throbbing chest pain and SVT

[bluecheese]

Hello, I'm 33 years old male.  I am about 40 pounds over weight and a previous smoker of 10 years.   My holter monitor found pulse of 165 in my sleep, and I know this happens to me frequently.   I am starting to think it happens mostly if not always when I fall asleep on my back, as opposed to my side.    Also when I lay on my back  I have this heavy annoying chest pressure in my very upper chest bone and my lower throat, and this is the same area that sometimes has a throbbing forceful pulsation when my pulse gets up.      I don't have a tachycardia during the day unless there is some sort of stress to set it off and then the pulsating is more uncomfortable (always the very upper chest in the center).      I also have waves of intense nausea, mental confusion, and fatigue that comes and goes (mental confusion gets so bad i lose the ability to function on a basic level)     Now I am waiting a cardiologist appointment but it's still 4 months out and I'm scared of the meantime,  do EP cardiologist do tests for other causes before an EP study?  What do you think please, thank you.

[Douglas Bogart, MD]

Have you had a sleep study as you may have sleep apnea which may be contributing to your symptoms.  You need to be evaluated before four months.

[bluecheese]

I have a normal chest xray and echocardiogram