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What could cause left-sided chest pain and a low heart rate?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been experiencing pain in the left side of my chest and under my armpit for the past week. My EKG report is clear, but my resting heart rate is consistently between 50 to 60 bpm. During running, my heart rate increases to 100 to 130 bpm, and during walking, it ranges from 70 to 90 bpm. My blood pressure is 100/70 mmHg. I am 27 years old, single, a non-smoker, and do not consume alcohol. What could be causing my left-sided chest pain and low heart rate?

Please help.
Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

I carefully reviewed your question and would like to explain that your symptoms do not seem to be related to any cardiac issues. Considering your age and the fact that you have no cardiovascular risk factors, there is nothing to worry about regarding your heart. The fluctuations in your heart rate and blood pressure during physical activity are quite normal and do not indicate any serious cardiac condition. Costochondritis, or inflammation of the cartilage in the rib cage, could be the cause of your symptoms. Anxiety may also trigger this clinical situation. I recommend using painkillers, and if the pain persists, I suggest undergoing a chest X-ray, a cervical spine X-ray, a complete blood count, and tests for PCR (polymerase chain reaction) and ESR (erythrocyte sedimentation rate) to check for inflammation.

Thanks and regards.

Medically reviewed by Dr. K. Shobana
Published At June 30, 2018
Reviewed At November 5, 2024

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ilir Sharka
Dr. Ilir Sharka

Cardiology

Consult this doctor

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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