I am 46 years old with complaints of continued chest pain. I am physically active; running long distance (marathons).
I have recurrent chest pain. frequently later in the day.
when i go out running, if I start to fast and run hills; I get the chest pain. usually if I back off it gets better. During a marathon race, the pain comes on later in the race and doesn't really go away, typically hurts mid chest radiating to my shoulder blades, up my neck. kind of a crushing pain. also during the marathon when the pain gets worse, I also get some palpitations--PVC possibly. but those usually go away if I back off on my pace. sometimes with the pain I also get a cough, and it hurts more with the cough.
I have had a very extensive cardiac workup. I do have a S1. S2 murmur. mild tricusp regurg, mildly thickened mitral valve leaflets, mild thickened aortic valve (age related?)
I have had echo, cardiac cath, nuclear studies.....no reason for the pain?? the pain didn't come on when i had the stress test....i guess they didn't challenge me enough? my hr goes up to 140 and stays there for over an hour during my running, but does recover down to 70's but occasionally will skip beats if I abruptly stop after running hard.
I have also had extensive GI workup to include endoscopy, colonoscopy, the test to check for esophageal spasm(cant remember what that was called) HIDA scan. I am now starting to see and endocrinologist--i am mildly anemic. all other hormones were ok.
I have been living with this pain for over a year, I sometimes feel like a hypochondriac and siince have not gone to see any docs....just try to continue with the pain. my cardiologist did offer me Ranexa which did to seem to help some. the pain wasnt as bad and my energy levels were more normal. And I have some metroprolol that my doc prescribed that I try when the pain is bad and my hr is high enough (low resting HR of 40) it usually helps the pain.