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Mpression - ABNORMAL ECG - Lso Having Left Side Chest
Question: mpression
- ABNORMAL ECG -
lso having left side chest pain. mental symptoms started while working out and continued until now . severe sudden psychosis and Rhabdomyolysis
no prior mental health issues or medical conditions
negative for drugs
Impression
SB-Sinus bradycardia-rate<50
Impression
MAPC-Atrial premature complexes-SV complexes w/ short R-R intvls
Impression
CRVH-Consider right ventricular hypertrophy-large R or R' V1/V2
elevated cpk levels 5000^
Aldolase
17.3 U/L
Salicylate
<1 mg/dL
SGOT (AST)
54 U/L
Alkaline Phosphatase
131 U/L
Potassium
3.2 mmol/L
left side chest pain, confusion, delusions , paranode behavior
tox n drug screen negative
- ABNORMAL ECG -
lso having left side chest pain. mental symptoms started while working out and continued until now . severe sudden psychosis and Rhabdomyolysis
no prior mental health issues or medical conditions
negative for drugs
Impression
SB-Sinus bradycardia-rate<50
Impression
MAPC-Atrial premature complexes-SV complexes w/ short R-R intvls
Impression
CRVH-Consider right ventricular hypertrophy-large R or R' V1/V2
elevated cpk levels 5000^
Aldolase
17.3 U/L
Salicylate
<1 mg/dL
SGOT (AST)
54 U/L
Alkaline Phosphatase
131 U/L
Potassium
3.2 mmol/L
left side chest pain, confusion, delusions , paranode behavior
tox n drug screen negative
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your question and would explain that your symptoms could be related to myositis (inflammation of the muscles), considering the very high CPK levels. Sometimes psychosis is associated to myositis too.
Have you used any anti-psychotic drugs before?
Coming to this point, I would recommend performing muscle biopsy in order to examine your muscles and determine the possible cause underlying your situation. EMG should be done too.
Regarding the heart, you should know that changes in the ECG could be related to changes in the heart muscle (myocardium), which could be related to the rhabdomyolysis or any other muscle disorder (including myosistis or myopathy).
For this reason, I would recommend performing a cardiac ultrasound.
A cardiac MRI would be a more accurate tool to examine the myocardial tissues and examine the possible damages to the myocardial tissues.
An ambulatory 24-48 hours ECG would help examine your heart rhythm for a prolonged time, compared to a resting ECG.
You should discuss with your doctor on the above tests.
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka, Cardiologist
I would recommend as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your question and would explain that your symptoms could be related to myositis (inflammation of the muscles), considering the very high CPK levels. Sometimes psychosis is associated to myositis too.
Have you used any anti-psychotic drugs before?
Coming to this point, I would recommend performing muscle biopsy in order to examine your muscles and determine the possible cause underlying your situation. EMG should be done too.
Regarding the heart, you should know that changes in the ECG could be related to changes in the heart muscle (myocardium), which could be related to the rhabdomyolysis or any other muscle disorder (including myosistis or myopathy).
For this reason, I would recommend performing a cardiac ultrasound.
A cardiac MRI would be a more accurate tool to examine the myocardial tissues and examine the possible damages to the myocardial tissues.
An ambulatory 24-48 hours ECG would help examine your heart rhythm for a prolonged time, compared to a resting ECG.
You should discuss with your doctor on the above tests.
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka, Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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