Chest Pain

[Americanguy3]

Hi Im a 28 year old male who has experienced moderate to severe chest pain in the last 2 years. During this time I  have been in and out of ER's and have also had met with a 4 cardiologists and had what I deem to be a thorough cardiac work up. The work up included: multiple ECG's (over 10), a 48 hr. holter monitor, an echocardigram, an event monitor, and a stress test. With the exception of one ECG that showed a Premature Ventricular Contraction the doctors have not been able to find anything. During that time period I have completely elimnated all cafeine, all chocolate, and all stimulant's. Even with that I am still feeling pain. Iniitially my symptoms included an increaed heart rate (tachycardia), with loss of sensation in my left foot and left hand, which were also accompanied with sweating in my hands. At first my symptoms subsided a little bit, but have since come back. Now, I'm completely exercise intolerrant for example if I go walking for  1 mile I experience chronic chest pain and tightness afterwards. In addition the pain has radiated to the top of my of my back to my upper left side. My question is what do I have or what should the doctor be looking for to see what I may have? They have ruled out a heart attack, and the doctor's at the ER have said after a chest x-ray there is no sign of heart enlargement. What might I have, and what can I do to manage or eliminate the pain so I can return  back to my active lifestyle? Lastly, I was active throughout my life, I was soccer player, and after that continued to run 3.5 miles a day. For the most part I have maintained a healthy weight to height ratio 5'8" inches tall and a weight of 155-160 during my active years (it has since gone up 168 to 172). My first bout with chest pains came when I used prescription adderall in March of 2009, I have used it since but still experience these symptoms. What might be the problem?

[kenkeith]

After reading my prior post, I didn't mean to indicate you can now rule out a respiratory problem.  Instead your doctor should rule out a respiratory problem...I haven't read anything from your posts that has considered a respiratory problem.  Thet tests you have shown relates to a heart disorder workup.  However, pulmonary artery pressure can be estimated from an echocardiogram and if higher than normal that may indicate a respiratory problem.  

Ken

[Americanguy3]

Thanks for the responses....I'm glad to hear that respiratory problems are pretty much out of the question. I wonder if the tests I had (ecg, echocardiagram, stress, and event) check for coronary problems as well. I don't have a family history of it, but all the same it seems as if it could be something to take into consideration. Any thoughts?

[kenkeith]

There has been a workup on your heart without showing a problem, so you may rule out any respiratory problem such as pulmonary thromvbosis and/or pulmonary emboli.

Thanks for sharing, and if you have any further questions or comments, you are welcome to respond.  Take care,

Ken

[Shadowfluffy6]

it got to be something

[Americanguy3]

Ammendment to the last post: I have not used prescription adderall since March of 2009.