HomeAnswersCardiologychest painI have chest, arm, and neck pain with normal ECG and nil CAC score. What is the management?

I have chest, arm and neck pain with normal ECG reading. Is this arrhythmia?

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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. Vinodhini J.

Published At October 8, 2020
Reviewed AtJune 29, 2023

Patient's Query

Hi doctor,

I bought an ECG watch according to the recommendation of my cardiologist. I have attached three of today's 30-second readings. To me, only one seems normal. I started being symptomatic a year and a half ago, and my state has been getting gradually worse. I have chest, arm, neck, and back pain, gastritis followed by constipation, chronic intermittent dry cough, dizziness, extreme fatigue, eye floaters, etc. I did an echocardiogram two weeks ago, which was fine, and my CAC score following a CT scan was a perfect 0 last year, with no problems whatsoever. I also had a brain and cervical MRI two weeks ago, which showed no signs of multiple sclerosis or anything else. Blood pressure seemed within normal range every time we checked. I was only diagnosed with Vitamin D deficiency (14ng/ml) that I am currently supplementing for two weeks. Cholesterol levels were normal. I will not have my doctor's opinion on these before next week, and I am quite anxious to understand what is going on. Do I suffer from some arrhythmia or tachycardia?

Hi,

Welcome to icliniq.com.

All your ECG (electrocardiography) tracings are normal (attachment removed to protect patient identity). In single-lead ECG, we can only assess rhythm. Rhythm is sinus, which means it is normal. Your first ECG shows tachycardia, which means fast heart rate, but the rhythm is sinus. The other two ECGs are normal even rate is normal. Your echocardiography, CAC (coronary artery calcium) score was normal. So I think you should not worry about the cardiac point of view. Only once you had 12 leads complete ECG done. Do you have a family history of heart disease?

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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