Unexplained symptoms

[kifer]

Forgive me ahead of time if this isn't related to COPD, but I hoped you could help since shortness of breath is involved with my symptoms.
For many months I have been experiencing dull pain with each heartbeat in a specific location deep in the center of my chest, about 2 inches below the bottom of my throat  or 2 inches below the interior of my shoulder blades;  sometimes it feels like blood pools in that area and pressure builds up in my upper chest and head.     I have also experienced isolated/occasional heart palpitations that occasionally cause me to have near-fainting and I was told these were early beats and not to worry about it.       I've also had symptoms of general lightheadedness,  as well as shortness on breath and vision fading during heavy lifting.       In the same spot as the painful heartbeat, if I'm very relaxed and at reast (heart rate is slow),  instead of pain with each beat, there is just a dull heaviness or choking sensation in the same spot.      I have none (never before) of the palpitations or lightheadedness before this other symptom started.

I've had routine blood tests including SED rate which was 0,  chest xray, echocardiogram, plain treadmill stress test, overnight sleep study, EKG, Holter monitor.
Only thing that showed up was the early beats on the Holter,  as well as mild Pulmonary and mitral regurgitation on the echocardiogram.

Are the tests I've had sufficient to rule out a serious problem with certainty?   Is there any other test I should have?

Note:  my medical history is remarkable for an orbital roof 3.5 cm bone tumor which is stable but causes headaches.

[National Jewish Health]

The dull pain with each heartbeat is a most unusual symptom.  Awareness of one's heartbeat is another matter, and is common.  The awareness is most commonly of a pulse in the chest or the ear; the latter, especially at night when one is having trouble falling asleep.  It can be accompanied by a vague sensation of discomfort which, with anxiety, could be interpreted by an individual as pain.  "Lightheadedness, near fainting, shortness of breath and vision fading during heavy lifting" can occur with an abnormally rapid heartbeat but almost never with an "occasional early beat".  The "vision fading during heavy lifting" is most often caused by holding one's breath and generating great pressure within the chest that reduces return of blood to the heart.

You have had the relevant tests and the fact that they were all normal/negative suggests that your symptoms are not due to any serious physical disease, including cardiovascular disease, unless the pulmonary and mitral regurgitation are actually more than "mild" or that you have mitral stenosis and/or pulmonary hypertension, not evident on the ECHO.  These possibilities are unlikely and the most likely cause of your symptoms would be chronic anxiety, possibly with panic attacks.  You may want to discuss this possibility further with your doctors.

[Allisonc78]

The heaviness, choking, or painful sensations could be from your lungs, or from your esophagus. I would start researching there since the heart has been ruled out. That doesn't mean nothing serious has been ruled out of course until you get your lungs checked first. I have asthma and for months before I got it all I had were chest pains from who knows where.