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What Are The Symptoms Of Heart Attack?
Posted on
Tue, 21 Apr 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 21 Apr 2015
Answered on
Mon, 18 May 2015
Last reviewed on
Question : I think I had a heartattack but they said no at the emergency room
but I had the worse pain in my left arm before I went and it was unbearable. they did an ekg but it said I didn't have one could it be wrong
but I had the worse pain in my left arm before I went and it was unbearable. they did an ekg but it said I didn't have one could it be wrong
Brief Answer:
Not likely to be wrong
Detailed Answer:
Hi friend
Welcome to Health Care Magic
Typical history, EKG changes, and elevated cardiac markers (enzymes) – are the three things to make a diagnosis of heart attack.
Normal EKG is reassuring but cannot definitely exclude an attack. They do blood tests / repeat the EKG after a few hours
When the pain is not typical and the EKG is normal, nothing further is done at the moment.
Days later, a stress EKG (Treadmill Test - TMT) or stress ECHO is done – to exclude underlying possibility of ischemia. They may also estimate risk factors, like cholesterol etc…
Good luck
God bless you
Not likely to be wrong
Detailed Answer:
Hi friend
Welcome to Health Care Magic
Typical history, EKG changes, and elevated cardiac markers (enzymes) – are the three things to make a diagnosis of heart attack.
Normal EKG is reassuring but cannot definitely exclude an attack. They do blood tests / repeat the EKG after a few hours
When the pain is not typical and the EKG is normal, nothing further is done at the moment.
Days later, a stress EKG (Treadmill Test - TMT) or stress ECHO is done – to exclude underlying possibility of ischemia. They may also estimate risk factors, like cholesterol etc…
Good luck
God bless you
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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