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corisol elevation and cardiac symptoms
this may be a chicken/egg question.  I've been having left sided chest pain, LUQ pain, and left sided back and armpit discomfort for months.  Somestines the  pain is associated with lighheadedness, dizzziness, nausea etc.  i have had a thourough GI workup with no findings.  I also have a high pulse, sometimes 100 resting and low blood pressure.  I had some hormones tested and my serum and urine cortisol were elevated mildly.  I had a dexamenthasone suppression test and did suppress.  (Also brain and abdominal MRI were neg).  I know that cortisol is a stress hormone.  Would an elevated level cause a fast heartrate?  Also, I 've had IST suggested as well as POTS.  Had a normal echo and I think my holter was OK, the doctor never called with results.  He had scheduled a tilt table but had to cancell and I started to feel better and never rescheduled.  Then 2 years later I'm back in the same boat....but worse

I'm a 38 year old female 4'11 123 lbs.  non smoker non drinker

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290383 tn?1193103921
The increased heart rate is likely due to elevated levels of epinephrine(adrenalin) which could come from stress just like elevated cortisol.  At times a good exercise program can help with this.
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