Q. What is the treatment for intermittent dull chest pain and heavy left arm?

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 27, 2023 and last reviewed on: Apr 04, 2023

Hi doctor,

I am a 28-year-old female. For the past few years, I have been having dull chest pain with a heavy left arm, which has been intermittent, but recently it has become more frequent, like two to three times a day, and the pain lasts from 45 minutes to hours. I get palpitations that last for about three to five seconds and hard-pounding heartbeats. I also get sweaty at night. I have had two ECGs, resulting in abnormal inferior and lateral ST depression. A troponin blood test result was 3 ng/mL. My hands and feet are colder than usual, and I often get very tired. I want to know what my results mean and what the problem could be.

Thank you.



Welcome to

I understand your concern.

ECG (electrocardiogram) is fine. Symptoms are unlikely to be due to ischemic heart disease. Regarding episodic chest pain and palpitations, have a Holter monitoring done in which ECG will continuously be recorded for 24 hours. If any chest pain occurs, ECG will record if chest pain is due to the heart. If not, pain can be due to other causes, including lung infection or musculoskeletal or gastric issues. Further workup will be done then. If all causes are excluded, the reason will be anxiety or psychogenic pain.

Thank you.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I have tuberculosis with fever, night sweats, chest pain, etc. What should I do?

.. It's recommended that you visit hospital and get further testing and treatment done. I am not sure how you got tuberculosis but there is a definite treatment, standardised worldwide. Directly observed treatment, short-course (DOTS, also known as T...   Read full

Can frequent palpitations and dizziness lead to sudden cardiac arrest?

.. through your query and understood your concern. I went through your reports (the attachment removed to protect the patient's identity). Arrhythmias are the most common cause of dizziness and palpitations in people your age. So, I suggest you do an...   Read full

Anxiety Chest Pain

Introduction: Anxiety is becoming extremely prevalent in today's time ... More and more people are getting affected by anxiety as a result of deteriorating mental health, stressful lifestyle and ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.