Chest discomfort. Twenty days or so.

Get ech and echo and stress test done

You should do basic investigations like ECG and echocardiogram, along with Fasting TSH and lipid profile. Please share the reports for further needful

ECG , Echo , T M T should be done

The characters of a heart related pain are: 1. It is diffuse and is generally all over the chest rather than at any one point. 2. It is usually at the centre of the chest and not on the left or right side, though it can be on either side. 3. A heart related pain increases with walking and reduces when rest is taken. This is the most important point. A chest pain that reduces on walking is not related to heart. 4. The heart related pain is usually gripping, crushing or tightness and may occasionally be burning type also. It is not pricking or stabbing. 5. Heart related pain lasts for minutes at least. It doesn’t last seconds. 6. Though heart related pains radiate to the left arm, or throat or both arms, these assume more significance if the pains increase on walking. 7. A heart related pain can be associated with sweating. But not all pains associated with sweating are heart pains. 8. If the risk factors for heart disease like HTN, DM, Smoking, advanced age especially of male sex, and Family history of heart disease are there, then the likelihood of heart disease is more. A person without risk factors, especially with a normal ECHO and TMT, need not worry about heart pain for the next one year. 9. In young ladies, without risk factors, a pain like the one you described during sleep rarely is suggestive of heart pain. 10. Racing of the heart can at times be due to rhythm disturbances of the heart. We need to investigate to see if it is an abnormal heart rhythm.

Please get an ECHO, and a Holter. Holter is a 24hr ECG monitoring. Holter will only pick up the abnormality if you have a racing of the heart while wearing the monitor. If you don’t get the racing of heart everyday, we might have to do a longer term monitoring.

All said and done, the chance of you having a heart problem is very low. But it needs to be ruled out. Once it is ruled out, a daily exercise routine with meditation will help you a lot.