I've never really posted on this site and I'm not too familiar with it but I was hoping someone can help me out here. I'm a 21 year old male college student in pretty good physical shape who's been having some heart/chest issues recently. Please, keep the lifestyle judgements/moralism to yourselves, I know I need some lifestyle changes so you don't need to lecture me. I'm a good student at a highly selective university and yes, obviously I got too caught up too much in the work hard/play hard/no sleep lifestyle. I have been a regular marijuana smoker for about 2 years, a fairly heavy drinker, used adderall sometimes and VERY occasionally MDMA since I've been in college. About 2 months ago, after smoking a bowl of marijuana, my heart started pounding incredibly hard, my chest started hurting, extremities began going numb and I nearly passed out. I went to the doctor, an EKG said I had "elevated ST" (I'm not a doctor, don't really know what that means) and they referred me for an echocardiograph. The echocardiograph was "normal," my doctor just chalked it all up to "stress."
In the two months since, my symptoms have very gradually improved. I still have times when I feel like my heart is pounding or my heart skips beats, particularly while lying down and before I fall asleep. From time to time, I will also have muscle spasms and still some numbness in my arms/hands. These symptoms get excruciatingly bad if I smoke even the tiniest amount of marijuana or the smallest sip of caffeine. On top of marijuana and caffeine, I've also eliminated multivitamins, melatonin, ***** goat weed (don't laugh), NyQuil, and fish oil. I still drink fairly often. For a little bit more background on me, I also have had an extremely hard time falling asleep at night for basically all of my life, so unfortunately much of my substance abuse was an attempt to self-medicate my difficulty falling asleep.
Basically, I'm asking if anyone has any advice, recommendations, or possible ideas of any diagnoses. I highly doubt it can all be chalked up to panic attacks or anxiety like everyone tells me; I have not been very anxious at all recently. I'll be totally honest - I would love to be able to drink coffee and smoke marijuana again, coffee was excellent for my motivation and marijuana was great to help get me to sleep at night. The other stuff, yeah, no more of that. Again, please try not to be judgemental, and I would deeply appreciate any ideas as to what's going on with my body/help for how I could resolve my symptoms. Thanks!