Anxiety?

[testresult]

Can Anxiety cause the issues listed below (including blood results)? I am becoming extremely interested in finding resolution to this / these issues.

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I have had issues with pain in my left chest that radiate into my left arm for several months.

As far back as 4-5 months ago, I have experienced moderate chest pain that radiates from left chest to my left hand, causing numbness.

3 months ago, I had a stress test without dye or scanning. I discovered that by doing several different types of shoulder stretches, I was able to "pop" my shoulder and symptoms would instantly subside. I began performing the stretches regularly and this pain subsided for several months.


Last night, I went to the emergency room experiencing symptoms that mimic a heart attack.

It started with symptoms similar to the pinched nerve mentioned above.

Shortly after, the following symptoms occurred:
Growing pressure in left chest that travelled down left arm causing numbness
Cramping pain in left shoulder that radiated to left elbow
Tight, stabbing pain in the upper left chest
Numb lips
Extremely warm without sweating
Pounding and racing chest

My baseline blood pressure was 156/89. My peak exercise blood pressure was 172/79. Cardiomediastinal silhouette is within normal limits. Trachea is midline. Pleural space are clear. Bones are unremarkable. Lungs are clear.

I had a Treadmill Cardiolite Stress test with SPECT imaging.

Stress test was negative.

SPECT imaging revealed the following:
Minimal hyperfusion in basilar inferior wall
Fixed basal inferior defect o/w diaphragm
No ischemia
EF 577


Basic Metabolic Blood Test
Sodium 138
Potassium 3.7
Chloride 101.0
CO2 28.4
Glucose 112 H
BUN 18
Creat Serum 0.91
Calcium 10.0
eGFR  >60&

CBC COMPLETE BLOOD COUNT TEST

WBC 6.7
RBC 4.83
Hgb 15.3
Hct 44
MCH 32 H
MCHC 35
RDW 12.5
Platelet 221
Absolute Baso 0.0
Absolute Eos 0.1
Absolute Gran 3.0
Absolute Lymph 2.8
Absolute Mono 0.7
Basophil % 0.4
Eosinophil % 1.9
Granulocyte % 44.4 L
Lymphocyte 42.3 H
MCV 92
MPV 8.5
Monocyte % 11.0


D/DIMER QUANTITA
D-Dimer < 0.22

Troponin I
Troponin I <0.15 on both baseline and follow up tests

The ER stated that they ruled out my heart as the cause of this issue.



What else could be causing this?

Is there anything note-worthy from my test results?

Should I be tested for anything else?

What does the basal inferior thing mean? They didn't talk to me about this, they just put it in my initial report and told me to follow-up with my general doc on Monday.

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note that the notes on the tests state the following

Glucose 112 = HIGH (Note that this is incorrectly marked as HIGH, I ate approximately 2-3 hours before this test).

MCH 32 = HIGH (I don't understand this)

Granulocyte = 44.4 LOW (I don't understand this)

Lymphocyte = 42.3 HIGH (I don't understand this)

[M4Y0U]

An increase in lymphocyte concentration is usually a sign of a viral infection. A general increase in the number of lymphocytes is known as lymphocytosis whereas a decrease is lymphocytopenia.

Low concentration of granulocytes in the blood reduces the body's resistance to many infections.

MCH value of 28/32 is considered normal... Don't worry about microcytic anemia

Hope this help you understand the result and why no doctor explained the result to you?

[cj29]

Have you talked with your doctor about all of these results?  If your stress test is negative, I believe that means there are no cardiac issues.   As far as your baseline BP, mine always skyrockets at the docs and returns to normal at home....keep us posted!