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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Chest Pain, Done EKG, Showed Inferior Infarct, Inferior Repolarisation. Heart Attack?

My partner is 5'8, 195 lbs, age 37. He was experiencing severe chest pain and finally took himself to the doctor. The EKG showed possible inferior infarct. The report also says minor inferior repolarization disturbance secondary to infarct. The doctor sent him home to wait the next few days until the insurance okays his request to see a cardiologist. He's back to work today. Was this a heart attack and should he be waiting for insurance approval?
Thank you
Tue, 23 Apr 2013
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Cardiologist,  's  Response
It seems by your description and the EKG reading that the heart attack or infarct is old or age indeterminate. However, in the setting of recent symptoms it is concerning and he will likely need more testing. At a minimum, he should be taking one baby aspirin 81 mg daily (can buy over the counter), and hopefully he was provided with nitroglycerin tablets in the ED or wherever he was seen for recurrent episodes of chest pain. Don't hesitate to visit the ED or call an ambulance if he has further episodes of chest pain.

Hope this helps,

Dr Brenes-Salazar
Mayo Clinic Rochester

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Have Chest Pain, Done EKG, Showed Inferior Infarct, Inferior Repolarisation. Heart Attack?

It seems by your description and the EKG reading that the heart attack or infarct is old or age indeterminate. However, in the setting of recent symptoms it is concerning and he will likely need more testing. At a minimum, he should be taking one baby aspirin 81 mg daily (can buy over the counter), and hopefully he was provided with nitroglycerin tablets in the ED or wherever he was seen for recurrent episodes of chest pain. Don t hesitate to visit the ED or call an ambulance if he has further episodes of chest pain. Hope this helps, Dr Brenes-Salazar Mayo Clinic Rochester