Isn't that strange, I have all those symptoms, chest pain ....short of breath on any exertion....almost passing out...........and yet I am told its nothing. I should just give up......this is enough to cause anx!
Hi RAJ,
Your symptoms sound pretty benign, but the safest thing to do is talk to your doctor about it. You age, lack of family history or other risk factors, and the fact that is not progressive make this unlikely that it is obstructive coronary artery disease. My guess is that it is most likely not cardiac in origin.
For someone your age the most likely cause is anxiety. People with anxiety tend to have an increase in their symptoms in their mid twenties, particularly males. You don't have to be an axious person to have anxiety spells or attacks. They come and go at their own discretion and very in symptoms and intensity.
It could also be coronary vasospasm or a bunch of other rare cardiac problems -- these are the reason why you should mention it to your doctor, but again, I doubt it is any of these.
They are particularly less likely if you don't have a family history of sudden death, personal history of syncope (passing out) or near syncope (almost passing out), exertional chest pains or light headedness or reduction in exercise tolerance.
To prevent you from worrying about this long term, mentioning it to your doctor now will allow him to work it up and exclude bad things so you can go with your life and not worry about this. The worrying is the hardest part.
Hope this helps and thanks for the post.