22 yr old male's ekg, left side chest pain

[cookienkikin]

i dont really have chest pain after exertion.  and its not a constant pain, it comes and goes sometimes for hours at a time, always on the left side of my chest.  i was trying to do some research on prolonged qt syndrome and i found that my highest one that i had, which was 466 was considered borderline.  and the other was just below the normal range. (428)  do you think that is something to raise an eyebrow at and be concerned, can it cause chest pain?  after all the ekg's i had wouldn't at least one doctor bring that up?  would the ekg machine print that out at the top of the page if it was a concern?  i'm just trying to find some info out. thanks so much. i really appreciate the help and advice. thanks again. would it cause palpitations? what does unremarkable mean on an ekg print out? and what about the rightward axis, is that bad??? 2 years ago i had an echocardiogram, stress test, and holter monitor.  the only thing that showed up on all them was "moderate tricuspid regurgatation" on the echocardiogram. is that something to be really concerned about?????

First one:   Rate 88 PR 119 QRSD 100 QT 385 QTc 466   AXIS P 82 QRS 94 T 18    Sinus rhythm, rate 88 Accelerated AV conduction Rightward Axis High QRS voltage, ? normal for age Q's in II, III, aVF- possibly normal for age  Borderline ECG  

Second one, 2 hours later:   Rate varies from 80 to 103: ? arrythmia   Rate 88 PR 143 QRSD 98 QT 354 QTc 428   AXIS P 78 QRS 86 T 54"

[cookienkikin]

i went to my doc yesterday and i told him about my pain and symptoms still and i told him that when i went to the er a few weeks ago with the real bad pain that they told me to talk to my doc about repeating the echo,stress test, and holter, and possibly doing a heart cath. I told him that and he said that they would be useless b/c we already had them done and they didnt show anything. (except heart cath. never had that done), he said that there was nothing wrong with my heart. i've still been having the intermittent chest pain right over my heart, left side of chest, and pain radiating down my left arm and into my left wrist. what are the possibilites that the test i had done would have missed any blockages or anything else that could be causing my symptoms with my heart? what could be causing my pain and symptoms? unstable angina?  are there any substitute tests, less invasive than a heart cath. that are just as good?  nuclear scan? again im a 22 yr old male, 6 ft. 180lbs. bp is 137/80. i do have one tender spot on the left side of my chest but i think its b/c thats where i always grab when i have the pain and i just bruised it, and now i grab it all the time and press on it when i have the pain. are coronary artery spasms dangerous? if you dont mind could you find out if the ekg would show changes in the event one happened with an event monitor, thanks so much. is coronary artery spasms something that can be corrected, and what are the complications of them.

[Momto3]

The doctors don't generally answer more than once on a thread.  You may want to try posting on the "community" boards.  Other members may be able to help.  

Good luck.

[cookienkikin]

i was wondering what conditions could cause the left side chest pain that i'm experencing with pounding/forceful/hard heartbeats in my chest. the pain is intermittent along with the hard heartbeats, when the pain is there it is accompanied by the hard/forceful/pounding heartbeats. what could cause this? thanks

[cookienkikin]

yea, im wondering now if it could be arrythmias causing my problems.  with all the info i have given does that sound like it could be a possibility? could they cause intermittent chest pain on the left side where i described, and occasional left arm pain? how could i find out if that is what it is? if is is arrythmias are they dangerous, can they be treated?

[cookienkikin]

thanks for your quick reply, i really appreciate it. today i went and got some of my medical records from recent visits.  i got 4 different ekg reports.  I had two done on 10/19/2007, one on 12/22/2007, and one on 12/28/2007.  The one I had done on 12/22/2007 shows on the computer printoit and the top sinus tachycardia, right atrial enlargement, borderline ecg when compared with ecg of 09/13/2006.  That is the only one that I'm really concerned about, I was really anxious and i think i was having a panic attack when that ekg was recorded.  The main thing that concerns me is the right atrial enlargement, its only on that one ekg.  How accurate is the ekg in detecting that, and is it a really bad thing to be concerned about?  I'm really anxious about this now, please shed some light on this for me. Thank you so much

[Darcy Green Conaway, MD]

Long QT is not usually associated with chest pain and the numbers you are giving me are normal so it is doubtful that you have that syndrome. At 22 years of age, chest pain is almost never due to blockages in the arteries. Honestly, I'm not sure what led you to be concerned about long QT syndrome.
Moderate tricuspid regurgitation -- almost everyone has a little tricuspid regurgitation but moderately regurgitant is more than we usually expect to see in a young, healthy person. I would suggest a repeat echocardiogram as this is somewhat "reader dependent". Thanks