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Doctor insights on: Upper Left Chest Pains With Stress

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Having chest pains, some that shoots into left armpit. Have a stress test scheduled. Should I go to hospital or wait for stress test?

Having chest pains, some that shoots into left armpit. Have a stress test scheduled. Should I go to hospital or wait for stress test?

EKG: If the pain is worse with exertion or if your heart rate is up or if you have shortness of breath then it would be worth getting it checked out sooner to make sure it's not a PE. If the pain is radiating to the arm then it's worth getting at least and EKG while waiting for the stress test. ...Read more

Dr. Heidi Fowler
3,151 Doctors shared insights

Stress (Definition)

Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more


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Been to ER several times with chest pains that have gotten worse. Sharp pains woke me and left shoulder/burns. Normal cbc, echo, stress, ekg, xray.

Been to ER several times with chest pains that have gotten worse. Sharp pains woke me and left shoulder/burns. Normal cbc, echo, stress, ekg, xray.

Stomach/esophagus: If you have not been hooked to an EKG during an episode of pain, you should get further cardiac workup: rule out coronary spasm.

If the ED physicians ruled out heart problems, you should see a gastroenterologist; possible further workup includes manometry (checking the tightness of your esophagus), esophageal pH (checking for acid reflux), and an EGD ("upper endoscopy"). ...Read more

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27 year old stressed out smoker, chest pains since august and now with left jaw, shoulder, arm pain and lighteaded. Hands are cold and clammy. Heart?

27 year old stressed out smoker, chest pains since august and now with left jaw, shoulder, arm pain and lighteaded. Hands are cold and clammy. Heart?

MI or panic: It could be a heart attack or myocardial infarction, but more likely a panic attack. Check with your pcp, but an antidepressant ssri, like prozac, zoloft, (sertraline) or Celexa could help treat if it is a panic attack. ...Read more

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Neg nuc stress test in 2009 and 2013. Neg angiogram in 2014. Upper left chest pain with exertion. Why is this happening? Very frustrated.

There are other: Causes of exertional chest pain besides cardiac causes. Esophageal causes such as esophagitis or esophageal spasm need to be ruled out. Panic with hyperventilation can cause this. See the following web site for more information. Best wishes. See your family doc for further work-up with referral to a GI doctor.
www. Ncbi. Nlm. Nih. Gov/books/nbk416
for patients reporting chest pain brought on by exert. ...Read more

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Get left side chest pain when sneezing or shoveling snow or when I get mental stress age 66?

Get left side chest pain when sneezing or shoveling snow or when I get mental stress age 66?

Must check the heart: Any adult 40 years or older, shoveling snow and getting chest pain with or without left arm symptoms, has to go to his doctor or the E.R. to be checked right away for a heart attack. That means not waiting at home to see if it turns into a bad heart attack. As the saying goes, "better safe than sorry." Winter snow is a pretty sight, but can be frightfully unkind to those with a heart condition. ...Read more

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I have tingling in my left arm headaches sometimes chest pain I'm stress some other symptoms?

I have tingling in my left arm headaches sometimes chest pain I'm stress some other symptoms?

Stress: Yes, stress can cause a lot of symptoms but chest pain in women can be worrisome due to women commonly having atypical cardiac chest pain. Tingling in the arm sounds more neurological like pinched nerve in neck or shoulder. Headaches are common for stress and many other causes. Putting all together is hard, but could be stress, cardiac, other neurological cause - or more than one. (and others). ...Read more

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35 M non smoker no fam hist. Normal echo stress EKG in jan 2015. Chol normal two days ago. Left Chest pain in one location. What should I do?

Mgt: If you are otherwise healthy, a cardiac cause is not likely. There may be a strained muscle or tendon.
A heating pad and Motrin can be tused. ...Read more

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Drs won't take me seriously. When stress I have chest pain that always goes into left arm. I've had numerous tests but not of arteries. Always say no?

Drs won't take me seriously. When stress I have chest pain that always goes into left arm. I've had numerous tests but not of arteries. Always say no?

Try stress reduction: If you have had a stress test that was normal, in your age group it is likely that your big heart arteries are ok. However you might also benefit from an echocardiogram which looks at your heart in a different way. Other conditions that can cause this type of symptoms include acid reflux with esophageal spam (cos the nerves in some people travel switch the cardiac pain nerve or neck muscle spasm. ...Read more

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Diagnosed with acid reflux due to stress. I am on 0mez 20 and bavispaz. I get burning between my breasts and chest pain in left upper abdomin. Normal?

Diagnosed with acid reflux due to stress. I am on 0mez 20 and bavispaz. I get burning between my breasts and chest pain in left upper abdomin. Normal?

Peptic ulcer: Your symptoms could be from peptic ulcer disease. I think you should be tested for h. Pylori infection (a bug that can lead to peptic ulcer disease). If that's the case you will need antibiotics for about 2 weeks. Discuss with your provider. ...Read more

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I am 25I quite smoking 45 days. Since then I've had chest pain come an go. Upper left arm pain. The only test ihavent had is a stress test. All test fin?

I am 25I quite smoking 45 days. Since then I've had chest pain come an go. Upper left arm pain. The only test ihavent had is a stress test. All test fin?

Primary: At your age it would be extremely unlikely to have a cardiac etiology for your chest pain unless you have significant medical issues. Check with your primary MD. ...Read more

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Can GERD or esphogitis cause left sided chest pain? Negative stress echo, can't find my cause. I have CHD mayo says it's fine one papvr. Help!

Can GERD or esphogitis cause left sided chest pain? Negative stress echo, can't find my cause. I have CHD mayo says it's fine one papvr. Help!

Yes: Left sided chest pain often is associated with cardiac disease. However musculoskeletal injury or inflammation involving rib or muscle can cause pain. Gastroesophageal reflux is probably the most common cause of left sided chest pain. Other characteristics of pain including type, severity and duration are factors. Consult doctor for testing for GER. ...Read more

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Recent repeated abnormal EKGs reflecting a stress pattern. Mild chest pain, sob. Echo showed mild concentric left ventricle hypertrophy. Now what?

Chest pain: Consult with your physician about the next step. There is a possibility that they will want to do a stress test to rule out any coronary artery disease since you are having chest pain and SOB and your 2D echo and EKG reflect left ventricular hypertrophy. It is always best to consult with the physician who ordered these tests as they ordered these tests for a reason. Good luck! ...Read more

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Muscle pain in back in the upper left region between the shoulder blade and spine. Also occasional chest pain. Under a lot of stress right now.

Muscle pain in back in the upper left region between the shoulder blade and spine. Also occasional chest pain. Under a lot of stress right now.

Anxiety Disorder: I understand that you are going through lot of stress right now. Your muscle pain in back and occasional chest pain seems to indicate anxiety disorder which is treatable by psychotherapy and medications.
Please see a psychiatrist for understanding your stresses, their effect on your body and mind, and ways to overcome the stresses. ...Read more

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Mild left chest pain with corresponding pain in left pinky or pointer finger. Stress test and enzymes were good 1 year ago. 22, exercise daily. Heart?

Mild left chest pain with corresponding pain in left pinky or pointer finger. Stress test and enzymes were good 1 year ago. 22, exercise daily. Heart?

Ans: You are very young. Need good history to rule out congenital issues or genetic issues. Do you exercise? Cardiac enzymes neg so look to musculoskeletal issues or stress and anxiety. So a better history is needed. Also what takes the pain away? Any other symptoms? See you doctor and give a good history. ...Read more

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When stressed I get chest pain going to left arm and neck. Had echo, echo, stress test all clear. I'm 25, could this be prinzmetal angina?

Chest pain: You had work up done for coronary artery disease, it is apparently negative. You do not seem to have any significant risk factors, at least you did not mention any. Most likely you have stress situations causing anxiety. Check with your doctor who can help you. ...Read more

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I am 34yr old male. Overweight, smoker, on medication for BP. Chest pain, dizzy spells. Normal stress 2 yrs ago. Now left arm pain. Ideas?

I am 34yr old male. Overweight, smoker, on medication for BP. Chest pain, dizzy spells. Normal stress 2 yrs ago. Now left arm pain. Ideas?

TAKE HEART!: Though you are only 34 years old, you had multiple cardiovascular risk factors (risk factors for heart disease and "heart attack"). These symptoms, regardless of your age, are VERY CONCERNING and need prompt evaluation. If you are having these symptoms now, go to the emergency department at once! ...Read more

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Pinching feeling in chest and chest pain. Occasional referred pain in left arm or back. EKG and Stress Test normal. Ultrasound normal. What is it?

Pinching feeling in chest and chest pain. Occasional referred pain in left arm or back. EKG and Stress Test normal. Ultrasound normal. What is it?

I know what it isn't: It isn't your heart. Could be musculoskeletal. Since you've already seen a doctor, you should go back and have him/her look for other causes, none of we which are likely to be serious. There is a condition called pericarditis, inflammation of the sac surrounding the heart, that can produce chest discomfort, but I can't sort that out here, but ur doc can. Good luck. ...Read more

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Help for long time I have chest pain left side under arm pit to scapula heart cath is done is all clear and stress test good what can it be please?

Help for long time I have chest pain left side under arm pit to scapula heart cath is done is all clear and stress test good what can it be please?

Muscular: If your cath was clean then you are not experiencing cardiac chest pain. It likely would be muscular pain. The cardiac catheterization is the gold standard for coronary disease. If it is negative, then your chest pain is not secondary to coronary artery disease. ...Read more

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Can a 36M with clean echo stress and lipids last Jan, no risk fac get angina? Chronic Mild left arm pain with sporadic localized chest pain no SOB

Prob Not: First of all, unless you R a serious Diabetic, chest pain not chronic & mild from CorArtDis. I would think this is from cervicle nerves & arthritis. Have you had car accident? Do you smoke? Would consider Chest XRAY w additional overexposed image of LUQ of Chest to make sure nothing in that region. See your internist and have him examine you and auscultate chest and get xray. ...Read more

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On/off chest pain on left side (also during exercise)echo stress and heart monitor are normal, all blood work is normal. Should I still be worried.?

Chest pain: Given age and reported tests it's unlokily you have a cardio cause for your pains;it is however important to try pin down a specific cause or mechanism for any pain (esp. chest pain)--so work with a physician to effect this if symptoms are persistent ...Read more

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Can nerve damage cause this on & off upper left back and left chest pain (twitching, burning)or what can it be?!? Had ECG stress test normal 1 year ago

Can nerve damage cause this on & off upper left back and left chest pain (twitching, burning)or what can it be?!? Had ECG stress test normal 1 year ago

Nerves twich & burn: It would be highly unusual to find these symptoms attributed to the heart in a 21 year-old. Damage or pathology involving nerves (peripheral or central) is the most likely explanation for these symptoms. Non-organic causes are also possible if symptoms are unchanged over the past year. ...Read more

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I had a nuclear stress test the other day (because I was having some chest pain/pressure and pain down my left arm). I had a nuclear stress test the other day (because I was having some chest pain/pressure and pain down my left arm). I had a heart attack

I had a nuclear stress test the other day (because I was having some chest pain/pressure and pain down my left arm). I had a nuclear stress test the other day (because I was having some chest pain/pressure and pain down my left arm). I had a heart attack

Thank: Thank you for your excellent question. Your situation is illustrative of a common dilemma in medicine -- the issue of incidental findings on tests ordered for other reasons. Your nuclear stress test involved injecting a radioactive tracer into your blood stream that is emitted by tissues in your body and captured on a detector (camera). The tracer is designed to localize to the heart, but can be taken up by other tissues for various reasons. The nuclear stress test is non-specific for other types of lesions, and so cannot diagnose your particular lesion. It sounds like the lesion is in your breast or the portion of your lung just below your breast. This may be the same lesion seen on your ct scan. Your primary care doctor should be made aware of the finding, and consideration given to more definitive testing (e.g. Repeat ct scan or tissue biopsy). Oftentimes these lesions turn out to be benign, but they are an unfortunate "side effect" of medical imaging in that they cause anxiety and require further testing. This issue is precisely why generic "body scans" or "heart scans" advertized on tv and the radio are so controversial. ...Read more

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Last night while I was almost asleep I started sweating feeling hot like hot flashes and chest pain on left side clean EKG and stress echo?

Last night while I was almost asleep I started sweating feeling hot like hot flashes and chest pain on left side clean EKG and stress echo?

What is the question: You are too young at 23 y/o to have significant heart disease. Is there any family hx of heart disease? I think that this is more likely symptoms of anxiety and I can see you take klonopin (clonazepam) and alprazolam already. I would follow-up with whoever is prescribing and also consider therapy if you are not already in therapy ...Read more

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24 M, 5'11", 178lbs, no smoke & drink. Have stabbing left chest pain. Hard to breath. Easily tired. Had cardio test, normal cbc, ecg, echo, stress. Still bad.

Non-cardiac: Your symptoms are not typical of heart disease and your negative workup confirms it. A different diagnosis needs to be considered. Your pain is either pleural based or muscular. Physical exam and possibly xray and blood work can distinguish the cause. Warmest wishes. ...Read more

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Myocardial bridge (begin) stress test Bp 222-mod reflux- chest flush&hair loss same area-deep chest pain -can't exercise or lay on left side w/o pain

Myocardial bridge (begin) stress test Bp 222-mod reflux- chest flush&hair loss same area-deep chest pain -can't exercise or lay on left side w/o pain

More information: Please be more specific about the myocardial bridge, stress test and blood pressure. A blood pressure of 222 on a stress test is not that alarming, but at rest it is a major problem. Was the myocardial bridge diagnosed with an angiogram? ...Read more

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I check my heart, ecg, echo, holter and stress test, all say that my heart is fine, but I still have a chest pain and left arm pain. What should I do?

I check my heart, ecg, echo, holter and stress test, all say that my heart is fine, but I still have a chest pain and left arm pain. What should I do?

At 23: Risk of non congenital, non viral cardiomyopathies is low. Hence negative predictive value of negative Echo, holter and stress test will be near 100%. simply put cardiac disease is unlikely. May f/u with detailed description of the pain (type, duration and aggravating and relieving factors) weightlifting or any strenous sports? Then also Anxiety! ...Read more

Dr. Gutti Rao
3,184 Doctors shared insights

Chest Pain (Definition)

The chest resides between the neck & abdomen. Chest pain refers to ...Read more