A member asked:

Can an ecg diagnose coronary artery disease? had hr of 160 went to er. place on monitor and troponin done twice. still have tight band around chest.

2 doctors weighed in across 2 answers
Dr. Creighton Wright answered

Specializes in surgery

Not completely: May detect acute rhythm and ischemia, BUT more needed. Followup with cardiology and do stress testing.to detect exercize ischemia-angina-- Seems like NOT A HEART ATTACK per se!

Answered 4/8/2015

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EKG can give hints.: Gold standard for diagnosing coronary artery disease is angiography. Abnormal patterns of EKG can provide clues to the presence of heart disease, but is not sufficient to diagnose it. Even normal troponins only tell you that there hasn't been a heart attack recently. One could still have underlying coronary artery disease.

Answered 9/29/2016

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