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

Having shortness of breath and feeling heaviness in chest. EKG showed equivocal scar. What's wrong?

User rating for this question
Very Good
Answered by

Practicing since : 1981
Answered : 922 Questions
I have been having shortness of breath, clamminess, heavy chest feelings upon exertion, sinus tach. Pcp says I have equivocal scar on two ekg's performed within days of each other. However, E.R. says ekg is normal. Today had echo. What could be wrong?
Posted Tue, 4 Dec 2012 in Hypertension and Heart Disease
Answered by Dr. Anil Grover 50 minutes later
Thanks for writing in.
I am a qualified and certified cardiologist. I read your mail with diligence.
When some one says 'equivocal' scar it surely does not mean un equivocal old myocardial infarction(MI Heart attack). Generally, among normal poplation of your age group do develop silent MI roughly in 2% of population per year. But, in those cases ECG shows unequivocal evidence of scar. If the first reading is right then echocardiography will show area of hypokinesia and possibly dyskinesia, referred as regional wall motion abnormality (RWMA) that would confirm that you have had a silent MI some months to years ago. If ER doctor is right you will have only findings of hypertension that is Left Ventricular Hypertrophy (thickening of walls of the ventricle) with Diastolic Dysfunction. This diastolic dysfunction means heart is stiff and inability to fill efficiently when it should. That leads to back pressure increase in veins bringing oxygenated blood from lungs (Pulmonary Venous Hypertension). This is responsibe for all the symptoms you are having. Treatment is optimal control of blood pressure and your doctor may like to add a diuretic, specially during winter months. If you have any question to follow, I will be most happy to answer. Good Luck.

With Best Wishes:

Dr Anil Grover
MBBS, MD (Medicine) DM(Cardiology)
Cardiologist and Internist
http:/ WWW.WWWW.WW
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