I have been having chest pain for about 8 months. This pain can start in centre chest and send pain to either side and to my back... it's very diffuse. It happens on a mostly daily basis and can last a few hours or all day long. I took a ppi for 7 months with no relief. I also did a trial of anxiety meds which did nothing. I've had multiple ecgs as well as a stress test and a nuclear stress test, and an echo and all are normal. I've also experienced pulsatile tinnitus in my right ear every night for about a year. I also suffer from debilitating migraineswith aura and stroke like symptoms and have for a few years.... I take amitryptilline for them. Lately I've got to wondering if all this could be connected.... possible pfo? I don't know if I'm crazy or what, and all doctors now look at me like I'm crazy but I know something is wrong. It is not normal for a healthy 34 year old woman to feel this way and I can't stand much more of it. Any ideas?