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heart pain

sir or mam i know a little about medicine very rusty i practiced medicine and prescribed medicine under liscenced physicians which is why my ? may seem well explained(26m/no historyof heart problems/no surgeries) extremely desperate to know the cause of my heart pains;  history
1. dad died this year of coronary heart disease 2.experianced onset 3yrs ago coming and going
3. echocardiogram=normal results/ekg=normal results/chest x-ray=normal results several doctors listened to heart that = normal.  4. HOWEVER diognosis have varied from unkown/anxiety and i have felt several serious and scary symptoms to include sharp pains, L arm numbness, very very intense burning at times radiates also have had heart stop while asleep for unkown reason and twice had intense never before chestpains while excercising heart has skipped beats but now for days in the am heart begins to burn upon waking up from sleep chest muscle right over heart and shoulder directly behind numb and very sore  thank you very much for your time please list all possible including rare causes again thank you!!!---------------------Rick
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Avatar universal
Hello rickva,
Most ikely you are suffering from Soldiers heart, which is otherwise referred to as Da Costa's syndrome, which was colloquially known as soldier's heart, is a syndrome with a set of symptoms that are similar to those of heart disease, though a physical examination does not reveal any physiological abnormalities. In modern times, Da Costa's syndrome is considered the manifestation of an anxiety disorder and treatment is primarily behavioral, involving modifications to lifestyle and daily exertion. It is also variously known as cardiac neurosis, chronic asthenia, effort syndrome, functional cardiovascular disease, neurocirculatory asthenia, primary neurasthenia, subacute asthenia and irritable heart. Symptoms of Da Costa's syndrome include fatigue upon exertion, shortness of breath, palpitations, sweating, and chest pain. Physical examination reveals no physical abnormalities causing the symptoms.
Refer: http://en.wikipedia.org/wiki/Da_Costa%27s_syndrome
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592969 tn?1248325405
What comes to mind is could an artery be spasming.  Sometimes arteries are only 30 percent blocked and the artery will start spasming.  This feels like a heart attack.  Pressure, pain and sometimes the back can actually shake.  Doctors have a hard time diagnosing this.  An angiogram will have to be done to diagnosis this and sometimes that does not even catch it.  Be aware of your symptoms and if it continues or gets worse, request an angiogram.  

On the other hand, it also could mean you have an overactive adrenal.  This is not the kind of adrenal you get from being scared, but the kind of adrenal from exercise, chocolate, caffeine and licorice. This is not harmful but produces symptoms of heart racing at times, breathing problems from heart racing, inability to climb stairs without heart racing and feeling out of breath and faint, aware of heart beating and pulses.

If you can, increase your calcium intake to see if this helps.  Make sure to get plenty of potassium from organic bananas and potatoes. Increase your Omega 3 if you haven't already done so.  

Hope you feel better.

Deb
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