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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Inferior Ischemia With Chest Pain

I live in a very air polluted city. 2 days ago I went to a clinic with chest pain, palpitation and short breath, and took ECG. there was invert ST&T waves on my ECG. also the ECG description says: consider inferior ischemia. I am 29 without hearth disease background, however I am anemic. Please advise me. How likely it is that I am having coronary blockage? and what is the treatment?
Wed, 13 Jan 2016
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
If your ecg is showing ischemic changes in inferior leads then you are mostly having inferior wall ischemia. This means your heart's inferior wall is not getting enough blood. This wall is supplied by right coronary artery. So possibility of right coronary artery obstruction is more in your case.
To confirm this you need to get done
1. 2 d echo
2. Stress test (trade mill test)
3. Coronary angiography.
Coronary angiography is not only diagnostic but it is therapeutic also. We can put Stent if there is blockage in coronary arteries.
So consult cardiologist and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest Treatment For Inferior Ischemia With Chest Pain

Thanks for your question on Health Care Magic. I can understand your concern. If your ecg is showing ischemic changes in inferior leads then you are mostly having inferior wall ischemia. This means your heart s inferior wall is not getting enough blood. This wall is supplied by right coronary artery. So possibility of right coronary artery obstruction is more in your case. To confirm this you need to get done 1. 2 d echo 2. Stress test (trade mill test) 3. Coronary angiography. Coronary angiography is not only diagnostic but it is therapeutic also. We can put Stent if there is blockage in coronary arteries. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.