Hi doctor, I am a 29 year old female. I have been experiencing chest discomfort like an achiness for the past couple of months. It comes and goes. I cannot tell if it gets worse with certain foods or after I eat. Sometimes I think it does, but then I tell myself that I might just be making that up. It feels better when I get ready for bed. I do not feel it in my sleep, but it seems as soon as I start to think about it, I start to feel it. My EKG, chest x-ray, echo and blood work came back normal. I do have a heart murmur that is 3/6 and I also had a positive bubble study that suggests a PFO. However, I am getting a CT to rule out lung issues being the cause of the positive bubble study. I am also getting the CT to look at the vessels more closely. There are no associated symptoms. Also, this happened almost two years before.
Hi. Cardiac origin of chest pain is highly unlikely in a 29 year old female. Female has a cardioprotective hormone called estrogen, which usually delays the onset of coronary artery disease till 65 years. The pain you get is most likely because of high levels of your anxiety or overthinking. Once shunt reversal in PFO (patent foramen ovale) is ruled out, then you can ask your cardiologist to start you with a low dose of SSRI (selective serotonin reuptake inhibitor) like Paroxetine along with low doses of anti-anxiety medicine benzodiazepine like Clonazepam for two to three months. As echo and blood profile is normal, it is not cardiac. However, you have not mentioned if you are a smoker or alcoholic. A thorough history is a must before giving a cardiac clearance. Please answer the above. For further information consult a cardiologist online -->