Welcome back to icliniq.com.
I have gone through all your reports (attachments removed to protect patient identity). Your angiogram and echocardiogram findings are normal. Your left ventricular ejection fraction (LVEF) is perfectly normal. The mild mitral valve incompetency should not be a case of concern. Your echocardiogram showed apical mild hypokinesia, which is not a thing to worry about. CPK-MB is a highly unspecific enzyme. A mild elevation of this enzyme can be seen in a number of disorders. Your ECG shows right bundle branch block and all the ST-T changes are because of this. In presence of a right bundle branch block, ST-T changes are insignificant. The right bundle branch block is normal in 90 percent of the cases. If your echocardiogram and angiogram are normal, then right bundle branch block is not a problem to be worried about.
As of now, mostly your pain is not of cardiac origin. I suggest you tablet Clonotril 0.5 mg (Clonazepam) once a day at bedtime along with tablet Pexep CR 12.5 milligrams (Paroxetine) once a day in the morning and Pan DSR capsule (combination of Pantoprazole and Domperidone) once a day in empty stomach. As your anxiety levels are high, anxiety can often mimic the symptoms of cardiac pain. I think it is either anxiety related or is because of acid peptic disorders. Start exercising 45 minutes a day. Eat less fat. Start the medicines. Please discuss my opinion with your doctor and stop taking Aspirin and Metoprolol for the time being.
I hope this has helped you.
Kindly consult a specialist, talk with them, and take medicines with their consent.
Thanks and regards.