I am having bad chest pains but my echo was fine. my cholesterol came back over 200 and my triglycerides were 299. what can all this mean?

Nothing?: You need to discuss chest pain with your pcp or cardiologist. Usually not a problem at your age. When you measure your cholesterol and tg you need to be sure that you are fasting for at least 12-14 hrs and that you abstain from alcohol for over 3 days as triglycerides can go up with alcohol intake. When you analyze cholesterol you need to know HDL (good) and LDL (bad) before jumping to conclusion.