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26 y/o male endurance runner with chest pain at rest
Mason2326 posted:
Hi, like the title says I'm a 26 year old male runner. I've been a runner for years. I do have a family history of heart disease, but see my doctor regularly and everything has been fine. I've had echos, stress tests and all the other tests within the last 5 years. Lately I have develop chest pain, more of an ache, over my left chest that radiates into my left shoulder. I have no other associated symptoms such as sweating, nausea, dizziness, etc., with the exception of minor anxiety/concern when the ache start again. It has been going on for about a month and several times a week. I've only noticed it when I'm resting quietly or laying down to sleep. Nothing really seems to make it better except getting up and moving. My exercise and dietary habits have not changed significantly over the last several years and I don't take medication. I even placed in a 5k this morning after symptoms were present last night and again now as I'm resting and watching a movie. I'd like to think that if it's not affecting my performance, then I can just deal with it, but wouldn't mind hearing others thoughts.
2 Replies |Watch This Discussion | Report This| Share this:26 y/o male endurance runner with chest pain at restHi, like the title says I'm a 26 year old male runner. I've been a runner for years. I do have a family history of heart disease, but see my doctor regularly and everything has been fine. I've had echos, stress tests and all the other tests within the last 5 years. Lately I have develop chest pain, more of an ache, over my left chest that radiates into my left shoulder. I have no other associated symptoms such as sweating, nausea, dizziness, etc., with the exception of minor anxiety/concern when the ache start again. It has been going on for about a month and several times a week. I've only noticed it when I'm resting quietly or laying down to sleep. Nothing really seems to make it better except getting up and moving. My exercise and dietary habits have not changed significantly over the last several years and I don't take medication. I even placed in a 5k this morning after symptoms were present last night and again now as I'm resting and watching a movie. I'd like to think that if it's not affecting my performance, then I can just deal with it, but wouldn't mind hearing others thoughts.
CardiostarUSA1 responded:
Hi:
"I'd like to think that if it's not affecting my performance."
That would seem to be the general concensus.
"I've had echos, stress tests and all the other tests within the last 5 years."
Sometimes, a condition can be misinterpreted, overlooked or completely missed with this or that type of diagnostic test. And, at any time, medical situations/conditions may/can change in a split-second.
In general-only here, chest/thoracic area (right, left, upper, lower, center, side) pain, stationary or radiating elsewhere, with or without accompanying symptoms, has various causes, cardiac and non-cardiac, which includes, but is not limited to, pulmonary, gastrointestinal, musculoskeletal, and psychological/psychogenic.
Though uncommon in those your age group, but worth mentioning, as applicable to the patient, there is coronary artery spasm (CAS), a transient constriction or a transient total closure of a coronary artery, which can cause chest pain, typically, but not 100% always, at rest.
And, as applicable, there is esophageal spasm (ES), which can mimic angina-like chest pain, sometimes radiating to the arm, neck, jaw, and back.
Also, of the various types/kinds of heart conditions, symptoms may/can be acute (occurring suddenly), be chronic (occurring over a long period of time), come and go (be transient, fleeting or episodic) or even be silent.
Best of luck down the road of life. Live long and prosper.
Take care,
CardioStar*
WebMD member (since 8/99)
-
-
Be well-informed
MedlinePlus - Trusted Health Information for You
Chest pain
http://www.nlm.nih.gov/medlineplus/ency/article/003079.htm
Mayo Clinic
http://www.mayoclinic.com/health/chest-pain/DS00016
eMedicine Health
http://www.emedicinehealth.com/chest_pain/article_em.htm
-
Non-cardiac chest pain
Musculoskeletal-related
The chest contains many muscles, bones, tendons, and cartilage and strains or sprains to any of these may/can can cause chest pain. Chest pain associated with musculoskeletal injury is typically sharp and confined to a specific area of the chest.
The pain may/can be brought on by movement of the chest and/or arms into certain positions, and often is relieved by changing position.
The pain may/can be triggered off by pushing on part of the chest and often become worse when taking a deep breath. Though the pain typically last only seconds, it may/can also persist for days or longer.
If/when chest pain increases when you press your finger on the painful site, or if you can pinpoint the spot that hurts, it is most likely chest wall-related pain, which may/can be caused by strained muscles or ligaments or even by a fractured rib.
-
WebMD
Heart Disease TYPES
Men and Women
Acquired in life or congenital (born with it)
http://www.webmd.com/heart-disease/heart-disease-men
Heart Disease SYMPTOMS
http://www.webmd.com/heart-disease/guide/heart-disease-symptoms
Mayo Clinic
Heart Disease
Symptoms. Complications. Tests and diagnosis. Treatments and drugs. Prevention......
Heart disease is a broad term used to describe a range of diseases that affect your heart and sometimes your blood vessels......
http://www.mayoclinic.com/health/heart-disease/DS01120
-
LEARN ABOUT the Heart
WebMD
The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems
http://www.webmd.com/heart/picture-of-the-heart
-
HeartSite
Heart info, cardiac tests info, actual diagnostic images.
http://www.heartsite.com
-
Quote!
"Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"
- Charles Inlander, People's Medical Society
.
It's your future......be there.
. .
WebMD forums does not provide medical advice, diagnosis or treatment.
"I'd like to think that if it's not affecting my performance."
That would seem to be the general concensus.
"I've had echos, stress tests and all the other tests within the last 5 years."
Sometimes, a condition can be misinterpreted, overlooked or completely missed with this or that type of diagnostic test. And, at any time, medical situations/conditions may/can change in a split-second.
In general-only here, chest/thoracic area (right, left, upper, lower, center, side) pain, stationary or radiating elsewhere, with or without accompanying symptoms, has various causes, cardiac and non-cardiac, which includes, but is not limited to, pulmonary, gastrointestinal, musculoskeletal, and psychological/psychogenic.
Though uncommon in those your age group, but worth mentioning, as applicable to the patient, there is coronary artery spasm (CAS), a transient constriction or a transient total closure of a coronary artery, which can cause chest pain, typically, but not 100% always, at rest.
And, as applicable, there is esophageal spasm (ES), which can mimic angina-like chest pain, sometimes radiating to the arm, neck, jaw, and back.
Also, of the various types/kinds of heart conditions, symptoms may/can be acute (occurring suddenly), be chronic (occurring over a long period of time), come and go (be transient, fleeting or episodic) or even be silent.
Best of luck down the road of life. Live long and prosper.
Take care,
CardioStar*
WebMD member (since 8/99)
-
-
Be well-informed
MedlinePlus - Trusted Health Information for You
Chest pain
http://www.nlm.nih.gov/medlineplus/ency/article/003079.htm
Mayo Clinic
http://www.mayoclinic.com/health/chest-pain/DS00016
eMedicine Health
http://www.emedicinehealth.com/chest_pain/article_em.htm
-
Non-cardiac chest pain
Musculoskeletal-related
The chest contains many muscles, bones, tendons, and cartilage and strains or sprains to any of these may/can can cause chest pain. Chest pain associated with musculoskeletal injury is typically sharp and confined to a specific area of the chest.
The pain may/can be brought on by movement of the chest and/or arms into certain positions, and often is relieved by changing position.
The pain may/can be triggered off by pushing on part of the chest and often become worse when taking a deep breath. Though the pain typically last only seconds, it may/can also persist for days or longer.
If/when chest pain increases when you press your finger on the painful site, or if you can pinpoint the spot that hurts, it is most likely chest wall-related pain, which may/can be caused by strained muscles or ligaments or even by a fractured rib.
-
WebMD
Heart Disease TYPES
Men and Women
Acquired in life or congenital (born with it)
http://www.webmd.com/heart-disease/heart-disease-men
Heart Disease SYMPTOMS
http://www.webmd.com/heart-disease/guide/heart-disease-symptoms
Mayo Clinic
Heart Disease
Symptoms. Complications. Tests and diagnosis. Treatments and drugs. Prevention......
Heart disease is a broad term used to describe a range of diseases that affect your heart and sometimes your blood vessels......
http://www.mayoclinic.com/health/heart-disease/DS01120
-
LEARN ABOUT the Heart
WebMD
The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems
http://www.webmd.com/heart/picture-of-the-heart
-
HeartSite
Heart info, cardiac tests info, actual diagnostic images.
http://www.heartsite.com
-
Quote!
"Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"
- Charles Inlander, People's Medical Society
.
It's your future......be there.
. .
WebMD forums does not provide medical advice, diagnosis or treatment.
Report This| Share this:26 y/o male endurance runner with chest pain at restHi:<br /> <br /> <i>"I'd like to think that if it's not affecting my performance."</i><br /> <br /> That would seem to be the general concensus.<br /> <i><br /> "I've had echos, stress tests and all the other tests within the last 5 years."</i><br /> <br /> Sometimes, a condition can be misinterpreted, overlooked or completely missed with this or that type of diagnostic test. And, at any time, medical situations/conditions may/can change in a split-second.<br /> <br /> In general-only here, chest/thoracic area (right, left, upper, lower, center, side) pain, stationary or radiating elsewhere, with or without accompanying symptoms, has various causes, cardiac and non-cardiac, which includes, <b>but is not limited to</b>, pulmonary, gastrointestinal, musculoskeletal, and psychological/psychogenic.<br /> <br /> Though uncommon in those your age group, but worth mentioning, as applicable to the patient, there is coronary artery spasm (CAS), a transient constriction or a transient total closure of a coronary artery, which can cause chest pain, typically, but not 100% always, at rest.<br /> <br /> And, as applicable, there is esophageal spasm (ES), which can mimic angina-like chest pain, sometimes radiating to the arm, neck, jaw, and back.<br /> <br /> Also, of the various types/kinds of heart conditions, symptoms may/can be acute (occurring suddenly), be chronic (occurring over a long period of time), come and go (be transient, fleeting or episodic) or even be silent.<br /> <br /> Best of luck down the road of life. Live long and prosper.<br /> <br /> Take care,<br /> <br /> CardioStar*<br /> <br /> WebMD member (since 8/99)<br /> <br /> <img src=http://www.animateit.net/data/media/august2009/cardiogram_line.gif class=post_img /><br /> <br /> -<br /> <br /> -<br /> <br /> <b>Be well-informed</b><br /> <br /> MedlinePlus - Trusted Health Information for You<br /> <br /> <b>Chest pain</b><br /> <br /> <a rel="nofollow" href="http://www.nlm.nih.gov/medlineplus/ency/article/003079.htm">http://www.nlm.nih.gov/medlineplus/ency/article/003079.htm</a> <br /> <br /> Mayo Clinic<br /> <br /> <a rel="nofollow" href="http://www.mayoclinic.com/health/chest-pain/DS00016">http://www.mayoclinic.com/health/chest-pain/DS00016</a> <br /> <br /> eMedicine Health<br /> <br /> <a rel="nofollow" href="http://www.emedicinehealth.com/chest_pain/article_em.htm">http://www.emedicinehealth.com/chest_pain/article_em.htm</a> <br /> <br /> -<br /> <br /> <b>Non-cardiac chest pain</b><br /> <br /> <i>Musculoskeletal-related</i><br /> <br /> The chest contains many muscles, bones, tendons, and cartilage and strains or sprains to any of these may/can can cause chest pain. Chest pain associated with musculoskeletal injury is typically sharp and confined to a specific area of the chest.<br /> <br /> The pain may/can be brought on by movement of the chest and/or arms into certain positions, and often is relieved by changing position.<br /> <br /> The pain may/can be triggered off by pushing on part of the chest and often become worse when taking a deep breath. Though the pain typically last only seconds, it may/can also persist for days or longer.<br /> <br /> If/when chest pain increases when you press your finger on the painful site, or if you can pinpoint the spot that hurts, it is most likely chest wall-related pain, which may/can be caused by strained muscles or ligaments or even by a fractured rib.<br /> <br /> -<br /> <br /> WebMD<br /> <br /> <b>Heart Disease TYPES</b><br /> <br /> Men and Women<br /> <br /> <i>Acquired in life or congenital (born with it)</i><br /> <br /> <a href="http://www.webmd.com/heart-disease/heart-disease-men">http://www.webmd.com/heart-disease/heart-disease-men</a> <br /> <br /> <b>Heart Disease SYMPTOMS</b><br /> <br /> <a href="http://www.webmd.com/heart-disease/guide/heart-disease-symptoms">http://www.webmd.com/heart-disease/guide/heart-disease-symptoms</a> <br /> <br /> Mayo Clinic<br /> <br /> <b>Heart Disease</b><br /> <br /> Symptoms. Complications. Tests and diagnosis. Treatments and drugs. Prevention......<br /> <br /> Heart disease is a broad term used to describe a range of diseases that affect your heart and sometimes your blood vessels......<br /> <a rel="nofollow" href="http://www.mayoclinic.com/health/heart-disease/DS01120"><br /> <br /> <a href="http://www.mayoclinic.com/health/heart-disease/DS01120">http://www.mayoclinic.com/health/heart-disease/DS01120</a></a> <br /> <br />-<br /> <br /> LEARN ABOUT the Heart<br /> <img src=http://thumb.webstockpro.com/purestock/1574r-019980.jpg class=post_img /><br /> <br /> WebMD<br /> <br /> <b>The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems<br /> </b><br /> <a href="http://www.webmd.com/heart/picture-of-the-heart">http://www.webmd.com/heart/picture-of-the-heart</a> <br /> <br /> <br /> -<br /> <br /> <b>HeartSite</b><br /> <br /> Heart info, cardiac tests info, actual diagnostic images.<br /> <br /> <a rel="nofollow" href="http://www.heartsite.com/">http://www.heartsite.com</a> <br /> <br /> -<br /> <br /> <i>Quote!</i><br /> <br /> "Be a questioning patient. <b>TALK</b> to your <b>DOCTOR</b> and <b>ASK</b> <b>QUESTIONS</b>. Studies show that patients who<b> ask the most </b><b>questions, and are most assertive, get the best results</b>. Be vigilant and speak up!"<br /> <br /> - Charles Inlander, People's Medical Society<br /> <br /> .<br /> <br /> It's your future......be there. <img src="http://img.webmd.com/community/images/smile.gif" align="top" border="0"><br /> <br /> . .<br /> <b><br /> WebMD forums <u>does not</u> provide medical advice, diagnosis or treatment.</b>
James Beckerman, MD, FACC responded:
One of our challenges as physicians is that we cannot always identify the cause of someone's symptoms. But at the outset we need to rule out the more dangerous causes - in young athletes with chest pain I become concerned about structural/congenital abnormalities and rhythm disorders, coronary artery anomalies and inflammatory diseases. The good news is that your pattern of symptoms (at rest and not during or following exercise) and your extensive testing to date is very encouraging.
Sometimes overtraining can manifest in symptoms which can differ from person to person. Some athletes find that if they refrain from intense exercise for a few weeks, they actually feel better overall. Also, things like iron or vitamin D deficiency and anemia are more common than you might think - and easy to test for.
Take care, and congrats on your 5K finish!
Sometimes overtraining can manifest in symptoms which can differ from person to person. Some athletes find that if they refrain from intense exercise for a few weeks, they actually feel better overall. Also, things like iron or vitamin D deficiency and anemia are more common than you might think - and easy to test for.
Take care, and congrats on your 5K finish!
Report This| Share this:26 y/o male endurance runner with chest pain at restOne of our challenges as physicians is that we cannot always identify the cause of someone's symptoms. But at the outset we need to rule out the more dangerous causes - in young athletes with chest pain I become concerned about structural/congenital abnormalities and rhythm disorders, coronary artery anomalies and inflammatory diseases. The good news is that your pattern of symptoms (at rest and not during or following exercise) and your extensive testing to date is very encouraging.<br /><br />Sometimes overtraining can manifest in symptoms which can differ from person to person. Some athletes find that if they refrain from intense exercise for a few weeks, they actually feel better overall. Also, things like iron or vitamin D deficiency and anemia are more common than you might think - and easy to test for.<br /><br />Take care, and congrats on your 5K finish!
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