I had a stress echo done in march that was normal. i have lately chest pain that starts as left arm pain then mid chest. could i still have a blocked artery that was missed? or is this all anxiety? i have high cholesterol and am overweight?

Angina pectoris originates from the left chest (precordial area) then radiating the left arm or jaw, usually associated with shortness of breath (dyspnea) and sometimes diaphoresis. Your pain is atypical but angina pectoris cannot ruled out. Negative stress echocardiogram does not rule out coronary heart disease entirely. You should rediscuss with your cardiologist.

A young lady with a recent negative stress echo is not likely to have chest and left arm pain related to the heart. The details are missing, when do you have them? Are they related to activity? There are many reasons for chest and left arm pain not related to the heart. The best person you should ask is a doctor you can see in person. Gastric reflux is a common cause of chest pain.

I don't see your age here. Women are known to have atypical symptoms of coronary artery disease. We have all seen stress tests miss coronary artery disease. Did you reach your target heart rate? Did the test reproduce your symptoms? Did you see a cardiologist? You could have a nuclear treadmill stress test which may be more accurate. Coronary artery calcium ct scan or ct scan angiogracan can be d