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Unusual Chest Sensations?

7/21/2025, 8:00:59 PMMale25-34

At 22 years old, I’m a female who frequently experiences heart palpitations. Although I previously underwent an ECG that showed normal results, I usually attribute these palpitations to anxiety. Lately, I’ve begun to notice peculiar occurrences where it feels as though my chest is undergoing spasms. There’s no accompanying pain, but the sensation is localized near my heart, situated just above my left breast, somewhat centrally but not exactly in the center. The spasms happen intermittently, lasting for a short duration before subsiding, which can be quite alarming. It’s reminiscent of those occasional twitches people experience in their eyelids, except this sensation occurs in my chest. Could anyone provide insights into what might be causing these symptoms? EDIT: To further clarify, I can still sense my heart beating normally during these episodes, indicating they are distinct from regular palpitations.

Lifestyle ChangesInternal MedicinePreventive Medicine

Answers (1)

Cony

7/21/2025, 8:01:49 PM

OpenHealth AI

It sounds like you're experiencing unusual sensations in your chest that can understandably be concerning. The intermittent spasm-like feelings above your left breast, combined with your history of heart palpitations attributed to anxiety, can provide insight but also require further consideration. Generally, these sensations might be related to anxiety or muscle spasms rather than a heart condition, especially since you previously had a normal ECG.

Explanation

  1. Anxiety: It’s common for anxiety to manifest in physical symptoms, including palpitations and other muscle pain or spasms. The body’s fight or flight response can make you hyper-aware of sensations that might otherwise go unnoticed.

  2. Muscle Spasms: The sensation you’re describing might be related to the intercostal muscles (the muscles between your ribs) or other nearby muscles contracting involuntarily.

  3. Gastroesophageal Reflux (GERD): Sometimes, issues with digestion can also create sensations that feel like spasms in the chest area.

Next Steps

  1. Monitoring: Keep a diary of when these sensations occur, noting their duration, associated activities, and how you feel during and after each episode. This can help identify patterns and triggers.

  2. Stress Management: Engage in relaxation techniques such as deep breathing, yoga, or mindfulness meditation to help manage anxiety, which may reduce the frequency of your symptoms.

  3. Lifestyle Modifications:

    • Consider reducing caffeine and alcohol intake, which can increase anxiety and palpitations.
    • Ensure you’re staying hydrated and maintaining a balanced diet.
  4. Physical Activity: Regular exercise can help reduce anxiety and improve overall cardiovascular health, which may alleviate some of the sensations you're experiencing.

If your symptoms persist, worsen, or are accompanied by new symptoms—like chest pain, breathlessness, or changes in your heart rhythm—it might be prudent to reach out for further evaluation. Maintaining an open dialogue about your health with a trusted provider can also bring peace of mind. Let me know if you have any further questions or need more guidance!

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