Chest pains, otherwise healthy

I'm a 37 y/o healthy male, no high blood pressure or cholesterol. In the past I have experienced chest pain (usually sharp,short lasting). In the past couple of years I've had ekg,stress test,heart ultra sound and all turned out to be normal other than some palpitations. I still have chest pains from time to time and try to dismiss it as anxiety / muscle related. Today I experienced something that was troubling although it only last a couple of seconds. I was speaking with someone then suddenly I felt a strong squeezing sensation in the center of my chest. It almost felt like a muscle but I'm not sure. It got my attention (seemed like everything stopped)then as quickly as it started it was gone. I'm not sure if this is something I should be overly concerned about or not. Any thoughts ??

Hi Frank,
Your symptoms are not suggestive of coronary artery disease and angina. After these negative cardiac tests and unless your risks for heart disease have changed since that period, there is no reason to believe these symptoms have anything to do with your heart. You can also analyze your symptoms and your risk for heart disease.
Hope this helps,
Dr T


Hi Sherry,

There is a logic to analyzing a patient that includes looking at the complaints & symptoms, the pre-existing risks, an examination and a review of relevant lab tests.  I cannot explain what happened to your husband or your friend other than to apply what I said above. How to come to a conclusion depends on the doctor and his patient!

Hope this helps,

Dr T

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