HomeAnswersCardiologychest painI have been experiencing chest pain and tightness, and my EKG report shows nonspecific ST abnormality. Does it indicate a heart problem?

Does nonspecific ST abnormality in an EKG report indicate a heart problem?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At May 28, 2023
Reviewed AtAugust 8, 2023

Patient's Query

Hello doctor,

I have severe anxiety and fear of a heart attack. I went to the ER because I was having chest pain and tightness for the past three days and felt like I was spaced out. When I went they did an EKG and informed me that the first EKG was abnormal, but when they read it they said it was not anything to worry about. It was abnormal with nonspecific ST abnormality. All the blood work also came back good and the troponin was negative. They again did an EKG right before I left and it came back normal but said that it was normal compared to EKG performed earlier. So is it really normal? Does this sound like a heart problem that I should worry about? Currently, I take the following medicines - Propranolol, Lisinopril, Synthroid, and Sertraline. Please help.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. ECG (electrocardiogram) that you provided (attachment removed to protect the patient's identity) is showing nonspecific changes without any signs of ischemia. Also, your Trop I test is negative. And as you told your repeat ECG was normal, so it is less likely that it was a heart attack. Hope this helps. Thanks and take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sapkal Ganeshrao Patilba
Dr. Sapkal Ganeshrao Patilba

Cardiology

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