PCOS/hyper-insulinemia/metabolic syndrome x

since its been proven that i have this condition, and probably have
since i was born (hence why i was having the same symptoms and hair
growth and other things even before i ever started having a period),
and how 90% of my problems are probably caused by this... i had a few
questions.

they say that those with PCOS have the free-circulating insulin that
can cause a fatty buildup and arterial problems, etc. i have a high
insulin, but not sure for how long. all i know is from the time i was
diagnosed with it (1996)... and have never once had high (bad)
cholesterol or any of that. my good cholesterol is also perfect and
has always been perfect.

now, being 25 and active and a fairly healthy diet for all my life and
everything.. *could* it be possible that this has accumulated in my
arteries and even in my heart and this is whats causing my heart
strain?

on my EKG's its consistently shown non-specific st-t waves... but echo
always showed no signs of ischemia. could this be a blockage in my
heart arteries? could such a blockage be causing the tachycardia and
right heart strain (specifically), though?

i spoke to my doctor on the phone the other day and he says that all
of this should just be addressed with the endocrinologist and that
this is most likely all just hormonal. okay, yeah i know that, but
hormones causing this by themselves, without a blockage?
everyone keeps saying, that st-t waves can be very common in a
perfectly normal, healthy heart and might not mean anything at all.
but... it just doesnt seem right.
could they be being caused by the tachycardia and strain?

how can they be so sure there isnt a blockage causing this based on
the echo? i dont get it.

supposedly, though.. i had two EKG's show a significant decrease in
the st-t waves or to the point of really not even being there. it made
no sense what the doctor was referring to. he couldnt seem to make up
his mind if they were there or not. what the hell?!
again, im just gonna switch to another cardiologist in the same
practice.

im wondering if that fall i had just knocked some *** out of wack
that was in my arteries anyway (fat or insulin-causing blockages), and
not particularly a clot/PE.

either way, underliningly, its all gotta do with this PCOS ***.

if say, there is a blockage in my heart... at this stage, couldnt they
do something about it?

.