27 Male with inverted T-Waves

[jhall552000]

Hello, I am a 27 y/o male, 190 LBS, 5' 11, recently stopped smoking. I have been having fairly regular chest pain for about 9 months now. I will describe the tests I have had shortly. As for the pain it occurs in several distinct areas.

Chest Pain:

Left side below the collar bone (Feels like something is pulling the muscles, SHARP pain)
Left side on the side of breast (Feels like something is pulling the muscles, SHARP pain)
Left side where the chest meets the arm (Feels like something is pulling the muscles, SHARP pain)
Center of chest (Feels like gas, and is usually better upon passing said gas)

Back Pain:

Center of back, normally on the right side of the spine (Feels like STABBING pain and gas pain)

Shoulder/ Neck/ arm pain

Trapezius pain (Feels like sharp cramping pain)
Neck pain (Feels like sharp cramping pain)
Bicep, Tricep, and Forearm pain (Feels like something is pulling the muscles, SHARP pain)
Thumb Pain

I have had every test one could imagine. Below are all the doctors I have seen and all came back normal with the exception of inverted T-Waves.

Pulmonologist
Cardiologist
Rheumatologist


I also found an EKG and Stress test I had in 2008 which also states abnormal inverted T-waves. I went to the first cardiologist in June 2010 and he stated that I did have slightly inverted T-waves, but that this was normal and was not the source of my pain. He ran a entire battery of tests (Echocardiogram, Stress Test, Chest X-ray, blood tests) and all was normal in his opinion except for the aforementioned.

I went to a second cardiologist yesterday for a second opinion because my chest still hurts, and he seemed a little concerned with my T-Waves. I am in Germany, and have private heatlh insurance. After the EKG and stress test the cardiologist said that he know's that I am concerned with the outcome and that he thinks I should get a heart cathetirization to be 100% for sure that it's nothing with my heart. My GP thinks that the cardiologist is just trying to have me do ot for money (this seems to be a common practice in Germany due to their social insurance program).

After the cardiologist, I went back to my primary care provider and told him what happened. He insisted on another EKG (Which showed the same thing) and he said not to be concerned. I have been diagnosed with myofascial pain syndrome. A myofascial trigger point in the subclaicar area can cause all the pain I am having according to my doctor and numerous medical publications.




So here are questions.

Should I be concerned with the inverted T-waves? Can this be the cause of my chest pain? Any additional comments would be great. Thanks.

[jhall552000]

I will be going to another cardiologist after the holidays. My GP wants me to wear a 24 hour monitor after New Year. After we get the results from the all cardiologists and the BP monitor I guess we'll take it from there.

As far as aking myself do I really think that I am experiencing a full range of angina symptoms? I don't know the answer to this. I certainly hope not, and if I did think that I wasn't experiencing a full range of angina symptoms I probably wouldn't have gone to the doctor. I know that I have had the T-wave issue since 2008 so I suppose if it was going to kill me it probably already would have.

[itdood]

inverted T waves can sometimes be a sign that blood flow is restricted somewhere or it can mean absolutely nothing.  Ask yourself this, do you really think that you are experiencing a full range of angina symptoms?  

Since you are obviously very worried about this and don't trust the opinions of the doctors I think getting more tests would help you move on with your life.  You could start with imaging instead of the cath if the cath worries you, but the gold standard test is the cath.  CT scans are pretty good at catching blocked arteries too.  Cardiac MRIs can detect early calcium issues too.  

Test that can be used to detect CAD are

Nuclear stress test
CT scan
MRI
Cath