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Health Awareness

Heart Pain Doesn't Always Feel Like Chest Pain — Dr. Nikhila Pachani Explains

Heart pain doesn't always show up in the centre of your chest. Dr. Nikhila Pachani explains why right-sided chest or shoulder pain should never be ignored.

Did You Know Heart Pain Can Feel Like Shoulder Pain?

Most of us have grown up thinking a heart attack always means a crushing pain right in the middle of the chest. But that is not always the case — and knowing this could save a life.

Dr. Nikhila Pachani, Consultant Interventional Cardiologist at Backbone Medicity, Rajkot, is sharing an important health message: heart pain can sometimes show up as pain on the right side of the chest or even in the shoulder.

Why Does This Happen?

The heart sends pain signals through nerves that overlap with other parts of the upper body. This is called referred pain — the discomfort is felt somewhere other than where the actual problem is. So, while the heart is in distress, your body may only signal pain in the shoulder, jaw, arm, or even the right side of the chest.

How Common Is It?

According to Dr. Pachani, about 5–10% of heart patients present with right-sided chest or shoulder pain as their main symptom. While this is less common than classic central chest pain, it is still a recognised sign of:

  • Angina (Angina Pectoris) — reduced blood flow to the heart, often triggered by exertion or stress
  • Unstable Angina or NSTEMI — more serious conditions that need immediate medical attention
  • Heart Attack — a blocked artery cutting off blood supply to part of the heart

What Should You Do?

Do not dismiss unusual pain on the right side of your chest or shoulder, especially if:

  • It comes on suddenly or during physical activity
  • It is accompanied by sweating, shortness of breath, or nausea
  • It lasts more than a few minutes or keeps coming back

These symptoms may seem easy to explain away as muscle pain or acidity. But your heart might be sending you an important signal. Getting it checked early can make a real difference.

The Key Takeaway

Heart disease does not always follow the textbook picture. Staying aware of all the possible warning signs — including the less obvious ones — is one of the most important steps you can take for your heart health.


If you or someone you know is experiencing unusual chest, shoulder, or upper-body discomfort, please consult a qualified cardiologist promptly. Early evaluation is always the right choice.

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