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Medical Forum / General / Cardiology / May 2007

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Tightness across chest after exercise

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amn0270 - 02 May 2007 03:17 GMT
i'm a 37 yo male and a couple of months ago I went into to the ER for
what I thought were hard attack symptoms. tightness in chest
primarily, no pain, just tightness. They were happening when I was
resting, even laying in bed rather than when I was exerting myself. No
issues with my breathing during these episodes. Well after chest
xrays, EKG's, cardiac enzyme tests among other things nothing was
found. A few day later I went for a Nuclear Stress Test everything
checked out fine there to. My GP suspected maybe some sort of viral
infection, maybe of the heart itself but after extensive blood tests
nothing was found. My GP suspects it may have been anxiety related. I
still occasionally get it a bit ignore it as its not really more than
a little annoying. I have low cholesterol of 157 and I don't eat hight
fat or fried food at all really. I am average weight with a BMI of
maybe 17-18%. I am sedentary for the most part and do not exercise.
Well I decided it was time for me to start so I bought a Gazelle, the
machine that is basically similar to a ski machine. I'm sure you;ve
seen it advertised. Well anyway for the last three day I have started
using it. I did about 20 minutes  the first and second day and about
30 minutes today. I felt fine while doing it but now a half hour later
I am feeling a tightness across my ches. It seems to be muscular and
is a bit different than the previous tightness that I was having.
Mostly over and around my upper pectoral mucles and over my collarbone
into the lower neck area and shoulders. I suspect its from the upper
body movement of the skier working out my chest and shoulder muscles.
Remember I've just started exercising so these repetitive movements
are new to my upper body. I did not feel out of breath during the
exercise or even now. Just the tightness afterwards. Wanted to hear
peoples opinions.

Thanks in advance,
Adam
Andrew B. Chung, MD/PhD - 02 May 2007 03:30 GMT
> i'm a 37 yo male and a couple of months ago I went into to the ER for
> what I thought were hard attack symptoms. tightness in chest
[quoted text clipped - 10 lines]
> fat or fried food at all really. I am average weight with a BMI of
> maybe 17-18%.

BMI is not a percentage.

> I am sedentary for the most part and do not exercise.
> Well I decided it was time for me to start so I bought a Gazelle, the
[quoted text clipped - 11 lines]
> exercise or even now. Just the tightness afterwards. Wanted to hear
> peoples opinions.

Your history suggests that your symptoms are non-cardiac and likely
musculoskeletal in origin.  What you describe could be consistent with
costochondritis.

Would suggest you inform your doctor(s) about this possibility so that
s/he/they can help you.

May GOD bless you.

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com

"Unlike the 2PD-OMER Approach, weight loss diets can't be combined
with well-balanced diets."
http://HeartMDPhD.com/Love/TheTruth
amn0270 - 02 May 2007 04:19 GMT
I appreciate your response. Makes me feel a little better to hear
that.  Suspect my GP will probably agree with you that its
musculoskeletal.

Also looking up info on costochondritis, it seems to indicate the
symptoms are more pain oriented rather than simply the slight
tightness that I am feeling. Actually since I first posted an hour ago
the tightness has subsided a bit. Also I meant to say Body Fat
Percentage not BMI.

Thanks again,
Adam

On May 1, 10:30 pm, "Andrew B. Chung, MD/PhD" <lov...@thetruth.com>
wrote:
> > i'm a 37 yo male and a couple of months ago I went into to the ER for
> > what I thought were hard attack symptoms. tightness in chest
[quoted text clipped - 46 lines]
> "Unlike the 2PD-OMER Approach, weight loss diets can't be combined
> with well-balanced diets."http://HeartMDPhD.com/Love/TheTruth
Andrew B. Chung, MD/PhD - 02 May 2007 10:29 GMT
> I appreciate your response.

Have redirected the praise and glory to GOD so that we will both be
blessed by HIM.

> Makes me feel a little better to hear
> that.

That would be GOD's blessing to you.

> Suspect my GP will probably agree with you that its
> musculoskeletal.
>
> Also looking up info on costochondritis, it seems to indicate the
> symptoms are more pain oriented rather than simply the slight
> tightness that I am feeling.

Mild flares are often described as a tightness or stiffness in the
chest.

> Actually since I first posted an hour ago
> the tightness has subsided a bit. Also I meant to say Body Fat
> Percentage not BMI.

Then you likely have enough visceral adipose tissue (VAT) to make
costochondritis more likely.

May GOD continue to bless you.

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com

"Unlike the 2PD-OMER Approach, weight loss diets can't be combined
with well-balanced diets."
http://HeartMDPhD.com/Love/TheTruth
amn0270 - 02 May 2007 23:55 GMT
Again, thank you Doc for your replies.

On May 2, 5:29 am, "Andrew B. Chung, MD/PhD" <lov...@thetruth.com>
wrote:
> > I appreciate your response.
>
[quoted text clipped - 33 lines]
> "Unlike the 2PD-OMER Approach, weight loss diets can't be combined
> with well-balanced diets."http://HeartMDPhD.com/Love/TheTruth
Mu - 02 May 2007 22:41 GMT
> i'm a 37 yo male and a couple of months ago I went into to the ER for
> what I thought were hard attack symptoms. tightness in chest
[quoted text clipped - 27 lines]
> Thanks in advance,
> Adam

Had the same thing, went the same testing routes as you (for the most
part), it is annoying and troublesome and I'm a couple of decades older
than you. As my aerobic endurance increased (fast walking) this tended
to subside and I tend not to notice it much although the flaring stilll
comes and goes.

Check your ETOH intake too, you could be sensitive to ETOH as I am to
red wines.
Signature

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amn0270 - 02 May 2007 23:54 GMT
> Check your ETOH intake too, you could be sensitive to ETOH as I am to
> red wines.

Actually I don't consume alcohol at all.  I probably have one bottle
of Smirnoff Ice or 1 glass of wine once every couple of years, if
that. But thanks replying.
Mu - 03 May 2007 07:07 GMT
>> Check your ETOH intake too, you could be sensitive to ETOH as I am to
>> red wines.
>
> Actually I don't consume alcohol at all.  I probably have one bottle
> of Smirnoff Ice or 1 glass of wine once every couple of years, if
> that. But thanks replying.

You are welcome. I was not implying your ETOH use just my experience
with it.
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