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74 years type 2 dm for past 20 years. last week chest pain while walking alone and got better when taking rest. ecg and echo normal .trop i score 9.2.tmt positive with downsloping st segment and t wave inversion reversed in recovery phase.diagnosis?
3 doctors weighed in across 2 answers
It sounds like angina. The person may need a stress test to see what happens with exercise and, if ischemia is present, will need treatment. This person should be seeing a cardiologist. Best of luck to you!
Answered 3/30/2023
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Was that troponin positive for damage? Your stress test showed EKG changes which is positive for significant coronary artery blockage. I would think the next step is either a cardiac cath&angiogram or a CT scan coronary angiogram with fractional flow reserve which may allow a decision as to invasive treatment options vs conservative treatment..In the meantime the cardiologist will treat you.
Answered 3/31/2023
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