Hi there. Thanks for writing in. I am a qualified and certified cardiologist and I read your mail with diligence. For diagnosing heart disease
two out three should be present. 1. Typical Pain 2. EKG changes which appear later 3. Serum enzymes elevation. Obviously, these criteria were not satisfied yesterday. As I said, EKG and enzymatic changes are dynamic and can present within 24 hours, I would urge you to go their today. In worst case scenario also the diagnosis of presence or absence of heart disease will be confirmed. This has long term implication. Alternatively, you may be suffering from Gasto Esophageal Reflux Disease (GERD
) which at times mimic heart disease but actually a highly treatable non-cardiac condition. Avoiding ER will not solve this problem of yours. Go ahead to ER. Good Luck.
With Best Wishes.
Dr Anil Grover,
MBBS, MD (Internal Medicine) DM (Cardiology)