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Doctor insights on: Can You Have A Heart Attack With A Normal Ekg

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Dr. Creighton Wright
1,172 doctors shared insights

Myocardial Infarction (Definition)

Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more


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Can a person have a heart attack, but have a normal ekg?

Can a person have a heart attack, but have a normal ekg?

Yes: Especially early in the course of a heart attack the ekg can be normal. Usually some abnormalities become present with time. A heart attack cannot be excluded based on the ekg alone. ...Read more

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Is it that rare for a 27-30 year old male to have a heart attack? Does it make it even rarer if they had recent normal ekg/stress/echo?No fam hist

Is it that rare for a 27-30 year old male to have a heart attack? Does it make it even rarer if they had recent normal ekg/stress/echo?No fam hist

Yes, rare: Hi. Yes it's rare for a 27-30 yo male to have a heart attack (MI). And, yes, it's even rarer if he has no family history of premature MI and a recently negative stress echo; EKG is not a good screening test for risk of MI, but can often diagnose a current or past MI. ...Read more

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Severe anxiety. Echocardiogram,ekg,stress ,all normal. What's the worst than can come from my palpitations?18 in good shape.Can I have a heart attack?

Severe anxiety. Echocardiogram,ekg,stress ,all normal. What's the worst than can come from my palpitations?18 in good shape.Can I have a heart attack?

Palpitation Sx: Palpitations are an awareness of extra heartbeats which most of us have. The sensation can be single or multiple and can sometimes last minutes. Different people may feel other symptoms along with them such as dizzy, lightheaded or short of breath. The palpitations are almost always atrial or ventricular premature beats. Usually benign but they are also found with abnormal hearts. ...Read more

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Is it likely to have a heart attack with NORMAL chest CT scan, chest ultrasound, numerous EKGs, and cardiac enzymes in the last year. 32/F/NS/ N Hist.

Is it likely to have a heart attack with NORMAL chest CT scan, chest ultrasound, numerous EKGs, and cardiac enzymes in the last year. 32/F/NS/ N Hist.

Modify risk factors: normal ekg, echo, cardiac ct cardiac enzymes can be useful to rule out a heart attack. At age 32 however we are still capable of building plaque in our arteries. Plaque does not suddenly appear. It starts in young adolescent age. Modifying risk factors includes healthy diet full of lots of plant food. Small amts healthy fats,minimal animal foods,no processed foods and daily exercise&no smoking ...Read more

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Is it normal to have a normal EKG with a heart attack?

Is it normal to have a normal EKG with a heart attack?

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 more

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Is it possible to be having a heart attack with a perfectly normal ekg?

Heart attack: You can have a heart attack with a perfectly normal ECG especially very early but if any signifcant amount of heart is involved there should be ECG changes. ...Read more

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What does a normal EKG look like versus an abnormal one from an undetected heart attack ?

What does a normal EKG look like versus an abnormal one from an undetected heart attack ?

A normal EKG: Because some areas of the heart are electrically silent, one can have a full blown heart attack with an entirely normal ekg. When the ekg is destined to become abnormal, it often lags, not showing changes early on: hence the need for "serial ekgs" (done daily). The adage "treat the patient, not the ekg" hasn't changed over the years. ...Read more

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If you had a EKG six months ago with normal results and have continually had chest discomfort could you be having heart attack?

If you had a EKG six months ago with normal results and have continually had chest discomfort could you be having heart attack?

EKG: The ekg is a 10 second snap shot in time. It does not tell us anything about future risk for heart disease. An ECG can give you an indication that there may be thickening of the heart muscle, prior heart attack/ scar or arrhythmias etc. If you are having exertional chest pain you need to seek immediate medical care. ...Read more

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Can you tell me if i had a normal EKG reading, but weeks after im still having chest pains should I worry about a heart attack?

Can you tell me if i had a normal EKG reading, but weeks after im still having chest pains should I worry about a heart attack?

Less likely: A nl ekg does not completely exclude active heart disease. If there are persistent symptoms cardiology eval with echo, stress test and cardiac enzymes may be in order. If these tests are neg and symptoms persist atrial of nsaids for costochondritismay be helpful. ...Read more

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Hi went to dr. Did EKG showed prior heart attack. X-ray showed heart normal size. Have echo scheduled. Dies heart size change with heart attack?

Hi went to dr.  Did EKG  showed prior heart attack.  X-ray showed heart normal size. Have echo scheduled.  Dies heart size change with heart attack?

Heart Damage: Most silent heart attacks (those that one does not know happened) do not cause too much damage to the heart and many people are fine. But, if the heart is not beating correctly or has to work overtime to accomplish it's functions it can get extra growth or hypertrophy. It sounds like the doctor is doing all of the right testing. ...Read more

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Do I have any reason to worry about sca/or heart attack at age 28? Normal ekgs, normal echo shows normal function, normal stress test and blood work?!

Do I have any reason to worry about sca/or heart attack at age 28? Normal ekgs, normal echo shows normal function, normal stress test and blood work?!

Heart attack prevent: You are too young to have a heart attack unless drugs are involved (meth) or significant family history of premature cardiovascular disease. You're on oxycodone. Chronic pain can cause palpitations. Exercise will strengthen your health. Stay out of trouble. You shud be fine. Your chest pain and cough may be due to undiagnosed asthma or just plain anxiety. Check with your doctor. Test your lungs. ...Read more

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35 M with no fam his non smoker echo stress in Jan perfect. Normal BP and chol. Numerous EKG over last 9 months. Still imagine will have heart attack!

35 M with no fam his non smoker echo stress in Jan perfect. Normal BP and chol. Numerous EKG over last 9 months. Still imagine will have heart attack!

Relax: You have no real risk factors for premature coronary artery disease, and a normal imaging stress test. You also have normal serial EKGs. If your cholesterol and BP are also normal I would work on your anxiety as I think you have little to worry about from a coronary standpoint in the near future. Good luck!! ...Read more

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Sister had heart attack at 36 I have had normal ekgs, stress test, and IMT test but have a slight heart murmur. Have chest pain on and off is it heart?

Sister had heart attack at 36 I have had normal ekgs, stress test, and IMT test but have a slight heart murmur. Have chest pain on and off is it heart?

Risk higher: if you have family history of an early heart attack, you are at a higher risk of developing Coronory artery disease - which manifests acutely as what we know as" heart attack". Important to have a Cardiologsit and someone who knows about your test results (lipid levels, echocardiograms) can better weigh in on your answer. Remember to - eat healthy, NO SMOKING, exercise. ...Read more

Dr. Lynne Weixel
3 doctors shared insights

Electrocardiogram (Definition)

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


Dr. Creighton Wright
3,954 doctors shared insights

Heart Attack (Definition)

A life-threatening condition in which the blood vessels that supply the heart becomes occluded and thus the heart itself is not longer receiving any blood flow. Without this blood flow, the heart muscle dies and cannot pump blood to the ...Read more