Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Pain at the centre of the chest with normal ECG

Resolved Question:

Hi Sir,

Good Evening!
I have been facing pain at the center of the chest. Its a sharp pain and used to occur for couple of minutes and later disappears. Pain occurs on left side of the body and pain is across the chest and backside of the chest(only left side). I am not feeling the pain during the sleep.
Just for my safer side I have undergone ECG test and consulted a general physician nearby and came to know that there is no issues of cardiology.
As per doctor, he says the pain is because of chest muscle sprain and suggested for some light massage(using Flambid-Gel). started using this massage from today, Now the pain is continuous instead of mild pain.

Attached is the ECG for your reference.

Does ECG is enough test to identify cardiology problem? But I am worried whether I need to go for alternate consult to be on a safer side ? How can I differentiate whether the pain is cardiac pain or muscle sprain (something else)?

Please suggest me a way forward.

Thanks,
Naveen

Category: Cardiologist

Ask Your Own Question

Category: Cardiologist
 21 Doctors Online

Hello Naveen,
Thanks for your query at doctorspring.com. Firstly, your BP 110/70 doesn't qualify as hypertension. You are a 22 year old male without traditional risk factors. So the probability before performing any test that you have any cardiac disease at all is very low. Cardiac pain is not described as sharp. It is dull aching or burning or heaviness or constriction or choking sensation not necessarily on the left site. It may frequently be precipitated by exercise and relieved by rest. If it happens at rest then it is called acute coronary syndrome and is usually dangerous and associated with sweating vomiting or nausea and feelng of impending doom. On the other hand musculoskeletal pain is precipitated or aggravated by movement and may sometimes hurt by deep pressure and may be relieved by analgesics like those that you have been prescribed. Another pain occuring on one side of chest in a localised area burning sharp and radiatng from front to back is herpes zoster pain which will
be followed few days later by a rash in that location. Probably ypur doctor is correct that you have only a musculoskeletal pain. Your ecg appears normal. It has a early repolarization pattern and a high voltage which may be normal for your age. In view of your atypical symptoms and low pretest probability I would not recommend a treadmill test as it would invariably be negative. But still if you have a doubt lingering in your mind you may go ahead although it would be a waste of time and money. So please relax. Try analgesics prescribed. You may get another ecg done when you are having ongoing chest pain and compare with this one for dynamic changes. But I still feel its non cardiac.
Regards
Dr Vivek Mahajan


Dr. Vivek Mahajan
Category: Cardiologist
Experience: 
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
Dr. Vivek Mahajan and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news