Doctor insights on:
Can A Person Have A Heart Attack And An Ekg Not Detect It
Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more
Well: I'm electrocardiogram there are usually changes that reflect haven't had a heart attack or myocardial infarction. However electrical abnormalities in the conduction system of the heart can't look like a heart attack or infarct. Also some infarcts do not show up on the EKG. Most the time the EKG is abnormal and shows a prior heart attack or while you're having a heart attack itshows the acute changes of a heart attack but it's not 100% ...Read more
It can : A complete ECG is all 12 leads. Having said that a 3 lead ECG can give suspicion to prior injury or infarct, but not confirm for as confidently. Also matters which 3 leads are being traced, contiguous or not so that it would be more or less accurate if it made an anatomic sense. ...Read more
Occurs: It happens al the time, that is why cardiac enzymes are measured in the blood. Subendocardial infarcts which are the most common, may present with normal or near normal electrocardiograms. If at the emergency room when the heart attack occurs, cardiac enzymes may still be normal. It takes 4 hours of myocardial death for troponins to begin rising. Clinical suspicion, infarct syndrome, cardiaccath. ...Read moreSee 1 more doctor answer
Depends: We may find surreptitiously in doing ekg that they may be an old heart attack. We work up the heart to find out if there is clogging of arteries or by echo how well the heart is functioning. If it is acute with symptoms and ekg suggestive of heart attack, the person is admitted to the hospital for blood tests and proper treatment by the cardiologist either invasively or by meds. ...Read more
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