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What causes chest pain? - Online Doctor Chats

Date : 06-Apr-2014
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
User:I am 52 years old and have some mild cest pains from time to time. I run almost every day including hills with no problem. My resting heart rate usally drops about 40 beats in the first minute. I am at risk ?
Doctor:I gather that you are worried about your heart because of the chest pains
Doctor:there are multiple reasons for chest pains
Doctor:One of them is heart
User:mine only last for about 5 to 10 seconds
Doctor:other causes include, chest wall(Muscular pain), GERD, lung related
Doctor:when did you notice these pains first?
User:I run a hill that is about 1/2 mile long and a steep incline, after i get to the top I am tired of course but my hert rate falls pretty fast and i am no dizzy or anything. been something that comes and goes over last 10 uyears probably
User:My wife is a nurse and says if i can run like that its not my heart.
User:Actually when i run i feel better.
Doctor:She is almost correct
Doctor:There is a condition called walk through angina
Doctor:The reasons I mentioned need to be ruled out
User:whats taht
Doctor:That is, you will get pain when you star walking or running, and as you continue to run or walk, the pain just disappears
User:No I feel better when i excerise
Doctor:It is still advisable to get a stress test done to rule out any heart related issue
Doctor:It is unlikely to be due to heart issues, but it is always best to rule out that first
Doctor:other causes are not serious, and will settle down after a while
User:In your opinion with what I have told you do you think my heart is pretty healthy. I have had them in the past and it always comes back good. My family doctor told me a couple years ago if i can run that hill its bascaially my own stress test.
Doctor:Yes, I agree with your doctor
Doctor:If your stress tests were all fine, then I don't think you have anything heart related at all
Doctor:the pains could be just some minor muscle catches
User:My rewsting heart beat is usally around 60 or so, so i am thinking it is something else. i will tell you this i drink about 4 diet pepsi a day and two coffees , could it be caffeine?
Doctor:Caffeine causes increased heart beating, doesn't actually cause chest pains
Doctor:your resting heart rate is fine
Doctor:but it can cause GERD
User:If a person had major blockage he aor she would not be able to exersise like i do i would not think would they?
Doctor:that could well be the reason for chest pain
Doctor:Yes, you are right, if a person had any major blockade in any of the arteries of the heart, he/she would not be able to exercise like you do
User:My understanding is the recovery Hr is a major tell tell , Am I right?
Doctor:You mean the time it takes for the heart rate to come back to normal?
Doctor:Yes, it is one of the first signs of angina
User:Yes, For instance if mine gets uop to 164 it usally is back to around 124 in one minute
Doctor:that is quite normal
User:as in good normal?
Doctor:it should come back to less than 100 in about 5 to 10 minutes
Doctor:yes, as in good normal
Doctor:is there anything else I can help you with?
User:Okay good deal, thak you for your time. i am done.i feel better about it.
Doctor:Sure, thanks for consulting me her
Doctor:take care
Doctor:have a good day ahead
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