Reoccurring sharp, shocking chest pain: cardiac, musculoskeletal, or gastric cause?

[AlbyYasmeen]

I am a 20 y.o Asian female with a history of asthma and some family history of heart problems and blood clotting; maternal grandmother died of a brain aneurysm, maternal uncle as well. No information available for paternal side. Normal EKG test, BP normal, and monitored for two days with a heart monitor patch (*was meant to be two weeks, but allergic to adhesive); tests came back normal. Over the past year and half, have been experiencing chest discomfort which most common symptom is shocking and sharp chest pain doing light to moderate activities: walking, going up stairs, etc. Other symptoms include racing HR on certain doses of medication (i.e. sertraline) or small amounts of caffeine (e.g. 8 oz. Starbucks refresher); highest recorded HR was 162 bpm lasting about 5-10 minutes. Accompanying symptoms have been night sweats, increased perspiration, easily dehydrated, easily fatigued, and noticeable heartbeat when at rest (*like falling asleep). Treatments used so far: ibuprofen, Tums, Alka Seltzer, Prilosec; no change in symptoms. Have changed lifestyle such as not engaging in rigorous activities or over exerting myself in any way. Note*: cardio consultation scheduled within the next month. Suggestions, diagnosis, comments?

[MichelleP_3811]

I would say you need a full workup of your heart considering your family history.  An echo and even an mri and ct scan of chest is a good idea.  Your symptoms could be simple premature beats, pacs or pvcs, but you need a full evaluation considering the symptoms.  Please keep us posted on your results.  Best of luck sorting it out.