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20 yo athletic M, symptoms similar to angina ...tests ok

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I am 20 years old, Male. I am athletic. My symptoms are similar to angina (chest tightens, dizziness, heart throbbing) My heart rate is abnormally high during physical exertion, (209 bpm)

These symtoms started 3 months ago in the summer. It has progressively gotten worse.

I have done bloodwork, echocardiogram, ECG, Stress test.

Results of bloodwork: Nothing abnormal
Results of Echocardiogram: No plaque buildup, Nothing abnormal
Results of ECG: No arrhythmia detected, Nothing abnormal
Results of Stress test: Heart rate quickly spiked to 209 bpm despite fitness level. Symtoms of chest pain started at 190 bpm. No arrhythmia detected.

Doctors are stumped as to why I have these symtoms. Need advice on what to do next. (What possiblities can it be? What tests should I take next?)

These tests, to my knowledge, have ruled out pretty much everything common. Could it be Coronary Microvascular Disease?

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replied October 28th, 2016
Diagnostic Techniques, Treatments Answer A59244
Thank you for asking at Ehealth forum!

I read your question and i understand your concern. At age of 20 , with normal work up, chest pain is nothing but anxiety and panic attack and needs supportive care only.

I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care

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