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What causes chest tightness and a burning sensation?

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

Patient's Query

Hello doctor,

I was recently at the hospital for chest pain and took an ECG twice and other tests (including a CT scan, blood tests, D-dimer test, heart rate, and blood oxygen), but they could not find anything wrong. Yet it hurts to breathe and feels like my heart is pounding, causing my upper back to hurt. It feels as if my chest is being squeezed, and sometimes I have a burning feeling. So, they suggested Ibuprofen and Pepcid for the pain. I am currently on the inhaler, birth control pills, vitamin D tablets, and Singulair. Please help.

Thank you.

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.

Hi,

Welcome to icliniq.com.

I understand your concern and would like to explain that your clinical symptomatology seems more likely to be related to pleuro-pericardial inflammation. Acute pericarditis is highly suspected. Any recent viral or other systemic infection could be a potential cause. Besides the above-mentioned medical tests, a cardiac ultrasound would help investigate pericardial inflammation or effusion. A troponin test is also required. If evidence of pericardial inflammation is sustained, cardiac magnetic resonance would be the recommended test to confirm the diagnosis. It would help if you discussed the issues mentioned above with your attending physician.

I hope I have been helpful to you.

Kind regards.

Patient's Query

Hello doctor,

I have understood. Thanks for the response.

I did get a troponin level check. It was 0.10, which I was told was good.

Thank you.

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.

Hi,

Welcome back to icliniq.com.

It is advisable to proceed with the cardiac imaging tests as mentioned above. Meanwhile, the prescribed medication would help to alleviate your symptoms.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At June 7, 2022
Reviewed At April 17, 2026

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.

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.

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

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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