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What causes chest pain despite having a normal EKG?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 36 years old and have high cholesterol. I have had Kawasaki disease for the past 30 years. Last weekend, I experienced chest pain, and I still have dull, achy pain. At urgent care, the doctor said the EKG was normal compared to previous EKGs I have had, but the result that showed up in my chart a few days later said abnormal, right branch block, and right axis deviation. Should consult a cardiologist. I have attached my EKG reports. Kindly help.

Hello,

Welcome to icliniq.com.

Thank you for your query. I understand your concern. I have seen your ECG (electrocardiogram) reports (attachment removed to protect the patient's identity). Kawasaki disease may surely affect the heart, but in your case, the chest pain that you experienced can not be explained by your ECG. ECG is completely normal, and RBBB (right bundle branch block) is a non-significant variant that can also be seen in many individuals. Do you feel shortness of breath on exertion? Any complaints of edema in the legs? You can get a 2D echo done if you have the above symptoms to confirm any structural problem in the heart.

I hope this has helped you. Thank you.

Medically reviewed byDr. K. Shobana

Published At March 20, 2023
Reviewed AtOctober 23, 2024

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