heart attack/ heart issues, or stress?

Question

i am 30 yo male, in good physical shape, healthy diet, regular exercise. no real warning flags as far as my lifestyle, however, for the past few months, i have been having pain and tightness in my chest, under my sternum where my heart is.it is not accompanied by shortness of breath, or pain in my arms or neck, and i do not know where to start as far as doctors and treatment. i work a stressful job and i am physically active. i do not have any energy problems, and i can perform aerobically as well as i could before i began having this pain. i dont know if it is a heart issue or just stress and anxiety, i am looking for an opinion from somebody who is knowledgable, not everyones answer of " go to the doctor". please help

Answer 1

Most people who are having a heart attack attribute their discomfort to indigestion, stress, panic, or some sort of sensory or physical overload from work or family issues. Most who are truly having a heart attack deny they are having a heart attack when the warning signs occurred. Most feel an impending sense of doom.



Yes, shortness of breath, diaphoresis (intense periods of sweating), pain, nausea/vomiting, jaw and neck pain, and shoulder pain may or may not accompany heart attack. It may not follow the textbook pattern.



But recurrent substernal pain (pain below the sternum) is not normal. Yes, it is may be Gastrointestinal in nature and may be nothing more than Hiatal Hernia. But it is always best to be checked out by a licensed and qualified doctor.



Heart disease is the biggest killer in America today. Most people that collapse and die from MI (heart attack) die outside of the hospital setting.



Do you smoke? Have you had a physical work up recently?



It is good that you are physically active, yet, I have taken care of physically active individuals in the intensive care unit that had not a clue about their health and felt that they were knowledgeable people. Unless you have a complete physical workup, you are playing with fire.



I know you do not wish to hear it, however, a person who diagnoses themselves, has a fool for a doctor.



It is worth checking out, or you just may unexpectedly "check out."

Answer 2

Symptoms of a heart attack include:



Angina: Chest pain or discomfort in the center of the chest; also described as a heaviness, tightness, pressure, aching, burning, numbness, fullness or squeezing feeling that lasts for more than a few minutes or goes away and comes back. It is sometimes mistakenly thought to be indigestion or heartburn.

Pain or discomfort in other areas of the upper body including the arms, left shoulder, back, neck, jaw, or stomach

Difficulty breathing or shortness of breath

Sweating or ?cold sweat? Symptoms Area

Fullness, indigestion, or choking feeling (may feel like ?heartburn?)

Nausea or vomiting

Light-headedness, dizziness, extreme weakness or anxiety

Rapid or irregular heart beats

Answer 3

You are young to be having heart problems but it can happen. It's also possible could be a lung issue, with tightness an difficulty breathing, but you said you dont feel short of breath...Your heart "hurts" when it doesn't get a good blood supply. Blood carries oxygen to all your cells, when part of your heart muscle doesn't get it, it "hurts". So when you overwork your heart, putting a higher demand on it, it needs more oxygen to function. Stress can put your heart at risk, also genetics, diet, smoking....I would see your regular doctor, he may refer you to a cardiologist, where they could do a stress test to see how well your heart is being supplied with blood. There are also blood tests, such as troponin or CK, and an EKG that can tell too.

Answer 4

I even have panic assaults and rigidity too. going to a therapist somewhat helped. we did this application the place you basically do all the artwork your self, and he/she only guides you thru it. that's a e book, and it has logs and stuff in it which you write in once you examine a financial disaster. it has you verify whilst your assaults ensue, and how they appear (mine is particular to my worry of having a heart attack or passing out, so i'm getting dizzy and have chest pains). precise now i'm on the top of this methodology and we are attempting to replica my 'panic indications' to tutor that i can not die or pass out whilst they ensue. it somewhat enables.. yet like all different individual mentioned, you would be able to desire to return to the thought the assaults or indications will in no way pass away. they're going to easily have much less of a administration over your existence, so once you experience that way you are able to say "oh, i'm having rigidity or a panic attack, it quite is all. no longer something serious or existence threatening" and you'd be able to easily pass approximately your enterprise, particularly than run residing house (like me) or run to an er (like maximum individuals, yet I artwork in an er, so as that would not help me) your stress sounds surprisingly serious however, so that's advisable to look into some meds. I hear that they actually artwork nicely.