Hello,
I'm a 24 year old male, my bmi is 22, I'm an ex smoker (8 packet years) and I have no family history of sudden cardiac death. I have a non immediate family history of afib and coronary artery disease (all affected were smokers or heavy drinkers, which happened at a late age). I have a panic disorder and obsessive compulsive disorder. I've had the following tests within the last 12 months:
stress test with a result of 11 mets
unremarkable echocardiography
numerous ecg's nil changes except for early repolarization
normal cholesterol
blood pressure between 90/60 and 120/80
holter monitor with isolated atrial and ventricular ectopic beats
numerous chest X rays
3 week event monitor with one recorded run of presumably SVT or sinus tachycardia at 190bpm
negative electrophysiology study at multiple sites with programmed ventricular stimulation at up to 3 extrastimuli
at the right ventricular apex
negative Felcainide challenge
and I am due for a table tilt test and possible magnetic resonance coronary angiography soon
My question is, I've been experiencing a painful heart beat when I engage in strenuous activity after drinking at times, I have no idea what this is. After all these tests, I'm not sure what to make of it. (these tests where done for palpitations and presyncope). I was fairly thorough in getting a full work up in order to figure out what was the cause of the palpitations, but I've been left with "it's most possibly SVT and panic attacks, no need to worry". I'm tired of worrying about heart issues, and hope someone can explain to me why it is I would get a sharp painful heart beat in my throat after drinking alcohol and exercising, any help would be highly appreciated.