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HomeAnswersCardiologychest painI suffer from intermittent dull chest pain and a heavy left arm. Please help.

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

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At March 27, 2023
Reviewed AtAugust 7, 2023

Patient's Query

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.

Hi,

Welcome to icliniq.com.

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.

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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