Can an ECG during chest pain detect myocardial ischemia?

Question

Hello doctor,

I am a 37-year-old married female. I got an ECG done due to chest pain. Unfortunately, my doctor has suggested that my ECG report is abnormal. Can you kindly check the report? I am worried.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern and will surely help you out. I have reviewed the attached reports (the attachment was removed to protect the patient's identity).

Please answer the questions below so that I can better guide you. Have you ever had a cardiac issue before? Since how long are you having chest pain, and what is the exact location of the pain? What factors aggravate, and what factors relieve the pain? Do you have a history of diabetes or hypertension? Do you have a family history of a heart attack at a young age? Are there any other symptoms like breathlessness?

I suggest you repeat the ECG (electrocardiogram). In case you have had chest pain in the last 24 hours, or if you still have the pain, I suggest you go to a cardiac emergency as early as possible. Also, you have to chew on a tablet of 300 mg of Aspirin (Consult a specialist doctor, talk to him or her, and start the medicine with their consent).

I hope this helps.

Please revert so I can assist you further.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I suggest you to get a repeat ECG and echocardiography done to check for any structural or functional abnormalities of the heart. If there is an issue in the reports, medicines will be prescribed.

I hope this helps. Thank you.