I am a 26 yo African American female. Heart disease runs heavily on both sides of my family. I have been smoking since I was 17 and recently within the past couple months) I have been drinking pretty heavily almost daily to deal with my stressors. I've also used recreational drugs and have had to use a significant amount of pain medication for other conditions I have had. For the past 3-4 months I've noticed I get lightheaded and dizzy easily. At first I just noticed it when I changed positions too quickly (such as going from sitting to standing) or when I bent over to pick something up. Sometimes I actually felt as if I were blacking out. This past week I've been experiencing chest pain that I've never felt before, sometimes shooting down my left arm and into my neck and jaw. I feel nauseous often, I get winded easily, my vision goes blurry at times, and I can feel an irregular heartbeat (this doesn't happen all the time, I notice it more if I've just exerted myself or when I'm laying on one of my sides). I went to my PCP and found out my blood pressure was really high. My EKG was normal and she told me I need to deal with my stress, stop drinking and smoking, and she put me on a low dose of blood pressure medication. I have still felt these symptoms consistently and today I felt really bad to the point where I went to the ER. I have been taking the BP meds for two days. My blood pressure was down, EKG and chest X-Ray were supposedly normal as well as the bloodwork. I was told it's probably just reflux and I was given Prilosec. I'm not completely comfortable with that diagnosis given my lifestyle the past 10 years and my family history. One of my aunts who was in her early 30s, overweight (as am I), and a smoker experienced chest pains and other symptoms I was never told. She went to the docs where she was basically told the same thing, that she had gas and to take an anti acid. A few days later she died in her sleep from a massive heart attack. It is probably safe to say I may be a little paranoid because of my family history, but I'd rather be paranoid than dead! But I guess I want to know if it is just paranoia or if something may actually be wrong with my heart, possibly even my liver as I've also been having pain on my right side in the area of my liver and kidney (probably the end of last year I was told I had a mild case of fatty liver)? I do intend to see a cardiologist especially if my symptoms persist or get worse.