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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Tightening Pain In Upper Chest Area?

Hi, I've been having bouts of tightening (with an ache) in the upper chest / lower neck area all night. It is enough of a discomfort to wake me. If I get up it seems to get better but it can also happen at times when I'm standing. I do have some problems with my heart like irregular heart rate now and again. I am not that much overweight i.e. 5' 11" and 14.5 stone. I don't smoke, I drink only occasionally (red wine). I would be grateful for any advice. Thanks
posted on Thu, 13 Mar 2014
Twitter Mon, 25 Sep 2017 Answered on
Twitter Mon, 25 Sep 2017 Last reviewed on
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion, we should definitely rule out heart diseases for your symptoms.
Heart diseases like arrhythmia, heart failure etc can cause irregular heart beats, chest tightness at night.
So consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and Holter monitoring (24 hours continuous recording of Ecg).
If all these are normal then no need to worry for heart diseases.
Sometimes undiagnosed stress and anxiety can also cause similar symptoms.
So avoid stress and tension, be relax and calm. Don't worry, you will be alright but first rule out heart diseases.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Can Cause Tightening Pain In Upper Chest Area?

Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should definitely rule out heart diseases for your symptoms. Heart diseases like arrhythmia, heart failure etc can cause irregular heart beats, chest tightness at night. So consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and Holter monitoring (24 hours continuous recording of Ecg). If all these are normal then no need to worry for heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relax and calm. Don t worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.