Insomnia and chest tightness when sleeping are heart disease?

Recently I have been having insomnia for several days in a row, and when I have insomnia I feel tightness in my right chest and pain in my right shoulder, it feels like there is a nerve running straight from my shoulder down to my right nipple and back, a slight throbbing pain and a cold feeling. Doctor, can you tell me if this is a sign of heart disease? Is this condition dangerous?

(Mr. Truong Vinh, residing in Long Khanh city)

Doctor replied:

Hello!

The condition you mentioned above is unlikely to be caused by cardiovascular disease. The cause is that your pain is on the right side, radiating along the nerve, a stabbing pain. Therefore, the doctor thinks more about intercostal neuralgia.

However, to rule out cardiovascular causes, you should go to Long Khanh Regional General Hospital for examination and related tests to rule out and get more accurate results.

Friendly!

Doctor Nguyen Vo Chien,

Deputy Head of Cardiology - Geriatrics Department, Long Khanh Regional General Hospital

Source: https://baodongnai.com.vn/alo--bac-si-oi/202505/mat-ngu-va-cam-giac-tuc-nguc-khi-ngu-co-phai-bi-benh-tim-khong-e7b6bca/