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Having heart palpitations, chest pain. ECG shows left atrial enlargement. Stress related symptoms?

i went to the doctor as I was having palpatations with chest pain radiating to neck area. He did an ecg which said on the ecg normal sinus rhythm with possible left atrial enlargement low voltage qrs possible inferior infarct and cannot rule out anterior infarct The dr told ne everything was alright and that I was to come back to him in two weeks time he felt my symtpoms were stress related
Asked On : Wed, 27 Mar 2013
Answers:  2 Views:  264
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General & Family Physician 's  Response
Thanks for your query.
First of all i would inform you that do not rely on description written on ECG, always seek expert opinion to interpret ECG.
Chest tightness/Pain radiating to arm or neck is classical sign of Myocardial infarction, you may have prior angina attacks. Along with ECG you needed to perform cardiac markers to exclude cardiac ischemia or infarct. Some trivial infarcts may no bother but should be taken serious to avoid future problems. However low QRS alone do not indicate anterior infarct, it should have been checked with other cardiac markers like troponin. there are many other causes of low voltage QRS like emphysema, COPD, pericardial effusion, pleural effusion, edema, fat (obesity), physiologic variant, or cardiomyopathy.
Left atrial enlargement is suspected when P wave on ECG to become broadened and often substantially notched or second part of P wave is high voltage. Left atrial enlargement indicate valvular disease and may be caused by hypertension.
Stress can cause palpitation and changes in ECG, so sort out it.
Revisit your doctor to rule out any cardiac disease, he may advise labs like RBS,cholestrol level, ECG, X-ray, Echocardiograph or cardiac perfusion Scan.
Hope it helps.
Take Care!
Answered: Thu, 28 Mar 2013
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General & Family Physician Dr. Muhammad Ishfaq Habib's  Response
Welcome to HCM

The symptoms are all related to heart like palpitation, chest pain with radiation to neck region plus there are findings in the ECG. All these findings are suggesting the Infarction. It is recommended to have cardiac enzymes checked specially troponin I and troponin T.

Answered: Thu, 28 Mar 2013
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