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I don't want to panic you but all of that sounds like classic heart attack symptoms. Being 19 that would be SO rare and is unlikely but you really should see a doctor asap just to get checked out. It could be nothing more than anxiety but it is important to see a doctor soon. Early August I was experiencing chest and arm discomfort, dizziness, fatigue and massive shortness of breath and I was convinced I was having a heart attack (I'm 23) I went to 2 emergency rooms in 2 days and neither found anything wrong with me. I'm still worried that they missed something but I dont have insurance and am working on that right now and as soon as I do, I'm getting right to a GP to have more tests done. I am glad I went to the ER though because they put me a little more at ease. Please get yourself to a doctor or the ER as soon as you can just to be on the safe side. You also may want to post this question on the heart forum and see what they have to say over there.