Help with ekg and blood results? REALLY scared.

[sweetnightmare]

History: 28 year old female smoker, who is overweight and eating healthy now. HOwever ate fast food every day for 4 years stright due to pretty severe depression :(

Has had chest pains for months, but now, with the added stressors of a divorce and work, has constant pain in her breastbone as well as on the left side of it, sometimes going into the back of neck, shoulder, and arm. Has went to the doc and er alot, had ekgs done. Had a alightly elevated troponin 2 weeks ago (troponin1 0.02, normal is under 0.04) but is back down to 0 as far as she knows. However her chest pain gets worse at night is is now there constantly. Ok blood pressure. Hardly ever goes over 130/85ish. Has high pulse that can go up to 120 all the time, but also has hypochondria and panic disorder.

Please help me...I have a history of heart problems and stroke in my family and I am afraid my arteries are clogged up from eating fast food for so long...here is my last doctors report from 2 weeks ago, i will highlight the parts i am concerned about in bold....

We have opted to check an EKG, which revealed normal sinus rhythm at
a rate of 74 beats per minute. She had narrow QRS complex. Normal R-
wave progression and no evidence of acute ischemic change. She had some
nonspecific ST wave flattening in her inferior leads. This was compared
to previous EKG dated 03/19/2013 and was very similar.

THen the labs taken that day.

She had positive orthostatic vital
signs by heart rate and greater than 20 points elevation when she stood.
The patient's electrolytes were normal except for a mildly elevated
chloride of 110. Serum CO2 slightly low at 17. BUN and creatinine
were normal. Liver function tests normal. Cardiac enzymes normal. C-
reactive protein minimally elevated at 1.7, very similar to previous.
White count 10.6. Hemoglobin, hematocrit and platelet count normal,
differential without left shift. Sed rate normal at 20.

THis was like two weeks ago, and that CO2 level keeps going down. what does that mean? Also my troponin I had gone up to 0.02 but is 0 now.. I am terrified of this pain...docs keep saying its stress and anxiety but I hesitate to believe them because I feel like all they wanna do is blame my anxiety...please help me!

[Flycaster305]

JeffK627 gave you the best information you can get on a health heart board, quit smoking.  If you continue to smoke, you will have heart and lung problems, and of course cancer is also probable.  I'm not a health professional, but knocking back French fries is much healthier than sucking on a cancer stick.  I know, I smoked and paid the price.
Your lab tests were obviously normal, words like trivial, minor and normal should bring great relief.  You didn't mention your lipid tests, I assume you had those lab tests as well.
I'd suggest you mix in salads, decrease the fast food habit, but if you continue to smoke pimp sticks, it won't matter, smoking will cause your body grief.
Millions of us quit smoking.  You can too.  Best wishes.

[JeffK627]

Quit smoking, quit smoking, quit smoking - that's the #1 best thing you can do for your heart, lungs and everything else!

[Red_Star]

I should add i had chest pain with vitamin B12 deficiency and hypothyroidism. My mother had severe angina pain that ran down her arm and this symptom went away when homocysteine dropped below 11umol/L. The high homocysteine was due to the acid blocker nexium lowering B12 levels.  Super healthy homocysteine is under 6 umol/L.  High homocysteine and high insulin are both listed risk factors for heart disease.

[Red_Star]

Causes of decreased CO2 is metabolic acidosis, diabetes, sleep apnea, severe diarrhea and may indicate a need for thiamine (B1). I've had metabolic acidosis due to acute kidney failure taking magnesium supplements.  Even two years later my pH is very acidic. Insulin had damaged my kidney to some degree.

Junk food = high carb diet. High carb diets increase insulin. This is the perfect recipe for obesity and diabetes.  50% of diabetics will die of heart disease.  Measure hip to waist ratio. A high ratio is typical of insulin resistance. Insulin resistance may or may not show up on lab results. Fat doesn't make you fat but you can bet high insulin does.