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What Causes Pain In The Chest And Arms Despite Negative ECG Results?

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Posted on Mon, 23 Apr 2018
Question: Hi doctor,

I have small pain in around my chest and in my arms sometimes. This is scaring me... I went to the hospital few weeks ago for another reason (i felt like i was gonna faint) and they madr an ECG. The results were good.

They gave me some diazepam for 1 week but i did not take it.

if i was at risk to make a heart attack. would that ECG prevent it ?

should i worry ?

Thank you

i am 33 years old, i smoke and i work a lot..
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello!

Welcome back on HCM!

Your symptoms are not typical of a heart attack.

Besides, a normal ECG is very reassuring that nothing serious is going on.

Anyway, considering the fact that a normal resting ECG does not exclude possible myocardial ischemia in 100% of the cases, I would recommend performing some other tests to help totally exclude any cardiac disorders :

- cardiac enzymes
- a cardiac ultrasound
- an exercise cardiac stress test.

Hope you will find this answer helpful!

Wishing all the best,

Dr.Iliri


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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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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What Causes Pain In The Chest And Arms Despite Negative ECG Results?

Brief Answer: My opinion as follows: Detailed Answer: Hello! Welcome back on HCM! Your symptoms are not typical of a heart attack. Besides, a normal ECG is very reassuring that nothing serious is going on. Anyway, considering the fact that a normal resting ECG does not exclude possible myocardial ischemia in 100% of the cases, I would recommend performing some other tests to help totally exclude any cardiac disorders : - cardiac enzymes - a cardiac ultrasound - an exercise cardiac stress test. Hope you will find this answer helpful! Wishing all the best, Dr.Iliri