What is the cause of right chest pain when exercising?

Question
Yes, doctor, I have angina on the right side, at first it was less painful, but recently, it hurts a lot. When I lie down or sit in a certain position, I don't feel anything, but when I change positions, I feel pain. Can you advise me on the cause of right angina when exercising? I would like to thank you.
Nguyen Dinh Truong (2000)
Reply
Hello! Chest pain is one of the common reasons most people need emergency medical help. Chest pain is not always a signal of a heart attack. Usually chest pain is not related to any cardiovascular problems.
But even if chest pain has nothing to do with the cardiovascular system, the problem can still be important and the value lies in the time period being assessed.
There are many causes of chest pain symptoms.
Heart attack. A heart attack is the result of a blood clot blocking blood flow to the heart muscle. Angina hard, thick, cholesterol plaques can gradually build up on the inner walls of the coronary arteries – the arteries that carry blood to the heart. These plaques temporarily narrow the coronary arteries and restrict blood supply to the heart muscle, especially during exercise. Restricted blood flow to the heart can often cause stable angina or unstable angina. Aortic dissection is a life-threatening condition involving the aorta. If the inner layers of the blood vessel separate, causing blood to flow between them, the result is an unexpected tear. Aortic dissection can result from a hard blow to the chest or develop as a complication of uncontrolled hypertension. Coronary artery spasm. In coronary spasm, sometimes called Prinzmetal's angina, the arteries that supply blood to the heart muscle constrict, temporarily stopping blood flow through the site of spasm. The disease occurs at rest and can coexist in people with coronary artery disease - a buildup of plaque in the walls of the coronary arteries. Pericardial membrane. Inflammation of the membranes around the heart, often associated with viral infections. Heart related problems. Other heart problems, such as myocarditis, an inflammation of the heart usually caused by a viral infection, can cause chest pain. Certain types of heart muscle disorders, such as hypertrophic cardiomyopathy, can also cause chest pain. Chest pain due to digestion. Heartburn Stomach acid backing up into the esophagus can cause heartburn and a burning sensation behind the breastbone. Esophageal spasm. Disorders of the esophagus, the tube that runs from the throat to the stomach, can make swallowing difficult and even painful. Esophageal spasm, a problem that affects a small group of people with chest pain. Diaphragm hernia. In this problem, part of the stomach slides up above the diaphragm into the chest. This can cause pressure in the chest or pain, especially after eating, as well as heartburn. Cardiac spasm in swallowing disorders, the valve in the lower esophagus does not open properly to allow the passage of food into the stomach. Instead, the food spills into the esophagus, causing pain. Gallbladder or pancreatic problems Gallstones or acute inflammation of the gallbladder or pancreas can cause abdominal pain that radiates to the chest. Rib cartilage tablets. In this problem, also known as Tietze syndrome - the cartilage of the rib cage, especially the costal cartilage that attaches to the sternum, becomes inflamed. The result is chest pain, which often gets worse when pressing on the breastbone or on the ribs near the breastbone. Chest pain due to pulmonary embolism. This causes chest pain, which occurs when a blood clot in a pulmonary artery, blocks blood flow to lung tissue. This life-threatening condition occurs without prior risk factors, such as recent surgery or immobilization. Pulmonary throbbing pain in the chest at one point and aggravated by inhalation or coughing occurs when the lungs and pleura become inflamed. Rarely due to autoimmune, such as lupus. An autoimmune disease in which the body's immune system mistakenly attacks healthy tissue. Other lung problems, high blood pressure in the arteries that carry blood to the lungs, and asthma can also create chest pain. The problem of your chest pain needs to go to a Cardiologist soon to be examined and find out the cause of right angina?
You can make an examination at a hospital of Vinmec Health System for further advice by qualified doctors. Wishing you good health always.

Answered by Doctor General Internal Medicine Doctor - Department of Examination & Internal Medicine - Vinmec Hai Phong International General Hospital