Hi:
Noteworthy, some individuals experience chest/thoracic area pain when lying down (or it worsens in that position) due to gastrointestinal problems, or even mitral valve prolapse (MVP, the most common type of heart valve abnormality),
especially when lying on the left side (as the heart is brought closer to the chest wall).
In general, chest/thoracic area 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, musculoskeletal, and psychological/psychogenic
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.
Do quit smoking ASAP!
Smoking increases the circulating levels of catecholamines and free fatty acids, which may contribute to the increased level of total cholesterol and decreased levels of high-density lipoprotein ("good" cholesterol) that are found in habitual cigarette smokers.
The effects on platelets may enhance coagulation (blood clotting). There can be accelerated coronary and peripheral vascular disease, and occurrence of a dreaded stroke and complications from hypertension.
The greatest concern is the acceleration or aggravation of cardiovascular disease. Smoking can promote atherosclerotic vascular disease by contributing to high cholesterol, endothelial injury (damaging the sensitive inner lining of the walls of the arteries), or both.
Complications of hypertension are more severe in those who smoke cigarettes. Smoking can also aggravate hypertension by causing vasoconstriction (tightening of the vessels).
Lose weight sensibly. Best of luck down the road of life.
Take care,
CardioStar*
WebMD member (since 8/99)

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Be well-informed
MedlinePlus
Chest pain
http://www.nlm.nih.gov/medlineplus/ency/article/003079.htm Mayo Clinic
Chest painhttp://www.mayoclinic.com/health/chest-pain/DS00016 eMedicne Health
Chest painhttp://www.emedicinehealth.com/chest_pain/article_em.htm -
Non-cardiac chest pain Musculoskeletal-relatedThe 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.
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WebMD
Heart Disease TYPES
Men and WomenAcquired in life or congenital (born with it)http://www.webmd.com/heart-disease/heart-disease-men Heart Disease SYMPTOMShttp://www.webmd.com/heart-disease/guide/heart-disease-symptoms Mayo Clinic
Heart DiseaseSymptoms. 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 -
HeartSiteHeart info, cardiac tests (commonly performed, mainstream types) info, actual diagnostic images.
http://www.heartsite.com -
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