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Why Does it Hurt My Heart to Run?

Published in Heart Pain Causes 3 mins read

The pain in your heart when running, especially chest pain, could be due to angina, which occurs when your heart muscle isn't getting enough oxygen.

Understanding Angina and Running

When you exert yourself, like during a run, your heart needs to work harder. This increased workload means it requires more oxygen. If there's a blockage in your coronary arteries, the heart may not get enough oxygen, leading to chest pain or discomfort, a condition known as angina. This is explained because, when your heart works harder, it also needs more oxygen — oxygen it can't get because of the clogged coronary artery. The heart's lack of oxygen causes chest pain during exertion, a condition called angina.

Possible Causes and Solutions

Here's a breakdown of possible causes related to chest pain during running and potential solutions:

  • Reduced Blood Flow: Narrowed arteries, often due to plaque buildup (atherosclerosis), can restrict blood flow to the heart.

    • Solution: Consult a doctor for diagnosis and treatment. Lifestyle changes (diet, exercise, smoking cessation) and medications can help manage atherosclerosis.
  • Increased Oxygen Demand: During exercise, the heart pumps faster and harder, increasing its need for oxygen.

    • Solution: Gradually increase the intensity of your runs. Warm-up properly before each run. Talk to your doctor about safe exercise levels.
  • Other Possible Causes: While angina is a primary concern, other conditions like asthma, musculoskeletal pain, or acid reflux could also cause chest discomfort during exercise.

    • Solution: If the pain is not typical angina, see a doctor to rule out other causes.

When to Seek Medical Attention

It's crucial to consult a healthcare professional if you experience chest pain during running, especially if:

  • The pain is severe, sudden, or accompanied by shortness of breath, dizziness, nausea, or sweating.
  • The pain radiates to your arm, shoulder, jaw, or back.
  • The pain is new or worsening.
  • You have risk factors for heart disease (high blood pressure, high cholesterol, smoking, family history).

Managing Chest Pain During Runs

If you experience chest pain while running:

  1. Stop Running Immediately: Rest and allow your heart rate to return to normal.
  2. Take Prescribed Medication: If you have a prescription for angina (e.g., nitroglycerin), take it as directed.
  3. Seek Medical Help: If the pain persists or is severe, seek immediate medical attention.

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