What Causes Severe Chest Pain When Diagnosed With PCOS?

Question : I recently had been having chest pains and my HR was fluctuating while at rest (apple watch - up to 142 and then down to 37 which sitting). I went to the ER and they did a chest xray (I've been having problems breathing). Xray was clear except for old calcificed granulamontaous disease and "mild central congestion." at discharge they told me to follow-up up with my family doctor and I had to wear a Holter for 2 weeks. Since that day, my chest has hurt off and on all,day and I'm out of breath if I do anything more than a simple walk. I used my mom's o2 meter and it was only 94.

My hr has been very sporadic. Going up stairs completely winds me and I just to 125. Sitting in a chair, I breathe okay If I don't talk a lot, but it will randomly be 147 and then drop.


I want to know the significance of the "mild central congestion" and if it is referring to heart or lungs. If there are any followup tests I should take and if you think this could be pneumonia.
I do have PCOS and I'll insulin resistance.

Thank you for the reply! I should have mentioned these items:

The ER did a CBC, Tronopnin, and TSH. All were normal except for low anion and ALT. They did an EKG (for about 40 seconds) and that was normal.

I have been previously diagnosed with PVCs and PACs. I took beta blockers for about 4 years, but stopped them about 3-4 years ago as I didn't feel like I still needed them.

I am 37, female, 152 lbs., non-smoker, and rarely drink. I've never smoked, but was exposed to heavy second hand smoke for about 20 years.

I have PCOS, Raynauds, and Insulin resistance.

The ER report did state in infiltrates and no effusions. I have had pneumonia every year for 3-4 years and my most recent time was in February. I also had the flu at that time (yes, I had a flu shot) and my o2 was hanging around 94 then as well. The urgent care have gave me a nebulizer treatment and that helped some.

I should mention that I'm still having some chest pain and pressure, along with intermittent front-sided shoulder pain. I only cough if I breathe deep or find myself trying to catch my breath. It is a dry cough and I do not cough any other times. I have no fever and no cold symptoms other than a slightly runny nose I've had for over a month, thanks to allergies.

When I searched the "central congestion" statement on xrays, it appeared that Radiologists use this to describe vascular pooling from heart/lungs which is due to Congestive Heart Failure. Could this be the case for me? The report did state that my heart was "unremarkable." Obviously, I hope this is not the case. I just cannot get in with a Cardiologist in my insurance network for over a month. However, I can go to one out of network next week I'm trying to determine if it is okay to wait a month or if this is something I need to address now.

Sincerely,

Bobbi