Chest pain and panic still persist despite being cleared

Did you take a look at Mayo's site as it gives a long list of the Risk Factors, including most common such as obesity (your waist to hp ratio need be 0.8), little exercise (at 22, I'd say you should be able to do 20 floors non-stop (now at 83, I still can do seven), unbalanced diet (half of plate needs be veggies and fruit), and finally STRESS, as you do say "panic" If you do have stress, I'd a few weeks ago severe anxiety/panic situation that I was able to take care of by telling myself: There is no REAL danger; you are safe in your apt at this midnite hour. I started to take deep breaths and it immediately made my stress go away. I also expanded/stretched my chest and neck muscles to enable straight upper body pose.

While no one know about every heart attack risks, we only need to know we have control upon. Good luck...it's truly too young for this condition. Let's hear how you are managing.
https://www.mayoclinic.org/diseases-conditions/heart-attack/symptoms-causes/syc-20373106

My brother had a heart attack when he was 30. His heart is good but his arteries were clogged.
I had a heart attack 9/12/2026. Also my heart doesn't beat normal. This is do to using drugs, not eating correctly and honestly just not giving a *** about myself. I am here to learn more and help others as much as I can. Stay strong and take care of yourself.

Heart attacks are not usually due to a weak heart. Your heaet muscle can be strong; it's the arteries attached to your heart that are the problem. If too much plaque builds up, it restricts the flow of blood to the heart. Or, a piece of plaque ruptures and causes a blood clot.

This is why even people who get plenty of exercise can still get heart attacks.

Stress raises blood pressure, which can cause arteries to narrow and stiffen.

There is great advice here, jiyad.
Cardiologists do know the etiology of myocardial infarctions (heart attacks).
As already stated, actual occurrence is the difficulty but there are very often warning signs (or not)...which can be so subtle and easily missed or taken as another medical issue. Especially in women.
Throwing out another thought that might have already been mentioned.
When I had my first full blown panic attack at age 30, I was laying on the floor in my bathroom absolutely convinced I was having a heart attack (husband called 911). Panic attacks certainly can mimic heart attacks.
Seen in ERs all the time. Since all your testing is normal, I personally would "lean" towards a panic attack.
Which are frightening & very debilitating.
You are much too young to have "heart attacks" on your mind. I would suggest a consultation with a psychiatrist to rule out panic/anxiety attacks. And, as advised, don't be looking at AI!
All the best to you 🙂

@njx58 While most heart attacks occur in people with known risk factors, sudden cardiac arrest in otherwise healthy individuals does happen — for example, sports-related sudden cardiac arrest accounts for a significant share of cases in young, active people

@newwayoflife hmm...newwayoflife, I hope you are now committed and determined to do exactly that...live a new way of life.
But you are certainly not alone in your former mindset. Unfortunately I know lots of men around your age (you didn't say but I am guessing 35-50?) who don't give a **** about themselves. Their lives are the "roll of the dice", enjoying their drugs/beers, their whoppers, their cigarettes, laying on the sofa watching sports, not exercising and doing exactly what they "enjoy" in their lives. But the body is funny...sooner or later, the body will pay the price for your life style as you just did on September 12th. Everyone eventually pays the price for the "unhealthy" way they live their lives. But you can do everything right in life and still have a heart attack...for lots of reasons but you would have an advantage already - living a clean life.
I hope you and your 30 year old brother can become "health buddies" now.
Cheering each other on as you both have now received BIG wake ups calls.
Both of your heart attacks could have be fatal.
And just a thought, no idea if this would apply to you - when I hear young people don't a **** about themselves for a long period of time, living every which wrong way they can possibly do - depression comes to my mind. You might now even be aware of your mental state.
But do think about it. You and your brother have second chances now to clean up your act and pull yourselves together - in all things healthy. Get all your ducks in a row. Physically, mentally, emotionally and spiritually. Get professional health if needed...there are so many resources today to address every part of the human existence.
It's up to only one person. Only one. You.
You decide how you want to move forward from September 12th.
All the very best to you! Make the right choices.
Your life is precious. We all only get one go-around. Make it count.

You should read up on Coronary Microvascular Disease. All the tests you did would not recognize CMVD. I have it along with CAD. I have been told it is anxiety, but it isn’t. Here is a link to the Heart Spasms Alliance. They are experts in the area…can’t hurt to do a little reading on it. https://www.internationalheartspasmsalliance.org/conditions/microvascular-angina/

I wish you the best and pray you find out the cause, Perseverance is the key.

All the best, VaniaG

@briarrose
Thank you so much for your comment. I did get a regular doctor and waiting for a cardiologist to call me for an appointment. My PCP referred me to one and said they will be calling. On the depression, I never really felt that till recently. I want to just cry out of no where. I have no insurance and I do worry about that.
My brother is back to his old ways because he feels good now. I don't like it but I can't control him either. All I know is that I can control myself. I will not stray from my mindset. Once I get to feeling a lot better, I want to help others who have struggles with what I use to struggle with.
Today I care and love myself. I no longer care what people think of me. Today I want to live.

@newwayoflife
First, you are absolutely right. You can not control your brother, only yourself. This you know.
And it is not unusual for someone to feel "good" after a heart attack and think they can return to their old, unhealthy habits. Love him and lead by your example. Hopefully he will see the light (or not)...but out of your control. Since your are waiting for a cardiologist call, once an appointment is set up, I would suggest to ask about cardiac rehab. All patients who have suffered a cardiac event usually have access to a post-heart attack rehabilitation program which very well may include mental health counseling, my sense it is always available in some form. Suffering a heart attack takes a toll on mental health. And the cardiology team most certainly knows this. Ask for it. Always advocate for yourself b/c no one else will.
Yes, one must love themself to live their best life. A person must believe they are worth it.
Sounds like you are exactly on the right track. No worries about "other people", no meaning or impact for you! And I think it's wonderful, once you are more settled you want to help others. Perfect...to give back to others actually helps one in their own struggles. You see the bigger picture and not focused on just "you".
So glad to hear you what to "live"...Are you a veteran? If so, contact your local VA Medical Center. There might be good options for you there.
Remember, if in a crisis - the Veterans Crisis Line is: 1.800.273.8255
The national suicide crisis hotline: 988
One day, one moment at a time, be kind to yourself. It's the best anyone of us can do.
You are not alone.
Blessings.

@jiyad, welcome to Connect. I’m glad you’ve already heard from several members and that some of their experiences have been helpful.

I have found that not understanding what is happening can add to the stress. For me, it was especially difficult when I realized there wasn’t necessarily a straightforward path to figuring out what was happening.

Kudos to you for continuing to learn and look for answers. What has helped me is going back and forth between conversations with my healthcare providers and learning from others here on Connect. Other members have helped me realize I’m not alone, better understand what my doctor was telling me, think of questions I wanted to ask next, and recognize things I wanted to pay attention to and bring back to my provider. Over time, I’ve come to better understand what my provider’s part is, what my part is, and how the two work together.

It’s been a few days since you first posted. How are you feeling now? Has anything you’ve learned here helped you think about what you want to ask or discuss with your doctor next?