Confusing symptoms..not sure if heart or not!?!

[shell1925]

29 yo F, 5'3, 140 lbs., light smoker, non-drinker with onset of symptoms in 4/06 while 6 months preg.  Symptoms have come and gone but are back again.  Not currently taking any medications.  

Symptoms:
Chest pain (pressure sometimes in the middle, but mostly under left breast)
Left arm pain (mostly in forearm, sometimes in the bicep area and hand)
Swelling in vein are the left forearm (can actually feel it swelling)
Joint pain on left side (mostly fingers and toes)
Left shoulder pain (almost feels at time like a pinched nerve)
Lip numbness (most commonly occurs in the AM)
Back pain (mostly left side, opposite heart and lower left hand side
Leg pain (always the left but varies between calf and quad)
Stomach pains (sometimes tender to the touch under the sternum)
Dizziness (on occasion)
Rapid heart rate (comes and goes...not necess. because of exertion)

**None of these are necessarily brought on by exertion, can't really find a trigger except at times when I am smoking or out in the cold (more the arm and shoulder pains)

Tests:
Chest x-ray(July 2007)
EKG(July 2007)
Echo(July 2007)
Stress echo treadmill(July 2007)
Stress thallium echo(July 2007)
CT scan of chest(July 2007)
MRI of brain(July 2007)
Tilt-table test(July 2007)
Ultrasound carotids July 2007)
Venous doppler of both legs (September 2006)
Holter monitor (June 2007)
Endoscopy (July 2007)
HIDA scan (September 2007)

Here are diagnoses I have received:
GERD with esophageal erosions  
Hiatal hernia
Right Bundle Branch Block (only showed up on one EKG, so I am told it is normal?)
Gallbladder function only 21% (removed September 2007)
Vasovagal reflux
Anxiety  

My questions are:
1. Should I be confident that this is not cardiac related?
2. Can GERD and a hiatal hernia cause these symptoms?
3. How much can smoking affect these symptoms (do come on with smoking)?
4. Could this be possibly related to my back and/or nervous system?

Shell

[Cleveland Clinic]

I can't think of any other cardiac test to order, so if these are in fact normal then yes, I would say that it is neither life threatening nor related to any congenital heart disease, aortic or thoracic vascular cause, or life threatening pulmonary disease, I would recommend you to stop smoking, however, start an exercise program and caloric restriction and maintain your BMI between 20-23.

[shell1925]

It doesn't bother me when I exercise, I guess that is why I passed all the stress tests.  I can't really pinpoint what brings it on.  As far as all the tests, I ended up in the hospital in July because I passed out, so they ran every heart test on me to make sure it wasn't my heart.  They say it is vasovagal reflux.....not sure though because when I did the tilt-table I passed it.  Who knows....I guess I am left to wonder?

[bluecheese]

curious though, is your chest pain worse when you exercise?

[bluecheese]

I take it you have good insurance???

[bluecheese]

goodness, i have similar problems to you and my doctors told me that anything beyond the usual labs,  a plain chest xray, resting echo, and a Holter was un necessary

[shell1925]

Thank you for your response.  I am wondering though if you think these could be related to my GI problems.  I understand that I can rule cardiac problems but do you have insight as to where else I should start looking.  Is Right Bundle Branch Block "normal" in a case like me?