What causes tingling sensation in the chest?
Patient: I am a 51 yr. old, 135 lb. female. I have experienced some tightening in my chest when laying in bed, either first thing in the morning or in the evening when I am ready to sleep. It has happened 4 times in the last month. It lasts approx. 30 seconds to a minute. My husband thinks it is because I have been on the elliptical machine for 45 minutes and it is muscle strain. He may be right, but I am a little concerned due to the fact my 46 yrs. old brother had a heart attack and he was in good health. I am in very good health and exercise regularly. At my last physical I did have an EKG (in November) and it was fine. should I be concerned?? Doctor: Dear Mam,  symptoms(tightness) you are talking about with strong history of heart disease in the family, i feel you need work up to rule out heart disease as well.   EKG is sometimes normal at rest in persons with heart disease.  I recommend you to go for TMT(EKG while running on TMT machine) and lipid profile of blood.   If these are normal take some pain killer+muscle relexant for 3 days.   take care