text: chest pains on the right hand side? what does that signify? i got a in a really heated argument and was shouting pretty loud... and all that and while shouting got a slight pain on the right hand side of my chest... does that indicate a heart attack or something like taht... im only 22 i am no doctor, so i do not know.  if you are really concerned that it could be your heart, then go see a doctor. age doesn't matter. my opinion is that it sounds like anxiety.  i say that because you said you were arguing and shouting loud. god bless.