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What causes chest discomfort while sitting for prolonged period of time?

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Posted on Tue, 17 May 2016
Question: Hello. My name is XXXX, I am 27. History of asthma since 8 month old. For the last 2 years it was under control until a couple of month ago that I had a mild episode. Also recently an echo cardiogram showed some small traces of Mitral and Tricuspid regurgitation. A Holster's monitor that was done showed minor non specific changes in segment ST, and T. My cardiologist said that overall the results of the Holster's were good with no significant tachycardia. This is my health history. I have experienced some chest discomfort that occurs only when sitting for prolong periods of time, or sometimes when leaning forward to reach something from the floor. The discomfort is mild about a 3 in a 0-10 scale and subsides instantly. My cardiologist said that it is not related with my Mitral and Tricuspid small traces of regurgitation. My question is. What can be happening to me that it is producing those minor chest discomfort uppon leaning or sitting for too long? Can it be osteochondritis? If you can assist me with my query I will appreciate it.
Kind regards
XXXX
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Answered by Dr. Ilir Sharka (43 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello XXXX!

Welcome on HCM!

I carefully reviewed your medical history and would like to explain that your recently experienced chest discomfort has nothing to do with any ischemic cardiac disorders.

Your chest pain characteristics are quite nonspecific for heart issues (it is modulated by postural changes or respiration).

Also those mild (traces) mitral and tricuspid regurgitation are not a reason for your chest discomfort. They do not produce such a symptomatology and you should not worry about them.

Such trivial mitral and tricuspid regurgitation are frequently found in normal healthy individuals.

Similar chest discomfort is commonly encountered in inflammatory disorders, including costochondritis, pleural or pericardial inflammation, etc..

Gastro-esophageal reflux could also mimic this symptomatology.

I would recommend performing some other tests to further investigate for the possible responsible causes:

- complete blood count, erythrosedimentation rate, PCR
- a chest X ray study
- a cardiac ultrasound to examine the pericardial status, etc.

Meanwhile, I would recommend trying ibuprofen for the pain. If it relieves your symptoms, it would indicate that inflammation is the cause of your chest pain.

Hope you will find this answer helpful!

In case of other uncertainties, please do not hesitate to ask me!

Best wishes,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8608 Questions

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What causes chest discomfort while sitting for prolonged period of time?

Brief Answer: I would explain as follows: Detailed Answer: Hello XXXX! Welcome on HCM! I carefully reviewed your medical history and would like to explain that your recently experienced chest discomfort has nothing to do with any ischemic cardiac disorders. Your chest pain characteristics are quite nonspecific for heart issues (it is modulated by postural changes or respiration). Also those mild (traces) mitral and tricuspid regurgitation are not a reason for your chest discomfort. They do not produce such a symptomatology and you should not worry about them. Such trivial mitral and tricuspid regurgitation are frequently found in normal healthy individuals. Similar chest discomfort is commonly encountered in inflammatory disorders, including costochondritis, pleural or pericardial inflammation, etc.. Gastro-esophageal reflux could also mimic this symptomatology. I would recommend performing some other tests to further investigate for the possible responsible causes: - complete blood count, erythrosedimentation rate, PCR - a chest X ray study - a cardiac ultrasound to examine the pericardial status, etc. Meanwhile, I would recommend trying ibuprofen for the pain. If it relieves your symptoms, it would indicate that inflammation is the cause of your chest pain. Hope you will find this answer helpful! In case of other uncertainties, please do not hesitate to ask me! Best wishes, Dr. Iliri