Ongoing Chest Pain

Im hoping that someone here has some advice or insight. Im 35, male, in good shape. I have been having daily chest pain for a couple months now. I'll use today as an example. All day I felt perfectly fine. Woke up early, got the kid off to school, and worked out. Rode the stationary bike for 60 minutes. Heart and chest felt fine for the entire time. Rest of the day went fine. Until around 1430. Sitting in a meeting I feel my heart flutter/skip a beat, and feel a tingle throughout my entire body. The feeling is extremely uncomfortable and unsettling. Along with a short spell of dizziness, I immediately have anxiety. 10 minutes later I continue to have chest burning/discomfort that continues on to my back, and headache. 10 minutes after that it starts to settle, but even 90 minutes later I still have chest and back discomfort and random palpitations (that I attribute to anxiety from the initial episode). This will probably last the rest of the day, or at least until I work out again. Thats the weirdest part to both me and my cardiologist. When my HR is elevated and I am working out, I feel fantastic. The majority of the time when I feel these cardiac episodes (all of the times I can think of), I am at rest. Pain and discomfort will radiate to my back, arms, neck, and jaw. Dizzy and lightheaded. A few months ago I went to the ER with one of these episodes. EKG was fine, troponin test was negative. ER doc said to follow up with primary. Primary performed another EKG that also came back normal. Referred to cardiologist, who ran multiple tests. Bloodwork showed nothing, Holter monitor showed some pvcs or pacs but nothing significant. Echo and stress test also didn't show anything significant. I can't seem to figure out what is going on, but I'm pretty sure is not gastro. Multiple antacids have offered no relief. I can physically feel my heart having these episodes when they happen. I don't know what to do, but the associated anxiety is horrible. I can't even go to sleep, because I am convinced that my heart is going to stop while I am asleep.

Also, I have daily headaches that can come with the episodes, or present on their own.

Hi:
I also started having chest pain at your age 28, and I had every test imaginable and was told to see a shrink. It turns out that I have Small Vessels Spasms. I was diagnosed at the Cleveland Clinic in 2012.
It took me 36 years to get a diagnosis. I had a Heart Attack at the age of 63 years old. The spasms caused the heart attack but no heart damage. I would definitely call Cleveland Clinic Heart Department and make an appointment to see a Cardiologist. My Cardiologist at the Cleveland Clinic in Ohio is Dr. Stephen he is very familiar with women’s chest pain. I even went to the Mayo Clinic when I was your age but no diagnosis at that time. Women with chest pain and clear arteries is not something to fool around with. I am not saying you have SVS, but you definitely need to see a Cardiologist that specializes in women with chest pain and have all normal tests but continue to have chest pain.

Im hoping that someone here has some advice or insight. Im 35, male, in good shape. I have been having daily chest pain for a couple months now. I'll use today as an example. All day I felt perfectly fine. Woke up early, got the kid off to school, and worked out. Rode the stationary bike for 60 minutes. Heart and chest felt fine for the entire time. Rest of the day went fine. Until around 1430. Sitting in a meeting I feel my heart flutter/skip a beat, and feel a tingle throughout my entire body. The feeling is extremely uncomfortable and unsettling. Along with a short spell of dizziness, I immediately have anxiety. 10 minutes later I continue to have chest burning/discomfort that continues on to my back, and headache. 10 minutes after that it starts to settle, but even 90 minutes later I still have chest and back discomfort and random palpitations (that I attribute to anxiety from the initial episode). This will probably last the rest of the day, or at least until I work out again. Thats the weirdest part to both me and my cardiologist. When my HR is elevated and I am working out, I feel fantastic. The majority of the time when I feel these cardiac episodes (all of the times I can think of), I am at rest. Pain and discomfort will radiate to my back, arms, neck, and jaw. Dizzy and lightheaded. A few months ago I went to the ER with one of these episodes. EKG was fine, troponin test was negative. ER doc said to follow up with primary. Primary performed another EKG that also came back normal. Referred to cardiologist, who ran multiple tests. Bloodwork showed nothing, Holter monitor showed some pvcs or pacs but nothing significant. Echo and stress test also didn't show anything significant. I can't seem to figure out what is going on, but I'm pretty sure is not gastro. Multiple antacids have offered no relief. I can physically feel my heart having these episodes when they happen. I don't know what to do, but the associated anxiety is horrible. I can't even go to sleep, because I am convinced that my heart is going to stop while I am asleep.

Also, I have daily headaches that can come with the episodes, or present on their own.

I have the EXACT issues that you are having. I feel so good after doing 30 minutes on the elliptical and some toning stuff. My chest tightens as the day goes on and I thought maybe it was my underwire. I’ll just be sitting on the couch and my heart flutters to where I have to cough. It’s like it takes my breath away. My chest is constantly tight for 2 months now. It all started with these pains that felt like someone was poking me with a poker under my left breast. Pain sometimes radiates throughout my body. I get headaches. Numbness and tingling in my left arm and sometimes my legs. Dizziness. I have gone to the doctor and of course he prescribed anxiety meds and told me to go to a “Behavioral Therapist”. My bloodwork Great, my heart function great. My resting rate is around 62. I went and got a mammogram, per doctor request, fine. I am going for a heart monitor next month. Yep, takes that long. I honestly feel like it’s a blocked artery but my doctor doesn’’t Want to do the tests. He said that if I feel that bad to go to the emergency room and they will automatically run all the tests. I am so frustrated!

Wow, he won't order the tests to see if an artery is clogged?! Seems like a stress test and ultrasound would be in order.

I have the EXACT issues that you are having. I feel so good after doing 30 minutes on the elliptical and some toning stuff. My chest tightens as the day goes on and I thought maybe it was my underwire. I’ll just be sitting on the couch and my heart flutters to where I have to cough. It’s like it takes my breath away. My chest is constantly tight for 2 months now. It all started with these pains that felt like someone was poking me with a poker under my left breast. Pain sometimes radiates throughout my body. I get headaches. Numbness and tingling in my left arm and sometimes my legs. Dizziness. I have gone to the doctor and of course he prescribed anxiety meds and told me to go to a “Behavioral Therapist”. My bloodwork Great, my heart function great. My resting rate is around 62. I went and got a mammogram, per doctor request, fine. I am going for a heart monitor next month. Yep, takes that long. I honestly feel like it’s a blocked artery but my doctor doesn’’t Want to do the tests. He said that if I feel that bad to go to the emergency room and they will automatically run all the tests. I am so frustrated!