Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

Dear Dr Yesterday my wife was having chest disconfort and

User rating for this question
Excellent
Answered by

Cardiologist
Practicing since : 2001
Answered : 4806 Questions
Question
Dear Dr

Yesterday my wife was having chest disconfort and difficulty in breathing which went away aftet sometime. This happened soon after she returned from a court case regarding disputed land among the family.
Later i took her to a internal medicind Doctor who were available at the local hospital. I requested for ECG snd cardio profile. But he suggested do ECG and if tequired will do Cardiac profile.
After viewing the ECG he concluded it was normal.
I am sending the photo if the ECG to you as you are a heart specialist just to verify the ECG.
Sun, 11 Feb 2018 in Hypertension and Heart Disease
 
 
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello!

Welcome on HCM!

I passed carefully through your concern and would like to explain that all three uploaded ECG strips have normal repolarization patterns.

No presence of cardiac ischemia signs could be found.

Only a right deviation of the QRS axis in the horizontal plane could be seen (possibly explained by a chronic pulmonary disorder, or chest structure variant).

Nevertheless, resting ECG is not a 100% sensitive test and sometimes it doesn't reveal ischemic changes in certain individuals.

Coming to this point if the chest pain is highly suspicious of cardiac ischemia (considering its characteristics: compressing, squeezing, burning pain in the middle chest potentially irradiating to the neck, lower jaw or the arms, which is not modulated by palpation, respiration of body movements, increasing with physical exertion, etc), especially when coronary risk factors are present (like hypertension, diabetes, dyslipidemia, close smoking contact, and heredity for premature coronary disease), then a full cardiology review should be done, including:

- cardiac enzymes (CK - MB, Troponin),
- cardiac ultrasound,
- chest X ray study,
- complete blood count,
- thyroid hormones level,
- liver and renal function tests,
- fasting blood glucose,
- HbA1C,
- blood lipid profile,
- uric acid


Only after excluding all the above mentioned alternatives anxiety disorders (a panic attack) could be blamed for her recent clinical symptomatology.

You have to discuss with her attending physician on the above mentioned issues.

Hope to have been helpful to you!

In case of any further questions, feel free to ask me again.

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor