![]() I pound the internet, and see some ideas in Pleurisy, Pericarditis, Costochondritis, but all of these have symptomology that does not entirely fit. Due to the long delays in obtaining exam write ups here, and then the results, I have absolutely zero indication of what might be going on, and no results yet that I can hold onto, other than a negative emergency room visit for heart attack and the EKG stress test. The pain is quite shocking when it comes, and disruptive. No other lasting effects are obvious, suck as shortness of breath, squeezing pain that persists, spreading pain to jaw, shoulders, etc I am freaking out because A. Comes back again in some unspecified and irregular amount of time. Again - sharp, piercing pain, center of chest, lasts for a split second, goes away. Happens during the day, happens at night, happens when I am asleep and wakes me up. Meanwhile, the pain continues, exactly as I describe it above. In any case, the emergency room visit and the stress test do not revel anything at this time. At this time, I am waiting for results of the CAT, have to redo the Holter, as the first unit apparently could not download its contents, and the EKG with stress was negative for blood flow issues to heart - All OK there (despite having read that the accuracy of the stress test is only so good, and that a nuclear test should be considered. He checked vitals - all was OK - and wrote me up for a 24 hour holter, an EKG with stress, and a CAT Scan of my thorax. The verdict was no heart attack, and no emergency, with a suggestion to follow up with my GP. ![]() I went to the emergency room 5 days ago and they worked me up for possible heart attack - Blood work, EKG and chest X-ray. This time, the pain has been worse, more persistent, and more frequent. I will note that this has happened episodically over the last year 1-2 other times only to go away after a few days. It just comes, and goes, and then comes again. The frequency appears random, and I cannot reproduce the pain mechanically by moving, deep breathing, etc. The pain comes for a split second, then goes away, only to reoccur in another hour, two hours, three hours, etc. About 5 days ago I started having sharp, stabbing pains in the center of my chest. I say this only to highlight that I am working through a health system that is not entirely my own. I am a 47 year old American living in Portugal.
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