Clarification as to pain on left side behind breast / under arm
Thank you for taking the time to answer my questions. To start my story off, I am a 34 year old female, slightly over weight but all in all good health. 8 months ago I had a full cardio work up due to palpitations... EKGs, Echo, 30 day monitor. Everything came back good (per the doc my echo was slightly dilated but well within normal limits) and I had single beat PVCs on my holter. Around the same time as my heart testing, my panic and anxiety came back full swing and I developed chest pain directly behind my left breast. It would come and go. My EP and cardio told me this pain was not heart related and basically that I am fine, to stay off stimulants and have a nice life. So, I began seeing a therapist and Psychiatrist who said many people can have psychosomatic pain. My general doc did all the test, Upper MRI (which found a slightly slipped disc in my neck) sonogram of my upper chest (to test gall bladder etc), chest xray and all came back normal as well. After awhile my "breast pain" slowed down and is more rare now.
Here is where my questions come in:
Over the past month or so I have been having pains to the left of my left breast, below my armpit. It is a throbbing pain, actually goes with my heart beat. Will last a few seconds then stop. May happen a few times or may only happen once in a few hours. Sometimes it can be relieved when I move positions and it seems to hurt a bit worse when I fully exhale. I notice it happens when I am sitting (not when standing) and more so when I am at the computer.
What do you think this could possibly be (most people I ask seem to think it is muscle / skeletal related)?
Also, in your opinion are PVCs truly benign in a healthy heart?
I guess the magic question for that, is, as a PVC sufferer am I more likely to develop VT or another harmful ryhthm then say a person who does not suffer from frequent PVCs?
Yes, the pain is most likely to be musculoskeletal in origin, meaning pain originates in your muscles or bones and it's most likely to be related to some abnormality in your posture. A proper posture needs to be assumed when you sit or position your monitor key pad or mouse. Please get them corrected and your pain should go away. The following link will provide information on the posture you should ideally assume when you are working: http://www.osha.gov/SLTC/etools/computerworkstations/positions.html
PVCs (Premature Ventricular Contractions) are of no major consequence in people with healthy hearts. They don't predict any major arrhythmias.
Hope that this information helps and hope that you will get better soon.
Thank you for using MedHelp's "Ask an Expert" Service, where we feature some of world's renowned medical experts in their fields. Millions have benefitted from our service to get personalized advice for them and for their loved ones.
Thank you doctor for responding and I will be sure to look into modifying my posture. I am sure you know that many people with "heart anxiety" tend to tie everything to their hearts no matter where the pain is felt :)
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.