   this helped put me at ease a littlebit
User :   thank you and goodnight
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

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