The pain in the left chest can indicate a heart problem, for example a heart attack .


Heart Causes of Pain in the Left Chest

Heart Attack
heart attack (or myocardial infarction) occurs when the coronary arteries of the heart are blocked.
The heart works 24 hours a day without stopping.
The heart muscles need a constant flow of oxygen-rich blood from the coronary arteries.

If there are plaques in the coronary arteries, a heart attack may occur.
When a plaque forms on the inner wall of the arteries, a blood clot or thrombusdevelops that partially or completely blocks the artery.
The consequence is an interruption of blood flow to the heart muscles.
The heart muscle depends on the coronary artery to supply oxygen-rich blood.
If the time period in which the artery is blocked is more than 15 minutes, the tissues in that area of ​​the heart begin to die.

The type of pain is similar to that of ischemia, in fact infarction is a consequence of prolonged ischemia .
The pain does not stay in the thoracic region but moves toward the left shoulder and neck .
In some cases, patients suffer from back pain that radiates towards the heart.
Patients may experience chest pain with deafness or burning.
It is important to know that in case of a heart attack, the person may feel pain in the center of the chest.

Heart Attack in Women
The symptoms of heart attack in women may be different from those that men feel.
Some women do not feel chest pain during a heart attack.
Symptoms include:
1. Shortness of breath

2. Nausea
3. Pain in the upper abdomen at stomach level
4. Unusual fatigue
5.  Vomiting
6. Dizziness
7. Pain in the lumbar spine
8. Cold sweat
9. Pain in the arm , neck and jaw

Some of these symptoms may be present for several days before the heart attack.

How to recognize chest pain caused by a heart attack
Generally, heart-related chest pain occurs gradually and lasts for a few minutes (at least five), then reduces or a heart attack occurs.
The pain in the center of the chest that radiates to the left arm , shoulder, neck, jaw and also to the fingertips can be caused by a myocardial infarction.
Recurrent chest pain that occurs after exertion and decreases with rest may be caused by a heart attack.
If chest pain is stab-like,  worsens during movements, coughing , sneezing or deep breathing, it is not a symptom of heart attacks.
Chest pain may indicate an impending heart attack if it is accompanied by:
1. Sweating,
2. Dizziness ,
3. Pain in the arm, shoulder, neck and jaw,
4. Oppression or crushing in the chest like a brick pressing on the chest,
5. Feeling of death.

Diagnosis of infarction
1. In the emergency room, the doctor listens to the patient’s symptoms and performs a physical examination.
2. The patient who has had a heart attack indicates the pain with the open palm because it is a generalized pain, but if it is localized and the patient indicates the painful area with a finger, it is usually not caused by a heart attack.
3. The time at which the pain appears is critical, for example if it occurs during some movements of the chest it may be skeletal muscle type, while it decreases in the sitting position, it can be caused by pericarditis .
4. The tests that the doctor performs are:

  • Electrocardiogram – on the chart you can see the waves with an abnormal shape, but this is not enough because it could be negative even if the patient has a heart attack,
  • Color Doppler echocardiogram – is used to assess possible heart damage caused by heart attack.


Heart Ischemia
Cardiac ischemia is an acute disease characterized by reduced blood flow to the heart.
Lack of arterial blood for a short time can cause damage to the heart muscles.
This affects the heart’s ability to pump blood to the rest of the body and reduces its efficiency.
Chest pain (angina pectoris) occurs especially on the left side of it.
Cardiac ischemia can cause a heart attack, arrhythmia (irregular heartbeat), and heart failure .

The risk factors are:


Non-cardiac causes of left chest pain

Gastroesophageal reflux and heartburn
The symptoms are as follows:

  • Feeling of burning you feel the upper abdomen level and rises to the top in the retrosternal area,
  • Cough,
  • Bitter mouth ,
  • Difficulty in swallowing (food does not go down easily along the esophagus),
  • Hoarseness , (low voice)
  • Dry throat ,
  • Pharyngitis ,
  • Nausea,
  • Irritation of the larynx (treatment of the airways connected with the voice).
  • Tooth erosion,
  • Bad breath .

If the symptoms of heart attack (palpitations, tachycardia , sweating , pallor) do not occur along with chest pain, this often means that the person suffers from stomach acidity or heartburn.

Anxiety, Panic Attacks and Stressful Lifestyle
Anxiety can cause chest pain and difficulty breathing and is also a factor that seriously hampers myocardial functionality.
The stress alone does not cause a heart attack, but a panic attack causes symptoms similar to heart attack, except the pain that radiates to the left arm and extreme fatigue.

Intercostal pain or neuralgia
Between the ribs are intercostal nerves that can cause continuous chest pain when they are injured or damaged by an injury or an infection .
The symptom is a knife-like pain that worsens with coughing , sneezing or when the patient laughs.

Pain may radiate from the chest to the shoulders and in more severe cases it reaches the spine .
A disturbance similar to intercostal neuralgia is cervicobrachial neuralgia .
This disease is caused by inflammation of the nerves of the neck and the upper back.
The consequence is a pain in the neck or upper dorsal radiance that radiates to the right or left arm to the hand.
This can also cause tingling in the fingers .

The upper ribs are attached to the sternum through cartilage.
This joint is known as costoternal joint.
The inflammation of this joint is called costochondritis. It is usually observed in adolescents and young people.
This disease causes a localized pain in the chest, throbbing and sharp.

Diagnosis – Pain worsens after physical activity, during certain chest movements (rotation and flexion), and when the patient inhales.
Localized pressure (with a finger) in the area increases pain, which does not happen in case of heart or lung problems.


Chest pain in upper left corner

Contracture to the left pectoral muscle
Deaf pain on the left side of the chest can be caused by a stretching of the pectoral muscle.
The pectoral muscles are located on the right and left side of the chest. The injury muscle chest may occur in contact sports or at the gym.
Bench bench exercise can cause pain in the center of the chest only a few centimeters from the sternum, both right and left.
A pectoral muscle stretched or torn from the left side of the chest can cause severe pain.
The pain may also radiate to the left shoulder and the armpit.
The symptoms worsen during physical activity and when you move the entire arm back from the chest.

Angina pectoris
The angina is caused by plaques cholesterol hard that gradually accumulate on the inner walls of the arteries that carry blood to the heart.
The consequence is the narrowing of the arteries and a smaller supply of oxygenated blood to the heart.
When blood supply is restricted it can cause recurrent episodes of chest pain.
The pain increases during an intense physical activity that causes a fast heart beatand a greater need of oxygen.

Coronary Spasm
This disease is also called Prinzmetal’s angina. When arteries that carry blood to the heart go into spasm, there is a temporary stop of blood flow that causes chest pain.
A person may suffer from this even at rest.

Esophageal spasm
Pain in the left side of the upper quadrant while breathing may be caused by an esophageal spasm.
The nerves that innervate the heart and the esophagus are the same.
An esophageal disorder causes difficulty in swallowing, pain when breathing, and when you eat.
The GERD can cause pain in the central area.

Disorders of the gallbladder, pancreas, or lungs
Left chest pain is not always caused by the heart.
Inflammation of the pancreas ( pancreatitis ) or gallbladder can cause acute pain.

Pain can start in the chest, especially if it is caused by disorders such as an ulcer , irritable bowel syndrome , etc.
Among the lung diseases that can cause chest pain are:
1. Pulmonary embolism
2. Pulmonary hypertension , etc.,

The Fibromyalgia cause muscle pain chronic body including the breast.


or chest after eating

Gastroesophageal reflux
One of the main reasons for chest tightness after a meal is acid reflux which also causes heartburn in the stomach and air in the stomach .

There are several reasons that can cause acid reflux, including:
1. Skip meals, especially breakfast
2. Eat fatty and fried foods,
3. Dinner too late, before going to bed,
4. Smoke ,
5. Alcohol,
6. Obesity,
7. Disorders of the digestive system,
8. Stress , anxiety and other negative emotions,
9. Pregnancy ,
10. Dyspepsia (indigestion).

The digestion disorders that can cause this chest tightness after eating are:
1. Gastric or duodenal ulcer
2. Heartburn,
3. Stomach cancer .

The feeling of chest tightness after eating can be caused by overeating.
When a person eats too much causes severe pressure on the stomach and intestines.
The consequence is a feeling of chest pain and belly pain.


Diseases of the gallbladder

The gallbladder is an organ that contains bile, ie a liquid used for absorption of lipids.
If an excess of cholesterol in the gallbladder can form stones called gallstones .
Gallstones cause severe pain in the upper and lower abdomen that can radiate to the shoulder and scapula.
The pain increases especially after a heavy meal.
Other symptoms of the disease include vomiting and nausea.

Gallbladder disorders can be caused by:
1. High cholesterol levels
2. Obesity,
3. Crohn’s disease ,
4. Contraceptive pill that elevates estrogen level .


Arrhythmia is a disorder that causes an irregular heartbeat.
This is not normal and can occur after eating.
Among the consequences is the sensation of tightness in the chest.


Chest pain during the run

Chest pain during racing may be caused by irregular breathing or pectoral stress.

pressure The precordium is the portion of the chest wall in front of the heart.
This disorder can cause chest pain in children and young people. It produces strong chest pain during inhalation and exhalation (especially in the case of deep breathing).
This pain lasts only 2-3 seconds. However, in some rare cases, it can last for about half an hour.
There is no cure because the causes are unknown.

Angina Pectoris
Angina occurs when enough oxygenated blood does not reach the heart.
During the run, the legs consume too much oxygen and the reduction of blood flow to the heart causes a sharp pain in the chest.

Heart Attack
Some studies show that marathon runners have a higher risk of suffering from heart disease because long-term sports can cause structural changes in the heart and large arteries.
Severe chest pain during racing may be a symptom of a heart attack.
The hallmark of a heart attack is pain in the left side of the chest that radiates to the arm, shoulder, neck to the teeth.
Other symptoms include excessive sweating and dizziness.

Cold weather
Chest pain during winter can be caused by increased respiratory rate while running which causes the inhalation of too much cold air in the lungs.

Read too