Thanks for writing in.
I am a qualified and certified cardiologist. I read your mail with dilgence.
However, according to world health organisation diagnosis of MI (whehter ST elevation or Non STelevation) in your case Non STE infarct should satisfy 2 out 3 of the following crieria:1. Typical Retro sternal pain, deep squeezing, central going towards jaws or radiating towards left arm associated with shortness of breath
and symptoms like sweating. Pain, unless treated, ought to continue for >20 minutes. You did not have this. 2. Elevation of cardiac enzymes, serum myoglobin
, Serum Creatine
Phospho Kinase MB fraction (CPK-MB) or Troponin T or Troponin I
levels elevation. Reports of these must have been awaited.3. Typical EKG changes where ST elevation suggests ischemia
, initially tall T waves occur in hyper acute stage later on these get inverted and q wave suggests necrosis
(which can occur in absence of q wave also). Therefore, you have a borderline EKG. No enzyme changes, therefore, my personal view is diagnosis is dubious. Symptoms you describe are more likely those of Gastro Esophageal Reflux disease
(GERD) for which you are taking partial treatment. Please ask a direct question or premium question your queries can be answered and you can attach your EKG also. Good Luck.
Dr Anil Grover