What is the problem with ECG Report? Is it fine to take Concor tablets?

Question

Hi doctor,

I want to explain my wife's situation and I need your help and assistance. When my wife was in the kitchen, suddenly she felt some pain and heat in the upper part of her stomach and felt all her body become hot. I took her to the hospital, in the emergency department her pressure was 110/70 mmHg and the doctor requested ECG. The doctor showed some kind of worry in respect to the ECG, made some mark in the ECG and requested for a blood test. After four hours he repeated the blood test and the ECG and then he discharged her from the hospital and gave her some medicine for the stomach and advised me to follow up with heart doctor. Then we went to a heart doctor and he did another ECG and echo for her heart and advised us to get a CT image of her heart, so that he can decide and give opinion. We did not go for CT image until now and went to another doctor. He made another ECG and once he saw the ECG he was surprised and said that the ECG belongs to women of age 60 years old and not 32 years old. He requested blood test, gastroscopy, exercise ECG and prescribed Concor tablets 2.5 mg. Please advise me what is the problem with my wife's ECG? And what shall I do next? Shall I go with CT image or exercise ECG? Is it fine to take Concor tablets? By the way my wife age is 32 years old and we have four children of age 12, 9, 6 and 4 years. This is the first time my wife complaints of pain and now she is feeling better and doing her household works normally. Also, she does not have diabetes or blood pressure. Her weight is 139 lbs, which is correct for her height. Please assist and advise me.

Answer 1

Hi,

Welcome to icliniq.com.

First relax. There is nothing to worry about. I have gone through the detailed history and investigations (attachment removed to protect patient identity) you have attached.

I found cardiac markers are quite normal. Her 2D echo is normal.

Her other blood investigations are normal. Endoscopy showing that there is gastritis and duodenitis. It can be cured easily.

Coming to ECG (electrocardiogram) there are some T wave inversions in lead V2 and V3. They are of little concern.

Coronary artery disease is very rare in a woman of 32 years age. You can go for CT coronary angiogram, which is a very simple procedure.

With reports of cardiac markers and 2D echo we can say she does not have any cardiac muscle injury and she does not have any functional problem in her heart.

Just go for Coronary CT angiogram to feel tension free. Her stomach pain is most likely due to gastritis.

Revert back with the CT angiogram report to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Answer 2

Hi,

Welcome back to icliniq.com.

You can go for stress ECG test. It will show up any ischemia if present, coronary disease or spasm.

Regarding tablet Concor (Bisoprolol Fumarate), you have to use it very carefully as it reduces blood pressure and her BP is around 110/70 mmHg. Buy a home blood pressure monitor. Also, avoid Concor on the day of the test.

For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

What is the problem with ECG Report? Is it fine to take Concor tablets?

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