HomeAnswersCardiologycoronary angiographyMy mother's ECG is abnormal even though she does not have chest pain. Why?

My mother does not complain of chest pain, but her ECG is abnormal. How?

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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.

Answered by

Dr. Isaac Gana

Medically reviewed by

Dr. K. Shobana

Published At March 26, 2017
Reviewed AtJune 6, 2023

Patient's Query

Hi doctor,

My mother is 65 years old and diabetic for the last 15 to 20 years. During her last blood and urine test, there were some issues with lipid profile test apart from sugar fasting and PP. When doctor performed ECG, there was some problem with that also. Now the doctor had recommended CAG. My point of concern is as follows. Does the report clearly reflect the issue in the heart? She does not complain of pain in chest? Should we get either an echo or TMT before CAG? Which angiography is appropriate by keeping the age factor and diabetes in mind? That is, either CT angiography or normal angiography. Is there anything to get panic in this situation?

Answered by Dr. Isaac Gana

Hello,

Welcome to icliniq.com.

Your mother's test results show abnormalities. That is why the doctor has recommended CAG (coronary angiography). The ECG shows ST segment flattening at V, which indicates ischemia (reduced blood supply) and can lead to a heart attack. It can occur in patients without chest pain. The choice for the type of angiography should be made by the attending physician. He or she will be in the correct position to decide the best for her based on his experience. There is nothing much to panic. It is mostly due to the long-term effects of diabetes.

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

Dr. Isaac Gana
Dr. Isaac Gana

Cardiology

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