my boyfriend has had every test you can think of but still has heart pounding attacks like hes getting punched in the chest and it echos. Also has vertigo and feels like he could pass out and just feels somethings wrong

[shanokio]

my boyfriend works 3rd shift and goes to school. He has been having some serious issues w/ his heart and just feels that somethings wrong. He has seen a few doctors and had alomost every ekg etc type of test and blood work done but, he is still suffering. It feels like he gets punched in the heart and it echos. He sometimes has vertigo and has trouble sleeping and has started having anxiety. I am running out of tests to ask the doctor to do . Can anyone pkease help? Is there a special doctor he could cgo see? He is 34 and use to be a pro body builder. Lives healthy doesnt drink /smoke or do drugs. I am really worried.

Thank you

[Mom2four85]

Visit the dysautonomia or autonomic dysfunction forum and see if you can find a doctor in your area - vertigo, racing heart, trouble sleeping etc may all be related to the ANS and may take a visit to a dr who has knowledge about ANS issues - you can google autonomic dysfunction, dysautonomia or autonomic nervous system and see if anything sounds familiar

sometimes it takes many years to get a proper diagnosis, but a cardiologist who has ANS knowledge is a rare and great thing =)

[rixsta]

i agree see a cardiologist,are you sure he dosent take any types of drugs..i had serious palpitations started about 4 months ago,every time i had a ciggerrette it started, so i stopped smoking (after 25 years) and hey presto they completly stopped.lucky me.i had to give up caffein aswell.good luck.

[Jerry_NJ]

Given the symptoms you note, a Cardiologist would be my recommendation for a doctor to discuss.  

Going back to before the heart pounding started I ask if he was very tired from working and going to school.  I did the same myself during a couple of years in my undergraduate years and I know I had worked myself down to a sorry state, but I didn't notice any heart problems in my case.  My point, if the heart symptoms started after the heavy work schedule started the cause may be exhaustion.   What about coffee/coke (caffeine)?  That may "pick one up" but it can cause heart symptoms, as can anxiety.  Be sure you have the timing figured out before taking further with a doctor.