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Should I Be Concerned About Short Fleeting Chest Pain That Occurs Occasionally During Exercise?
Question: I have asked about this question before, but was curious for a second opinion.
I have short fleeting chest pain in the centre of my chest that occurs occasionally during exercise. Chest Pain is localized and last probably 0.5 seconds to 1 second at most. I exercise frequently with no problem and this pain occurs aprox 1 every 10-15 times I exercise. I've spoken to my PCP who 100% does not think it is my heart. I have also done an exercise stress test with was negative for Heart Disease. I occasionally get heart palpitations (either PVCS or PACS. Wore a holter monitor but did no capture any events) which I had had for the last 7-10 years. I'm 30 years old. Normal BP, Normal Blood Lipids. I exercise at 165BPM no problem, no shortness of breath but then 5-7% of the time I will get a short stabbing pain in the centre of my chest. It is very short.
I know angina generally does not present itself this way. I am curious could an occasional PVC/PAC during exertion cause such a symptom? Any other possibilities? I will ask for another stress test but unsure if it will catch anything as the symptoms are so infrequent but concerning.
Optional Information:
Person's Gender: Male
Person's Age: 30
Brief Answer:
You are absolutely healthy.
Detailed Answer:
Hello XXXXX
Thanks for writing to HCM
You are absolutely healthy and all your investigation reports are normal.
You shouldn't worry at all.Occasional PVC/PAC are also called as benign PVC/PAC and it doesn't require any treatment.Most of the cases of palpitation don't require any treatment.
If still you have doubt,you can go for repeat stress ECG.It will again confirm your healthy condition.
You are only 30 years old and cardiac problem is unlikely with normal investigation reports.
ECHO and Thyroid profile can also be done to confirm any cause.
Musculoskeletal cause of pain should also be excluded.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for the reassurance. Stress test was 2 years ago but pain was happening prior to the test which is why we had it done. Any idea what could cause this?
Brief Answer:
It may be due to reasons like stress,acidity etc.
Detailed Answer:
Hello XXXXX
Thanks for writing back
It may be due to many reasons like stress,acidity,muscle pull etc.
You can warm up your body before strenuous exercise.
You can also try tablet Pantoprazole 40 mg half hour before food for six weeks.It will protect against acidity.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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