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Q. As all my tests are normal, what could be the cause for my palpitations and chest pain?

Answered by
Dr. Isaac Gana
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 22, 2017 and last reviewed on: May 06, 2021

Hi doctor,

I am 18 years old. I have been a competitive athlete in my whole life. About a year ago, I started experiencing palpitations, near syncopal episodes, and chest pain. I have seen three cardiologists. I have had a bicycle stress test, limited echocardiogram looking at just the thickness of my heart, and also multiple EKGs. Before four months, I had a cardiac loop recorder implanted. All the tests have been normal. I have also had a workup in many other systems of my body including, endocrine, neurology, pheochromocytoma, kidney circulation and multiple blood tests. All came back normal. I am experiencing that my toes were becoming either white or purple, numb and very cold. My heart rate increases with minimal activity. I also have a past medical history of Goldenhar syndrome. Before two years, my second cousin passed away at the age of 13 due to an anomaly of his left coronary artery. My doctor has tried to order a stress echo and also either an MRI or a CT scan of my heart to check for this. I am looking for answers or suggestions on the next step.

#

Hello,

Welcome to icliniq.com.

  • Your health issues do not show a relationship to your cousin's health problems because most babies do not survive more than a year with treatment in a case of ALCA (anomalous left coronary artery).
  • Studies have shown that patients with Goldenhar syndrome (birth defects of the face) have a chance of developing a VSD (ventricular septal defect) or Tetralogy of Fallot. But in your case, the symptoms are not pointing to this.
  • To make a diagnosis is going to be difficult without CT or MRI.

The Probable causes:

Unknown etiology.

Investigations to be done:

CT and MRI of heart.

Regarding follow up:

For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist


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