I'm experiencing this odd pressure on my chest, specifically on the left side where I've drawn a white line in the photo I sent. It's not quite pain, but more like an uncomfortable pressure. It tends to be noticeable when I lie down, which is pretty uncomfortable, but the pressure seems to go away when I'm up and walking around. There's no pain when I breathe or do exercises, which is confusing me. A few days ago, I was dealing with chest pain but it seems to have lessened. There's this constant pressure, though, especially when I'm lying down. Also, I had sinus tachycardia with a heart rate of 115 BPM during my first echocardiogram. The second one, however, was 77 BPM, and my blood pressure was 13383 mg. I'm wondering if all this is connected and if I should be worried about it?

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Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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It sounds like you may be experiencing musculoskeletal chest pain, possibly related to inflammation or strain in the chest wall muscles. The fact that the discomfort increases when lying down and improves with movement suggests a musculoskeletal origin. To help relieve the pressure and discomfort in your chest, you can try taking over-the-counter pain relievers such as acetaminophen (Tylenol) as needed. Additionally, applying a warm compress to the area may also help relax the muscles and alleviate the pressure sensation. If the symptoms persist or worsen, it would be advisable to consult with a healthcare professional for further evaluation and management.

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Answered 04/07/2025

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Sinus Tachycardia and Heart Rate:
- A heart rate of 115 BPM can be normal during stress or anxiety. A rate of 77 BPM is within normal limits.
- Your blood pressure of 133/83 mmHg is slightly elevated but not alarming.
Chest Pressure:
- The pressure you describe, especially when lying down, could be musculoskeletal or related to acid reflux.
- Since it improves with movement and is not associated with breathing or exercise, it is less likely cardiac.
Recommendations:
- Monitor your symptoms. If the pressure worsens or is accompanied by other symptoms like shortness of breath, seek medical attention.
- Consider lifestyle modifications for blood pressure, such as reducing salt intake and regular exercise.
Follow-Up:
- If symptoms persist or you have concerns, consult a healthcare provider for a thorough evaluation.

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Answered 10/09/2025

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