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.