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Published on: 4/7/2025

What Could Cause Chest Pain When Sitting Up, and When Should It Be Considered an Emergency?

Chest pain when sitting can happen from conditions like pericarditis or costochondritis, and it usually means there is inflammation. It becomes an emergency if the pain is very severe or comes with symptoms like difficulty breathing, pain spreading to your arm or jaw, or feeling faint.

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Explanation

Sometimes when you sit up, you might feel chest pain because of inflammation of the cartilage joining your ribs to your breastbone (costochondritis). Pericarditis is an inflammation around your heart and can cause a sharp pain that might improve when you sit up but gets worse when lying down. Costochondritis can hurt when you move or press on your chest. Although these conditions are often not life-threatening, it is always important to check out chest pain with a professional. You should seek immediate medical help if the pain is very severe, lasts more than a few minutes, or is accompanied by trouble breathing, pain that spreads to your arm, neck, or jaw, sweating, or if you feel lightheaded, like you might pass out. In those cases, it's best to treat it as an emergency because these symptoms can be signs of a heart problem or other serious condition needing immediate treatment.

(References)

  • Knockaert DC, Buntinx F, Stoens N, Bruyninckx R, Delooz H. Chest pain in the emergency department: the broad spectrum of causes. Eur J Emerg Med. 2002 Mar;9(1):25-30. doi: 10.1097/00063110-200203000-00007. PMID: 11989492.

  • Campbell KA, Madva EN, Villegas AC, Beale EE, Beach SR, Wasfy JH, Albanese AM, Huffman JC. Non-cardiac Chest Pain: A Review for the Consultation-Liaison Psychiatrist. Psychosomatics. 2017 May-Jun;58(3):252-265. doi: 10.1016/j.psym.2016.12.003. Epub 2016 Dec 9. PMID: 28196622; PMCID: PMC5526698.

  • Dababneh E, Siddique MS. Pericarditis. [Updated 2023 Aug 8]. In: StatPearls [Internet].

  • Schumann JA, Sood T, Parente JJ. Costochondritis. [Updated 2024 Apr 20]. In: StatPearls [Internet].

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