Doctor insights on:
Does Esophageal Spasm Cause Ekg Changes
Does injury or abnormality in CNS or cranial nerves cause EKG changes or disturbance in electrical signals? Does nerve damages above c-1 cause breathing difficulties? How can they identify which nerves are damaged? From the symptoms?
The major nerve controlling heart rate, vascular tension, and gastrointestinal function is the vagus nerve. It is the 10th cranial nerve. It can be compressed or injured a few places between the brainstem and the chest. So, there is at least one way an injury to the neck or brainstem can relate to heart rate, ekg, and breathing.
An injury "above c1" implies a brain injury. If it is located in the brainstem, it would have to be very small to be survivable. This area controls many functions that are "primitive"--that is to say, common to all animals. That would include heart rate and breathing.
When we talk about brainstem injury, we talk about cranial nerve signs and "long tract" signs, meaning the extremities. By finding the intersection of the involved nerves, the area can be identified.
Injuries above the brainstem can be a bit more difficult to localize. Cerebellar problems can be difficult to diagnose and often involve balance and coordination. The midbrain is a relay area of sensory and motor signals. The cerebral cortices, on the other hand, are reasonably well-mapped and those lesions can be recognized more easily.
A neurologist or neurosurgeon can help diagnose and treat the problem. Often MRI is needed to help locate and diagnose the problem. To be useful, though, the images should correspond to the symptoms and exam findings. ...Read more
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
If cardiomyopathy was bad enough to cause low fevers, cp, breathlessness and palps, would it show a sign like increased inflammatory markers, a murmur, low o2, weird BP and/or EKG changes?
Many forms; depends: Cardiomyopathy is a big word that means poor heart function. There are many forms of cardiomyopathies, and depending on which one you have, there are different signs and some are reversible. Hypertrophic cardiomyopathy: enlarged heart with ekg ; echo changes; viral cardiomyopathy: prodrome of viral syndrome which results in cardiomyopathy ; 50% improve; and many others. Discuss with your doctor. ...Read more
What if there are EKG changes during surgery? What does that mean? I had a knee replacement surgery and my EKG had changes during, I am 59 and female.
QCastillo~NO it does not CAUSE GERD but is advised not to use it if you have severe GERD. Read below. No esophageal symptoms do not show on ECG thanks
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Can esophageal spasms cause an inverted T wave on ECG? Blood work was all normal at hospital. Normal stress and echo 6 months ago. Run tests again?
No: However, often you never find the cause of flipped T waves. How do you feel? ...Read more
Brief squeezing type chest pain center/left enough to cause clammy hands/feet likely be esophageal spasm rather than cardiac? Aches slightly after.
Can esophogeal spasm cause troponin t levels of 0.28, 0.26 and 0.24 over a 12 hour period and subtle abnormality on EKG one time and then normal ekg?
No: This could be mild heart attack. You may wanna consult a cardiologist without further delay. ...Read more
Chest pain: It can feel like heartburn, but many people describe a pain that is similar to "angina" (which is just latin for strangling). An unpleasant squeezing or tightness in the chest. It's sometimes relieved by a belch, or antacids. Drugs like nitrates and calcium channel blockers are also effective, but not uniformly so. Sometimes antidepressants (yes, those!) work to reduce the spasms. ...Read more
Is a term to define abnormal contraction of the esophagus during times that the individual is not eating.
It could be triggered by food at temperature extremes and usually disappear spontaneously.
When present on regular basis, it should be an indication for evaluation of acid reflux, connective tissue diseases and some neurological conditions. ...Read more
Yes, lots: They are so similar there is an old fashioned diagnosis called "cardiospasm" for this, and also the stomach has a "cardia" so there has been confusion for a long time. Also they both can respond to nitroglycerine. You would have to be tested with ekg, possibly a stress test or an esophageal study to tell the difference. Try an antacid or antiflatulent (with simethicone) but don't risk guessing. ...Read more
No: Not that I know of.Get a more detailed answer ›
I have esophageal spasm is nifedipine ER 30mg good to take for it? That's what my dr gave me. I just want a second opinion.
I have esophagitis, gastritis, and esophageal spasm. I am taking Nexium (esomeprazole) 40mg 2x per day, symptoms of spasm had decreased, and now they're back, help?
See your GI Doc: You should see your gastro doctor for help with the spasms. Many causes of spasms that need to be evaluated. ...Read more
Chest pain/dysphagia: Chest pain and/or difficulty swallowing and/or pain while swallowing. If you have barrett's esophagus, you're at risk for esophageal cancer. If you haven't had endoscopy yet (i assume you have since you know this diagnosis), you should see a gastroenterologist if you haven't already. ...Read more
Does Dad have DES?: Spastic motility disorders are defined by esophageal manometry, but the intermittent nature of these abnormalities like DES frequently requires other esophageal tests before starting treatment. Of course, pain of DES can mimic coronary artery disease sufficiently that a cardiac evaluation should first rule out heart & vessel problems. Also, address associated heartburn & irritable bowel syndrome. ...Read more
If medications fail: If medications fail, meaning the disease is refractor to maximal medical therapy, then a long esophageal myotomy, or cutting of the esophageal muscles can be performed. This can be performed either thoracoscopically, laparoscopically or a combination of the two. ...Read more
Hi I'm not sure how to tell the difference in a palpitation and and a esophageal spasm. These feelings aren't really "painful" just very uncomfortable?
Get a monitor done: Best way is to have an event monitor done. You should take careful notes about your symptoms (spasm, palpitations) and time of day, so that your doctor can determine whether these correlate to an arrhythmia. The esophagus is in contact with the left atrium and spasms can produce the feeling of palpitation. ...Read more
And although diffuse esophageal spasm (des) can be quite uncomfortable, heart disease can be life threatening, and should be 'ruled out' by your md.
Des is best diagnosed by doing an esophageal motility study, where we can measure the pressures created in your esophagus spontaneously and in response to a swallow. ...Read more
Pain: Esophageal spasms are typically painful and prolonged. Palpitations are a skipped heartbeat, usually a mild sensation, and never painful. If you're concerned about the discomfort, see a doctor. There are treatments available, and there's a lot of value to simple reassurance. ...Read more
Muscle spasm: Inappropriate spasm of esophagus can be very painful. ...Read more
My lover has just been diagnosed with diffuse esophageal spasm. I am worried but she acts like it is not a problem. Who can tell me what it means?
DES can be bad: Des is a motility disorder of esophageal function. The muscles of the esophagus forcibly tighten, typically unpredictably, resulting in severe chest pain. Distinguish this from situational esophageal spasm, "nutcracker esophagus", & of course non-esophageal causes of chest pain. She needs her gastroenterologist's advice about rx's to minimize attacks, where to go/ what to take when pain develops. ...Read more
BY RULING OUT HEART:
Since symptoms of both conditions can be chest pain and coronary spasm is more serious condition, it is first step to rule out coronary spasm first by ekg, angiography;echocardiogram
and if coronary spasm is ruled out than tests to confirm esophageal spasm can be undertaken like endoscopy and/or manometry
esophageal spasm is very rare and often symptoms of chest pain may be due to gerd. ...Read more