Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
178 Doctors are Online

Chest pain, piercing pain in back, pain in arms and shoulder. ECG came abnormal. Are these heart attack symptoms?

User rating for this question
Very Good
Answered by
Practicing since : 1966
Answered : 4498 Questions
hi my name is XXXXXXX i am 36 years old. i had abnormal ecg that should non specific t waves and possible lvh however my cardiologist said it was normal for me. my bp is always low 112/70 at doctors at home 95/65. on and off for about 6 months i have been experiencing chest pain. for the past week it has gotten worse. since last year i had two stress tests and numerous ecgs. i get severve knife piercing pains in my back. a lot of gas in my chest that actually makes me feel like im having an arithmia. pain in arms on both sides and shoulder pain. sometimes it goes to my neck. i am scared i am having pre heart attack symptoms. i feel weird. the doctors think it could be celiac or acid reflux! please help!
Posted Thu, 2 May 2013 in Heart Attack
Answered by Dr. Anantharamakrishnan 1 hour later
Welcome to Health Care Magic

     Your pressure is normal \ in the lower range \ Nothing to worry \ Only blessed people have this! \ is generally associated with longer life span!
     The systolic (upper figure) has a range – between 90 and 140 \ Diastolic (lower figure) between 60 and 90 \
     Slightly higher pressure in doctors’ office is called ‘white coat hypertension’ / is due to anxiety / nothing need be done / except to relax!

Non-specific T wave changes is at times seen in certain races, age, women and so on. Sometimes, electrolytes are responsible – and are eliminated in routine lab tests’

     Possible LVH may also be from thin chest / some rotation and so on
     Any suspicion can be cleared by ECHOcardiogram

Heart pain is cleared by stress test – you have done twice and is normal.
Heart attack is not common in young women during fertile period...

     An arrhythmia needs to be DOCUMENTED by ElectroCardioGram (EKG). Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or precipitated by a specific activity like exercise, one needs Holter or event monitor. Holter records for days; Event monitor for weeks / Holter records continuously / Event monitor only at certain times .

In summary, you don’t seem to have heart disease...
And the chance for one is remote...

You may need investigations for other causes – lungs and chest wall or spine / Oesophagus and stomach.../ Anxiety ... and so on

Take care
Wishing speedy recovery
God bless
Good luck
Above answer was peer-reviewed by
Follow-up: Chest pain, piercing pain in back, pain in arms and shoulder. ECG came abnormal. Are these heart attack symptoms? 4 hours later
Thank you Sr. I really appreciate your response.
Answered by Dr. Anantharamakrishnan 9 minutes later
Good luck
God bless you and your mother
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to

The user accepted the expert's answer

Ask an Emergency Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor