Yes, spasms or pain under the breastbone can indicate a heart problem. There are a wide variety of problems that can cause chest pain under the breastbone, the most serious among these are heart conditions, which is why you should be seen by a doctor
. Often when the heart is deprived of blood temporarily due to a blockage of the coronary arteries, a sensation of chest pain or pressure occurs, most commonly below the breastbone or on the left side of the chest radiating down the arm. If a coronary artery gets permanently blocked, the heart muscle begins to die and this is called a "heart attack" or myocardial infarction. Heart attacks produce similar chest pain symptoms that do not go away. Most of the time, these kinds of heart problems will only produce chest pain or shortness of breath and no irregularities in the heart beat will be felt. Chest pain should never be ignored. Because any chest pain, even if it is temporary, can be the sign of an impending heart attack, every patient experiencing this symptom should be seen by a doctor as soon as possible. The best place to start is by seeing a primary care doctor
, who will refer you to a cardiologist
if needed. If you experience chest pain that does not go away, chew and then swallow one 325 mg tablet of aspirin (if possible, not the enteric coated variety) and call 911 or have someone drive you to the nearest hospital immediately.