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Published on: 4/28/2025

What Might Cause Chest Pain That Radiates Down the Right Arm?

Chest pain radiating down the right arm may indicate a heart problem like a heart attack, though it can also stem from muscle strain or nerve issues.

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Explanation

When chest pain radiates down your right arm, a heart problem could be the cause. During a heart attack, reduced blood flow to the heart can cause pain that travels along the nerves to your arm. While chest pain typically radiates to the left arm, some people experience it in the right arm instead. Doctors consider this pain pattern when evaluating potential heart problems. The pain may also stem from strained muscles or pinched nerves in the chest area that refer pain down the arm. Regardless of which arm is affected, chest pain with arm involvement requires immediate medical attention. If you experience these symptoms, your doctor can perform diagnostic tests—such as an ECG (electrocardiogram) or blood work—to determine the cause and develop an appropriate treatment plan.

(References)

  • https://www.ncbi.nlm.nih.gov/books/NBK416/
  • Johnson K, Ghassemzadeh S. Chest Pain. [Updated 2022 Dec 14]. In: StatPearls [Internet].

  • Ojha N, Dhamoon AS. Myocardial Infarction. [Updated 2023 Aug 8]. In: StatPearls [Internet].

  • Berger JP, Buclin T, Haller E, Van Melle G, Yersin B. Right arm involvement and pain extension can help to differentiate coronary diseases from chest pain of other origin: a prospective emergency ward study of 278 consecutive patients admitted for chest pain. J Intern Med. 1990 Mar;227(3):165-72. doi: 10.1111/j.1365-2796.1990.tb00138.x. PMID: 2313224.

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