Q. Do negative troponin rule out heart problem, inspite of chest pain?

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by Dr. Vinodhini. J
Published on Jan 08, 2020

Hello doctor,

I am a 44-year-old female. I get random chest pain either on the left side or on the right side that is painful to touch. There are some instances when it feels like my chest is going to collapse. This feeling lasts for a second or two. Almost like a lightning bolt has shocked me. There are other times where I feel like something is pinching or pressing on my left or right side of the chest.

I have been diagnosed with costochondritis and GERD and prescribed anti-inflammatory pills plus Omeprazole. I also have high blood pressure and high cholesterol for which I take Losartan 25 mg, Hydrocholorithazide 25 mg, and Fenofibrate 145 mg once daily. I had an EKG done and that turned out normal.

I went to the clinic two weeks ago as I had pain in the middle of my chest that lasted less than a minute. I had an EKG done again and it turned out abnormal. My blood pressure was elevated at 130/100 mmHg and I was having an anxiety attack. Although EKG was abnormal, blood tests came out normal and Troponin was negative. I am totally freaking out. Doctor says that I am fine but I should see a cardiologist to rule out heart problems. I am worried because several months ago my EKG was perfectly fine but now it is abnormal. Please help.

Dr. Muhammad Zohaib Siddiq

Cardiology General Practitioner


Welcome to icliniq.com.

I understand your concern. Your troponin was normal, this is good because that was not heart attack. Regarding your ECG (electrocardiogram), I do not know what was the abnormality. I want to see your ECG to guide you accordingly.

One thing I would stress that please reduce your weight as obesity is the most to many unwelcomed diseases. Obesity is a field in which cardiac diseases grow. Only reducing weight will solve many of your symptoms and worries.

Regarding your chest pain, it is atypical and does not seem to be related to the heart. Take painkillers when you have pain.

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