I have a discomfort in my chest that feels like my heart is pounding forcefully even when I am at rest. I can feel my heart beat radiate in my neck and arms. I first went to the doctors over two years ago. I explained of feeling pounding in my chest, like I had been running even when sitting still, skipped and irregular heartbeats, and occasional chest tightness. He first thought simply anxiety and stress (absolutely not the case). I continued to put up with it for a number of months before going back again. I had an echocardiogram, 2 week holter event monitor, chest x-ray, and all came back with nothing. I continued to deal with this most aggravating of symptoms for almost a year, noticing it peaked after physical exertion, eating, and drinking alcohol.
I was referred to an electrophysiologist who said it was simply “cardiac rhythm awareness”, that I could simply feel my heart beat in my chest more so than the average person. My PCP put me on low dose of the beta blocker nadelol, than increased it to 40mg when there was no reaction(he thought I had igh adreniline levels. I stopped after about 6 months since it did nothing. About 3 months ago I experienced severe tightening in my chest and went to the ER. They suspected a blood clot and did an EKG, CT scan, chest X-ray, Echocardiogram and blood work but still found nothing. The ER doctor prescribed 1 fill of Zanax saying it was simply anxiety. I feel these symptoms continuously and almost every day but am still told it is likely anxiety. Even the internet turns up little information on such symptoms.
My PCP recently put me on 25mg of Adenelol last week thinking a different beta blocker would work better. I have noticed no change and am beginning to lose hope. I live a healthy lifestyle: 6’2’’ 180pounds, no drug use, no caffeine or coffee, smoked for 3 years but quite 2 years ago, and have not had a sip of alcohol in over 3 months (though I was a moderate user before that, being a college student). I used to exercise regularly but it is difficult on days when the symptoms are severe. There are some cases of heart disease in my family but my PCP shows no concern. The only stress and anxiety in my life are the result of this set of circumstances, so I just can’t fathom that being the cause. Any Ideas? I could really use help my quality of life has deteriorated significantly.