Hi This Is For Dr Sharka I Am Doing A

Posted on Fri, 15 Nov 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 15 Nov 2019 Answered on

Last reviewed on

Question : Hi this is for dr Sharka I am doing a follow up and have uploaded my test results as well I have upper inner right pain that comes and goes just wanting to ensure that this is nit cardiac

Follow up: Dr. Ilir Sharka (2 minutes later)

Also my most recent echo echo stress test and holtor done in July were all normal I will also upload those document

Answered by Dr. Ilir Sharka (41 minutes later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

I passed carefully through your question and would explain that your blood lab tests are perfectly normal.

There may be some artifact on the ECG, which I would recommend repeating a 12 lead ECG. As all your previous cardiac tests have resulted normal and actual troponin levels are normal, it is probably an electrode artifact.

Considering your normal troponin levels, there is no reason to worry about!

In my opinion your symptoms are not related to the heart, but probably caused by costochondritis or fibromyalgia.

Hope you will find this answer helpful!

Wishing all the best !

Dr.Iliri

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ilir Sharka (19 minutes later)

Hello
Please see additional tests uploaded

Answered by Dr. Ilir Sharka (22 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

I carefully reviewed your uploaded tests and would conclude that they are almost normal.

In fact, those QRS fragmentation in V1-V2 leads on the ECG, could be definitely clarified by cardiac MRI which is able to perform cardiac tissues characterization.

Anyway, I don't think that they have any clinical significance.

I continue to think that your symptoms are not related to the heart, but to costo or fibromyalgia.

Hope you will find this answer helpful!

Kind regards,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ilir Sharka (1 hour later)

So you don’t think this is cardiac ans I can continue to be active with my spouse and working out cardiac is fine and should I request a cardiac mri I have always had non spacific at wave abnormality

Answered by Dr. Ilir Sharka (3 hours later)

Brief Answer:
My opinion as follows:

Detailed Answer:
Dear XXXXXXX

I don't think that your symptoms are related to the heart.

You can feel free to exercise as much as you wish and be active sexually as normal.

Regarding the cardiac MRI, it would certainly help put your mind to peace regarding the heart and totally clarify these ECG findings.

Hope you will find this answer helpful!

Wishing a nice weekend,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar