Scary Symptoms / SignatureMD

Chest Tightness but no Trouble Breathing: Should You Worry?

July 10, 2012
July 9, 2012

Chest Tightness but no Trouble Breathing: Should You Worry?

Have you been experiencing tightness in your chest, but no problem breathing, no shortness of breath–and as a result, you’ve been trying to reassure yourself that there can’t be a problem with your heart? As long as you can breathe just fine, you figure, your heart is okay?
Think again. For this article I consulted with Robert M. Davidson, MD, a cardiologist with SignatureMD, www.signaturemd.com.
Dr. Davidson says that “absolutely!” you SHOULD be concerned if you have any tightness in your chest, regardless of whether you can breathe just fine or have difficulty breathing.
Dr. Davidson says that tightness in the chest is a concerning issue “especially if it is associated with exertion or stress. Exertional chest pressure is called angina pectoris, and is the most common symptom of coronary artery disease, and may be associated with shortness of breath, but not necessarily.”
If you have exertional chest pressure or tightness, but don’t seem to have any unusual difficulty in breathing that seems out of proportion for the amount of exertion, it’s crucial that you have a thorough examination with a cardiologist.
If you have heart disease, the treatment may be only medication and a recommendation of a healthier diet, plus exercise and other healthy habits.
Depending on test results, you may also need more pronounced intervention such as the placement of a stent in a coronary artery. Chest tightness is not normal. Get it checked out by a cardiologist.
WARNING: There is NO way a cardiologist can rule out severe heart disease based on ONLY the following: normal stethoscope exam, normal blood pressure, normal pulse rate, questionnaire about lifestyle habits, absence of diagnosed heart disease in family members, and an EKG.
This is what happened to my mother! Ten months later she had emergency quintuple bypass surgery plus mitral valve replacement and a pacemaker implant!