What causes pain in the heart area passing to the left arm?
Patient: Sir Myself Vijay Kumar From Jawahar Navodaya ViDyalaya Vill. Tewa Kaushambi (U.P.). My Wife Smt. Pallavi (age 21) Suffering from pain at the location of heart and pain is passing in the left arm. We need help and suggestion from you please.  YYYY@YYYY   Mobile No. 0000. Doctor: Hello Welcome to HCM.Chest pain passing to the left arm is typical of heart problem but in view of her young age the reason to suspect a heart ailment is very unlikely . Please ask her to take antacids tablet Pan 40 mg twice a day before food for two weeks. Also get her vitamin D and Vit B12 levels checked. If they are found to be low, then she should be started on supplements for vit D and vit b12.Also do and ECG to rule out any associated heart problem . If despite  all these measures she has still got these symptoms, please do a treadmill test which requires her to walk on a treadmill while her ECG is continuosly being monitored . This will show whether she has any blockages in the heart.Please do the above tests and revert back.Wishing her good health Regards.