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Forum Name: Cardiology Symptoms

Question: Periodic squeezing pain in chest


 CubsF17 - Thu Mar 13, 2008 7:52 am

Hi. My wife is a healthy 24 year old with no prior medical history. About 3 years ago she began to occasionally have a squeezing in her chest. She describes it like someone put their hands over her heart and squeezed on it. These episodes were very short (around 1 second) and occurred periodically (once or twice a month). They were also random in that no particulare activity led to an episode. She finally went to her primary care physician who checked her out and gave her an EKG, all of which he said looked normal and he didn't seem too concerned. For the next 2 years she had no more episodes but then yesterday she had another one, exactly like the ones in the past. It lasted about a second and felt like someone was squeezing her heart. She is not worried about it but I am a little nervous since it may be involving her heart. Any MD advice would be greatly appreciated.
 Dr. A. Madia - Fri Mar 14, 2008 12:37 pm

User avatar Hi,

Chest pain is a symptom which scares the most and its quite netural that you are a bit concerned.

Squeezing type of chest pain can be either an Angina- [a situation where the heart is not receiving enough blood due to some artery narrowing]. Or it can be a heart attack where the concerned heart artery gets totally blocked.

Sqeueezing in chest can also be due to a Bronchospasm commonly occuring in Asthama or chronic bronchitis.

On the other hand squeezing pain in chest can be the symptom of what is called an Esophageal Spasm- some irritation in the lining of the food pipe, commonly caused by regurgitation of acid from the stomach.

In young females-like in your wife- the possibility of an angina or a heart attack are fairly remote, as this type of heart disease is vary rare in young menstuating females. Then you say there has been no past history, so presumong no history of asthma and bronchitis, the only likely reason is probably the acid reflux.

However I do urge you to get in touch with your doctor and get necessary tests done for this symptom.

Bye,

Apurva

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