28 yo male, run about 5k and 1 to 2 gym sessions a week. My diet is fairly average – 1 take out a week, about 2 cups of coffee a day, 1 or 2 beers a week. I am very in shape but have a stressful job and dont sleep great - I push myself even if fatigued which has taken a toll over the past few years. I suffered a pneumothorax last year, recovered well, now have a retinopathy in my right eye.
3 weeks ago I was away for a weekend and had 3 nights of 4-5 hours sleep. Wasnt drinking heavily and was in work afterwards carrying on with a week as normal and training despite fatigue.
After a gym session I noticed discomfort - a pain, left of center, like sandpaper against my heart as if it were rubbing against a rib. I put it down to muscle recovery and ignored it. The week progressed, the sharpness faded but I developed a feeling of pressure across the whole chest, from upper abdomen (making me feel nauseous) to my neck: as if my chest might burst outwards through my breast plate. Its not constant, I associate it with afternoon and evenings when I get tired. Along with it, I get a neck and head ache and a weird sensation of feeling my heart beat in my left ear. The restrictive pressure becomes worse when in bed and sometimes causes arrythmia if Im lying on my side so I sleep on my back. In the mornings the pressure feeling is better but I have an aching weakness in my left shoulder, sometimes running from my tricep to my neck and in the evening the pressure feeling returns.
I visited a physician. Tested bp (140/80), blood and resting ECG (slow rhythm 50bpm, blood test showed no pulmonary embolism and NTproBNP was 6pmol/l and triponin T was 6 pg/l): normal.
I was sent to a cardio for a stress ECG. The night before the ECG I felt really bad but by the morning I was ok. The result was normal. Cardio was dismissive said likely a nerve.
What is going on?! Is it possible that angina can be caused by fatigue alone without atherosclerosis?
a frustrated AktivGuy