apollo
  • Male
  • 27 Years
  • 20/02/2025

I'm 27 and have had no bad habits. For the last eight months, I've been experiencing these quick chest pains on the left side; they just last about 5 to 15 seconds, and they come and go. I've been to the cardiologist and had around 20 ECGs, an echo, and a lipid profile done, and everything came back normal. The thing is, I don't feel any pain during heavy work, just at random times. I'm worried and wondering if this is a heart issue or maybe something physiological? Also, at home, my heart rate is slow, but as soon as I enter the hospital and the tension hits, my heart rate spikes. What could be going on?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you may be experiencing episodes of non-cardiac chest pain, especially since your cardiology checkups including ECG, echo, and lipid profile have come back normal. Non-cardiac chest pain can be caused by issues such as muscle strain, anxiety, or gastrointestinal problems. Since your symptoms have been ongoing for eight months and are not related to heavy work, it is less likely to be a heart-related issue. To help with the chest pain, you can try taking over-the-counter pain relievers like acetaminophen. Additionally, practicing relaxation techniques or deep breathing exercises may help with episodes of high heart rate related to tension. If the chest pain persists or worsens, it would be advisable to consult with a doctor for further evaluation and management.

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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  1. Understanding Your Symptoms

    • Your brief, random chest pains are often linked to non-cardiac causes, especially given the normal test results.
  2. Normal Test Results and What They Mean

    • Normal ECGs, echocardiogram, and lipid profile typically rule out major heart conditions, providing reassurance.
  3. Possible Non-Cardiac Causes

    • Consider musculoskeletal pain, anxiety, or stress-related chest pain as potential causes.
  4. Heart Rate Variability and Anxiety

    • Anxiety or stress, especially in a hospital setting, can cause heart rate spikes due to nervous system responses.
  5. When to Seek Further Medical Advice

    • Seek urgent care if you experience chest pain with exertion, shortness of breath, dizziness, or fainting.
  6. Recommendations for Next Steps

    • Manage anxiety through lifestyle changes and consider consulting a cardiologist or psychosomatic specialist if symptoms persist.
  7. Reassurance and Support

    • Many young individuals experience similar symptoms; ongoing support and monitoring can help ensure your well-being.

Recommended next steps

Consult a Cardiologist

Answered 10/09/2025

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