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What Causes Pain In Heart?
Question: Hi sir , from yesterday onwards iam getting heart pain. iam getting pain for 1/2 minute and it will go and again comes after fifteen minutes or half an hour. so today i approached cardiologist and took ECG, the doctor simply said nothing to worry, it is not at all a heart pain and it is muscle pain and given tablets that are Myospaz, Zapiz 0.25 and Metzok 12.5. i took tablets at afternoon but still getting slight heart pain. Here iam sending my ECG. Said me what is my problem? is it muscle pain or pain due to gastric or heart pain? give me solution.
Brief Answer:
please see details.
Detailed Answer:
Dear Sir
1. A pain which lasts for less than a minute, which does not always comes on similar provocation (exercise/ stress), which can be localized to one finger, which can be elicited by touch or pressure or which occurs at multiple different sites is not likely to be anginal in origin.
2. The classical anginal pain is behind breast bone, is exaggerated by exercise/ stress, radiates to jaw (above ) umbilicus (below) , and relieves with rest. It may be accompanied by sweating , vomiting and shortness of breath.
3. Your ECG shows minimal T wave inversion in lead III which can be non-specific sign. However one ECG is not sufficient to rule out heart attack neither it is so that ECG always picks up heart related problems.
Overall the clinical judgement and clinical findings of the physician examining the patient matter most. The online consultation can not establish or refute a diagnosis.
If your pain persists, you must visit your physician to get an alternate cause established.
Hope this provides an insight into the issue.
Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi sir you replied that " Your ECG shows minimal T wave inversion in lead III which can be non-specific sign." what does it mean? is ther any problem showing in my ECG? what type of problem is it? is it severe? for more clarification what should i do? shall i take another ECG? give me clarity.
Brief Answer:
please see details
Detailed Answer:
Dear Sir
An ECG is best interpreted in light of clinical clues. The ECG shows something which is not present in an absolutely normal ECG; however still this can be a normal variant. It also does not meet the established criteria for abnormality. Hence, it has relevance only if you have typical pain, which you do not have historically.
What should be done next? If your pain persist , you must seek another opinion from your doctor. If there is any other symptoms/ trouble / problem, you must seek tour doctors helps especially if you have shortness of breath, cough , fever, continuous pain, excessive sweating or profound uneasiness. Any other test should be done only after consulting him. A number of conditions causing chest pain can not be diagnosed without examination.
A muscular pain will be reproduced by touch or pressure or by a particular posture. A gastric pain usually has associated nausea, belching, vomiting and is localized to upper abdomen. A pain originating from lungs increases on deep breath and cough.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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