Do I need to push for more tests, what can this be?

[MMS1985]

Hi, so I am looking for a little help and/or advice. I feel like the doctors are missing something... I am a 32 year old female, I eat well and was very athletic. I have to admit that I am not very active anymore, these past 2 years I have been very... draining. I am constantly tired and feeling sick. I get these strange episodes where I can't catch my breath, my chest hurts or my shoulder hurts, sweats, nausea, I can feel my heart racing, and sometimes I get a dizzy spell that feels like an adrenaline rush at the same time as fainting. I have had blood tests, x-rays, ultrasounds, and a few ECG's. I copied the results of my latest ECG below i don't have access to my older ones. I have always been sent to the ER for these episodes, and get sent home with no explanation. My old primary never really followed up, just said my tests look good. I now have a new one, with my first appointment coming up soon. Anyone know what this could be or have experienced the same things?

These are some things in my medical history:

Hemophilia, Hereditary (hcc)
Blood Dyscrasia
Migraines
Asthma
Hyperlipidemia
Gastroesophageal Reflux Disease
Pud (peptic Ulcer Disease)

Narrative

Confirming Doc JASON ******* MD
Sinus rhythm with marked sinus arrythmia
Fusion complexes are no longer Present
Premature ventricular complexes are no longer Present

Component Results

Component Your Value

Ventricular Rate 94 BPM
Atrial Rate         94 BPM
P-R Interval         126 ms
QRS Duration         80 ms
QT                         340 ms
QTc                         425 ms
P Axis                 50 degrees
R Axis                 80 degrees
T Axis                 29 degrees

[2210485]

All looks good,,but having the actual ekg uploaded to a website or a source such as google drive where it can be downloaded is best.

I would be interested in seeing your prior EKG with "Fusion Complexes" and PVC's.

It sounds like PVC's are the primary issue. Most of the time these are benign, but are uncomfortable and often require medical treatment for the sake of the patients' sanity.

PVC's are poorly assessed by EKG. This issue you have is also not something the ER excels in treating.

What you need is a referral to cardiology for:

1. A Holter Monitor to 'further quantify your PVC burden, on the basis of prior qualitative testing (resting EKG).' Translating that statement from 'Doctor' to 'Normal English': You need a 24 hour EKG to make sure they didn't miss anything in the ER.

2. Stress Test to rule out CAD.

3. Echo to check for more obscure structural abnormalities.

[MMS1985]

Thank you