What causes pain in right arm and back when diagnosed with notch in v2?
Nothing to worry about
Hello and thank you for your question.
Welcome to HCM. I understand your concern.
I would recommend you not to worry about this phenomenon. You see, this may easily be an artefact, since there are no pathological phenomena related to non-specific changes in V2. V2 and V3 are problematic derivations, which in our experience are found frequently because there is no standard in placing the electrode in these positions.
Even ignoring all these facts, even if we accept that this change looks like a pathological one, changes in one single derivation, not associated with at least the same changes in the adjacent derivations, are considerend non-pathological and are "ignored" (in the good way) by us.
The greatest comfort to me comes when I add the fact that you are only 34 years of age and cardiac problems at this age are very rare.
I would advise you, once again, not to worry about it. If this keep concerning you, undergo another EKG a week later. As for the right side pain, it probably is a positional problem you assume during sitting/working/sleeping. It will spontaneously go away and, if unbearable, try a 5-day course of over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs).
I hope to have been helpful. I am happy to help, should you have follow-up questions.
Nothing to worry about
Still, it would have to be accompanied with the same changes in the adjacent lead(s), so it could be called pathological. However, if this is worrisome to you, you can undergo a cardiac stress test, to see if this is pathological, although the probability is very very low.
I hope this was of help. Please close the discussion and rate the answer, if you do not have further questions.
Yes, I can see the changes. Cardiac stress test
Yes, I can see the changes, and yet I am not worried about it. As I stated earlier, if you are so worried about this, perform a cardiac stress test which is basically an EKG when heart is physically stressed. If these changes have a clinical and pathological significance, the stress test is the only and best way to confirm/exclude them as pathological phenomena.
I hope this helps.
Yes, my opinion is so
Welcome back and hi again.
It is not a heart attack, I should say. As I mentioned earlier, given your young age, the probability that "something is wrong" is very, very low. I suggested a stress test more to exclude everything so you could be at peace. I think that there is nothing to worry about. But, let us face it, doctors are not Gods,m. That is why there are tests.
I hope to have been of help and I wish you the best.
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