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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Pain In Chest And Arm, Heart Rate 60BPM With Tight Chest After A Run Mean?

I just finished a run (3mi with my wife, slow) and never had to breathe hard. within 3 min of finishing I have left upper chest pain, periscapular pains, and in the proximal 1/3 of left arm. My heart rate was down to 60BPM and a little tightness in the chest. Back at home I have a little light headedness and a BP of 122/82. Im only 31 and pretty fit. Not sure if we should be concerned or not.
Wed, 4 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Your all symptoms like chest pain, tightness and left arm pain, after exercise suggest need for investigation to rule out cardiac cause.
Your age is not supporting cardiac cause but symptoms are strongly suggestive of cardiac cause. So better to get done
1. ECG
2. 2 d echo
3. Stress test (trade mill test)
To rule out cardiac cause.
If all are normal then no need to worry for cardiac cause.
But cardiac cause should be rule out first in your case.
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What Could Pain In Chest And Arm, Heart Rate 60BPM With Tight Chest After A Run Mean?

Thanks for your question on HCM. I can understand your situation and problem. Your all symptoms like chest pain, tightness and left arm pain, after exercise suggest need for investigation to rule out cardiac cause. Your age is not supporting cardiac cause but symptoms are strongly suggestive of cardiac cause. So better to get done 1. ECG 2. 2 d echo 3. Stress test (trade mill test) To rule out cardiac cause. If all are normal then no need to worry for cardiac cause. But cardiac cause should be rule out first in your case.