Brief Answer:
My opinion as follows:

Detailed Answer:
Hello!

I would like to assure you that such a heart rate level is not considered pathological in a young adult, as far as the rhythm is normal sinus, no cardiac conductance abnormalities are present, and the heart rate is proportionally increased during physical exertion.

You can check your heart rate during exertion by palpating the radial pulse on your wrist.

If suspicions about an insufficient increase of heart rate are raised, then you should discuss with your doctor in the possibility of performing an exercise cardiac stress test.

As your already performed cardiac tests have resulted normal, then it could be confirmed that no cardiac structure abnormality is present.

So, relax and don't worry about!

Now returning to your recent symptoms (neck and chest pain), as long as the pain is modulated by body postures or other activities (respiration, coughing, etc.), is prolonged and well localized it seem most probably to be of musculo-skeletal origin (as I explained you before).

Further pain characterization are necessary to properly specify the likely structures involved in the clinical symptomatology.

Does the pain increase when you raise your hand, turn your neck; is it modulated when you stay in the recumbent position?

Does it hurt more when you touch and compress the affected area?

Several inflammatory disorders affecting the muscles, backbone structure, articulations.

Though you have performed several blood tests with normal results; as some time has passed (almost a year), they could not be sufficiently assuring that a recent inflammation isn't present.

Coming to this point, if the pain keeps being persistent and bothersome I would recommend performing some additional lab tests as follows:

- complete blood count with leukocytes formula,
- PCR,
- ESR,
- LDH,
- CPK,
- AST & ALT


Also, a cervical thoracic X ray study to investigate for possible backbone degenerative disorder is advisable.


Meanwhile, any anti-inflammatory drug (ibuprofen, naproxen, etc.) would be advisable to relieve your pain.

You need to discuss with your attending doctor on the above mentioned issues.

Hope to have been helpful!

Wishing you a pleasant weekend!

Kind regards,

Dr. Iliri

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