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So back to your question: 1  Your chest hurts when you're emotionally sad because your brain processes physical and social pain in the same brain regions (dACC and AI) (the affective aspects of the pain). The fact that both pains overlap means the factors that decrease physical pain also decrease emotional pain.
Pericarditis is an inflammation of the tissue layers surrounding the heart. The chest pain of pericarditis is usually sharp and stabbing. It can radiate to the back, neck, or arm. The pain may worsen when taking a deep breath or lying flat and lessen when leaning forward.