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Having Shortness Of Breath, Sinus Tach And Pressure In Chest. EKG Showed Equivocal Scar. What To Do?

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Posted on Tue, 4 Dec 2012
Question: I have been having shortness of breath, sinus tach, clamminess, chest pressure upon exertion. I had echo today. My PCP says I have equivacol scar on two ekg's he did. However, the E.R. says my ekg is normal except for the sinus tach
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Answered by Dr. Anantharamakrishnan (34 minutes later)

Hi friend,
Welcome to Health Care Magic

The ER staff may be right - they are better trained in such issues than primary care Physician, who has rather too large areas of interest to focus.

A scar by itself could not account for the symptoms. There are quite a few underlying illness and they will now be investigating them to diagnose and treat the present problem. .

A simpler way to confirm scar will be to look at the old ECG! And compare.
A better way to look at the scar will be ECHOcardiogram (wall thickness and motion).
In problem cases, (radio-)isotope scintigraphy can clear the doubt. During your regular follow up with your cardiologist/Internist, the problem can be sorted out.

Take care
Wishing speedy recovery
God bless
Good luck
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Anantharamakrishnan

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Practicing since :1966

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Having Shortness Of Breath, Sinus Tach And Pressure In Chest. EKG Showed Equivocal Scar. What To Do?


Hi friend,
Welcome to Health Care Magic

The ER staff may be right - they are better trained in such issues than primary care Physician, who has rather too large areas of interest to focus.

A scar by itself could not account for the symptoms. There are quite a few underlying illness and they will now be investigating them to diagnose and treat the present problem. .

A simpler way to confirm scar will be to look at the old ECG! And compare.
A better way to look at the scar will be ECHOcardiogram (wall thickness and motion).
In problem cases, (radio-)isotope scintigraphy can clear the doubt. During your regular follow up with your cardiologist/Internist, the problem can be sorted out.

Take care
Wishing speedy recovery
God bless
Good luck