A 41-year-old member asked:
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is an ekg a definitive test for vascular damage for a patient with chest pain?

2 doctor answers
Dr. Gutti Rao
Dr. Gutti Rao answered
46 years experience Hospital-based practice
No: Ekg is helpful in detecting acute st elevation myocardial infarction. Sometimes, damage can occur without changes in ekg. Then we rely on blood work, called cardiac enzymes.
Answered on Dec 9, 2013
Dr. Brian Mott
29 years experience Thoracic Surgery
Not definitive: Ecg can be completely normal unless you had a previous infarct or are currently having an acute coronary syndrome. There are signs suggesting ischemic heart disease but they re not definitive. A stress test is the next line of testing followed by cardiac catheterization which is truly definitive.
Answered on Oct 4, 2016
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