56 year old women who was active, and physically strong has decreasing activity over past year due to exhaustion. PMH HTN (controlled), mild asthma, restless legs,and new migraines (onset with menopause (hemiplegic/ocular). Propranolol helped migraines, could not tolerate because of asthma. Meds: Norvasc 10mg, asa 81mg,levothyrozine, occasional HCTZ 12.5mg. Several years ago could hike up to 6 miles in the desert AZ and in Mountains MT. Sx: nausea, CP (squeezing) radiate to neck and left arm (off and on), heartburn regardless of intake, severe weakness (usually can lift 60 pound bag dogfood, unable to lift 20 pounds without resting, severe sweating. EKG at times showed t wave inversion, "LAD--widow maker" mentioned by one ED doc. Some QTc prolongation, brief 480-500. Near syncopal event with CP walking up an incline 400 feet. Rest did not help. NTG helps after a couple tabs, then MS resolved for a couple of hours. In hospital: EKG showed some ST chang, briefly, then normal, neg trops (serial), negative lexiscan, negative echo (per MD). SInce home from hospital woke up two times 2am, 330 am nausea, heartburn , left CP squeezing, sweating, not wanitng ot go to ED as was told must be depressed or something, not cardiac. Have been active, athletic, weight lilfter/runner, etc--extremely frustrated and afraid. Was told CT angio is 100% accurate. Asked about Thyroid, was told medically impossible to be thyroid if TSH is normal (.79)