Lightheaded, Chest Pain, Short of Breath SVT

[Optimism]

I'm an otherwise healthy 28 year old m.

Beginning ~2mos. ago (5 days after using cocaine) I was having a cup of coffee and felt a burning "stripe" down my left arm.  This continued through the evening, the next day my arm was numb.
Two days later, having a cup of coffee (not a heavy coffee drinker) left arm went numb and I became extremely lightheaded. Concerned I might pass out, I went to my clinic.  Quick EKG looked normal, referred to a cardiologist.

Meanwhile, lightheadedness continued, beginning shortly after waking up and not relenting. During this time, I had frequent palpitations and recurring chest pain in the evening, mostly in the area of my heart and towards the lower right side of my rib-cage.  This was a stressful couple of weeks for me even without these concerns. No alcohol or coffee since this has started.

One evening chest pain and arm numbness were freaking me out, went to ER. Tested for heart attack and thyroid, both neg.
Finally got an appointment with the cardiologist's PA who had me wear a 48hr holster monitor. Results showed one episode (9 beats) of SVT.

Had a a stress-echo test last week; same lightheadedness, no pain during excercise.
The technician said I had some Tricuspid valve leakage. She also asked if I was an athlete (I'm active and trim, but not necessarily athletic.)

Lightheadedness cointinues, evening chest pain has gotten worse (pulling from the center, pain in back around right arm, pain both sides of chest) and I've noticed what feels like less efficient and more frequent deep breaths.

Thanks for reading :) Any Opinions?

[Optimism]

BNB,

Thank you for sharing some of your personal experience.  I am afraid, and am reluctant to speak (at length) with people I love about this, as it serves only to worry them. So, thank you again.

If you're comfortable sharing a little more, how did your pulmonary hypertension present itself, and how has it progressed?

[Buaidh No Bas]

Pulmmonary Hypertension,thankfully can be concretely diagnosed, so if that is what you honestly fell the problem is, at least you can find out.

As it so happens, I am living with pulmonary hypertension. However given your sex/age, and otherwise "healthy" life (ie, no history of cardiac problems, I would be surprised if what you are experiencing is PH.

PH is primarily a disease that manifests itself in middle-aged females, when it appears in a person with no history of cardiac problems.

I am a male in my early 30s, but I have an extensive history of cardiac issues, so PH appearing in me is not so 'surprising'.

If you can, see a cardiologist and discuss your concerns. You can have tests run that can definitively tell you if what you are experiencing is PH. Hope that it isn't. It's relatively untreatable, (symptoms can be managed with medication, but the only way to rid the system of PH is through a transplant) and once manifested, the expected lifespan of the patient is 2-5 years.

Best of luck.


BNB

[Optimism]

Thank you for taking time to read and respond.

That was most definitely the last time. I had used it socially on (rare) occasion in years past. I would do it differently if I could, but I (obviously) cannot.  When I was younger I assumed that since it was so prevalent, the consequences were likely less significant than I now know them to be.

I do not like using the internet to "research" this topic, as it tends to offer panic rather than enlightenment. But, I'm concerned about pulmonary hypertension. It seems that conditions in my body match those of people suffering from pulmonary hypertension, including having symptoms initially diagnosed as stress-related (not to mention Tricuspid leakage, which I understand to be common.)
I know my mind is capable of amazing influence on my body, but my symptoms seem far too "concrete" to be blamed on stress alone.

Does anyone know within what sort of time frame pulmonary hypertension manifests symptoms? Does anyone here live with this condition?

[Buaidh No Bas]

Ok, not to point out the painfully obvious, but honestly, stop the coke.

It can have extreme ramifications on your heart, especially if you have an underlying issue that they just can't pinpoint. Not assuming you do it alot, bu whether it is a regular thing, or simply occasional, it's no good for your ticker, even if you are 100%. Other than that, continue to get checked out when your symptoms appear until you get an answer. Hopefully they'll eventually be able to figure out the exact cause.


BNB