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    What causes myocardial infarction?

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Posted on Tue, 8 Aug 2017 in Hypertension and Heart Disease
Question: I had an ecg done on 7 9 2017 it said i &ad a present anterior mycardial infarction. Should i be concerned about this. I had severe sepsis om may 18 2017 could that have damaged my heart. Should i make an appointment. To see my cardiologist.
doctor
Answered by Dr. Rishu Saxena 25 minutes later
Brief Answer:
You are at risk of sudden cardiac death.

Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query.

As per your details you had a anterior wall m.i.
Myocardial infarction means heart attack.
Heart is supplied by three major vessels called coronary artery.Each vessel supplies a particular area of heart.Blockage in any of the arteries may cause diminished blood supply to that area causing heart attack or myocardial infarction.
Anterior wall m.i means that blood vessel supplying the anterior part of heart is clogged up.Angina, reinfarction, infarct extension,Heart failure, cardiogenic shock, mitral valve dysfunction, aneurysms, cardiac rupture,Atrial or ventricular arrhythmias, sinus or atrioventricular node dysfunction these are all among mortal complication of myocardial infarction.

Suggestion-
Get antibiotic therapy for sepsis.Once sepsis is controlled go for a coronary angiogram.An angiogram is an X-ray test that uses a special XXXXXXX and camera (fluoroscopy) to take pictures of the blood flow in an artery depending on site of blockage and nature of clot Bypass surgery or stents would be deployed.


Answer to your question-
You should definitely contact your cardiologist Asap.

Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Rishu Saxena 36 minutes later
I have been having some chest pains but I have a high pain threshold should I be concerned about this. What about exercise such as walking is it safe to walk over 2 miles alone. Also I am not sweating like I used to and my hands and feet are continually cold a new development in this month
doctor
Answered by Dr. Rishu Saxena 14 minutes later
Brief Answer:
Immediate angiography.

Detailed Answer:

Hi again,
angina is the medical term for chest pain or discomfort usually caused by coronary artery disease. Angina is a sign that someone is at increased risk of heart attack, cardiac arrest and sudden cardiac death. As you get angina, you should get medical attention immediately.
No walk till angiography is done.Just take rest.Your heart is not getting proper blood supply so take rest.Exerting the heart can cause even sudden death.

Work of heart is to pump blood to peripheries and its the blood which maintain temperature of body and provide water for sweating.Due to heart attack heart is not pumping well,Overall supply is compromised hence you are feeling cold and numb.


Suggestion-
Immediate angiography.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Rishu Saxena 16 hours later
The emergency department doctor today said that he disregarded the part of my tech that stated I had an anterior XXXXXXX cause he said that it's computer generated. He had etc done and said it was normal with no XXXXXXX signs. I don't know what believe. I know what the report said. Why would it be printed out if it wasn't true. I am getting the feeling he didn't tell me the truth because my wife was with me and he didn't want her to be concerned. I still have chest pains. No other heart tests were done. I was dehydrated and did get if today. I value your thoughts

I meant myocardial infarction not XXXXXXX Spell check error and ecg not etc. Sorry food the mistake.
doctor
Answered by Dr. Rishu Saxena 7 hours later
Brief Answer:
Follow up.

Detailed Answer:
Hi there,
Don't go on whats written by machine on paper they are usually artifacts.
A ekg is to be read by your cardiologist.
However as you are feeling pain a stress test should be done to rule out cardiac ischemia.
If stress test is normal Gastric cause can be suspected
If you are still feeling pain despite of normal cardiac tests a gastroenterologist should be consulted.


Thanks.
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

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