Hello and welcome to Healthcare Magic. Thanks for your query.
can be due to cardiac causes or non-cardiac causes. Non-cardiac causes include acid peptic disease
(inflamation of the cartilage
of the rib cage), respiratory causes (like lung infections, pleural irritation
, etc.) and so on.
The typical presentation of a cardiac cause of chest pain are it is in the centre of the chest, worsens on exertion, can radiate to the left arm or neck and can be associated with other symptoms like breathlessness, increased sweating, etc.
An ECG is a very good test to detect heart problems. However, in cases of a heart attack
, it may not show any changes in the first few hours. In your case, you have mentioned that your chest pain has been there for about two weeks and an ECG was done last week. So, if there was a cardiac cause, the ECG should have definitely shown some changes. Since it was normal, you are unlikely to be having a cardiac problem. Moreover, considering your young age and the absence of any medical risk factors, the likelihood for a heart attack is quite low.
However, if you would like to have further tests, the next step would be to have a Stress test
, also known as a Treadmill test. Here a person is made to exert himself and the the heart is monitored for any ischemic (poor blood flow) changes.
Wish you all the best.
Dr. Sheeba Stephen