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Published on: 5/6/2025

What Might Cause Tight Chest Pain on the Left Side?

Tight chest pain on the left side can be caused by heart-related issues like angina, lung problems such as pleurisy, or other non-cardiac conditions.

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Explanation

When you feel a tight pain on the left side of your chest, there are several possible reasons. One important cause is angina or a heart attack, which happens when your heart doesn’t get enough oxygen-rich blood. This can make your heart feel like it’s squeezing or pressing, often in the left chest. Another possible cause is pleurisy, which is inflammation of the lining around your lungs. Pleurisy can cause a sharp, stabbing pain or a feeling of tightness that is often felt on one side of your chest. In addition, some people experience non-cardiac chest pain that may come from problems with the muscles or tissues in the chest wall, or even related to the digestive system. These causes do not involve the heart directly but can still make the left side of the chest feel uncomfortable. It’s important to note that chest pain can have many causes spanning life-threatening to less serious. I you experience prolonged, worsening tightness in your chest or are concerned at all, especially on the left side, you should seek emergent medical attention to determine the exact reason and get the right treatment.

(References)

  • Hunter MP, Goldin J, Regunath H. Pleurisy. [Updated 2024 Nov 14]. In: StatPearls [Internet].

  • Hermiz C, Sedhai YR. Angina. [Updated 2023 Jun 6]. In: StatPearls [Internet].

  • Fass R, Achem SR. Noncardiac chest pain: epidemiology, natural course and pathogenesis. J Neurogastroenterol Motil. 2011 Apr;17(2):110-23. doi: 10.5056/jnm.2011.17.2.110. Epub 2011 Apr 27. PMID: 21602987; PMCID: PMC3093002.

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