What Causes Chest Pain When Suffering From Anxiety?

Posted on Mon, 17 Nov 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 17 Nov 2014 Answered on

Wed, 3 Dec 2014 Last reviewed on

Question : Bp 145/100, hr 72, anxiety started 3 days ago followed by on / off chest pain, exacerbated by thinking about, pulled chest muscle 1 wk ago, muscular or cardiac?

Answered by Dr. Anantharamakrishnan (5 hours later)

Mostly muscular. But better to get done ECG to remove fear of cardiac pain. Avoid stress and anxiety. Be relax and calm.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (2 minutes later)

Chest pain worse today, isolated to lower left chest

Answered by Dr. Anantharamakrishnan (1 hour later)

Brief Answer:
Need examonation and investigation

Detailed Answer:
Hi friend
Welcome to Health Care Magic

It is wiser to look and see - rather than wait and guess
Appropriate treatment demands accurate diagnosis
And diagnosis demands examination; probably investigation too; get examined

Your symptoms do not suggest Coronary Artery Disease (CAD) – pain from the heart is oppressing, in central chest (and left), worse on effort, relieved by rest, may radiate to shoulders and arms, associated with sweating and so on.
However, it is better to get examined – especially because, the symptoms are worse today – and have a routine ECG; if negative, one may need Treadmill Exercise Electrocardiogram (TMT). If that too is normal, generally no further investigations are necessary to investigate Coronary Artery disease.

Blood Pressure too needs basic investigations and management, if persistently elevated...
You may benefit from Beta blocker – it can help both pressure and Anxiety.
The treating alone could conclude better, based on the total clinical picture

Consult your primary Care Provider

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Prasad