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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.
Chest pain may be caused by poor blood flow to the heart leading to angina, or by a sudden blockage in the coronary arteries resulting in a heart attack. Other causes of chest pain can include indigestion, reflux, muscle strain, inflammation in the rib joints near the breastbone, and herpes zoster or shingles.