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Having chest pain. ECG done. What are the findings and cure to be done? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1227 Questions
Doctor:How can I help you?
User:I need opinion on ECg
User:can u help me
Doctor:I shall try and help you in the best way as I can.
Doctor:Go ahead with your query?
User:Can I send you my ECG
User:so that u can opine
Doctor:You can do that.
Doctor:Send me the scan ECG to YYYY@YYYY
User:can u help me with your mail id
User:i am sending u right now
Doctor:Address the mail to my attention
Doctor:So that I can view it.
Doctor:Let me know once you have sent it.
User:I have sent it
Doctor:Let me view it.
Doctor:May I know the reason why the ECG was done?
Doctor:Was it done after some chest symptoms or part of health check.
User:actually i am having lettle pain on my left side of the chest
Doctor:The ECG is essentially normal.
Doctor:There are no features that suggest you may have a heart problem.
Doctor:* As per the ECG, there are no features to suggest you may have a heart problem.
Doctor:Have you followed?
User:Now what should i do
Doctor:Do you have any other query?
Doctor:May I know your age?
Doctor:Do you have history of diabetes, hypertension or high cholesterol?
User:but i am a smoker
User:5-6 cig/day since 1999
User:I have a strong family hisotry of CAD
Doctor:Since when are you having the chest pain?
User:My dad underwent angioplasty in 2007
User:and my uncle underwent on last tuesday
Doctor:Does it appear on rest or does it occur after exertion?
User:I am having chest pain since yesterday night
User:it started after a great fight with my neighbour
User:its intermitent
Doctor:Did you have any other symptoms such as breathing difficulties, sweating, nausea associated with this pain?
Doctor:Let me explain
Doctor:Chest pain can occur due to multiple reasons.
Doctor:If the ECG was not done within an hour or two following the pain, it almost rules out major ischemic attack such as heart attack.
Doctor:However we need some more test such as thread mill test (ECG done after some exercise) or stress test
Doctor:to rule out coronary arterial disease.
Doctor:But looking at your description, I feel the symptom that you have
Doctor:is more likely due to stress and psychological factors.
User:could be
User:I am undergoing lot of stress since past 2 weeks
Doctor:These symptoms do not cause harm and will gradually subside.
User:I hope so
Doctor:I would suggest you not to worry.
User:what is the importance of q wave in that ECG
Doctor:Take some antacids such as syp gelusil and involve in destressing measures such as XXXXXXX breathing exercise, meditation and yoga.
Doctor:If the symptoms persist then you can consider consulting a cardiologist for the other test that i mentioned.
Doctor:Q wave can be normally seen in some of the leads of ECG.
User:like long lead 2
Doctor:Yes, it can appear normally in lead 1 and 2.
Doctor:The size of the q wave and the leads in which it appears are consider to determine the significance of this wave.
Doctor:The q wave in your ECG is not significant
Doctor:So do not worry.
User:thank you
Doctor:Do you have any other query?
User:As of now no
User:Thank you very much doctor for your valuable opinion
User:It is of great help
Doctor:My pleasure.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:Take care
User:good day
Doctor:Wish you the same.
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