Caucasian male, 40. 182 cm. 60 kg.
Since October 2009 left hemithorax pain only lying down, palpitations (stronger beats), retrosternal oppression and discomfort, dyspnea, pulsating pain left carotid and/or under last left rib. Unwanted erection. Pain then spreads to left hip, back of left knee, top of left foot. Neck pain along carotid can be stinging. Sense of impending doom.
Nothing to do with mental status.
This is a positional issue.
Extremely fatigued while in bed. Main trigger is the horizontal position. Total relaxation, immobility and sleep also allow the syndrome to start and slowly grow.
It's like a choking engine.
Pain is so intense I wish to die while symptoms are present. Sitting or standing removes symptoms in minutes. Blood found sometimes in nose upon standing.
iRBBB, mild MVP, mild pectus, left lung decoration for pneumothorax (1994), D-dimer 585 ug/l, poor endothelial function (FMD), prothrombin mutation, high CTX, mild neutropenia.
Dad died 67 with lung cancer, maternal uncles 62 and 42 (stroke). Maternal grandfather 52 with angina. Paternal grandfather 34.