HomeAnswersCardiologypericarditisWhy am I suffering from upper back pain, chest tightness, and heart pounding?

What can be the reason behind chest tightness and burning sensation?

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

Answered by

Dr. Ilir Sharka

Medically reviewed by

Dr. K. Shobana

Published At June 7, 2022
Reviewed AtJuly 24, 2023

Patient's Query

Hello doctor,

I was recently at the hospital for chest pain and took an ECG twice and other tests (including CT scan, blood tests, D-dimer test, heart rate, and measure 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 inhaler, birth control pills, vitamin D tablets and Singulair.

Answered by Dr. Ilir Sharka

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, 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 with your attending physician the issues mentioned above. 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 troponin levels check. It was 0.10, which I was told is good.

Answered by Dr. Ilir Sharka

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. Regards.

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

Dr. Ilir Sharka
Dr. Ilir Sharka

Cardiology

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