ADVERTISEMENT

Q. I have on and off chest pain radiating to neck and jaw. Please interpret my ECG.

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jun 10, 2020 and last reviewed on: Jun 20, 2020

Hello doctor,

I have chest pain for more than one month, on and off radiating to neck and jaw sometimes. I also get pain in both shoulders sometimes. I am diabetic and hypertensive. Please explain my ECG reading.

I am currently on Irbesartan and Metformin.

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

Your ECG is fine (attachment removed to protect patient identity). There are no significant abnormalities seen in ECG (electrocardiogram). Machine generated report mentioned at the top is frequently inaccurate so not to get panic with it.

Now in cardiac pain, the pain usually occurs on exertion and relieves with rest. This is very classical of cardiac pain if it persists for a few minutes and does not last round the clock more than 1-2 days. Now if the pain does not have such characteristic then it may either be related to cervical spondylosis or gastric reflux.

If you have any bloating, burping, heartburn, or upper abdominal pain, then it may be related to gastric reflux. Or if this pain increases on neck movements, associated with tingling, numbness sensation in arms then it may be related to cervical pain.

However, considering the risk factors like DM (diabetes mellitus), HTN (hypertension), it is better to rule out the possibility of cardiac pain. So you should undergo echo and if normal then treadmill test.

Thank you doctor,

Echo was mostly normal with dilated ascending aorta. Indexed diameter of 2.09 cm/m2. Could this be the source of pain?

#

Hello,

Welcome back to icliniq.com.

It is borderline. It is unlikely to be a source of pain. Large aortic aneurysms may cause pain which would be dull aching or pulsatile and would be persistent. So aorta is unlikely to be a cause for your pain.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
ECG report shows down spikes with heart palpitations. Please explain my report.

Do you have anxiety or stress ...   Read full

Am I having a heart problem or PTSD?

I get chest pains through the day and sometimes will get light headed and cannot think clearly ...   Read full

Chest pain since 15 days. ECG & TMT reports are normal. What could be the problem?

Hi doctor, My husband's eye got hurt with my finger accidentally. Now his eye hurts and can barely open. There is a red spot on the white area of his eye. What do we do? Please help.   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Missed Miscarriage - An Overview
Sometimes a miscarriage occurs without knowledge, as typical signs may be absent. This is called a missed miscarriage. L...  Read more»
H3N2v Influenza - Treatment and Prevention
Management and prevention of an Influenza A virus variant include various treatment options and measures. The below arti...  Read more»
Flu A - Symptoms, Causes, Diagnosis, Treatment and Prevention
The flu, or influenza, is a contagious viral infection that attacks the respiratory system. Flu A and B viruses are resp...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.